Coronary disease & ACSResearch article

Objective and Subjective Multidimensional Sleep Health in Women After Myocardial Infarction

JACC AdvPublished

  • Multivariable regression of actigraphy and sleep diary measures
  • 7 nights of wrist actigraphy

Authors' conclusion

Many women with prior MI had suboptimal sleep (short or long sleep duration, low sleep efficiency, and/or long WASO). Our results highlight the importance of discussing multiple dimensions of sleep with women post-MI to optimize cardiovascular health.

Study context

Population
Women with prior myocardial infarction (MI)
Participants
94 post-MI women

Main finding

As reported in the abstract

Sleep measures

Mean sleep duration

405.1 minutes (approximately 6.8 hours)

Sleep efficiency

86.3%

Wake after sleep onset (WASO)

61.6 minutes

Self-reported sleep quality

3.3

Further findings

Prevalence of suboptimal sleep

Short (<7 hours) or long (>9 hours) sleep duration
64.9%
Low sleep efficiency (<85%)
33%
Long WASO (>30 minutes)
88.3%

Participant characteristics

Median days since MI
93; IQR: 69-709
Mean age
60 years
Non-Hispanic White
67.0%

Factors associated with poor sleep

Identifying as other than non-Hispanic White (shorter sleep duration, lower efficiency, and longer WASO)
Being nonpartnered (shorter sleep duration)
Hypertension (lower sleep efficiency)
Higher depressive symptoms (lower sleep quality)
  • exploratory analyses

Original publication

Objective and Subjective Multidimensional Sleep Health in Women After Myocardial Infarction. JACC Adv. Published 16 September 2026. doi:10.1016/j.jacadv.2026.103194

Summarised from the published abstract; every number is checked against it