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COMMENTS & OPINIONS
Decreased Sleep in Heart Failure: Are Medications to Blame?
Frank A. J. L. Scheer, PhD;
Peter H. Stone, MD;
Steven A. Shea, PhD
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In the September 18 issue of the Archives, Arzt and colleagues1 showed that patients with systolic heart failure (HF) only sleep approximately 5 hours per night vs 6.5 hours in a community sample. The authors suggest that the reduced sleep duration in HF could be caused by elevated central noradrenergic activity stimulating alertness. This suggests that pathophysiological factors leading to HF, or the presence of HF itself, may cause shortened sleep. In such a case, optimal therapy for HF may improve sleep, and untreated HF may result in even shorter sleep. Indeed, the accepted approach to the treatment of secondary insomnia is to treat the underlying medical disorder, assuming that the sleep will thereby improve. It would be worthwhile to test this assumption and determine whether sleep improves in a group of patients with HF . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Decreased Sleep in Heart Failure: Are Medications to Blame?—Reply
Michael Arzt and T. Douglas Bradley
Arch Intern Med. 2007;167(10):1099-1100.
EXTRACT
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RELATED ARTICLE
Sleepiness and Sleep in Patients With Both Systolic Heart Failure and Obstructive Sleep Apnea
Michael Arzt, Terry Young, Laurel Finn, James B. Skatrud, Clodagh M. Ryan, Gary E. Newton, Susanna Mak, John D. Parker, John S. Floras, and T. Douglas Bradley
Arch Intern Med. 2006;166(16):1716-1722.
ABSTRACT
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