10 April 2006
Sleep quality of patients with acute myocardial infarction outside the CCU environment: A preliminary study.
Ahmed BaHammamMed Sci Monit 2006; 12(4): CR168-172 :: ID: 448902
Abstract
Background: Environmental factors have been implicated as major causesof sleep disruption in patients in critical care units, including coronary care units (CCU). We hypothesizedthat myocardial infarction may disturb sleep architecture regardless of the surrounding environmentalfactors. Material/Methods: Twenty consecutive patients with a first-ever acute myocardial infarction(AMI) who were not on sedation or ionotropes underwent a full polysomnography (PSG) in our sleep disorderscenter, away from the CCU environment, within three days of AMI, with a follow-up PSG performed six monthslater. During patient stay in the CCU, each resided in a single room in which normal light-dark exposurewas maintained. Results: The 20 patients with AMI consisted of 18 males and 2 females, of a mean +/-SEage of 51.1+/-1.7 years. Compared with the follow-up PSG, the initial PSG revealed significant increasesin arousal index, spontaneous arousal index, wake time, and REM latency and significant reductions insleep efficiency and REM sleep. Conclusions: Patients with AMI have altered sleep architecture, despitecontrolling for common sleep-disrupting environmental factors. Future research should explore other possibleetiologies of sleep disruption in patients with AMI, including the underlying infarction itself and itsassociated physiological and inflammatory changes.
Keywords: Coronary Care Units, Myocardial Infarction - physiopathology, Polysomnography, Sleep - physiology, Sleep Arousal Disorders - etiology, Sleep Disorders - physiopathology, Sleep, REM
Editorial
01 March 2024 : Editorial
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-ThalassemiaDOI: 10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
In Press
21 Feb 2024 : Clinical Research
Potential Value of HSP90α in Prognosis of Triple-Negative Breast CancerMed Sci Monit In Press; DOI: 10.12659/MSM.943049
22 Feb 2024 : Review article
Differentiation of Native Vertebral Osteomyelitis: A Comprehensive Review of Imaging Techniques and Future ...Med Sci Monit In Press; DOI: 10.12659/MSM.943168
23 Feb 2024 : Clinical Research
A Study of 60 Patients with Low Back Pain to Compare Outcomes Following Magnetotherapy, Ultrasound, Laser, ...Med Sci Monit In Press; DOI: 10.12659/MSM.943732
26 Feb 2024 : Clinical Research
Predictive Value of Combined HbA1c and Neutrophil-to-Lymphocyte Ratio for Diabetic Peripheral Neuropathy in...Med Sci Monit In Press; DOI: 10.12659/MSM.942509
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952