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Erschienen in: Current Cardiology Reports 10/2023

01.09.2023 | Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Insomnia and Cardiovascular Health: Exploring the Link Between Sleep Disorders and Cardiac Arrhythmias

verfasst von: Parjanya Bhatt, Vaishnavi Patel, Jatin Motwani, Udit Choubey, Ramsha Mahmood, Vasu Gupta, Rohit Jain

Erschienen in: Current Cardiology Reports | Ausgabe 10/2023

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Abstract

Cardiovascular diseases (CVDs), driven by modern lifestyles, have increased, with atrial fibrillation (AF) being a major concern linked to heart failure and stroke. Insomnia affects a large population, especially younger individuals, males, and menopausal women, decreasing the quality of life and potentially causing autonomic disturbances and cardiac arrhythmias.

Purpose of Review

This review explores the link between insomnia and cardiac arrhythmias, particularly AF, and its impact on cardiovascular health and emphasizes the need to address insomnia in individuals with cardiac arrhythmias by tailored strategies for sleep management to improve their overall well-being.

Recent Findings

Recent findings emphasize maintaining a regular sleep schedule to lower AF and bradyarrhythmia risks. Better sleep scores correlate with reduced AF and bradyarrhythmia risks, while insomnia increases AF risk, particularly in those under 40 years of age. Studies underscore the potential impact of sleep management in reducing cardiovascular risks and highlight the importance of addressing sleep issues to improve cardiovascular health outcomes.

