Sleep Disturbances in Patients With Coronary Heart Disease: A Systematic Review

Madsen, Michael Tilling; Huang, Chenxi; Zangger, Graziella; Zwisler, Ann Dorthe Olsen; Gögenur, Ismail

doi:10.5664/jcsm.7684

Cited by 34 publications

(31 citation statements)

References 82 publications

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“…CVD is the leading cause of death globally ( 141 ). While sleep disturbances are common among individuals with CVD ( 85 ), a burgeoning evidence base demonstrates the role of sleep characteristics and disorders in contributing to CVD morbidity and mortality ( 57 ).…”

Section: Sleep Health As a Key Health Indicatormentioning

confidence: 99%

Sleep Health: An Opportunity for Public Health to Address Health Equity

Hale

Troxel

Buysse

2020

Annu. Rev. Public Health

259

177

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The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease. Using a socioecological framework, we describe interacting domains of individual, social, and contextual influences on sleep health. To the extent that these determinants of sleep health are modifiable, sleep and public health researchers may benefit from taking a multilevel approach for addressing disparities in sleep health. For example, in addition to providing individual-level sleep behavioral recommendations, health promotion interventions need to occur at multiple contextual levels (e.g., family, schools, workplaces, media, and policy). Because sleep health, a key indicator of overall health, is unevenly distributed across the population, we consider improving sleep health a necessary step toward achieving health equity.

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Section: Sleep Health As a Key Health Indicatormentioning

confidence: 99%

Sleep Health: An Opportunity for Public Health to Address Health Equity

Hale

Troxel

Buysse

2020

Annu. Rev. Public Health

259

177

View full text Add to dashboard Cite

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“…[10][11][12][13] Additionally, patients with cardiac disease display higher incidence of SPD due to frequent cardiac pain and discomfort, as well as long-term psychological pressure. [14][15][16] However, no previous systematic prospective studies have evaluated the effect of preoperative chronic SPD on PD for patients following cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Effect of Sleep Disorder on Delirium in Post-Cardiac Surgery Patients

Wang

Zhang

Luo

et al. 2020

Can. J. Neurol. Sci.

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Background: Post-cardiac surgery patients exhibit a higher incidence of postoperative delirium (PD) compared to non-cardiac surgery patients. Patients with various cardiac diseases suffer from preoperative sleep disorder (SPD) induced by anxiety, depression, breathing disorder, or other factors. Objective: To examine the effect of sleep disorder on delirium in post-cardiac surgery patients. Methods: We prospectively selected 186 patients undergoing selective cardiac valve surgery. Preoperative sleep quality and cognitive function of all eligible participants were assessed through the Pittsburgh Sleep Quality Index (PSQI) and the Montreal Cognitive Assessment, respectively. The Confusion Assessment Method for Intensive Care Unit was used to assess PD from the first to seventh day postoperatively. Patients were divided into two groups according to the PD diagnosis: (1) No PD group and (2) the PD group. Results: Of 186 eligible patients, 29 (15.6%) were diagnosed with PD. A univariate analysis showed that gender (p = 0.040), age (p = 0.009), SPD (p = 0.008), intraoperative infusion volume (p = 0.034), postoperative intubation time (p = 0.001), and intensive care unit stay time (p = 0.009) were associated with PD. A multivariate logistic regression analysis demonstrated that age (odds ratio (OR): 1.106; p = 0.001) and SPD (OR: 3.223; p = 0.047) were independently associated with PD. A receiver operating characteristic curve demonstrated that preoperative PSQI was predictive of PD (area under curve: 0.706; 95% confidence interval: 0.595–0.816). A binomial logistic regression analysis showed that there was a significant association between preoperative 6 and 21 PSQI scores and PD incidence (p = 0.009). Conclusions: Preoperative SPD was significantly associated with PD and a main predictor of PD.

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“…9,10 And there is a mutually causal relationship between poor sleep quality and heart disease. 11,12 A prospective observational study in our center discovered that the incidence of preoperative poor sleep quality in patients with cardiac valve disease was about 57%. 13 Poor sleep quality can predispose individuals to pain conditions, and increasing pain severity further exacerbates their sleep quality.…”

Section: Introductionmentioning

confidence: 99%

<p>Risk of Postoperative Hyperalgesia in Adult Patients with Preoperative Poor Sleep Quality Undergoing Open-heart Valve Surgery</p>

Zhang¹,

Wang²,

Wang³

et al. 2020

JPR

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Purpose: Studies have reported that preoperative poor sleep quality could decrease the pain threshold in patients undergoing noncardiac surgery. However, the risk of postoperative hyperalgesia (HA) in cardiac surgery patients with preoperative poor sleep quality remains unclear. Patients and Methods: We retrospectively collected clinical data from patients undergoing open-heart valve surgery between May 1 and October 31, 2019, in Fuwai Hospital (Beijing). We assessed preoperative sleep quality and postoperative pain severity using the Pittsburgh sleep quality index (PSQI) and numerical pain rating scale (NPRS), respectively. A PSQI of six or greater was considered to indicate poor sleep quality, and a NPRS of four or greater was considered to indicate HA. Multivariable logistic regression analysis was used to study the risk of postoperative HA in patients with preoperative poor sleep quality. Results: We divided 214 eligible patients into two groups based on postoperative HA; HA group: n=61 (28.5%) and nonHA group: n=153 (71.5%). Compared with nonHA patients, patients with postoperative HA showed a higher percentage of history of smoking, 17 (11.1%) vs 15 (24.6%) and alcohol abuse, 5 (3.3%) vs 6 (9.8%), higher intraoperative dose of sufentanil (median, 1.02 vs 1.12 μg/kg/h), and longer duration of ventilation with tracheal catheter (median, 760 vs 934 min). Preoperative poor sleep quality was associated independently with an increased risk of postoperative HA (adjusted odds ratio [AOR]: 2.66; 95%CI: 1.31-5.39, P=0.007). Stratification by history of smoking revealed a stronger risk of postoperative HA in nonsmoking patients with preoperative poor sleep quality (AOR: 3.40; 95%CI: 1.51-7.66, P=0.003). No risk was found in patients who had history of smoking (AOR: 0.83; 95%CI: 0.14-4.75, P=0.832). Conclusion: Preoperative poor sleep quality is an independent risk factor for postoperative HA in adult patients undergoing open-heart valve surgery who had no history of smoking.

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Sleep Disturbances in Patients With Coronary Heart Disease: A Systematic Review

Cited by 34 publications

References 82 publications

Sleep Health: An Opportunity for Public Health to Address Health Equity

Sleep Health: An Opportunity for Public Health to Address Health Equity

Effect of Sleep Disorder on Delirium in Post-Cardiac Surgery Patients

<p>Risk of Postoperative Hyperalgesia in Adult Patients with Preoperative Poor Sleep Quality Undergoing Open-heart Valve Surgery</p>

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