ArticleThe American journal of cardiology2019
Sleep Duration and Mortality in Patients With Coronary Artery Disease.
Article in The American journal of cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sleep duration and risk of cardio-cerebrovascular disease: A dose-response meta-analysis of cohort studies comprising 3.8 million participants.Frontiers in cardiovascular medicine · 2022Pooled it
- Now is the time to prioritize sleep timing for cardiovascular health.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Exploring Factors Affecting Health-Related Quality of Life in Coronary Artery Disease Patients.Medicina (Kaunas, Lithuania) · 2025Article
- Addressing cardiovascular risks with a goal to prevent cardiovascular complications in patients undergoing antihormonal therapy for prostate cancer.Cardio-oncology (London, England) · 2025Article
- A good night's rest: A contemporary review of sleep and cardiovascular health.American journal of preventive cardiology · 2025Review
- The influence of sleep duration on patients with coronary artery disease: a four-year observational study.Frontiers in endocrinology · 2025Observational
- Associations between daytime napping, sleep duration, and depression and 15 cardiovascular diseases: a Mendelian randomization study.Cardiovascular diagnosis and therapy · 2024Article
- Interactions of Obstructive Sleep Apnea With the Pathophysiology of Cardiovascular Disease, Part 1: JACC State-of-the-Art Review.Journal of the American College of Cardiology · 2024Review
- Exploring the Insomnia-Ischemic Stroke Nexus: A Comprehensive Review.Journal of clinical medicine · 2024Review
- Life's essential 8 and risk of all-cause mortality in individuals with cardiovascular diseases: A prospective community-based study.Clinical cardiology · 2024Article
- The association between sleep characteristics and the risk of all-cause mortality among individuals with cardiometabolic multimorbidity: a prospective study of UK Biobank.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Association between Wakeup Frequency at Night and Atherogenic Dyslipidemia: Evidence for Sex Differences.Journal of atherosclerosis and thrombosis · 2023Article
- Outcomes of ST Segment Elevation Myocardial Infarction without Standard Modifiable Cardiovascular Risk Factors - Newer Insights from a Prospective Registry in India.Global heart · 2023Article
- The Dynamic Interplay of Healthy Lifestyle Behaviors for Cardiovascular Health.Current atherosclerosis reports · 2022Review
- Sleep and cardiovascular outcomes in relation to nocturnal hypertension: the J-HOP Nocturnal Blood Pressure Study.Hypertension research : official journal of the Japanese Society of Hypertension · 2021Article
- Diagnostic and Therapeutic Approach to Sleep Disorders, High Blood Pressure and Cardiovascular Diseases: A Consensus Document by the Italian Society of Hypertension (SIIA).High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021Article
- Racial disparities in sleep disturbances among patients with and without coronary artery disease: The role of clinical and socioeconomic factors.Sleep health · 2020Article
- Canonical Correlation between Behavioral-Psychological Variables and Predictors of Coronary Artery Disease Prognosis.International journal of environmental research and public health · 2020Article
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Authors and funding
15 authors.
Funding
Abstract
Extremes in sleep duration are associated with higher cardiovascular risk in the general population, but their impact in patients with documented coronary artery disease (CAD) remains unknown and potentially of clinical significance. We hypothesized that both short and long sleep duration are associated with higher mortality in CAD. We inquired about sleep durations in 2,846 patients enrolled in the Emory Cardiovascular Biobank (mean age 64 years, 38% female, 23% Black, and 82% with obstructive CAD, defined by positive coronary angiography), who were then followed for all-cause and cardiovascular mortality. Multivariate Cox proportional hazard models were calculated to examine the association of sleep duration and mortality. Sleep durations of <6.5 hours (short), ≥6.5 to <7.5 hours (normal), and ≥7.5 hours (long) were reported by 39%, 26% and 35% of the cohort, respectively. On follow-up (median 2.8 years), mortality rates were 15%, 11%, and 17%, respectively. After adjusting for demographics and risk factors, both short and long sleep duration were associated with higher all-cause mortality (hazard ratio 1.44, 95% confidence interval [1.10 to 1.89], and 1.41 [1.08 to 1.85], respectively). A similar pattern was demonstrated for cardiovascular mortality only for short (hazard ratio 1.48 [1.05 to 2.09]), but not long sleep duration. In conclusion, in patients with frank CAD, both short and long sleep duration were independently associated with higher all-cause mortality, and short sleep was independently associated with higher cardiovascular mortality. In conclusion, our study is the first to extend the observations of sleep duration and mortality from population-based studies to patients with documented cardiac disease.
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