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2013, Number 2

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Rev Cub Med Mil 2013; 42 (2)

Cardiovascular physiopathological mechanisms in patients with sleep deprivation

Río VV, Saldaña BA, Martínez PA
Full text How to cite this article

Language: Spanish
References: 35
Page: 210-220
PDF size: 60.70 Kb.


Key words:

sleep deprivation, cardiovascular diseases, inflammation precursors, sympathetic activity.

ABSTRACT

There are many factors which are related to work, nutritional and hygienic habits and lifestyle that influence on sleep duration and bring about disequilibrium in the body homeostasis and lead to the appearance of risk factors that increase morbidity and mortality due to cardiovascular diseases. This work is aimed at updating and synthesizing the cardiovascular physiopathological mechanisms in patients with partial or total sleep deprivation. To achieve this aim, we consulted electronic databases (Pubmed, Ebsco, Medline and Hinari), and selected articles about the topic which have been published during the last five years. We found a significant association between sleep deprivation and cardiovascular diseases, explained by different mechanisms which include: autonomic disequilibrium with prevalence of sympathetic activity, increase of circulating catecholamines, diminished baroreflex sensitivity, low levels of intracellular magnesium, inhibition of melatonin secretion, and the action of diverse inflammation precursors. We conclude that, these mechanisms produce an increase in the vascular tone and high blood pressure among other variations that increase cardiovascular risk factors, morbidity and mortality.


REFERENCES

  1. Hirshkowitz M, Sharafkhaneh A. The physiology of sleep. En: Guilleminault C. Clinical neurophysiology of sleep disorder. Handbook of clinical neurophysiology. Vol 6. Stanford: Elsevier BV; 2005. p. 3-20.

  2. Puente Muñoz AJ, Martínez DA, Villalibre-Valderrey L. El papel del sueño de ondas lentas en la regulación homeostática del sueño. Rev Neurol. 2002;34(3):211-5.

  3. Couyoumdjian A, Sdvia S, Tempesta D, Curcio G, Rastellin E, De Genaro L, et al. The effects of sleep and sleep deprivation on task-switching performance. J Sleep Res. 2010;19:64-70.

  4. Grandner MA, Hale L, Moore M, Patel NP. Mortality associated with short sleep duration: the evidence, the possible mechanisms, and the future. Sleep Mes Rev. 2010;14(3):191-203.

  5. Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK. Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Progr Cardiov Dis. 2009;51(4):294-302.

  6. Cappucio FP, Stranges S, Kandola N. Gender-specific associations of short sleep duration with prevalent and incident hypertension. The Whitehall II Study. Hypertension. 2007;50:693-700.

  7. Guyton AC, Hall JE. Textbook of medical physiology: Nervous regulation of the circulation and rapid control of arterial pressure. 11th ed. Philadelphia: Elsevier; 2006. p. 204-31.

  8. MINSAP. Anuario estadístico de salud. Cuba. 2007. p. 35-43.

  9. Vaara J, Kyröläiron H, Koivu M, Tulppo M, Finni T. The effects of 60 h sleep deprivation on cardiovascular regulation and body temperature. Eur J Appl Physiol. 2009;105:439-44.

  10. Lusardi P, Zoppi A, Petri P, Pesce RM, Piazza E, Fagari R. Effects of insufficient sleep on blood pressure in hypertensive patients. A 24h study. Am J Hyper. 1999;12:63-8.

  11. Liu Y, Tanaka H. Overtime work, insufficient sleep, and risk of non-fatal acute myocardial infarction in Japanese men. Occup Environ Med. 2002;59:447-51.

  12. Nagai M, Hushide S, Kaso K. Sleep duration as a risk factor for cardiovascular disease-a review of the recent literature. Am J Physiol Renal Physiol. 2010;299:F404- F11.

  13. Calhoun DA, Harding SM. Sleep and hypertension. Chest. 2010;138:434-43.

  14. Ogawa Y, Kanbayashi T, Saito Y, Takahashi Y, Kitajima T. Total sleep deprivation elevates blood pressure through arterial baroreflex resetting: a study with microneurographic technique. Physiol Res. 2009;58(Suppl 1):S27-S31.

  15. Takase B, Akima T, Satomura K, Ohsuzu F, Mastui T, et al. Effects of chronic sleep deprivation on autonomic activity by examining heart rate variability, plasma catecholamine, and intracellular magnesium levels. Biomed Pharmacother 2004;58:S35-S9.

