Sleep and Risk for Heart Disease and Stroke

Getting healthy sleep was recognized in 2022 by the American Heart Association as a key health behavior of Life's Essential 8 based on growing evidence of its impact on cardiovascular health. American Heart Association guidelines recommend that adults aged ≥20 years get on average 7 to 9 hours of sleep per night, based on self-reported measures. However, many adults report getting inadequate sleep duration, a trend expected to worsen through 2050. For these reasons, the relationship between sleep, including its multidimensional components (eg, timing, efficiency, regularity, and architecture), and cardiovascular disease must be evaluated further. In this review, we summarize the current evidence on the association of multidimensional sleep with heart disease and stroke risk. In addition, we discuss the advantages and limitations of various sleep assessments from self-report to direct measurement via novel digital health technologies.

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Publication Details

Journal
Arteriosclerosis Thrombosis and Vascular Biology
Published
2026-03-26
DOI
https://doi.org/10.1161/atvbaha.125.322869
Primary Topic
Sleep and related disorders
Type
article
Field-Weighted Citation Impact
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article

Sleep and Risk for Heart Disease and Stroke

Seth S. Martin, Henry Zhao, Inga Antonsdottir, Nino Isakadze et al.
Arteriosclerosis Thrombosis and Vascular Biology
Sleep and related disorders
article

Sleep and Risk for Heart Disease and Stroke

Seth S. Martin, Henry Zhao, Inga Antonsdottir, Nino Isakadze, Shireen Khoury, Erin M. Spaulding, G. W. Wilson, Pamela L. Lutsey, Dinesh Kalra, Jie Ding, Anagh Astavans, Junxin Li, Arindam Bagga, Brendan P. Lucey
article en

Abstract

Getting healthy sleep was recognized in 2022 by the American Heart Association as a key health behavior of Life's Essential 8 based on growing evidence of its impact on cardiovascular health. American Heart Association guidelines recommend that adults aged ≥20 years get on average 7 to 9 hours of sleep per night, based on self-reported measures. However, many adults report getting inadequate sleep duration, a trend expected to worsen through 2050. For these reasons, the relationship between sleep, including its multidimensional components (eg, timing, efficiency, regularity, and architecture), and cardiovascular disease must be evaluated further. In this review, we summarize the current evidence on the association of multidimensional sleep with heart disease and stroke risk. In addition, we discuss the advantages and limitations of various sleep assessments from self-report to direct measurement via novel digital health technologies.

Arteriosclerosis Thrombosis and Vascular Biology
University of Minnesota (US), University of Louisville (US), Johns Hopkins University (US), Washington University in St. Louis (US), Johns Hopkins Medicine (US), Johns Hopkins Center for Health Security (US), Minnesota Department of Health (US)
Good health and well-being
Openalex Percentile: Top 11%
Sleep and related disorders
DOISourceOpenAlex
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Sleep and Risk for Heart Disease and Stroke — Seth S. Martin, Henry Zhao, et al. · Arteriosclerosis Thrombosis and Vascular Biology (2026) | TGRS Research Map | TGRS