A. Appels et E. Schouten, WAKING UP EXHAUSTED AS RISTINDICETOR OF MYOCARDIAL-INFARCTION, PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie, 43(5), 1993, pp. 166-170
In a prospective study of 3877 males, aged 39-65, the predictive power
of complaints indicating problems falling or staying asleep and of th
e feeling of waking up exhausted was investigated. It was hypothesized
that especially those who wake up exhausted but do not complain about
problems falling or staying asleep are at increased risk of myocardia
l infarction. After controlling for age, blood pressure, smoking, chol
esterol and the use of anti-hypertensive drugs, the relative risk was
found to be 2.74 (95 % confidence interval 1.28-5.83) for a years foll
ow-up and 6.50 for the first year of follow-up. These findings indicat
e that waking up exhausted belongs to the short-term risk indicators o
f myocardial infarction.