Pub Date : 2025-10-01DOI: 10.1016/j.rccl.2025.05.001
Raúl Gascueña , Carlos de Blas , Carlos Carrasco , Julia Gómez , Rocío Ruesgas , Juan Manuel Grande
Introduction and objectives
To evaluate the prevalence and consequences of sleep disorders in hospitalized cardiology patients and identify clinical and psychosocial predictors in order to improve their detection and subsequent management.
Methods
Anxiety and depression (HADS scale), quality of life (SF-12 questionnaire) and sleep quality (Pittsburgh Sleep Quality Index [PSQI]) were evaluated in consecutive cardiological hospitalized patients. The duration of hospitalization and events during the year following admission were prospectively collected.
Results
A total of 100 consecutive patients were included (58% male, median age 74.4 years). 77% had poor sleep quality (PSQI > 5), a lower physical SF-12 score (Δ 5.75; 95%CI, 1.0-10.5; P = .019), a longer hospitalization (6.8; 95%CI, 5.1-8.5 versus 9.8; 95%CI, 7.7-11.9 days; P = .032) and more non-cardiological emergencies (adjusted HR, 3.24; 95%CI, 1.09-6.66; P = .035]. Their income level and household equipment were poorer, they received more antidepressants and 3 more drugs per day. The predictors of a PSQI > 5 were previous antidepressant treatment (OR, 5,53; 95%CI, 1.13-26.97; P = .012) and anxiety (OR, 1,3; 95%CI, 1.1-1.6; P = .001).
Conclusions
Poor sleep quality is very prevalent in cardiological hospitalized patients. It decreases physical quality of life, prolongs hospitalization and predicts more visits to the emergency department. Its predictors are anxiety and previous antidepressant treatment, and it is associated with a lower income level and an uncomfortable home.
前言和目的评估住院心脏病患者睡眠障碍的患病率和后果，并确定临床和社会心理预测因素，以提高其发现和后续管理。方法对连续住院心脏病患者进行焦虑抑郁（HADS量表）、生活质量（SF-12问卷）和睡眠质量（匹兹堡睡眠质量指数[PSQI]）评估。前瞻性地收集住院时间和入院后一年内发生的事件。结果共纳入100例患者，其中男性58%，中位年龄74.4岁。77%的患者睡眠质量差（PSQI > 5），身体SF-12评分较低（Δ 5.75; 95%CI, 1.0-10.5; P = 0.019），住院时间较长（6.8;95%CI, 5.1-8.5 vs . 9.8; 95%CI, 7.7-11.9天；P = 0.032），非心脏病急症较多（调整后危险度，3.24;95%CI, 1.09-6.66; P = 0.035）。他们的收入水平和家庭设备较差，服用的抗抑郁药物较多，每天服用的药物多3种。PSQI >； 5的预测因子为既往抗抑郁治疗（OR, 5,53; 95%CI, 1.13-26.97; P = 0.012）和焦虑（OR, 1,3; 95%CI, 1.1-1.6; P = .001）。结论心脏病住院患者睡眠质量差现象普遍存在。它降低了身体生活质量，延长了住院时间，并预示着更多的急诊就诊。它的预测因素是焦虑和以前的抗抑郁治疗，它与较低的收入水平和不舒适的家庭有关。
{"title":"Determinantes e impacto de la mala calidad del sueño en los pacientes hospitalizados por problemas cardiológicos","authors":"Raúl Gascueña , Carlos de Blas , Carlos Carrasco , Julia Gómez , Rocío Ruesgas , Juan Manuel Grande","doi":"10.1016/j.rccl.2025.05.001","DOIUrl":"10.1016/j.rccl.2025.05.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To evaluate the prevalence and consequences of sleep disorders in hospitalized cardiology patients and identify clinical and psychosocial predictors in order to improve their detection and subsequent management.</div></div><div><h3>Methods</h3><div>Anxiety and depression (HADS scale), quality of life (SF-12 questionnaire) and sleep quality (Pittsburgh Sleep Quality Index [PSQI]) were evaluated in consecutive cardiological hospitalized patients. The duration of hospitalization and events during the year following admission were prospectively collected.</div></div><div><h3>Results</h3><div>A total of 100 consecutive patients were included (58% male, median age 74.4 years). 77% had poor sleep quality (PSQI<!--> <!-->><!--> <!-->5), a lower physical SF-12 score (Δ 5.75; 95%CI, 1.0-10.5; <em>P</em> <!-->=<!--> <!-->.019), a longer hospitalization (6.8; 95%CI, 5.1-8.5 versus 9.8; 95%CI, 7.7-11.9 days; <em>P</em> <!-->=<!--> <!-->.032) and more non-cardiological emergencies (adjusted HR, 3.24; 95%CI, 1.09-6.66; <em>P</em> <!-->=<!--> <!-->.035]. Their income level and household equipment were poorer, they received more antidepressants and 3 more drugs per day. The predictors of a PSQI<!--> <!-->><!--> <!-->5 were previous antidepressant treatment (OR, 5,53; 95%CI, 1.13-26.97; <em>P<!--> </em>=<!--> <!-->.012) and anxiety (OR, 1,3; 95%CI, 1.1-1.6; <em>P</em> <!-->=<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Poor sleep quality is very prevalent in cardiological hospitalized patients. It decreases physical quality of life, prolongs hospitalization and predicts more visits to the emergency department. Its predictors are anxiety and previous antidepressant treatment, and it is associated with a lower income level and an uncomfortable home.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 253-262"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rccl.2025.01.001
Carmen Benavente Soler , María José Calero Rueda , Alejandro Villanueva Afán de Ribera , Petra Sanz Mayordomo
