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 April 2025 : Editorial
Editorial: Rapid Testing for the Avian Influenza A(H5N1) Virus is Urgently Required as Infections in Poultry and Dairy Cows are on the Rise, and so is Transmission to HumansDOI: 10.12659/MSM.949109
Med Sci Monit 2025; 31:e949109
In Press
Clinical Research
Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analys...Med Sci Monit In Press; DOI: 10.12659/MSM.947675
Clinical Research
Comparative Study of Plantar Load and Foot Posture Characteristics in Male Elite Squash Players and Non-Ath...Med Sci Monit In Press; DOI: 10.12659/MSM.947828
Clinical Research
Dental Students’ Opinions on Use of Artificial Intelligence: A Survey StudyMed Sci Monit In Press; DOI: 10.12659/MSM.947658
Database Analysis
Defining Effect Size Standards in Temporomandibular Joint and Masticatory Muscle ResearchMed Sci Monit In Press; DOI: 10.12659/MSM.948365
Most Viewed Current Articles
17 Jan 2024 : Review article 8,126,196
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 703,007
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
01 Mar 2024 : Editorial 30,250
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 24,107
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912