Prevalence, Impact, and Trajectories of Sleep Disturbance in Cardiac Rehabilitation: A NARRATIVE REVIEW AND SUGGESTIONS FOR EVALUATION AND TREATMENT.

OBJECTIVE The aim of this review was to summarize literature examining the prevalence, impact, and trajectories of sleep disturbance in cardiac rehabilitation (CR) patients and discuss how CR programs may incorporate targeted evaluation and interventions to promote sleep health. REVIEW METHODS A narrative review of literature allowed for an examination of the prevalence of sleep disturbance in CR patients, the effects of sleep disturbance on CR outcomes, and trajectories of sleep disturbance in CR. SUMMARY Sleep disturbance is prevalent in CR patient populations and is related to clinical and functional outcomes. Sleep may be an important biobehavioral process to target in CR to improve important patient outcomes and achieve secondary prevention goals.

[1]  B. Feige,et al.  The efficacy of cognitive and behavior therapies for insomnia on daytime symptoms: A systematic review and network meta-analysis. , 2020, Clinical psychology review.

[2]  L. Neubeck,et al.  Screening for obstructive sleep apnoea in cardiac rehabilitation: A position statement from the Australian Centre for Heart Health and the Australian Cardiovascular Health and Rehabilitation Association , 2016, European journal of preventive cardiology.

[3]  S. Kyle,et al.  Insomnia and health-related quality of life. , 2010, Sleep medicine reviews.

[4]  S. Redline,et al.  Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association. , 2021, Circulation.

[5]  E. Argulian,et al.  Association between short and long sleep durations and cardiovascular outcomes: a systematic review and meta-analysis , 2019, European heart journal. Acute cardiovascular care.

[6]  J. Ornato,et al.  ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult—Summary Article , 2005 .

[7]  Cathy Alessi,et al.  Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. , 2007, Sleep.

[8]  A. Malhotra,et al.  Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. , 2009, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[9]  Carl J Pepine,et al.  ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction--summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on the Management of Patients , 2002, Journal of the American College of Cardiology.

[10]  G. Varoneckas,et al.  Type D Personality and Sleep Quality in Coronary Artery Disease Patients With and Without Obstructive Sleep Apnea: Mediating Effects of Anxiety and Depression , 2018, International Journal of Behavioral Medicine.

[11]  M. Vitiello,et al.  ISI-3: evaluation of a brief screening tool for insomnia. , 2020, Sleep medicine.

[12]  Michael G. Morrical,et al.  Effect of Continuous Positive Airway Pressure Treatment on Health-Related Quality of Life and Sleepiness in High Cardiovascular Risk Individuals With Sleep Apnea: Best Apnea Interventions for Research (BestAIR) Trial , 2017, Sleep.

[13]  N. Redeker,et al.  Patterns and predictors of sleep pattern disturbance after cardiac surgery. , 2004, Research in nursing & health.

[14]  Jennifer L Martin,et al.  Cognitive Behavioral Therapy for Insomnia in Older Veterans Using Nonclinician Sleep Coaches: Randomized Controlled Trial , 2016, Journal of the American Geriatrics Society.

[15]  Deepak L. Bhatt,et al.  Impact of continuous positive airway pressure and oxygen on health status in patients with coronary heart disease, cardiovascular risk factors, and obstructive sleep apnea: A Heart Biomarker Evaluation in Apnea Treatment (HEARTBEAT) analysis , 2017, American heart journal.

[16]  S. S. Risom,et al.  Effect of Rehabilitation on Sleep Quality After Ablation for Atrial Fibrillation , 2017, The Journal of cardiovascular nursing.

[17]  Sanjay R. Patel,et al.  Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline. , 2019, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[18]  C. Chew‐Graham,et al.  Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis , 2018, Journal of the American Heart Association.

[19]  C. Morin,et al.  A very brief self-report scale for measuring insomnia severity using two items from the Insomnia Severity Index - development and validation in a clinical population. , 2021, Sleep medicine.

[20]  G. Lamas,et al.  ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients wi , 2004, Journal of the American College of Cardiology.

[21]  R. Arena,et al.  Insomnia symptoms and heart rate recovery among patients in cardiac rehabilitation , 2016, Journal of Behavioral Medicine.

[22]  Susan Redline,et al.  Sleep Apnea and Cardiovascular Disease: Lessons From Recent Trials and Need for Team Science. , 2017, Circulation.

[23]  Chi‐Hang Lee,et al.  Screening questionnaires for sleep-disordered breathing and six-minute walk test in patients attending cardiac rehabilitation. , 2016, International journal of cardiology.

