About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Poor Sleep may Lead to PTSD After a Heart Attack

by Dr. Enozia Vakil on June 1, 2013 at 11:20 PM
Font : A-A+

 Poor Sleep may Lead to PTSD After a Heart Attack

The fact that poor sleep may be responsible for a higher risk of cardiac events or post-traumatic stress disorder following a heart attack, was speculated for long enough by scientists.

Recent data from Columbia University Medical Center researchers have shown that symptoms of PTSD after a heart attack are relatively common. A PLOS ONE study (published in June 2012) found that 1 in 8 heart attack survivors suffer PTSD and that survivors with PTSD have a doubled risk of having another cardiac event or of dying within one to three years, compared with survivors without PTSD.

Advertisement

A paper published in the current issue of Annals of Behavioral Medicine, by Jonathan A. Shaffer, PhD, and colleagues at Columbia''s Center for Behavioral Cardiovascular Health, reports on an analysis of the association of PTSD and sleep in nearly 200 patients who had experienced a heart attack within the previous month, recruited from NewYork-Presbyterian Hospital/Columbia University Medical Center. The study-the first of its kind-found that PTSD following a heart attack is associated with poor sleep.

The results showed that the more heart attack-induced PTSD symptoms patients reported, the worse their overall self-reported sleep was in the month following their heart attack. Greater PTSD symptoms following a heart attack were associated with worse sleep quality, shorter sleep duration, more sleep disturbances, use of sleeping medications, and daytime dysfunction due to poor sleep the night before.
Advertisement

The data also showed that people with poor sleep following a heart attack were more likely to be female and to have higher body mass index and more symptoms of depression; they were less likely to be Hispanic.

Dr. Shaffer and colleagues hypothesize that the strong association between heart attack-induced PTSD and sleep may be due to the fact that disturbed sleep is a standard characteristic of PTSD. Results of recent treatment studies for PTSD and sleep disturbance suggest that the two conditions should be viewed as comorbid, rather than one being merely a symptom of the other.

In addition, dysregulation of the autonomic nervous system (the part of the nervous system responsible for regulating involuntary bodily functions, such as breathing, heartbeat, and digestive processes), which is associated with both PTSD and disrupted sleep, may represent a common mechanism underlying their association.

Further research is needed to better understand the associations of PTSD due to heart attack, poor sleep, and risk for future heart attacks.

The paper is titled, "Association of Acute Coronary Syndrome-Induced Posttraumatic Stress Disorder Symptoms with Self-Reported Sleep." The other authors are Ian M. Kronish, MD, MPH; Matthew Burg, PhD; Lynn Clemow, PhD; and Donald Edmondson, PhD. All are members of the Center for Behavioral Cardiovascular Health at Columbia University Medical Center.

This work was supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) grants HL-088117, HL-076857, HL-080665, HL-101663, and HL-084034. Dr. Shaffer is supported by grants 12CRP8870004 from the American Heart Association and K23-HL112850 from NHLBI/NIH. Dr. Kronish is supported by grant K23-HL098359 from NHLBI/NIH.

The authors declare no financial or other conflicts of interest.

####

Columbia University Medical Center provides international leadership in basic, preclinical, and clinical research; medical and health sciences education; and patient care. The medical center trains future leaders and includes the dedicated work of many physicians, scientists, public health professionals, dentists, and nurses at the College of Physicians and Surgeons, the Mailman School of Public Health, the College of Dental Medicine, the School of Nursing, the biomedical departments of the Graduate School of Arts and Sciences, and allied research centers and institutions. Columbia University Medical Center is home to the largest medical research enterprise in New York City and State and one of the largest faculty medical practices in the Northeast. For more information, visit cumc.columbia.edu or columbiadoctors.org.


Comment/Share




Source: Newswise
Advertisement

Advertisement
Advertisement

Recommended Reading

Cardiac Catheterization
Chest Pain
Heart Attack
Periodic Limb Movement Disorder
REM Behavior Disorder
Sleep
Sleep Disorder : Restless Legs Syndrome
Sleep Disorder: Sleepwalking
Sleep Disturbances In Women
Snoring

Latest Heart Disease News

Monday: The Day for Deadly Heart Attacks?
The start of the week is when most fatal heart attacks occur, according to a study.
Delay in Seeking Care Results in 55% of Cardiac Deaths in India
The first community-based study, published in the journal Lancet, says that delays in seeking care account for nearly 55% of the reported cardiac and stroke deaths in India.
The Surprising Impact of Quit Smoking: 36% Lower Cardiovascular Risk
The study emphasizes the existing proof on the heart disease risks of tobacco smoking and the urgent need to stop smoking among cancer survivors.
 Discovering Genetic Risks for Type of Heart Attack Largely Affecting Younger Women
New study findings provide novel pathophysiological insights involving blood vessel integrity and tissue-mediated coagulation in a type of heart attack in young women.
Unlocking the Crystal Ball: Heart Failure Subtypes Helps Forecast Future Risks!
Recent study identifies five heart failure subtypes with the potential for individual patient risk prediction.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

Poor Sleep may Lead to PTSD After a Heart Attack Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests