Sleep Apnea: Impact on Cardiovascular Health and Treatment

Sleep apnea, a condition causing breathing cessation during sleep, impacts sleep quality and cardiovascular health, requiring proper diagnosis and treatment.

### Understanding and Treating Sleep Apnea: A Cardiologist's Guide
* 😴 Sleep apnea is a condition where breathing stops momentarily during sleep, often due to a blocked airway, and if it occurs **more than five times in an hour**, it requires treatment.
* ❤ ️ Sleep apnea not only affects sleep quality but also poses significant risks to cardiovascular health, leading to **daytime fatigue**, and is closely associated with conditions like **hypertension, heart failure, and diabetes**.
* 💉 Metabolic diseases like diabetes and hypertension are major risk factors for sleep apnea, and patients with both respiratory symptoms and heart disease face an **increased risk of sudden death**.
* To diagnose sleep apnea, one can undergo an overnight sleep study at a sleep clinic, where changes in **brain waves, oxygen saturation, ECG, and respiratory rate** are monitored to evaluate the **severity of the condition**.
* 🏋 Weight loss is a primary treatment recommendation for sleep apnea, and other treatments include **changing sleep positions to reduce snoring**, using **oral appliances to adjust the position of the jaw**, and using **continuous positive airway pressure (CPAP) devices**.
* ✂ In severe cases where other treatments are ineffective, surgical methods such as **uvulopalatopharyngoplasty (UPPP)** may be considered to **widen the airway**.
* 👵 Sleep apnea is common in elderly individuals and those with obesity, and it is important to treat severe snoring not only to **improve sleep quality** but also to **prevent various cardiovascular diseases and other health conditions**.

Hello, this is Dr. Grant from Samsung Seoul Hospital. I have been working as the head of the Cardiology Department for two years now. Today, let's talk about sleep apnea. For those who share a bed, you may have experienced difficulty sleeping due to the snoring of your partner. In some cases, people even develop insomnia because of their partner's snoring. While snoring itself may not be a big issue, sudden cessation of breathing by the snorer can lead to concerns about the partner suddenly passing away. This can significantly impact not only sleep quality but also cardiovascular health. Today, we will discuss this in detail. I believe you are already familiar with the importance of maintaining a healthy cardiovascular system.

Oh, I appeared again thanks to the support of many people and now I'm back. I want to talk about common conditions or states like sleep apnea that many people experience in their daily lives. I briefly explained what sleep apnea is, how it is defined, so could you please think about it a bit? Sleep apnea, as you mentioned, is a condition where breathing stops momentarily during sleep. It mainly occurs in people who are considered to have worsened conditions. They suddenly stop breathing while sleeping, which can lead to not breathing for a moment or taking a breath after about 20 seconds. I'm talking about a situation where the oxygen saturation in the blood drops significantly. Depending on the severity, I will talk about it in a bit more detail. Typically, during a single night's sleep, there can be times when breathing stops for more than 10 seconds, creating such moments.

It's called a gelsoo myungbu. So, if it appears more than five times in an hour, first, from mild to moderate, it's diagnosed. If it goes up more than that, to severe, like up to 5, in those cases, they seem to talk about those possibilities. Professor Lee Sang-cheol said if you go to the hospital, they'll say you have moebi. So, they say they'll treat it as menopause, but will you please check once if it happens without me knowing? If it happens without me knowing, it just happens like this, so just watch it carefully. So, this time, it's about three times, so it's not that dangerous, but after about 10 seconds, even the person next to you will be surprised. So, if it happens more than five times in an hour, for more than a few seconds in one go, it means you need treatment, right? Actually, you need to consider a little bit about this. Just because breathing is reduced.

Some people, stroke patients, or those with some abnormality have a condition where their breathing naturally becomes low, not blocked, but naturally decreases, and it is called 무비(moobee). There are two main types generally classified: one is called 정체성 승0무비, and the other is 폐쇄성 말초성 교수명. Normally, we refer to it as 몹이(mopee). It is more meaningful to categorize it in terms of the actual situation in reality. When it comes to pharyngeal paralysis, it may look like the vocal cords are not moving properly, whether the person has a very large or small physique, or even if they have a lot of fat around the neck area. In these cases, it is actually related to the fact that the airway is blocked while lying down, causing difficulty in breathing. This is quite common, to the extent that one of the two is usually present.

