Sleep apnea is considered a serious medical condition. Complications may include:
- High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during sleep apnea increase blood pressure and strain the cardiovascular system. If you have obstructive sleep apnea, your risk of high blood pressure (hypertension) is greater than if you don't. The more severe your sleep apnea, the greater the risk of high blood pressure. However, obstructive sleep apnea increases the risk of stroke, regardless of whether or not you have high blood pressure. If there's underlying heart disease, these multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from a cardiac event. Studies also show that obstructive sleep apnea is associated with increased risk of atrial fibrillation, congestive heart failure and other vascular diseases. In contrast, central sleep apnea usually is the result, rather than the cause, of heart disease.
- Daytime fatigue. The repeated awakenings associated with sleep apnea make normal, restorative sleep impossible. People with sleep apnea often experience severe daytime drowsiness, fatigue and irritability. You may have difficulty concentrating and find yourself falling asleep at work, while watching TV or even when driving. You may also feel irritable, moody or depressed. Children and adolescents with sleep apnea may do poorly in school or have behavior problems.
- Complications with medications and surgery. Obstructive sleep apnea is also a concern with certain medications and general anesthesia. People with sleep apnea may be more likely to experience complications following major surgery because they're prone to breathing problems, especially when sedated and lying on their backs. Before you have surgery, tell your doctor that you have sleep apnea and how it's treated. Undiagnosed sleep apnea is especially risky in this situation.
- Liver problems. People with sleep apnea are more likely to have abnormal results on liver function tests, and their livers are more likely to show signs of scarring.
- Sleep-deprived partners. Loud snoring can keep those around you from getting good rest and eventually disrupt your relationships. It's not uncommon for a partner to go to another room, or even on another floor of the house, to be able to sleep. Many bed partners of people who snore are sleep-deprived as well.
People with sleep apnea may also complain of memory problems, morning headaches, mood swings or feelings of depression, a need to urinate frequently at night (nocturia), and a decreased interest in sex. Children with untreated sleep apnea may be hyperactive and may be diagnosed with attention-deficit/hyperactivity disorder (ADHD).
July 24, 2012
- Ropper AH, et al. Adams & Victor's Principles of Neurology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=3633173. Accessed May 1, 2012.
- What is sleep apnea? National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/sleep_apnea/sleep_apnea.htm. Accessed April 27, 2012.
- What is sleep apnea? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/. Accessed April 27, 2012.
- Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=9129170. Accessed May 1, 2012.
- Javaheri S. Central sleep apnea. Clinics in Chest Medicine. 2010;31:235.
- Badr MS. Central sleep apnea syndrome: Risk factors, clinical presentation, and diagnosis. http://www.uptodate.com/index. Accessed May 1, 2012.
- Yaggi HK, et al. Adult obstructive sleep apnea/hypopnea syndrome: Definitions, risk factors, and pathogenesis. Clinics in Chest Medicine. 2010;31:179.
- Strohl KP. Overview of obstructive sleep apnea in adults. http://www.uptodate.com/index. Accessed May 1, 2012.
- Tamisier R, et al. Cardiovascular effects of obstructive sleep apnea. http://www.uptodate.com/index. Accessed May 1, 2012.
- Sunwoo B, et al. Ambulatory management of patients with sleep apnea: Is there a place for portable monitor testing?
- Kryger MH. Management of obstructive sleep apnea in adults. http://www.uptodate.com/index. Accessed May 1, 2012.
- Berry RB, et al. A novel nasal expiratory positive airway pressure (EPAP) device for the treatment of obstructive sleep apnea: A randomized controlled trial. Sleep. 2011;34:479.
- Provent therapy frequently asked questions. Ventus Medical. http://www.proventtherapy.com/provent-therapy-faq.php. Accessed May 2, 2012.
- Kushida CA, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: An update for 2005. Sleep. 2006;29:240.
- Aurora RN, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep. 2010;33:1408.
- Badr MS. Central sleep apnea syndrome: Treatment. http://www.uptodate.com/index. Accessed May 1, 2012.
- 17. Randerath WJ, et al. Non-CPAP therapies in obstructive sleep apnoea. European Respiratory Journal. 2011;37:1000.
- Freire AO, et al. Treatment of moderate obstructive sleep apnea syndrome with acupuncture: A randomised, placebo-controlled pilot trial. Sleep Medicine. 2007;8:43.