수면 무호흡증: 심혈관 건강 및 치료에 미치는 영향

수면 중 호흡을 멈추는 수면 무호흡증은 수면의 질과 심혈관 건강에 영향을 미치므로 적절한 진단과 치료가 필요합니다.

### 수면 무호흡증의 이해와 치료: 심장 전문의 가이드
* 😴 수면 무호흡증은 수면 중 기도가 막혀 일시적으로 호흡이 멈추는 질환으로, **1시간에 5회 이상 발생**하면 치료가 필요합니다.
* ❤ 수면 무호흡증은 수면의 질에 영향을 미칠 뿐만 아니라 심혈관 건강에 심각한 위험을 초래하여 **주간 피로를 유발**하고 **고혈압, 심부전, 당뇨병과 같은 질환과도 밀접한 관련**이 있습니다.
* 💉 당뇨병과 고혈압과 같은 대사성 질환은 **수면 무호흡증의 주요 위험 요인**이며, **호흡기 증상과 심장 질환이 모두 있는 환자는 돌연사 위험이 높아집니다.**
* 수면 무호흡증을 진단하기 위해서는 수면 클리닉에서 하룻밤 수면 검사를 받아 **뇌파, 산소 포화도, 심전도, 호흡수 등의 변화**를 모니터링하여 상태의 심각성을 평가할 수 있습니다.
* 🏋 체중 감량은 수면 무호흡증의 주요 치료 권장 사항이며, **코골이를 줄이기 위한 수면 자세 변경, 턱의 위치를 조절하는 구강 기구 사용, 지속적 기도 양압 장치(CPAP) 사용** 등이 다른 치료법입니다.
* ✂ 다른 치료법이 효과가 없는 심한 경우, 기도를 넓히기 위해 **구개인두성형술(UPPP)과 같은 수술 방법**을 고려할 수 있습니다.
* 👵 수면 무호흡증은 노인과 비만인 사람에게 흔하며, 수면의 질을 개선할 뿐만 아니라 다양한 심혈관 질환 및 기타 건강 상태를 예방하기 위해서도 **심한 코골이를 치료하는 것**이 중요합니다.

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.

코골이, 수면무호흡증 경험자가 알려주는 진짜 정보와 치료법 [닥터트루스] 슬기로운 심장생활 31

쉽고 정확한 의학 정보를 알고 싶다면 
빠르고 유익한 건강 정보를 알고 싶다면
함께하는 채널, 삼성서울병원 유튜브에서 만나보세요!

☎ 대표번호 1599-3114

삼성서울병원

수면 무호흡증이 심혈관 건강에 미치는 영향

코골이와 수면 무호흡증은 본인과 파트너 모두의 수면의 질에 큰 영향을 미칠 수 있습니다.

수면 무호흡증은 수면 중에 일시적으로 호흡이 멈춰 혈중 산소 포화도가 낮아지는 질환입니다.

수면 무호흡증에는 다양한 수준의 중증도가 있으며, 치료하지 않고 방치하면 심혈관 건강에 심각한 결과를 초래할 수 있습니다.

비만은 수면 무호흡증, 당뇨병, 심부전, 고혈압과 같은 관련 질환의 높은 유병률과 함께 전 세계적으로 상당한 수의 사람들에게 영향을 미치고 있습니다.

이러한 질환은 서로 연관되어 있으며 대사 건강을 악화시켜 기대 수명을 단축시킬 수 있습니다.

비만은 또한 호흡기 증상의 위험을 증가시키고 심장 기능에 중대한 영향을 미쳐 잠재적으로 돌연사로 이어질 수 있습니다.

비만, 대사 질환, 심장 건강 사이의 연관성은 신중하게 다루고 더 연구해야 할 중요한 요소입니다.

아드레날린이 체내 산소 수치에 미치는 영향

아드레날린은 교감 신경계에서 분비되어 혈관을 수축시키고 뇌의 산소를 증가시킵니다.

그러나 아드레날린으로 인한 혈관 수축이 만성적이거나 반복되면 다양한 질병을 유발할 수 있습니다.

이러한 산소 결핍 상태는 심부전 및 기타 심각한 건강 문제를 일으킬 수 있습니다.

수면 무호흡증과 같은 산소 결핍이 의심되는 질환의 치료에는 산소 포화도 및 기타 요인을 평가하기 위한 수면 연구가 포함되며, 결과에 따라 적절한 치료가 권장됩니다.

심한 비만의 경우 적극적인 체중 감량이 권장되고 있으며, 옆으로 누워 자는 것이 코골이를 줄이는 데 도움이 될 수 있습니다.

임상적으로 코의 중간을 높이고 코의 위치를 약간 낮추는 높은 베개가 도움이 될 수 있지만, 베개의 전반적인 효과에 대해서는 아직 의문이 제기되고 있습니다.

또한 코골이 베개를 사용하는 것은 비용 효율적인 첫 단계가 될 수 있으며, 구강 교정기는 비용이 많이 들지만 효과가 있는 것으로 알려져 있으며 각 개인에게 맞춤 제작해야 할 수도 있습니다.

코골이 및 삶의 질에 대한 수술적 치료의 영향

수술적 방법은 심한 코골이를 해결하는 데 사용할 수 있으며 수면과 삶의 질을 크게 개선할 수 있습니다.

이 수술은 기도를 넓히는 수술로, 일반적으로 이비인후과에서 시행합니다.

심한 코골이는 수면 개선뿐 아니라 다양한 심혈관 질환 및 기타 건강 문제를 예방하기 위해서도 치료해야 합니다.