Nocturia, sleep and daytime function in stable heart failure.
Nocturia, sleep and daytime function in stable heart failure.
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DOI:
10.1016/j.cardfail.2012.05.002
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发表时间:
2012-07
影响因子:
6
通讯作者:
Rapoport, David
中科院分区:
文献类型:
--
作者:
Redeker, Nancy S.;Adams, Laura;Berkowitz, Robert;Blank, Lenore;Freudenberger, Ronald;Gilbert, Michele;Walsleben, Joyce;Zucker, Mark J.;Rapoport, David
To evaluate nocturia severity and nocturia-related differences in sleep, daytime symptoms and functional performance among patients with stable heart failure (HF). In this cross-sectional observational study we recruited 173 patients [M age = 60.3 ±16.8 years; n = 60 (35%) female; left ventricular ejection fraction M = 32 ±14.6] with stable chronic HF from HF disease management programs in the Northeastern United States. Participants reported nocturia and completed a Six Minute Walk test (6 MWT), one night of ambulatory polysomnography (PSG), and the Medical Outcomes Study SF 36, Epworth Sleepiness, Pittsburgh Sleep Quality Index, Multi-Dimensional Assessment of Fatigue, and the Centers for the Epidemiological Studies of Depression scales. Participants reported no (n = 30/17.3%), one or more (n = 87/50.2%), and three or more (n = 56/32.4%) nightly episodes of nocturia. There were decreases in sleep duration and efficiency, stages REM and 3–4 sleep, physical function, and 6 MWT distance; and increases in the percent wake after sleep onset, insomnia symptoms, fatigue and sleepiness across levels of nocturia severity. Nocturia is common, severe, and closely associated with decrements in sleep and functional performance and increases in fatigue and sleepiness in patients with stable HF.
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