B.J.Medical College, Ahmedabad, India.
GMERS GOTRI, Vadodara, India.
Curr Cardiol Rep. 2023 Oct;25(10):1211-1221. doi: 10.1007/s11886-023-01939-x. Epub 2023 Sep 1.
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. 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.
心血管疾病(CVDs)在现代生活方式的驱动下不断增加,其中心房颤动(AF)是与心力衰竭和中风相关的主要关注点。失眠影响着大量人群,尤其是年轻人、男性和更年期女性,降低了生活质量,并可能导致自主神经紊乱和心律失常。
本文探讨了失眠与心律失常,特别是心房颤动之间的联系,以及它对心血管健康的影响,并强调需要通过针对睡眠管理的定制策略来解决心律失常患者的失眠问题,以提高他们的整体幸福感。
最近的研究结果强调了保持规律的睡眠时间表以降低 AF 和心动过缓风险的重要性。更好的睡眠评分与降低 AF 和心动过缓风险相关,而失眠会增加 AF 风险,尤其是在 40 岁以下的人群中。研究强调了睡眠管理在降低心血管风险方面的潜在影响,并突出了解决睡眠问题以改善心血管健康结果的重要性。
我们的综述提供了令人信服的证据,将失眠与 AF 联系起来。改善睡眠模式和解决睡眠问题可以降低 AF 风险,从而有益于心血管健康。对于有心脏心律失常风险的患者,综合考虑共存疾病的管理方法可以降低长期疾病负担和费用。建议将睡眠评估和干预纳入心血管风险管理中,尤其是针对那些有失眠问题的患者。需要进一步研究以充分了解失眠与心律失常之间的复杂关系。