Comparison of Sleep Quality, Anxiety and Depression in Patients with Obstructive and Non-Obstructive Myocardial Infarction<span dir="RTL" lang="AR-SA">: A Cross-Sectional Study

Background: Myocardial infarction (MI) remains a major global health concern and is traditionally associated with obstructive coronary artery disease. However, non-obstructive MI (MINOCA) is also significant. MI patients often face anxiety, depression, and sleep problems, impacting recovery.Aim: This study aimed to compare sleep quality, and psychological symptoms in the patients with obstructive and non-obstructive myocardial infarction.Method: A total of ۲۸۲ patients with obstructive and non-obstructive myocardial infarction (۱۴۱ patients in each group) who were referred to Dr. Heshmat Hospital in Rasht, Iran, in ۲۰۲۳ were included in this cross-sectional study. Demographic data checklist and standard sleep quality questionnaire, patient health questionnaire, and general anxiety disorder were used.Results: After adjustment for confounding variables, no statistically significant differences were observed between obstructive and non-obstructive myocardial infarction patients regarding sleep quality, depressive symptoms, or anxiety levels. However, female patients reported significantly greater odds of poor sleep quality, depression, and anxiety than male patients. In addition, rural residence was associated with higher depressive symptoms. These findings suggest that psychological and sleep-related challenges are common among MI patients regardless of coronary obstruction status. Implications for Practice: Incorporating regular assessment and management of sleep and psychological symptoms into the routine care of MI patients can lead to better clinical outcomes and quality of life. These findings support the integration of psychosocial and behavioral health into cardiac rehabilitation and follow-up programs.

کلیدواژه ها:

Anxiety ، Depression ، MINOCA ، Myocardial infarction ، Sleep Quality