Mahmood A, Ray M, Dobalian A, et al. - Insomnia symptoms (difficulty initiating sleep, difficulty maintaining sleep, early-morning awakening, non-restorative sleep) should be screened in at-risk populations in order to attenuate heart failure (HF) incidence as symptoms of insomnia, both cumulatively and individually, are related to incident HF.

• From the Health and Retirement Study in the US, data were taken for 12,761 middle-aged and older adults (age ≥ 50 years) who were free from HF at baseline in 2002.

• A 16-year follow-up revealed incident HF development in 1,730 respondents.

• A higher hazard of incident HF was noted in respondents having one, two, three, or four insomnia symptoms vs asymptomatic respondents.

• For respondents with above-mentioned insomnia symptoms, a higher hazard of incident HF was estimated vs asymptomatic respondents.

• Public health awareness for insomnia symptoms in at-risk groups should be promoted.