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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
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Exploring the Insomnia-Ischemic Stroke Nexus: A Comprehensive Review.
Andreia Matas1,2, Nuno Pinto1,3, Bebiana Conde4
1Faculty of Health Sciences, Universidade da Beira Interior, 6201-001 Covilhã, Portugal.
Journal of Clinical Medicine
|March 28, 2024
Summary
Poor sleep quality and extreme sleep durations increase ischemic stroke risk, independent of obstructive sleep apnea. This systematic review highlights sleep
Area of Science:
- Neurology
- Sleep Medicine
- Cardiovascular Science
Background:
- Investigates sleep patterns beyond obstructive sleep apnea.
- Examines links between insomnia, sleep duration, cardiovascular factors, and ischemic stroke.
Purpose of the Study:
- To systematically review literature on sleep patterns and ischemic stroke risk.
- To elucidate connections between insomnia, sleep duration, cardiovascular factors, and stroke onset.
Main Methods:
- Systematic literature review using MEDLINE, SciELO, Scopus, and Science Direct.
- Included clinical trials and observational epidemiological studies (cohort, case-control, cross-sectional).
- Employed an adapted PICO framework and MeSH terms for search strategy.
Main Results:
- Identified 984 records, with 5 full-text articles included in data synthesis.
- Found significant correlation between poor sleep quality and extreme sleep durations with heightened ischemic stroke risk.
- Confirmed association with cardiovascular risk factors: hypertension, hyperlipidemia, obesity, and diabetes.
Conclusions:
- Poor sleep quality and extreme sleep durations are linked to increased ischemic stroke risk.
- Findings emphasize the role of sleep disturbances in stroke etiology, beyond obstructive sleep apnea.
- Highlights the interplay between sleep, cardiovascular health, and cerebrovascular events.
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