Sleep disturbances have a major impact on physical functioning, emotional well-being, and quality of life, but are not well described in patients with heart failure (HF). Eighty-four HF patients completed a sleep survey and provided demographic and clinical data. Seventy percent of the patients were male with a mean age of 54 years and a mean left ventricular ejection fraction of 22%. Fortyseven patients (56%) reported trouble sleeping and one-third used sleeping medication. The most frequently reported problems were inability to sleep flat (51%), restless sleep (44%), trouble falling asleep (40%), and awakening early (39%). Using logistic regression, physiological variables were tested as predictors of sleep disturbance. Severity of HF, age, gender, etiology, obesity, smoking, and use of betablockers were not predictors of sleep disturbance. HF patients experience significant sleep disturbances, which are not predicted by severity of symptoms or clinical status. Problems with sleep are an important component of a clinical assessment in this vulnerable population.
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1 November 2003
Heart Failure|
November 01 2003
Sleep Disturbance Symptoms in Patients With Heart Failure
Virginia S. Erickson, RN, PhD;
From the School of Nursing (Drs Erickson, Westlake, and Dracup) and Medicine (Dr Hage), University of California, Los Angeles; and the School of Nursing, University of California, San Francisco (Dr Woo).
Reprint requests to: Virginia S. Erickson, RN, PhD, Ahmanson-UCLA Cardiomyopathy Center, 47-123 CHS, Box 951679, Los Angeles, CA 90095-1679 ([email protected]).
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Cheryl A. Westlake, RN, PhD;
Cheryl A. Westlake, RN, PhD
From the School of Nursing (Drs Erickson, Westlake, and Dracup) and Medicine (Dr Hage), University of California, Los Angeles; and the School of Nursing, University of California, San Francisco (Dr Woo).
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Kathleen A. Dracup, RN, DNSc;
Kathleen A. Dracup, RN, DNSc
From the School of Nursing (Drs Erickson, Westlake, and Dracup) and Medicine (Dr Hage), University of California, Los Angeles; and the School of Nursing, University of California, San Francisco (Dr Woo).
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Mary A. Woo, RN, DNSc;
Mary A. Woo, RN, DNSc
From the School of Nursing (Drs Erickson, Westlake, and Dracup) and Medicine (Dr Hage), University of California, Los Angeles; and the School of Nursing, University of California, San Francisco (Dr Woo).
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Antoine Hage, MD
Antoine Hage, MD
From the School of Nursing (Drs Erickson, Westlake, and Dracup) and Medicine (Dr Hage), University of California, Los Angeles; and the School of Nursing, University of California, San Francisco (Dr Woo).
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AACN Adv Crit Care (2003) 14 (4): 477–487.
Citation
Virginia S. Erickson, Cheryl A. Westlake, Kathleen A. Dracup, Mary A. Woo, Antoine Hage; Sleep Disturbance Symptoms in Patients With Heart Failure. AACN Adv Crit Care 1 November 2003; 14 (4): 477–487. doi:
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