Authors :
Dr. Amit Ballurgi; Dr. Mohamad Burhan; Dr. Ramanna Pradhan; Dr. Shreya Redappagari
Volume/Issue :
Volume 9 - 2024, Issue 10 - October
Google Scholar :
https://tinyurl.com/bdue9su5
Scribd :
https://tinyurl.com/sr48hnx8
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24OCT1695
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background
It is well-established that insufficient sleep is related
to more than one acute and persistent illness and leads to
elevated mortality and morbidity for cardiovascular
illnesses. In recent years, there has been growing interest
in sleep-associated investigations. Significant interest has
currently been focused on the impacts of sleep deficiency
and disturbance on various organs and how they
modulate an increasing listing of disease processes. This
study aims to bring awareness about the importance of
sleep in Myocardial Infarction patients and makes it
necessary to counsel patients to change their lifestyle
which could help reduce the possible morbidity and
mortality rates in the population.
Methodology
A prospective observational study was conducted
on 400 MI patients (males and females) aged between 20-
60 years who were enrolled in Sri Jayadeva Institute of
Cardiovascular Science and Research Hospital from
February 2021 to April 2021 to assess sleep duration and
quality in MI patients using Pittsburgh Sleep Quality
Index (PSQI) scoring scale and a self-designed patient
profile form.
Results
It was observed that males (77%) were more prone
to cardiovascular conditions due to impaired sleep as
compared to females (23%) with the baseline age of 50-
60 years (46.8%) at the highest risk. Patients who were
married (98.8%) and had a habit or abstinence from
smoking and drinking (61.3% and 76.5% respectively),
staying in urban places (63.5%), and without any
significant medical history were observed to have
cardiovascular diseases attributed to their poor sleep
practice. Daily wagers were often sleep-deprived due to
physical and financial stress which can cause high
morbidity rates in the population.
Conclusion
The study suggests a positive correlation between
sleep deprivation and myocardial injury. Patients with
impaired sleep might be at moderate risk of poor cardiac
prognosis followed by a subsequent attack of MI.
Keywords :
Sleep Deprivation, Myocardial Infarction, Pittsburgh Sleep Quality Index, Blood Pressure, Cardiovascular Disease.
References :
- Thygesen K, Alpert JS, White HD. Universal Definition of Myocardial Infarction. Journal of the American College of Cardiology 2007;50:2173–95. https://doi.org/10.1016/j.jacc.2007.09.011.
- Prabhakaran D, Jeemon P, Roy A. Cardiovascular Diseases in India. Circulation 2016;133:1605–20. https://doi.org/10.1161/circulationaha.114.008729.
- Liu H, Wang G, Luan G, Liu Q. Effects of sleep and sleep deprivation on blood cell count and hemostasis parameters in healthy humans. Journal of Thrombosis and Thrombolysis 2008;28:46–9. https://doi.org/10.1007/s11239-008-0240-z.
- Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK. Cardiovascular, Inflammatory, and Metabolic Consequences of Sleep Deprivation. Progress in Cardiovascular Diseases 2009;51:294–302. https://doi.org/10.1016/j.pcad.2008.10.003.
- Gupta R, Mohan I, Narula J. Trends in Coronary Heart Disease Epidemiology in India. Annals of Global Health 2016;82:307. https://doi.org/10.1016/j.aogh.2016.04.002.
- Liu H, Chen A. Roles of sleep deprivation in cardiovascular dysfunctions. Life Sciences 2019;219:231–7. https://doi.org/10.1016/j.lfs.2019.01.006.
- Huang BY, Cornoni-Huntley J, Hays JC, Huntley RR, Galanos AN, Blazer DG. Impact of Depressive Symptoms on Hospitalization Risk in Community-Dwelling Older Persons. Journal of the American Geriatrics Society 2000;48:1279–84. https://doi.org/10.1111/j.1532- 5415.2000.tb02602.x.
- Longordo F, Kopp C, Lüthi A. Consequences of sleep deprivation on neurotransmitter receptor expression and function. European Journal of Neuroscience 2009;29:1810–9. https://doi.org/10.1111/j.1460-9568.2009.06719.x.
- Liu Y. Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occupational and Environmental Medicine 2002;59:447–51. https://doi.org/10.1136/oem.59.7.447.
- Sateia MJ. International Classification of Sleep Disorders-Third Edition. Chest 2014;146:1387–94. https://doi.org/10.1378/chest.14-0970.
- Manzar MD, Zannat W, Moiz JA, Spence DW, Pandi-Perumal SR, Bahammam AS, et al. Factor scoring models of the Pittsburgh Sleep Quality Index: a comparative confirmatory factor analysis. Biological Rhythm Research 2016;47:851–64. https://doi.org/10.1080/09291016.2016.1202375.
- Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F. Test–retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research 2002;53:737–40. https://doi.org/10.1016/s0022-3999(02)00330-6.
- Hamm CW, Braunwald E. A Classification of Unstable Angina Revisited. Circulation 2000;102:118–22. https://doi.org/10.1161/01.cir.102.1.118.
- Andrechuk CRS, Ceolim MF. Sleep quality and adverse outcomes for patients with acute myocardial infarction. Journal of Clinical Nursing 2015;25:223–30. https://doi.org/10.1111/jocn.13051.
- Daghlas I, Dashti HS, Lane J, Aragam KG, Rutter MK, Saxena R, et al. Sleep Duration and Myocardial Infarction. Journal of the American College of Cardiology 2019;74:1304–14.
Background
It is well-established that insufficient sleep is related
to more than one acute and persistent illness and leads to
elevated mortality and morbidity for cardiovascular
illnesses. In recent years, there has been growing interest
in sleep-associated investigations. Significant interest has
currently been focused on the impacts of sleep deficiency
and disturbance on various organs and how they
modulate an increasing listing of disease processes. This
study aims to bring awareness about the importance of
sleep in Myocardial Infarction patients and makes it
necessary to counsel patients to change their lifestyle
which could help reduce the possible morbidity and
mortality rates in the population.
Methodology
A prospective observational study was conducted
on 400 MI patients (males and females) aged between 20-
60 years who were enrolled in Sri Jayadeva Institute of
Cardiovascular Science and Research Hospital from
February 2021 to April 2021 to assess sleep duration and
quality in MI patients using Pittsburgh Sleep Quality
Index (PSQI) scoring scale and a self-designed patient
profile form.
Results
It was observed that males (77%) were more prone
to cardiovascular conditions due to impaired sleep as
compared to females (23%) with the baseline age of 50-
60 years (46.8%) at the highest risk. Patients who were
married (98.8%) and had a habit or abstinence from
smoking and drinking (61.3% and 76.5% respectively),
staying in urban places (63.5%), and without any
significant medical history were observed to have
cardiovascular diseases attributed to their poor sleep
practice. Daily wagers were often sleep-deprived due to
physical and financial stress which can cause high
morbidity rates in the population.
Conclusion
The study suggests a positive correlation between
sleep deprivation and myocardial injury. Patients with
impaired sleep might be at moderate risk of poor cardiac
prognosis followed by a subsequent attack of MI.
Keywords :
Sleep Deprivation, Myocardial Infarction, Pittsburgh Sleep Quality Index, Blood Pressure, Cardiovascular Disease.