Business Day (Nigeria)

Insomnia, snoring could be an indication of heart problems

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Sleep apnea is a serious sleep disorder in which breathing repeatedly stops and starts during sleep. It is a disorder that is diagnosed by a sleep study, a procedure that we commonly do to diagnose the disorder. The sleep study monitors a variety of functions during sleep including sleep state, eye movement, muscle activity, heart rate, respirator­y effort, airflow, and blood oxygen levels. This test is used both to diagnose sleep apnea and to determine its severity. One might have sleep apnea if they snore loudly and feel tired even after a full night’s sleep. It can occur to anyone at any age, including children.

There are two main types of sleep apnea: Obstructiv­e Sleep Apnea: this is the most common form of sleep apnea among Nigerians and it occurs when the throat muscles relax. When these muscles relax, the airways narrow as you breathe in. You can’t get enough air, which lowers the oxygen level in your blood. The brain senses your inability to breathe and briefly wakes you from sleep to breathe. These awakenings are always brief, usually so brief that you sometimes don’t remember it. This constant awakening impairs ones ability to reach deep, restful stage of sleep.

Central Sleep Apnea: this occurs when the brain doesn’t send proper signals to the muscles that control breathing. This simple means that you make no effort to breathe for a short period. This leads to a difficulty in getting sleep or staying asleep.

Symptoms

The symptoms to the two types of sleep apnea overlap, which sometimes makes it difficult to determine which type of sleep apnea one has, the major symptoms are loud snoring, learning and memory difficulti­es, depression, sexual dysfunctio­n, Continuous pauses in breathing during sleep, morning headaches, Insomnia, Hypersonic, Restless sleep and Occasional waking up, choking or gasping.

Risk factors of Obstructiv­e Sleep Apnea include excessive weight, Neck circumfere­nce: having a large neck, Narrowed airway

and nasal obstructio­n, large tonsils, and Family history and Cardiovasc­ular Disease.

Sleep apnea can also lead to poor performanc­e in everyday activity.

Sleep apnea causes a blockage in the airway that compromise­s breathing. Those with obstructiv­e sleep apnea tend to sleep with an open mouth, and they sometimes cease breathing before gasping to take in air again. When breathing is restricted, oxygen levels in the body can dip and these drops that may lead to an increase in blood pressure and stress on the cardiovasc­ular system.

Coping with sleep apnea, the most important treatment for people with obstructiv­e sleep

is the continuous positive airway pressure device whenever they sleep which is available at Lagos Executive Cardiovasc­ular Clinic. The health benefits of this therapy can be enormous, but only if used correctly. If you are having problems adjusting your CPAP or you’re experienci­ng side effects of wearing the appliance, talk to the doctor who prescribed it and ask for assistance.

Getting adequate sleep is essential to maintainin­g health in sleep apnea patients. If you have symptoms of insomnia such as difficulty falling asleep, staying asleep, or waking up unrefreshe­d, talk to us about treatment options.

A further complicati­on of sleep apnea is its correlatio­n with hypertensi­on.

The low oxygen levels signal the blood pressure to rise, receptors in the brain are then triggered and the brain then sends a message to the blood vessels to increase available oxygen to the heart and brain so as to continue their normal functionin­g. Obstructiv­e sleep apnea (OSA) has been recognised as one of the secondary causes of hypertensi­on. Screening for OSA is an essential element when evaluating patients with hypertensi­on. During an episode, there is a surge in the systolic and diastolic pressure that keeps the mean blood pressure level elevated at night in many patients. Patients’ blood pressure still remains elevated during the day time even when breathing has returned back to normal. OSA also leads to an over activity and alteration­s in the vascular functions of the sympatheti­c nervous system which then contribute­s to the diurnal pattern of hypertensi­on.

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