It's quite significant globally, so there is a lot of interest in health and beauty. In the case of our country, statistically speaking, it's about 130,000 people, and if we include those who haven't been diagnosed, it could be around 100,000 people. Among people with obesity, about one out of three, well, that's not an exaggeration. Basically, for those with a shortened lifespan, the symptom that is most frequently reproduced is the inability to sleep well, leading to a lack of oxygen at night, causing daytime sluggishness. It's a common symptom that continues if you can't sleep well, and it's not just feeling tired during the day.

Diabetes, heart failure, hypertension, and cognitive impairment are conditions that are often associated with each other. When you hear that these are led by a superb memory doctor, you might think, Oh, I know that. This actually has a significant impact. Although there is no concrete evidence that directly links these conditions to each other and shortens life, statistically, they are all related. Fundamentally, they deteriorate the metabolic state, leading to diabetes and hypertension. So, if you think about it, when you gain weight and have more body fat, you are more likely to develop hyperlipidemia and diabetes, which can lead to fatty liver disease. Fortunately, the liver can regenerate. Therefore, it is crucial to pay attention to metabolic diseases as they pose a significant risk factor. In particular, hypertension and heart disease are closely related, so it is essential to be cautious about them.

Patients with respiratory symptoms who also have heart disease not only worsen the condition itself but also significantly increase the risk of sudden death. Especially when there is a primary impairment in cardiac function, or conversely, if life expectancy is short, it is necessary to check specifically for that. Therefore, as the importance is recognized, when investigating, there are quite a lot of cases. First, the question is why do some people have trouble sleeping at night and feel suffocated? Could it be related to the heart? How should we deal with it? Now, there is no clear explanation through scientific experiments or research on causality. However, by curating the data, we can make some assumptions to a certain extent about why oxygen deficiency occurs frequently and then if it continues to happen repeatedly.

Now, in order to overcome the state of oxygen deficiency, I need to contract the blood vessels more in my body to draw more oxygen into the brain. It's necessary to do this. The signal needs to be repeated continuously. So, adrenaline is being asked for now. When adrenaline is secreted, it suddenly increases a lot. So, if it suddenly stops, it can be seen as a sign of aging. Therefore, in order to live, hormones like adrenaline from the sympathetic nervous system are released. It raises blood pressure, accelerates heart rate, increases sexual function, contracts blood vessels, and so on. If this state of blood vessel constriction continues to be repeated, it can lead to the development of various diseases in the long run. It is said that when this state becomes chronic, it leads to a state of self-permission in the long term. This is somewhat explained. High blood pressure is understandable, but it causes heart failure in those who are not specialized.

But a bit clearer, that may be necessary in that study. Heart failure exacerbates various things in the heart, Manila coronary artery disease, and worsens things fundamentally. Anyway, it is rare to cause a lack of oxygen in the heart and the whole body. Looking at it now, heart failure is caused by a lack of oxygen. If the amount of oxygen in the body keeps decreasing, the heart cannot keep up even if the heart function is slightly decreased. When everything is calm, the buttons are more or less okay, but suddenly, when the demand increases, it seems that there is not enough oxygen going to the heart and liver. It suddenly fits tightly. However, as this condition continues to repeat, the heart function cannot keep up sufficiently, so that's why. Likewise, in coronary arteries, if the blood vessels are to some extent, I don't know if they are normal, but if there is a certain amount due to the disease, oxygen is...

When breathing suddenly becomes difficult, there may be underlying issues. Many cases like this exist. If you suspect you have sleep apnea and feel tired, what should you do? You can get checked at a sleep clinic where they will conduct a sleep study overnight. By monitoring changes in brain waves, oxygen saturation, ECG, and respiratory rate, they can provide meaningful information about your sleep. Based on the results, they will evaluate the severity and recommend appropriate treatment. So, how should you treat it? What are the basic treatments?

Number one is when the pen is first recommended, what is now recommended is weight loss. In fact, in the case of severe obesity, active weight loss is recommended. Number one, snoring is actually very much related to the buttocks. In order to reduce snoring, one of the things being recommended is to sleep on your side. By doing so, the side that is pressed is reduced, so snoring itself decreases. If you turn your neck to the side while lying down, you may not be able to sleep well, right? It's not that you can't do it continuously. It seems more difficult because you can't adjust your posture properly. Furthermore, in terms of pillows, in fact, clinically, they are hardly helpful.

