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Nurses unite to improve cardiovascular practice
Date:2/10/2010

aside from people who have sleep apnoea, short sleep durations (less than seven hours a day), can also predict poor metabolic control.

Several pathways, said Redeker, have been identified through which chronic sleep deprivation might contribute to diabetes, including stimulation of the sympathetic nervous system, stimulation of the immune system, inflammation, increases in ghrelin (the hormone that increases appetite) and reductions in leptin (the hormone signalling satiety) and elevated cortisol levels on waking.

Other studies suggest sleep deprivation has direct adverse effects on both the heart and blood pressure. One study of 495 men and women aged 35 to 47, by Diane Lauderdale and colleagues, from the University of Chicago, showed people who slept on average one hour less each night increased the calcium in their coronary arteries (a marker of atherosclerosis)by 16% (JAMA 2008: 300; 2859-66). An additional study from the same group showed that short sleep duration predicted significantly higher blood pressure (Archives Intern Med. 2009;169 :1055-1061).

"We're only just beginning to recognise the hormonal and metabolic implications of sleep curtailment," said Redeker, who believes the area represents an important new area for scientific research.

ICDs and driving

Cardiology nurses have a key role to play in communicating to patients about the importance of not driving vehicles after being fitted with implantable cardioverter defibrillators (ICDs), Tone Norekval will tell the "Health Technology and Patient Safety" session on Friday.

Patients with ICDs for primary prevention (treatment of patients at risk for life threatening arrhythmias who have never had sustained ventricular arrhythmias) and secondary prevention (treatment of patients who have survived life-threatening arrhythmias) are recognised to be at risk of sudden incapacitation that may result in death or injury to the patient, other pass
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Contact: ESC Press Office
press@escardio.org
33-049-294-8627
European Society of Cardiology
Source:Eurekalert

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