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Sripal Bangalore, MD, MHA; Sabrina Sawhney, MD; Franz H. Messerli, MD

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In the interesting article by Naska et al,¹ siesta in healthy individuals was associated with reduced coronary mortality and the association was more pronounced in working men. The authors used the end point of coronary mortality as opposed to all-cause mortality and argue that coronary mortality is an outcome likely to be related to a stress factor. While this may be true, the very adjudication of coronary mortality is fraught with subjectivity. The cause of death usually is determined using death certificates (as was also done in this study), and we know that the information is biased and often inaccurate. Death is usually a complex process (in most cases), and to clearly identify a cardiac cause in patients with multiple comorbidities may not be easy. Although cardiac disease may be severe, it still is not always the primary cause . . . [Full Text of this Article]

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RELATED ARTICLE

Siesta in Healthy Adults and Coronary Mortality in the General Population
Androniki Naska, Eleni Oikonomou, Antonia Trichopoulou, Theodora Psaltopoulou, and Dimitrios Trichopoulos
Arch Intern Med. 2007;167(3):296-301.
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