Disruption of Circadian Rhythms and Sleep on Critical Illness and the Impact on Cardiovascular Events.

Abstract:

:The cardiovascular system exhibits significant daily rhythms in physiologic processes (heart rate, blood pressure, cardiac contractility and function), and molecular gene and protein expression. An increasing number of clinical and experimental studies demonstrate the circadian system is an important underlying mechanism that coordinates these rhythmic processes for the health of the cardiovascular system. However, what happens when rhythms are disturbed has been generally clinically unappreciated. Here we describe the profound adverse impact of disturbed circadian rhythms and sleep on the cardiovascular system, including recovery from myocardial infarction in acute care settings, shift work and heart disease, sleep disorders including obstructive sleep apnea, and cardiovascular pathophysiology associated with disturbed nocturnal blood pressure profiles. We also discuss therapeutic applications of circadian rhythms for the cardiovascular system. Cardiovascular disease is a leading cause of death worldwide, and applying circadian biology to cardiology (and indeed medicine in general) provides a new translational approach to benefit patients clinically.

journal_name

Curr Pharm Des

authors

Reitz CJ,Martino TA

doi

10.2174/1381612821666150706105926

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

3505-11

issue

24

eissn

1381-6128

issn

1873-4286

pii

CPD-EPUB-68570

journal_volume

21

pub_type

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