Sleep
Sleep is essential for
physical and mental health. Adequate and restful sleep keeps us active and
refreshed. Environment is just as important as time and quantity of sleep for
good health. Inadequate sleep causes high blood pressure and diabetes. Many suffer
from sleep problems such as insomnia, sleep apnea, restless legs syndrome, etc.
On the other hand, patients with heart disease are more prone to sleep
disorders.
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How sleep disorders damage the heart
Sleep disorders cause
inflammation in the body, which increases the risk of heart problems. Not
getting enough sleep (such as insomnia and sleep apnea) increases the risk of
heart disease. Those who sleep less (less than 7-8 hours per day) are more
prone to myocardial infarction or heart attack. People with sleep apnea are at
increased risk of developing high blood pressure, or having difficulty
controlling high blood pressure. If someone has sleep apnea, there is a 50
percent risk of developing hypertension. People with high blood pressure may
also have heart rhythm problems, such as atrial fibrillation (a type of
irregular heartbeat) and bradycardia (slow heart rate). People with severe
sleep apnea are four times more likely to develop atrial fibrillation than
healthy controls. Atrial fibrillation is difficult to control if sleep apnea is
not treated.
A person suffering from
sleep apnea is more likely to develop coronary artery disease or heart disease.
If the small blood vessels that supply blood to the heart have less oxygen, the
risk of heart disease increases. Which then increases the risk of heart attack.
Seventy percent of patients hospitalized for coronary artery disease have sleep
apnea. Sleep apnea can make heart failure worse.
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Heart disease from sleep apnea
Sleep apnea is when
breathing stops during sleep, lasting from ten seconds to several minutes. In
this problem, along with stopping breathing during sleep, the oxygen level in
the blood decreases. Blood supply to the heart decreases as oxygen levels
repeatedly drop during sleep. Which increases the risk of heart attack during
sleep. Also, every time the oxygen level drops, the heart rate increases and
the blood pressure increases. Severe sleep apnea puts increased pressure on the
heart. Which enlarges the heart, leading to heart failure. So talk to your
doctor if you have symptoms of poor sleep and discuss whether any treatment is
needed.
Talk
to your doctor if you have the following symptoms:
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Problems with mood balance.
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Excessive daytime sleepiness.
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Restlessness in bed (delay in falling asleep or falling asleep repeatedly
during the night).
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Not waking up refreshed the next morning despite a good night's sleep.
Treating sleep
disorders is as essential as any other medical therapy. Both insomnia and sleep
apnea are treatable disorders. Insomnia is treated with certain medications and
behavioral therapies. Sleep apnea is treated with lifestyle changes such as
weight loss and exercise. Also with some devices (CPAP/BPAP), which help keep
the airways open. By performing polysomnography or sleep test, the specialist
doctor determines the diagnosis of sleep disorders and which treatment is
required for a patient.
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