Effects of Cardiac Rehabilitation on Sleep Quality in Heart Disease Patients with and without Heart Failure

Fabio Lodi Rizzini (), Adela María Gómez-González, Rocío Conejero-Cisneros, María José Romero-Blanco, Almudena Maldonado-Barrionuevo, Pablo Salinas-Sánchez and Manuel Jiménez-Navarro
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Fabio Lodi Rizzini: PhD Program in Biomedicine, Translational Research and New Health Technologies, Faculty of Medicine, University of Málaga, 29010 Malaga, Spain
Adela María Gómez-González: Rehabilitation Department, Virgen de la Victoria University Hospital, 29010 Malaga, Spain
Rocío Conejero-Cisneros: Rehabilitation Department, Costa del Sol Hospital, 29603 Marbella, Spain
María José Romero-Blanco: Rehabilitation Department, Virgen de la Victoria University Hospital, 29010 Malaga, Spain
Almudena Maldonado-Barrionuevo: Rehabilitation Department, Virgen de la Victoria University Hospital, 29010 Malaga, Spain
Pablo Salinas-Sánchez: Department of Human Anatomy, Legal Medicine and History of Science, Faculty of Medicine, University of Málaga, 29010 Malaga, Spain
Manuel Jiménez-Navarro: Cardiology Department, Virgen de la Victoria University Hospital, IBIMA, CIBERCV, UMA, 29010 Malaga, Spain

IJERPH, 2022, vol. 19, issue 24, 1-18

Abstract: Insomnia is a modifiable cardiovascular risk factor. Previous studies suggested that attending a cardiac rehabilitation program may improve sleep quality in cardiac patients and pointed out the association between heart failure and poor sleep quality. The primary aim of this study was to evaluate sleep quality in patients attending a Multidisciplinary Cardiac Rehabilitation Program (MRCP), and to compare sleep quality between patients with and without heart failure. A prospective observational study was carried out on a consecutive sample of 240 patients attending an 8-week MRCP; 50 patients (20.8%) were included due to heart failure (NYHA stages I–III) and the rest of them after having undergone any revascularization procedure or valvular surgery. Before and after the completion of the MRCP, the quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) score. Post-intervention global PSQI scores were statistically significantly lower than those of pre-intervention ( p = 0.008), but only 60 patients (25%) registered a clinically significant improvement. When comparing patients with heart failure with those without, no differences in sleep quality were found. This suggests that only a small percentage of patients can achieve clinically significant improvements in sleep quality attending conventional MCRP. Suggestions for future research are given.

Keywords: sleep quality; heart failure; cardiac rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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