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Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis
BACKGROUND: Insomnia has been closely associated with cardiovascular disease (CVD) including myocardial infarction (MI). Our study aims to assess the eligibility of insomnia as a potential risk factor for MI. METHODS: PubMed, Scopus, and Web of Science were searched using terms; such as “Insomnia” a...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106668/ https://www.ncbi.nlm.nih.gov/pubmed/36841256 http://dx.doi.org/10.1002/clc.23984 |
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author | Dean, Yomna E. Shebl, Mohamed A. Rouzan, Samah S. Bamousa, Bdoor Ahmed A Talat, Nesreen Elsayed Ansari, Sana Afreen Tanas, Yousef Aslam, Muaaz Gebril, Sara Sbitli, Taher Eweis, Ramy Shahid, Rameen Salem, Amr Abdelaziz, Heba Ahmed Shah, Jaffer Hasan, Walaa Hakim, Diaa Aiash, Hani |
author_facet | Dean, Yomna E. Shebl, Mohamed A. Rouzan, Samah S. Bamousa, Bdoor Ahmed A Talat, Nesreen Elsayed Ansari, Sana Afreen Tanas, Yousef Aslam, Muaaz Gebril, Sara Sbitli, Taher Eweis, Ramy Shahid, Rameen Salem, Amr Abdelaziz, Heba Ahmed Shah, Jaffer Hasan, Walaa Hakim, Diaa Aiash, Hani |
author_sort | Dean, Yomna E. |
collection | PubMed |
description | BACKGROUND: Insomnia has been closely associated with cardiovascular disease (CVD) including myocardial infarction (MI). Our study aims to assess the eligibility of insomnia as a potential risk factor for MI. METHODS: PubMed, Scopus, and Web of Science were searched using terms; such as “Insomnia” and “MI.” Only observational controlled studies with data on the incidence of MI among insomniacs were included. Revman software version 5.4 was used for the analysis. RESULTS: Our pooled analysis showed a significant association between insomnia and the incidence of MI compared with noninsomniacs (relative risk [RR] = 1.69, 95% confidence interval [CI] = 1.41–2.02, p < .00001). Per sleep duration, we detected the highest association between ≤5 h of sleep, and MI incidence compared to 7−8 h of sleep (RR = 1.56, 95% CI = 1.41–1.73). Disorders of initiating and maintaining sleep were associated with increased MI incidence (RR = 1.13, 95% CI = 1.04–1.23, p = .003). However, subgroup analysis of nonrestorative sleep and daytime dysfunction showed an insignificant association with MI among both groups (RR = 1.06, 95% CI = 0.91–1.23, p = .46). Analysis of age, follow‐up duration, sex, and comorbidities showed a significant association in insomniacs. CONCLUSION: Insomnia and ≤5 h of sleep are highly associated with increased incidence of MI; an association comparable to that of other MI risk factors and as such, it should be considered as a risk factor for MI and to be incorporated into MI prevention guidelines. |
format | Online Article Text |
id | pubmed-10106668 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101066682023-04-18 Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis Dean, Yomna E. Shebl, Mohamed A. Rouzan, Samah S. Bamousa, Bdoor Ahmed A Talat, Nesreen Elsayed Ansari, Sana Afreen Tanas, Yousef Aslam, Muaaz Gebril, Sara Sbitli, Taher Eweis, Ramy Shahid, Rameen Salem, Amr Abdelaziz, Heba Ahmed Shah, Jaffer Hasan, Walaa Hakim, Diaa Aiash, Hani Clin Cardiol Reviews BACKGROUND: Insomnia has been closely associated with cardiovascular disease (CVD) including myocardial infarction (MI). Our study aims to assess the eligibility of insomnia as a potential risk factor for MI. METHODS: PubMed, Scopus, and Web of Science were searched using terms; such as “Insomnia” and “MI.” Only observational controlled studies with data on the incidence of MI among insomniacs were included. Revman software version 5.4 was used for the analysis. RESULTS: Our pooled analysis showed a significant association between insomnia and the incidence of MI compared with noninsomniacs (relative risk [RR] = 1.69, 95% confidence interval [CI] = 1.41–2.02, p < .00001). Per sleep duration, we detected the highest association between ≤5 h of sleep, and MI incidence compared to 7−8 h of sleep (RR = 1.56, 95% CI = 1.41–1.73). Disorders of initiating and maintaining sleep were associated with increased MI incidence (RR = 1.13, 95% CI = 1.04–1.23, p = .003). However, subgroup analysis of nonrestorative sleep and daytime dysfunction showed an insignificant association with MI among both groups (RR = 1.06, 95% CI = 0.91–1.23, p = .46). Analysis of age, follow‐up duration, sex, and comorbidities showed a significant association in insomniacs. CONCLUSION: Insomnia and ≤5 h of sleep are highly associated with increased incidence of MI; an association comparable to that of other MI risk factors and as such, it should be considered as a risk factor for MI and to be incorporated into MI prevention guidelines. John Wiley and Sons Inc. 2023-02-25 /pmc/articles/PMC10106668/ /pubmed/36841256 http://dx.doi.org/10.1002/clc.23984 Text en © 2023 The Authors. Clinical Cardiology published by Wiley Periodicals, LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Reviews Dean, Yomna E. Shebl, Mohamed A. Rouzan, Samah S. Bamousa, Bdoor Ahmed A Talat, Nesreen Elsayed Ansari, Sana Afreen Tanas, Yousef Aslam, Muaaz Gebril, Sara Sbitli, Taher Eweis, Ramy Shahid, Rameen Salem, Amr Abdelaziz, Heba Ahmed Shah, Jaffer Hasan, Walaa Hakim, Diaa Aiash, Hani Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title | Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title_full | Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title_fullStr | Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title_full_unstemmed | Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title_short | Association between insomnia and the incidence of myocardial infarction: A systematic review and meta‐analysis |
title_sort | association between insomnia and the incidence of myocardial infarction: a systematic review and meta‐analysis |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106668/ https://www.ncbi.nlm.nih.gov/pubmed/36841256 http://dx.doi.org/10.1002/clc.23984 |
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