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July 13th, 2010
02:04 PM ET
Sleep apnea linked to heart disease risk
Adults with sleep apnea often have more heart trouble than those who sleep soundly, new research from the American Heart Association finds. Unfortunately 90 percent of the people with sleep apnea have never had an official diagnosis, so if a loved one says you gasp for air as you sleep, don't ignore the news. Sleep apnea is a disorder in which breathing becomes shallow or stops altogether during sleep. It can result in extreme fatigue . Researchers looked at almost 4,500 adults 40 and older who were free of heart problems when the study began. All adults were tested for sleep apnea and then for the next eight years researchers kept track of the differences in the heart health of those with the condition and those without. The researchers also discovered that men under the age of 70 were at much higher risk of developing coronary heart disease, a condition in which fat deposits clog blood vessels, which can lead to chest pain, blockages or a heart attack. This is different from congestive heart failure, which is a continued weakening of the heart, leaving it less and less able to pump enough blood to keep the body going. Women in the study didn't suffer from these heart and vessel problems and researchers aren't sure whether it's because women as a group have less sleep apnea than men or because of other factors. Gottlieb says more research is needed to understand the differences in the sexes. Researchers suspect the connection between sleep apnea and heart trouble all begins with the shutting off of air as you sleep. Patients gasp for breath as their throats narrow or collapse preventing the flow of air into the lungs. The lack of oxygen sets the body into a type of panic raising blood pressure, stressing the heart, and pouring sugar into the blood. Gottlieb says those in the study with severe cases had an average of 30 breathing interruptions per hour lasting at least 10 seconds. About 70 percent of patients suffering from the condition are obese and it's believed added fat in the upper airway may be partly to blame. Sleep apnea is more common in those with diabetes and high blood pressure. Fortunately getting treatment can make a great difference. Therapies include using a device to keep the airway open during sleep, or an oral appliance that is worn at night, and in some cases surgery. "Sleep apnea is a very treatable condition and it appears that treatment may prevent the adverse health consequences of sleep apnea including heart disease, heart attack, stroke and congestive heart failure," explains Gottlieb. Dr. Richard Stein cardiologist and spokesperson for the American Heart Association says weight loss through diet and exercise may help those battling the condition. He adds, "If you are obese, hypertensive or diabetic, if your partner in bed says you are snorting or snoring, if you're waking up unrested, you should go to your doctor and ask if you have sleep apnea."
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love. Recent Comments
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So many people have this and don't have the insurance to get it diagnosed and treated, which I think is sad. It can also cause depression. Everyone who even SUSPECTS they might have it– get checked out. I know someone who said one night on the PAP machine gave her "better sleep than she's ever had in her life!!"
If your condition is the result of being overweight and scientifically validated diet, like the Zone program, may be helpful. For more information see: http://www.drsears.com
Who wrote this? Who edited this? There is so much misinformation here its scary. "Sleep apnea is a very treatable condition and it appears that treatment may prevent the adverse health consequences of sleep apnea including heart disease, heart attack, stroke and congestive heart failure," explains Gottlieb." No its really not. OBSTRUCTIVE Apnea is. Central apnea is a one way ticket to your screwed land. Stop spreading misinformation and stop treating obstructive and central like they are similar. They're not, at all.
Daniel Mac, Can you give information on the treatability and symptoms, outcomes of both types of Sleep Apnea: Obstructive (where the throat closes down during sleep) and Central Apnea (from the brain breathing center)?
"...your screwed land" ? It looks like you need to update your information. If you had wrote this 5 years ago i would tend to agree with you, but the success in ASV technology, either Resmed V-PAP ASV or Respironics Auto SV, has greatly improved outcomes for people with complex breathing patterns, improving cardiac output in heart failure, significantly decreasing 5 year mortality. some complex breathing patterns are difficult to treat, and over-all poor long term compliance to therapy are true concerns. These concerns can be appropriately addressed by qualified sleep professionals, they are out there, if your concerns are not being properly addressed search for another provider.
Heart disease, hypertension, and diabetes. Interrupted sleep can even trigger insulin resistance in healthy, young men. And other causes of interrupted sleep, such as hot flashes, can also trigger changes in metabolism that raise the risk of all of these conditions.
Being that I am a thin 43 year old woman, it was a huge surprise to my doctor when I was diagnosed with severe obstructive sleep apnea... I have a cpap...mouth guard didnt work, and because I have no excess fatty tissue surgery isnt an option. Does anyone know why the airway of someone like myself closes down when it isnt related to being overweight? Also, for anyone who is debating treatment...I have to say having a cpap upset me, but now that i am used to it I can not tell you the difference in quality of life I have. I was depressed, exhausted, had night sweats..the list goes on.. but now I sleep like a baby!
Susan, just like heredity dictates that some people have little noses and some people have big noses, each person is different when it comes to the makeup and structure of their airway. A very slight difference in a person's makeup can cause a drastic problem with the airway constriction. In some cases it is the angle of your neck or the size of your tonsils. In my case I have very large tonsils, but fatty tissue around my neck also doesn't help matters. In some cases surgery can help, and in others it would only partially help matters. Also, some people have the problem that their brain isn't signaling their body to breathe at night and it is unrelated to physical makeup of the head and neck. Perhaps that is the case with you? The best one to determine that is your Dr.
That's all I have to say.
I was diagnosed with sleep apnea about 3 months ago. Previously I never considered that I had a sleep problem. I am 59 years old and have always exercised very vigorously my whole life. My current routine over the last few years has been 100+ miles per week biking on the road ( 3 times weekly on a local bike path), 4 spinning classes a week, 2-3 body pump classes weekly, plus about 90 minutes workout in the gym at 5AM Monday-Friday. Overall I had been extremely consistent with my routine. I did feel tired all the time and woke up at least 2-3 times a night but considered it normal and blamed it on my exercise routine. During a routine medical exam, my provider noted that my BP was slightly elevated and put me on medication. It brought it down but my pulse rate was still about 80-90 and my resting PR was about 60. They felt it should have been lowered because of my exercise routine and my blood work results. This was when he started questioning me about my sleeping habits and ordered a sleep study. The results of the sleep study did indicate I did suffer from sleep apnea and eventually I was prescribed a CPAP unit to use while sleeping. Initially I kind of resisted it but after the first night of use I couldn't believe how rested I felt. I've been on it for 6 weeks now and feel like a new man. I've lost 10 lbs, sleep all night and never feel tired during the day. One of the biggest things I've noticed after it was the increase in energy that I have. Now I can't imagine not using the CPAP. If you are tired see your provider and have them determine if you may have a sleep disorder.
Been begging my spouse of 33 years to seek treatment for apnea. He used to wake me up gasping for air. This year he finally got a cpap machine but only after an emergency room visit for pulmenary embolis and atrial fibrulation – which persists. As he has no underlying metabolic condition for the afib, he is now undergoing tests to determine heart muscle damage caused by long term apnea. Now he's taking seven pills a day and is terrified he will die of a stroke. It's difficult to get some men to seek treatment for this condition – he thought he could man-up and push through the problem himself.
In responding to the two sets of questions, you can determine whether you are likely to suffer from obstructive sleep apnea (OSA).This screening test helps determines the level of sleepiness and the risk of suffering from OSA using 2 questionnaires clinically recognized. For more information see: Online Sleep apnea test .
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