[24]  E. Sforza,et al.  Obstructive Sleep Apnea in Cardiac Rehabilitation Patients. , 2018, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[25]  M. Hirshkowitz,et al.  National Sleep Foundation's sleep time duration recommendations: methodology and results summary. , 2015, Sleep health.

[26]  Daniel J Buysse.  Sleep health: can we define it? Does it matter? , 2014, Sleep.

[27]  K. Carden.  Sleep is essential: a new strategic plan for the American Academy of Sleep Medicine. , 2020, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[28]  Chi‐Hang Lee,et al.  Sleep-disordered Breathing in Cardiac Rehabilitation: Prevalence, Predictors, and Influence on the Six-Minute Walk Test. , 2016, Heart, lung & circulation.

[29]  C. Kline.  The Bidirectional Relationship Between Exercise and Sleep , 2014, American journal of lifestyle medicine.

[30]  B. Alt,et al.  Risk factors for, and prevalence of, sleep apnoea in cardiac rehabilitation facilities in Germany: The Reha-Sleep registry , 2015, European journal of preventive cardiology.

[31]  M. Mohri,et al.  Six-month aerobic exercise training ameliorates central sleep apnea in patients with chronic heart failure. , 2007, Journal of cardiac failure.

[32]  S. Kurose,et al.  Association of locomotive activity with sleep latency and cognitive function of elderly patients with cardiovascular disease in the maintenance phase of cardiac rehabilitation. , 2019, Journal of cardiology.

[33]  Sunil Sharma,et al.  Prevalence of Obstructive Sleep Apnea in a Patient Population Undergoing Cardiac Rehabilitation , 2011, Journal of cardiopulmonary rehabilitation and prevention.

[34]  G. Lip,et al.  European Heart Rhythm Association (EHRA)/European Association of Cardiovascular Prevention and Rehabilitation (EACPR) position paper on how to prevent atrial fibrillation endorsed by the Heart Rhythm Society (HRS) and Asia Pacific Heart Rhythm Society (APHRS) , 2017, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[35]  S. Kyle,et al.  Digital Cognitive Behavioral Therapy (dCBT) for Insomnia: a State-of-the-Science Review , 2017, Current Sleep Medicine Reports.

[36]  A. Aron,et al.  Effects of Obstructive Sleep Apnea on Hemodynamic Parameters in Patients Entering Cardiac Rehabilitation , 2015, Journal of cardiopulmonary rehabilitation and prevention.

[37]  C. Stepnowsky,et al.  National Expansion of Sleep Telemedicine for Veterans: The TeleSleep Program. , 2019 .

[38]  Cathy Alessi,et al.  Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. , 2007, Sleep.

[39]  Hailey R Banack,et al.  The Association Between Sleep Disturbance, Depressive Symptoms, and Health-Related Quality of Life Among Cardiac Rehabilitation Participants , 2014, Journal of cardiopulmonary rehabilitation and prevention.

[40]  Rosanna Abbate,et al.  Insomnia and risk of cardiovascular disease: a meta-analysis , 2014, European journal of preventive cardiology.

[41]  C. Anderson,et al.  Association of Positive Airway Pressure With Cardiovascular Events and Death in Adults With Sleep Apnea: A Systematic Review and Meta-analysis , 2017, JAMA.

[42]  S. Bacon,et al.  The Association Between Insomnia Symptoms and Mood Changes During Exercise Among Patients Enrolled in Cardiac Rehabilitation , 2015, Journal of cardiopulmonary rehabilitation and prevention.

[43]  T. D. Bradley,et al.  Effects of exercise training on sleep apnoea in patients with coronary artery disease: a randomised trial , 2016, European Respiratory Journal.

[44]  V. Somers,et al.  Screening for obstructive sleep apnea in early outpatient cardiac rehabilitation: feasibility and results. , 2011, Sleep medicine.

[45]  S. Marzolini,et al.  Long-term effects of cardiac rehabilitation on sleep apnea severity in patients with coronary artery disease. , 2020, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[46]  W. Liao,et al.  A Systematic Review of Sleep Patterns and Factors That Disturb Sleep After Heart Surgery , 2011, The journal of nursing research : JNR.

[47]  S. Auerbach,et al.  Best practice guide for the treatment of REM sleep behavior disorder (RBD). , 2010, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[48]  G. Guyatt,et al.  Insomnia and risk of mortality from all-cause, cardiovascular disease, and cancer: Systematic review and meta-analysis of prospective cohort studies. , 2019, Sleep medicine reviews.