{"title":"Calcificación auricular y arterial pulmonar tras radioterapia","authors":"Carmen Benavente Soler , María José Calero Rueda , Alejandro Villanueva Afán de Ribera , Petra Sanz Mayordomo","doi":"10.1016/j.rccl.2025.01.001","DOIUrl":"10.1016/j.rccl.2025.01.001","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 314-315"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rccl.2024.12.001
Nerea Torres González, Luis Álvarez Acosta, Diego Valdivia Miranda, Dácil Díaz Gómez, Julio Salvador Hernández Afonso
{"title":"Holter de 24 horas frente a un dispositivo de monitorización electrocardiográfica en pacientes con palpitaciones","authors":"Nerea Torres González, Luis Álvarez Acosta, Diego Valdivia Miranda, Dácil Díaz Gómez, Julio Salvador Hernández Afonso","doi":"10.1016/j.rccl.2024.12.001","DOIUrl":"10.1016/j.rccl.2024.12.001","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 308-311"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.rccl.2025.03.003
Ester Forcano Queralt , José Antonio Quesada , Domingo Orozco Beltrán
Introduction and objectives
Sedentary lifestyles and physical activity are key areas of scientific focus owing to their impact on the main causes of morbidity and mortality worldwide, especially in vulnerable populations. The objectives of this study were to estimate the prevalence of sedentary behaviour in people over 64 years of age living in Spain with cardiovascular disease or cardiovascular risk factors, and to analyse the associated chronic diseases.
Methods
We conducted a population-based cross-sectional study using data from the 2017 Spanish National Health Survey. The sample comprised people aged over 64 years who had at least 1 of the following: hypertension, diabetes, high cholesterol, history of acute myocardial infarction, or history of stroke. We used Poisson models with robust variance to estimate prevalence ratios.
Results
Among a representative sample of 5314 people, the prevalence of sedentary behaviour was 32.2%. Sedentary behaviour was more common in women, older people, and people with urinary incontinence or mental disorders.
Conclusions
We found a moderate-to-high level of sedentary behaviour in a Spanish population aged over 64 years with cardiovascular risk factors or a history of myocardial infarction or stroke. Factors associated with higher levels of sedentary behaviour were female sex, older age, urinary incontinence, and mental health disorders. Longitudinal studies with greater precision are needed to delve deeper into these associations.
{"title":"Physical inactivity and chronic diseases in people aged 65 years and older: A population-based cross-sectional study in Spain","authors":"Ester Forcano Queralt , José Antonio Quesada , Domingo Orozco Beltrán","doi":"10.1016/j.rccl.2025.03.003","DOIUrl":"10.1016/j.rccl.2025.03.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Sedentary lifestyles and physical activity are key areas of scientific focus owing to their impact on the main causes of morbidity and mortality worldwide, especially in vulnerable populations. The objectives of this study were to estimate the prevalence of sedentary behaviour in people over 64 years of age living in Spain with cardiovascular disease or cardiovascular risk factors, and to analyse the associated chronic diseases.</div></div><div><h3>Methods</h3><div>We conducted a population-based cross-sectional study using data from the 2017 Spanish National Health Survey. The sample comprised people aged over 64 years who had at least 1 of the following: hypertension, diabetes, high cholesterol, history of acute myocardial infarction, or history of stroke. We used Poisson models with robust variance to estimate prevalence ratios.</div></div><div><h3>Results</h3><div>Among a representative sample of 5314 people, the prevalence of sedentary behaviour was 32.2%. Sedentary behaviour was more common in women, older people, and people with urinary incontinence or mental disorders.</div></div><div><h3>Conclusions</h3><div>We found a moderate-to-high level of sedentary behaviour in a Spanish population aged over 64 years with cardiovascular risk factors or a history of myocardial infarction or stroke. Factors associated with higher levels of sedentary behaviour were female sex, older age, urinary incontinence, and mental health disorders. Longitudinal studies with greater precision are needed to delve deeper into these associations.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 244-252"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impacto pronóstico de los factores psicosociales en la cardiopatía isquémica crónica: aspectos que recordar","authors":"Marisol Bravo-Amaro , Dámaris Carballeira-Puentes , Cristina Prieto-Fernández","doi":"10.1016/j.rccl.2025.07.002","DOIUrl":"10.1016/j.rccl.2025.07.002","url":null,"abstract":"","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 4","pages":"Pages 241-243"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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