Summary

Our review presents compelling evidence connecting insomnia and AF. Improving sleep patterns and addressing sleep issues can reduce AF risk, benefiting cardiovascular health. A comprehensive approach for managing at-risk individuals with cardiac arrhythmias, considering co-existing conditions, can decrease long-term disease burden and expenses. Incorporating sleep assessments and interventions into cardiovascular risk management, especially for those with insomnia, is recommended. Further research is needed to fully comprehend the complex relationship between insomnia and cardiac arrhythmias.
Literatur
5.
Zurück zum Zitat Rosenberg R, Citrome L, Drake CL. Advances in the treatment of chronic insomnia: a narrative review of new nonpharmacologic and pharmacologic therapies. Neuropsychiatr Dis Treat. 2021;17:2549–2566. Published 2021 Aug 6. https://doi.org/10.2147/NDT.S297504. Rosenberg R, Citrome L, Drake CL. Advances in the treatment of chronic insomnia: a narrative review of new nonpharmacologic and pharmacologic therapies. Neuropsychiatr Dis Treat. 2021;17:2549–2566. Published 2021 Aug 6. https://​doi.​org/​10.​2147/​NDT.​S297504.
8.
Zurück zum Zitat Katz DA, McHorney CA. The relationship between insomnia and health-related quality of life in patients with chronic illness. J Fam Pract. 2002;51(3):229–35.PubMed Katz DA, McHorney CA. The relationship between insomnia and health-related quality of life in patients with chronic illness. J Fam Pract. 2002;51(3):229–35.PubMed
14.
Zurück zum Zitat Hald EM, Løchen ML, Mathiesen EB, et al. Atrial fibrillation, venous thromboembolism, ischemic stroke, and all-cause mortality: the Tromsø study. Res Pract Thromb Haemost. 2020;4(6):1004–1012. Published 2020 Jul 6. https://doi.org/10.1002/rth2.12351. Hald EM, Løchen ML, Mathiesen EB, et al. Atrial fibrillation, venous thromboembolism, ischemic stroke, and all-cause mortality: the Tromsø study. Res Pract Thromb Haemost. 2020;4(6):1004–1012. Published 2020 Jul 6. https://​doi.​org/​10.​1002/​rth2.​12351.
19.
Zurück zum Zitat Rodenbeck A, Hajak G. “Neuroendocrine dysregulation in primary insomnia.” Revue neurologique vol. 157,11 Pt 2. 2001:S57–61. Rodenbeck A, Hajak G. “Neuroendocrine dysregulation in primary insomnia.” Revue neurologique vol. 157,11 Pt 2. 2001:S57–61.
21.
Zurück zum Zitat Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996;(3):354–81. PMID: 8737210. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996;(3):354–81. PMID: 8737210.
27.
Zurück zum Zitat Arand DL, Burton G, Bonnet MH. When to order a sleep study and how to read the report - Part I. Primary Care Reports. 2002;8:192. Arand DL, Burton G, Bonnet MH. When to order a sleep study and how to read the report - Part I. Primary Care Reports. 2002;8:192.
28.
Zurück zum Zitat Arand DL, Burton G, Bonnet MH. When to order a sleep study and how to read the report - Part II. Primary Care Reports. 2002;8:200. Arand DL, Burton G, Bonnet MH. When to order a sleep study and how to read the report - Part II. Primary Care Reports. 2002;8:200.
33.
Zurück zum Zitat Hauri P. Sleep hygiene. In: Hauri P, editor. Current concepts: the sleep disorders. The Upjohn Company; Kalamazoo, MI: 1977:21–35. Hauri P. Sleep hygiene. In: Hauri P, editor. Current concepts: the sleep disorders. The Upjohn Company; Kalamazoo, MI: 1977:21–35.
34.
Zurück zum Zitat Zarcone VP. Sleep hygiene. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd ed. WB Saunders; Philadelphia, PA. 2000:657–61. Zarcone VP. Sleep hygiene. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd ed. WB Saunders; Philadelphia, PA. 2000:657–61.
37.
Zurück zum Zitat • Rossman J. Cognitive-behavioral therapy for insomnia: an effective and underutilized treatment for insomnia. Am J Lifestyle Med. 2019;13(6):544–547. Published 2019 Aug 12. https://doi.org/10.1177/1559827619867677. This study highlights the prevalence of sleep difficulties and the effectiveness of cognitive-behavioral therapy for insomnia (CBT-i) as a nonpharmacological treatment. CBT-i is shown to be safe and highly effective, but underutilized due to the shortage of trained practitioners and patients’ tendency to learn about sleep medication instead. The authors advocate for physicians to recommend it as a first-line treatment for chronic insomnia. • Rossman J. Cognitive-behavioral therapy for insomnia: an effective and underutilized treatment for insomnia. Am J Lifestyle Med. 2019;13(6):544–547. Published 2019 Aug 12. https://​doi.​org/​10.​1177/​1559827619867677​. This study highlights the prevalence of sleep difficulties and the effectiveness of cognitive-behavioral therapy for insomnia (CBT-i) as a nonpharmacological treatment. CBT-i is shown to be safe and highly effective, but underutilized due to the shortage of trained practitioners and patients’ tendency to learn about sleep medication instead. The authors advocate for physicians to recommend it as a first-line treatment for chronic insomnia.
39.
Zurück zum Zitat •• Li X, Zhou T, Ma H, et al. Healthy sleep patterns and risk of incident arrhythmias. J Am Coll Cardiol. 2021;78(12):1197–207. https://doi.org/10.1016/j.jacc.2021.07.023. This prospective study highlights the importance of a healthy sleep pattern in reducing the risks of atrial fibrillation/flutter and bradyarrhythmia. The findings indicate that individuals with a healthier sleep score have a significantly lower risk of developing AF and bradyarrhythmia, independent of traditional risk factors, and the association is influenced by genetic susceptibility to AF. This study emphasizes the potential benefits of considering overall sleep behaviors in assessing cardiac arrhythmia risks.CrossRefPubMedPubMedCentral •• Li X, Zhou T, Ma H, et al. Healthy sleep patterns and risk of incident arrhythmias. J Am Coll Cardiol. 2021;78(12):1197–207. https://​doi.​org/​10.​1016/​j.​jacc.​2021.​07.​023. This prospective study highlights the importance of a healthy sleep pattern in reducing the risks of atrial fibrillation/flutter and bradyarrhythmia. The findings indicate that individuals with a healthier sleep score have a significantly lower risk of developing AF and bradyarrhythmia, independent of traditional risk factors, and the association is influenced by genetic susceptibility to AF. This study emphasizes the potential benefits of considering overall sleep behaviors in assessing cardiac arrhythmia risks.CrossRefPubMedPubMedCentral
42.
Zurück zum Zitat •• Chen CC, Lin CH, Yang TY, et al. Association between sleep disorder and atrial fibrillation: a nationwide population-based cohort study. Sleep Med. 2022;96:50–6. https://doi.org/10.1016/j.sleep.2022.05.002. Important study revealing a strong link between sleep disorders (SDs) and atrial fibrillation (AF), with insomnia showing a higher impact on AF compared to other SDs. Emphasizes the need to address sleep disturbances for AF risk management.CrossRefPubMed •• Chen CC, Lin CH, Yang TY, et al. Association between sleep disorder and atrial fibrillation: a nationwide population-based cohort study. Sleep Med. 2022;96:50–6. https://​doi.​org/​10.​1016/​j.​sleep.​2022.​05.​002. Important study revealing a strong link between sleep disorders (SDs) and atrial fibrillation (AF), with insomnia showing a higher impact on AF compared to other SDs. Emphasizes the need to address sleep disturbances for AF risk management.CrossRefPubMed
44.
Metadaten
Titel
Insomnia and Cardiovascular Health: Exploring the Link Between Sleep Disorders and Cardiac Arrhythmias
verfasst von
Parjanya Bhatt
Vaishnavi Patel
Jatin Motwani
Udit Choubey
Ramsha Mahmood
Vasu Gupta
Rohit Jain
Publikationsdatum
01.09.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 10/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-01939-x

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