Snoring White Paper 11. In fact, we need a pillow that is a bit higher on the surface. For the nose group, we will raise the middle and slightly reduce it. When we usually pray for the position of the nose, if we grab it too precisely, it may be slightly pushed away, leaving some parts on one side. Although the effect is the same, the fact is that when sleeping, the posture changes continuously without realizing it. As the posture changes without realizing it, it becomes uncomfortable without realizing it. If you keep returning to a comfortable posture, then snoring will occur again in 5 places. So, it seems like there is actually an effect clinically, but whether it is medically helpful has also been raised. There are quite a lot of surprises. Can we try a snoring pillow at first? Is it cost-effective?

When you consider the effects, it's not that expensive. On the other hand, in the case of oral braces, it actually costs a lot. You have to use surface, because if you bring your chin forward, it gets messed up like this. That's why you need to tilt the chin forward to make it comfortable and express it comfortably. Since the effect is not uncomfortable, it should be adjusted for each person. Oh, it's custom-made, so it's considered quite unethical. But the effect is still somewhat there, right? And it's more expensive than braces, but it's definitely known to be effective. Optical, yes, you know, when you look at the screen, it's used for optical reasons. I also have it now, I received it as a prescription. It's like an oxygen mask, you put it here and tighten it with strong pressure.

It's like widening the pressure on my side, increasing efficiency by 3, and opening it up. If you use the front road, you will see your own cyber, love both schools, and the next day your condition was definitely better. In the long run, if you use it steadily, you will definitely feel a little lower. That's right. For more severe cases, it can really change your sleep and life. There are many people who say that. In the case of pain being bundled, sometimes surgical methods are used from this soap. Even if you use both schools, it may not work well. In that case, you may have to have surgery again. All surgeries are very scary, but you can cut the inside of your mouth and widen the airway, which is a surgical procedure that can be done.

I had surgery, and it's a surgery that is done a lot in our otolaryngology department, and it was said that the effect is significant. Oh, today, we looked into the relationship and importance of cardiovascular disease in our department, as well as treatment methods. There are many elderly people and people with high body weight, so those who snore a lot are also many. I asked a deceased person during their lifetime if their snoring was severe, and if so, it must be treated. Not only to prevent snoring but also to prevent cardiovascular diseases, stroke, myocardial infarction, diabetes, and many other diseases. Today, as an expert, I shared pronunciation and some patient observations. Thank you for spending a good time together. So, please subscribe and like.

An alarm is a person. It wouldn't make sense to talk about it to this extent, so thank you for watching.

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The Impact of Sleep Apnea on Cardiovascular Health

Snoring and sleep apnea can significantly impact the quality of sleep for both the individual and their partner.

Sleep apnea is a condition where breathing stops momentarily during sleep, leading to decreased oxygen saturation in the blood.

There are different levels of severity for sleep apnea, and if left untreated, it can have serious consequences for cardiovascular health.

Obesity affects a significant number of people globally, with a high prevalence of related conditions such as sleep apnea, diabetes, heart failure, and hypertension.

These conditions are interrelated and can shorten life expectancy by deteriorating metabolic health.

Obesity also increases the risk of respiratory symptoms and can have a significant impact on cardiac function, potentially leading to sudden death.

The link between obesity, metabolic diseases, and heart health is a crucial factor that needs to be carefully addressed and researched further.

The Impact of Adrenaline on the Body's Oxygen Levels

Adrenaline is released from the sympathetic nervous system, causing blood vessel constriction and increasing oxygen in the brain.

However, chronic or repeated constriction of blood vessels due to adrenaline can lead to various diseases.

This state of oxygen deficiency can contribute to heart failure and other serious health issues.

Treatment for suspected oxygen deficiency-related conditions like sleep apnea often involves a sleep study to evaluate oxygen saturation and other factors, with the appropriate treatment recommended based on the results.

Active weight loss is now recommended for severe obesity, while sleeping on your side can help reduce snoring.

Clinically, a higher pillow that elevates the middle and slightly reduces the nose position may be helpful, but the overall effectiveness of pillows is still being questioned.

Additionally, using a snoring pillow can be a cost-effective first step, while oral braces, although expensive, are known to be effective and may need to be custom-made for each person.

The Impact of Surgical Treatment on Snoring and Quality of Life

Surgical methods can be used to address severe snoring and may significantly improve sleep and quality of life.

The procedure involves widening the airway and is commonly performed in the otolaryngology department.

Severe snoring should be treated not only to improve sleep but also to prevent various cardiovascular diseases and other health issues.