  16. Tochikubo O, Ikeda A, Miyajima E, Ishii M. Effect of insufficient sleep on blood pressure monitored by a new multibiomedical recorder. Hypertension. 1996;27:1318- 24.

  17. Zhong X, Hilton HJ, Gates GJ. Increased sympathetic and decreased parasympathetic cardiovascular modulation in normal humans with acute sleep deprivation. J Appl Physiol. 2005;98:2024-32.

  18. Irwin MR, Ziegler M. Sleep deprivation potentiates activation of cardiovascular and catecholamine responses in abstinent alcoholics. Hypertension. 2005;45:252-7.

  19. Chandola T, Ferrie JE, Perski A, Akbaraly T, Marmot MG. The effect of short sleep duration on coronary heart disease risk is greatest among those with sleep disturbance: a prospective study from the Whitehall II cohort. Sleep. 2010;33(6):739-44.

  20. Sekine T, Daimon M, Hasegawa R, Toyoda T, Kariata T, et al. The impact of sleep deprivation on the coronary circulation. Int J Cardiol. 2010;144(2):266-7.

  21. Kalsbeek A, Garidou ML, Palm IF. Melatonin sees the light: blocking GABA-ergic transmission in the paraventricular nucleus induces daytime secretion of melatonin. Eur J Neurosci. 2000;12:3146-54.

  22. Cui LN, Coderre E, Renand LP. Glutamate and GABA mediate suprachiasmatic nucleus inputs to spinal-projecting paraventricular neurons. Am J Physiol Regul Integr Comp Physiol. 2001;281:R1283-R9.

  23. Smiko F, Paulis L. Melatonin as a potential antihypertensive treatment. J Pineal Res. 2007;42:319-22.

  24. Scheer FA, Van Montfrans GA, Van Someren EJ, Mainihn G, Buijs R. Daily nighttime melatonin reduces blood pressure in male patients with essential hypertension. Hypertension. 2004;43:192-7.

  25. Cagnacci A, Cannoletta M, Renzi A, Baldassari F, Arangino S. Prolonged melatonin administration decreases nocturnal blood pressure in women. Am J Hyper. 2005;18:1614-8.

  26. Grossman E, Landon M, Yalcin R. Melatonin reduces night blood pressure in patient with nocturnal hypertension. Am J Med. 2006;119:898-902.

  27. Mullington JM, Simpson NS, Meier-Ewer HK, Haack M. Sleep loss and inflammation. Best Pract Res Clin Endocrinol Metab. 2010;24(5):775-84.

  28. Keefer CS, Resnik WH. Angina pectoris: A syndrome caused by anoxemia of the myocardium. Arch Intern Med. 1928;41:769-807.

  29. Danesh J, Collins R, Appleby P. Association of fibrinogen, C reactive protein, albumin, or leucocyte count with coronary heart disease: Meta analysis of prospective studies. JAMA. 1998;279:1477-1482.

  30. Van Leeuwen WM, Lehto M, Karisola P, Lindholm H, Kamen T. Sleep restriction increases the risk of developing cardiovascular diseases by augmenting proinflammatory responses through IL 17 and CPR. J Neurol Transm. 2009;116(3):301-5.

  31. Meier-Ewer HK, Ridker PM, Rifai N, Regan MM, Price NJ. Effect of sleep loss on Creactive protein, an inflammatory marker of cardiovascular risk. J Am Cardiol. 2004;43(4):678-83.

  32. Río Vázquez V, Anias Calderón J. Mecanismos fisiopatológicos de las alteraciones cardiovasculares en el síndrome de apnea obstructiva del sueño. Rev Cubana Invest Biomed. 2009;28(1):1-8.

  33. Born J, Lange T, Hansen K, Molle M. Effects of sleep and circadian rhythm on human circulating immune cells. J Immunol. 1997;158:4454-64.

  34. Frey DJ, Fleshner M, Wright KP Jr. The effects of 40 hours of total sleep deprivation on inflammatory markers in healthy young adults. Brain Behav Immunol 2007;45(2):296-300.

  35. Liu H, Wang G, Luan G, Liu Q. Effects of sleep and sleep deprivation on blood cells count and hemostasis parameters in healthy humans. J Thromb Thrombolysis. 2009;28:46-9.




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Rev Cub Med Mil . 2013;42