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
. 2018 Jun;17(5):390-398.
doi: 10.1177/1474515117748931. Epub 2017 Dec 20.

Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

M Habibović  1   2 , L Mudde  1 , S S Pedersen  3   4 , D Schoormans  1 , J Widdershoven  1   2 , J Denollet  1
Affiliations

Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status

M Habibović et al. Eur J Cardiovasc Nurs. 2018 Jun.

Abstract

Background: Sleep disturbances are highly prevalent in patients with cardiac diseases and associated with poor health outcomes. However, little is known about sleep disturbance in patients with an implantable cardioverter defibrillator.

Aims: We examined the prevalence and predictors of sleep disturbance and the impact on perceived health status in a Dutch cohort of implantable cardioverter defibrillator patients.

Methods: Patients ( n=195) enrolled in the Web-based distress program for implantable cardioverter defibrillator patients (WEBCARE) trial completed questionnaires at the time of implantable cardioverter defibrillator implantation, three, six and 12 months afterwards. Sleep disturbance was assessed with the corresponding item #3 of the Patient Health Questionnaire 9.

Results: At baseline, 67% ( n=130) reported sleep disturbance (cut off ≥1). One year later, the prevalence was 57% ( n=112). Younger age (odds ratio=0.96, 95% confidence interval 0.92-0.99; p=0.012) and high negative affectivity/low social inhibition (odds ratio=4.47, 95% confidence interval 1.52-13.17; p=0.007) were associated with sleep disturbance at 12 months in adjusted analyses. Sleep disturbance was not associated with health status at 12 months. Charlson Comorbidity Index, anxiety, Type D personality and high negative affectivity/low social inhibition were associated with impaired health status at follow-up.

Conclusions: Sleep disturbance was highly prevalent in patients with an implantable cardioverter defibrillator. Younger age and high negative affectivity predicted sleep disturbance 12 months post-implantation independent of other demographic, clinical, intervention and psychological covariates. Sleep disturbance was not associated with impaired health status at the 12-month follow-up.

Keywords: Sleep disturbance; health status; implantable cardioverter defibrillator; negative affectivity.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Flow chart of patient recruitment.
Figure 2.
Figure 2.
Prevalence of reported sleep problems during 12-month follow-up post implantable cardioverter defibrillator (ICD) implantation.
See this image and copyright information in PMC

References

    1. St-Onge MP, Grandner MA, Brown D, et al. Sleep duration and quality: Impact on lifestyle behaviors and cardiometabolic health: A scientific statement from the American Heart Association. Circulation 2016; 134: e367–e386. - PMC - PubMed
    1. Michal M, Wiltink J, Kirschner Y, et al. Complaints of sleep disturbances are associated with cardiovascular disease: Results from the Gutenberg Health Study. PLoS One 2014; 9: e104324. - PMC - PubMed
    1. Baldwin CM, Griffith KA, Nieto FJ, et al. The association of sleep-disordered breathing and sleep symptoms with quality of life in the Sleep Heart Health Study. Sleep 2001; 24: 96–105. - PubMed
    1. European Heart Rhythm A, Heart Rhythm S, Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death). J Am Coll Cardiol 2006; 48: e247–e346. - PubMed
    1. Habibovic M, van den Broek KC, Alings M, et al. Posttraumatic stress 18 months following cardioverter defibrillator implantation: Shocks, anxiety, and personality. Health Psychol 2012; 31: 186–193. - PubMed

Publication types