Sleep Disorders in Relation to Coronary Heart Disease

Partinen, Markku; Putkonen, Pekka T.S.; Kaprio, Jaakko; Koskenvuo, Markku; Hilakivi, I.

doi:10.1111/j.0954-6820.1982.tb00362.x

Cited by 96 publications

(15 citation statements)

References 53 publications

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“…When the clinical presentations of CHD are considered separately, a heterogeneous pattern of risk emerges. Both sleep lengths of 6 or less hours/night and 9 or more hours/night were associated with heightened odds for history of myocardial infarction in a Finnish population 23 and in the NHIS cohort 24 , but only short sleepers has a significant adjusted prevalence of myocardial infarction using the 2007–2008 NHANES dataset 21 . Findings are discrepant for angina, although this condition seems more closely related to short sleep duration 23,24 .…”

Section: Epidemiologic Evidencementioning

confidence: 93%

Sleep Duration and Cardiovascular Disease Risk

Covassin

Singh

2016

Sleep Medicine Clinics

228

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Synopsis Inadequate sleep has become increasingly pervasive, and the impact on health and quality of life remains to be fully understood. The cardiovascular consequences alone appear to be substantial and significant. This brief review summarizes epidemiologic evidence regarding the association between extremes of sleep duration and the prevalence and incidence of cardiovascular diseases. The adverse effects of experimental sleep loss on physiological functions are discussed, along with those cardiovascular risk factors that may underlie the association with increased morbidity and mortality. Current data support the concept that inadequate sleep duration confers heightened cardiovascular risk. Thus implementation of preventative strategies may be needed to reduce the potential disease burden associated with this widespread high-risk behavior.

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Section: Epidemiologic Evidencementioning

confidence: 93%

Sleep Duration and Cardiovascular Disease Risk

Covassin

Singh

2016

Sleep Medicine Clinics

228

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“…The effects of sleep disorders on the patient's health are numerous, including arterial hypertension, coronary heart disease, stroke, etc. [6][7][8].…”

mentioning

confidence: 99%

Results in the Use of Two Types of Polymeric Appliances in the Therapy of Some Mild Sleep Apnea Simptoms

Bechir¹,

A²,

Arghir³

et al. 2017

Mat.Plast.

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Sleep apnea episodes represent a problem both for the patients and for the patient�s bed partners. The objective of this study was to record the comparative effects of two types of polymeric appliances in the therapy of some mild apnea symptoms (bruxism and snoring). The effect of therapy with the used appliances was pursued on 42 patients, divided in two groups. In the first group of 21 patients, we used a custom made appliance achieved by Erkoflex disks, and in the second group of 21 patients, the preformed SomnoFit�-Oscimed polymeric appliance. The survey lasted for a 12 month period, 1 month before the insertion in mouth of the appliances and 11 months therapy with polymeric appliances. The authors� questionnaire was completed daily by the patients and their bed partners, which noted the night comfort with inserted appliances in the mouth, the existence/absence of morning pain in the area of the masseter muscle, existence/absence of the morning fatigue, respectively the maintaining, diminishing and the absence of snoring and of nocturnal bruxism. The results of the study were favorable and proved that the nocturnal therapy of bruxism and of snoring, by using these two polymeric appliances were efficient. SomnoFit� appliance performed better in reducing bruxism and snoring, but custom made Erkoflex appliances presented a greater resistance in time.

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“…CSC: central serous chorioretinopathy, NOSD: nonorganic sleep disturbance, HR: hazard ratio, CI: confidence interval. [29]. CSC also was noted to be associated with an increased risk of stroke and coronary heart disease [27,28].…”

Section: Discussionmentioning

confidence: 99%

Increased Risk of Central Serous Chorioretinopathy among Patients with Nonorganic Sleep Disturbance

Tien

Lai

Lin

et al. 2020

Journal of Ophthalmology

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Purpose. Patients with central serous chorioretinopathy (CSC) typically present with acute visual impairment and metamorphopsia. The disease previously has been associated with psychological stress. Population-based cohort studies on the risk of CSC among patients with nonorganic sleep disturbance (NOSD) are limited. An early sign of psychiatric disorder was probably sleep disturbance. Furthermore, psychological stress may be caused by sleep disturbance. We investigated the relationship between NOSD and the incidence of CSC. Design. Longitudinal cohort study. Participants. We used the Longitudinal Health Insurance Database and collected the data of 53,743 NOSD patients without CSC between 2000 and 2005 as the study group. Four-fold controls were selected randomly from those without neither sleep disturbance nor a CSC history with frequency matching of age, sex, and index-year. Methods. The difference in sex, age group, comorbidities, and steroid use between the two groups was analyzed by the χ2 test. Cox-proportional hazard regression was utilized to estimate the hazard ratio (HR) and 95% confidence intervals (95% CI) for comparison of the two groups. Kaplan–Meier analysis was applied to measure the cumulative incidence of CSC. Furthermore, the log-rank test was used to test the incidence difference between the two groups. Main Outcome Measures. The incidence rate of CSC in the following years until 2011 was detected. Results. During a mean follow-up of 7.36 ± 2.88 years, NOSD patients had a higher incidence of CSC than the controls (3.10 vs. 1.86 per 10,000 person-years; adjusted HR, 1.65; 95% CI, 1.34–2.02). Men had a higher risk of CSC than women. Sensitivity analyses stratified by sex, age group, or comorbidity condition showed consistently that NOSD patients had a higher risk of CSC than their controls. Dose-response showed that higher NOSD severity had even higher CSC risk. Conclusions. NOSD is an independent indicator for the increased risk of subsequent CSC development.

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Sleep Disorders in Relation to Coronary Heart Disease

Cited by 96 publications

References 53 publications

Sleep Duration and Cardiovascular Disease Risk

Sleep Duration and Cardiovascular Disease Risk

Results in the Use of Two Types of Polymeric Appliances in the Therapy of Some Mild Sleep Apnea Simptoms

Increased Risk of Central Serous Chorioretinopathy among Patients with Nonorganic Sleep Disturbance

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