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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
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.
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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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