Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016;14(1):49-66.
doi: 10.1080/15402002.2014.941064. Epub 2014 Aug 30.

Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs)

Christina S McCrae  1 , Alicia J Roth  1 , Jessica Ford  2 , Earl C Crew  1 , Jamie B Conti  3 , Richard B Berry  3 , Samuel F Sears  2
Affiliations

Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs)

Christina S McCrae et al. Behav Sleep Med. 2016.

Abstract

Rates of sleep disorders and associated adjustment were examined in patients with implantable cardioverter defibrillators (ICDs; n = 42; Mage = 61.57, SD = 12.60). One night of ambulatory polysomnography, 14 days of sleep diaries, and questionnaires (mood, sleepiness, fatigue, device acceptance) were administered. Controlling for ischemia, MANCOVA examined adjustment by sleep diagnosis. Apnea was most common (28.6%), followed by Insomnia (16.7%) and Comorbid Insomnia/Apnea (11.9%). Patients with insomnia reported poorer mood, greater sleepiness, and lower device acceptance than good sleepers; they also demonstrated poorer mood and less ICD device acceptance than patients with sleep apnea. Patients with comorbid insomnia/apnea also exhibited poorer mood and less ICD device acceptance than good sleepers; however, comorbid patients did not significantly differ from insomnia or apnea patients on any measure. Those with disordered sleep (regardless of type) reported greater fatigue than good sleepers. Assessment (and treatment) of difficulties with sleep, mood, fatigue, and device acceptance may be important for the comprehensive clinical management of ICD patients. Further research appears warranted.

PubMed Disclaimer

References

    1. AASM. International classification of sleep disorders 2nd ed: Diagnostic and coding manual. Westchester, IL: American Academy of Sleep Medicine; 2005.
    1. Abe H, Takahashi M, Yaegashi H, Eda S, Tsunemoto H, Kamikozawa M, Ikeda U. Efficacy of continuous positive airway pressure on arrhythmias in obstructive sleep apnea patients. Heart and Vessels. 2010;25(1):63–69. doi: 10.1007/s00380-009-1164-z. - DOI - PubMed
    1. Al-Jawder SE, Bahammam AS. Comorbid insomnia in sleep-related breathing disorders: an under-recognized association. Sleep & Breathing. 2011 doi: 10.1007/s11325-011-0513-1. - DOI - PubMed
    1. Al-Khatib SM, Hellkamp MA, Bardy GH, Hammill S, Hall WJ, Mark DB, Curtis LH. Survival of patients receiving a primary prevention implantable cardioverter-defibrillator in clinical practice vs clinical trials. The Journal of the American Medical Association. 2013;309(1):55. - PMC - PubMed
    1. Ancoli-Israel S, Roth T. Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I. Sleep. 1999;22(Suppl 2):S347–353. - PubMed

Publication types

MeSH terms