Recent research reveals a striking connection between sleep quality and the risk of subsequent heart attacks. The study suggests that better sleep in the aftermath of a heart attack is not only crucial for recovery but may also significantly reduce the likelihood of another cardiovascular event. Here’s a deeper dive into the findings and their implications for heart health.

Sleep and heart attack risk: a critical link
A growing body of evidence underscores the pivotal role that sleep plays in heart health. According to a recent study, individuals who struggle with poor sleep in the weeks following a heart attack are at almost double the risk of experiencing a second heart attack compared to those who sleep well. “We have known for several years that good sleep can help prevent a heart attack,” says Cameron McAlpine, PhD, a cardiology expert at the Icahn School of Medicine at Mount Sinai in New York City. “However, it has been relatively unknown how a heart attack alters sleep and what role sleep plays in healing after a heart attack.” This study sheds light on how the recovery process may be intertwined with sleep patterns.
Impact of heart attack on sleep patterns
The study’s researchers turned to animal models to explore how heart attacks may directly alter sleep. In experiments with mice, some were induced with heart attacks while others were left as controls. Using high-resolution imaging, the team was able to track sleep patterns and brain activity. The results were telling: mice that suffered a heart attack showed a significant, threefold increase in deep sleep, characterized by slow brain waves, lasting about a week after the event.
This heightened deep sleep could be a key factor in recovery. Additionally, the study uncovered that shortly after a heart attack, there was a noticeable spike in the activity of immune cells known as monocytes, which are linked to sleep regulation. These monocytes were not active in the control group of mice, suggesting a specific immune response triggered by the heart attack that may influence sleep.

Sleep disruptions hinder recovery
To better understand the potential benefits of sleep, researchers disrupted the sleep of some heart attack-induced mice. The results were revealing: sleep disruption led to increased inflammation and slowed recovery. This highlights the delicate balance between sleep and recovery, where any interruption to sleep could exacerbate the healing process.
Moreover, when the researchers expanded their investigation to human participants, they observed similar patterns. Heart attack survivors with disrupted sleep showed significantly higher levels of monocytes. Those who experienced poor sleep in the weeks following the event were nearly twice as likely to suffer another heart attack when compared to those with more consistent and restful sleep.

The role of sleep in cardiovascular recovery
Sleep does more than just help the body rest—it actively contributes to cardiovascular health. “During deep sleep, our heart rate and blood pressure lower, which allows the cardiovascular system to rest,” explains Rachel Rowe, PhD, an expert in integrative physiology and sleep research at the University of Colorado Boulder. Dr. Rowe, who was not involved in the study, elaborates that “getting good sleep after a heart attack reduces the strain on the heart, which promotes cardiovascular recovery.” This reinforces the idea that restorative sleep is vital not only for the body’s general well-being but also for healing the heart itself.
Practical tips for enhancing sleep post-heart attack
Given the clear benefits of good sleep, it is essential for heart attack survivors to adopt sleep-promoting habits. Matthew Pase, PhD, an associate professor at Monash University in Melbourne, Australia, advocates for sleep hygiene practices to improve the quantity and quality of sleep. These tips are valuable not only for people recovering from a heart attack but also for anyone looking to optimize their rest:
- Maintain a regular sleep schedule: Try to wake up and go to bed at the same time each day to regulate your circadian rhythm.
- Reserve your bed for sleep: Avoid using the bed for activities like working or watching television, which can disrupt your association with sleep.
- Wind down before bed: Limit exposure to bright lights and avoid stimulants like caffeine or alcohol in the hours leading up to bedtime.
- Avoid long daytime naps: While short naps can be restorative, long naps or evening dozing can make it harder to fall asleep at night.
Dr. Pase recommends aiming for 7 to 9 hours of sleep each night for adults, emphasizing that both sleep quality and consistency are crucial for recovery, particularly after a heart attack.
Prioritizing sleep for heart health
The evidence is clear: sleep is not only a vital part of general well-being but plays an indispensable role in heart attack recovery. From the physiological changes observed in animal models to the human data showing a direct link between sleep quality and heart attack recurrence, the study highlights the powerful influence of sleep on cardiovascular health. Heart attack survivors can significantly enhance their recovery by focusing on healthy sleep habits, which may reduce their risk of future heart events and support long-term heart health.