[49]  H. Middlekauff,et al.  Effects of exercise training in patients with chronic heart failure and sleep apnea. , 2009, Sleep.

[50]  Daniel J. Taylor,et al.  Insomnia and cognitive performance: A systematic review and meta-analysis. , 2019, Sleep medicine reviews.

[51]  J. Rowley,et al.  Sleep is essential to health: an American Academy of Sleep Medicine position statement. , 2021, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[52]  N. Redeker.  Sleep in acute care settings: an integrative review. , 2000, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[53]  Susan Redline,et al.  Insomnia and Risk of Cardiovascular Disease. , 2017, Chest.

[54]  S. Auerbach,et al.  Position Paper for the Treatment of Nightmare Disorder in Adults: An American Academy of Sleep Medicine Position Paper. , 2018, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[55]  D. Horstkotte,et al.  Prevalence of Sleep-Disordered Breathing and Patient Characteristics in a Coronary Artery Disease Cohort Undergoing Cardiovascular Rehabilitation , 2016, Journal of cardiopulmonary rehabilitation and prevention.

[56]  J. Ong,et al.  Developing a cognitive behavioral therapy for hypersomnia using telehealth: a feasibility study. , 2020, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[57]  M. Sateia,et al.  Clinical guideline for the evaluation and management of chronic insomnia in adults. , 2008, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[58]  I. Lowensteyn,et al.  Prevalence and Determinants of Insomnia After a Myocardial Infarction. , 2017, Psychosomatics.

[59]  J. Haythornthwaite,et al.  How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature. , 2004, Sleep medicine reviews.

[60]  K. Sharkey,et al.  Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 20 , 2015, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[61]  Sankey V. Williams,et al.  ACC/AHA 2002 guideline update for the management of patients with chronic stable angina--summary article: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina). , 2003, Journal of the American College of Cardiology.

[62]  J. Hébert,et al.  The National Veteran Sleep Disorder Study: Descriptive Epidemiology and Secular Trends, 2000-2010. , 2016, Sleep.

[63]  Sabin R. Bista,et al.  Update to the AASM Clinical Practice Guideline: "The treatment of restless legs syndrome and periodic limb movement disorder in adults-an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses". , 2012, Sleep.

[64]  P. Savage,et al.  The Treatment of Obesity in Cardiac Rehabilitation , 2021, Journal of cardiopulmonary rehabilitation and prevention.

[65]  W. Bao,et al.  Relationship of Sleep Duration With All‐Cause Mortality and Cardiovascular Events: A Systematic Review and Dose‐Response Meta‐Analysis of Prospective Cohort Studies , 2017, Journal of the American Heart Association.

[66]  L. Qin,et al.  Obstructive sleep apnea and cardiovascular risk: meta-analysis of prospective cohort studies. , 2013, Atherosclerosis.

[67]  Vera Bittner,et al.  Core components of cardiac rehabilitation/secondary prevention programs: 2007 update. , 2007, The Journal of cardiovascular nursing.

[68]  S. Marzolini,et al.  Utility of Screening for Obstructive Sleep Apnea in Cardiac Rehabilitation , 2016, Journal of cardiopulmonary rehabilitation and prevention.

[69]  Deepak L. Bhatt,et al.  Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health: A Scientific Statement From the American Heart Association. , 2016, Circulation.

[70]  A. Pack,et al.  Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. , 2017, Journal of the American College of Cardiology.

[71]  Chenkai Wu,et al.  Sleep Duration and the Risk of Dementia: A Systematic Review and Meta-analysis of Prospective Cohort Studies. , 2019, Journal of the American Medical Directors Association.

[72]  Ellen Snyder,et al.  A New Single-Item Sleep Quality Scale: Results of Psychometric Evaluation in Patients With Chronic Primary Insomnia and Depression. , 2018, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[73]  R. Chervin,et al.  The Past Is Prologue: The Future of Sleep Medicine. , 2017, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[74]  Gerta Rücker,et al.  Insomnia as a predictor of mental disorders: A systematic review and meta-analysis. , 2019, Sleep medicine reviews.

[75]  Theresa M. Beckie,et al.  Home-Based Cardiac Rehabilitation: A SCIENTIFIC STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION, THE AMERICAN HEART ASSOCIATION, AND THE AMERICAN COLLEGE OF CARDIOLOGY. , 2019, Journal of cardiopulmonary rehabilitation and prevention.

[76]  R. Arena,et al.  The association between insomnia symptoms and cardiovascular risk factors in patients who complete outpatient cardiac rehabilitation. , 2017, Sleep medicine.