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Dream Patterns in Patients with Acute Myocardial Infarction: Data from the STEP-IN-AMI Trial.

Adriana Roncella1,2, Vincenzo Pasceri1, Christian Pristipino1,3

  • 1Intensive and Interventional Cardiology Unit, San Filippo Neri Hospital, 00135 Rome, Italy.

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|January 10, 2026
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Summary

This study reveals that acute myocardial infarction (AMI) patients often experience distressing dreams or recall none. Short-term psychotherapy (STP) significantly improved dream recall and reduced negative dream content in AMI survivors.

Keywords:
acute myocardial infarctiondream analysisischemic heart diseaseontopsychology

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Area of Science:

  • Cardiology
  • Psychology
  • Sleep Science

Background:

  • Limited research exists on dream patterns in patients following acute myocardial infarction (AMI).
  • Understanding pre- and post-AMI dream organization is crucial for patient well-being.

Purpose of the Study:

  • To investigate dream patterns in patients before and after AMI.
  • To analyze the impact of ontopsychological short-term psychotherapy (STP) on dream content and recall in AMI patients.

Main Methods:

  • Retrospective analysis of dream patterns in 47 patients (aged 31-70) from the STEP-IN-AMI trial.
  • Assessment of dream recall, recurring distressing dreams, and dream symbol content before and during STP.

Main Results:

  • Dream recall increased from 45% to 91% with psychotherapy (p < 0.0001).
  • Recurring distressing dreams decreased from 24% to 0% after the third psychotherapy session (p < 0.001).
  • Negative dream symbols, associated with danger, reduced from 84% to 9% by the end of psychotherapy (p < 0.0001).

Conclusions:

  • This is the first study on dreams in AMI patients and the effect of STP on their dream patterns.
  • AMI patients often have poor dream recall or distressing dreams, which STP can significantly alleviate.
  • Dream symbols may reflect biological status, potentially warning of cardiac conditions, and STP may facilitate personal change.