Thanks for visiting. While snoring usually isnt cause for any alarm, consistent and loud snoring is a sign of sleep apnea. This article was not written to scare you but rather to inform you of the real risks of untreated sleep apnea and offer you solutions to take the necessary steps to inform and protect you and your loved ones. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Sleep apnea can cause many problems throughout an individuals life. You may experience: The most well-known symptom of sleep apnea is snoring when you sleep. The results found that in patients with mild OSA, treatment with CPAP improved their quality of life, based on a validated questionnaire. Untreated sleep apnea can increase the risk of many potentially fatal medical complications, such as stroke, heart attack, diabetes, and deadly accidents. 2019; doi:10.3949/ccjm.86.s1.03. More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. The main types of sleep apnea are: . Central sleep apnea: Risk factors, clinical presentation, and diagnosis. Littner MR. of American adults. And if severity doesnt correlate with symptoms, a diagnosis of mild OSA might not be considered. Read our, Obstructive Sleep Apnea Classified by Severity, Sleep Apnea and Low Oxygen Levels While Sleeping, How Alcohol Affects Sleep Apnea and Snoring by Relaxing Airway Muscles. If youre looking for options outside the sleep lab and in-network selections, here are 5 CPAP machines to consider from top brands. For many people, the second scenario is all too common. Using a Tongue Stabilizing Device for Sleep Apnea, Everything You Need to Know About Menopause and Sleep, Sleep Apnea Treatment: Everything You Need to Know, Obstructive sleep apnea in cardiovascular disease: a review of the literature and proposed multidisciplinary clinical management strategy, Sleep apnea severity classification - revisited, 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, Resistant hypertension: an approach to management in primary care, Obstructive sleep apnea and endocrine disorders, Treating mild sleep apnea: Should you consider a CPAP device, Mild obstructive sleep apnea syndrome should not be treated, Mild obstructive sleep apnea syndrome should be treated, Continuous positive airway pressure versus standard care for the treatment of people with mild obstructive sleep apnoea (MERGE): a multicentre, randomised controlled trial, Apneic events, usually witnessed by a sleep partner. When this happens, your body becomes stressed and reacts with a fight-or-flight response, which causes your heart to beat faster and your arteries to narrow. Seasonal allergies and your brain, The FDA relaxes restrictions on blood donation. The medical treatments for mild OSA: continuous positive airway pressure device (CPAP) a dental appliance to treat sleep apnea. Obstructive sleep apneahypopnea and incident stroke: The Sleep Heart Health Study. While all people with mild OSA may not need to be treated with CPAP, there are patients who can greatly benefit from it. SleepFoundation.org does not provide medical advice, diagnosis, or treatment options. Obstructive sleep apnea happens when air can't flow into or out of the nose or mouth, although you're trying to breathe. Amali A, et al. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. However, there are rare reports of people dying because of an inability to properly reinitiate breathing. It is important to remember that it is not possible to diagnose sleep apnea based only on a persons symptoms. Other severe health conditions have been tied to sleep apnea, including heart disease, stroke, type II diabetes, and Alzheimers. If you're ready for more, sign up to receive our email newsletter! 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In some cases, sleep apnea may occur as a result of other medical conditions. Talk to your healthcare provider about how CPAP therapy might help you to get a better nights sleep. health information, we will treat all of that information as protected health Sleep. Optimize weight if overweight or obese; even a 5-to-10-pound weight loss can make a difference in mild OSA. other information we have about you. Expect to take pain medications and antibiotics during recovery. You might awaken with shortness of breath or have a difficult time getting to sleep or staying asleep. They might also suggest other treatments including: If you have mild sleep apnea, CPAP is always an option. If you snore loudly and feel tired even after a full night's sleep, you might have sleep apnea. The repeated awakenings associated with sleep apnea make typical, restorative sleep impossible, in turn making severe daytime drowsiness, fatigue and irritability likely. View Source OSA is one of the most common conditions I see as a sleep medicine specialist. continuous positive airway pressure device (CPAP). View Source Watch for symptoms like daytime fatigue, drowsiness, or falling asleep in front of the TV or at other times. Another wearable device for sleep apnea is one that delivers bilevel positive airway pressure (BIPAP). Tissue shrinkage is an innovative technique that uses radio waves to remove some tissue in the body. In general, this means wearing the CPAP for at least four hours per night on five or more nights of the week. Experts believe that repeated airway obstruction during sleep can contribute to chronic health conditions like diabetes and insulin resistance, changes in blood vessels, stroke, heart failure, abnormal heart rhythms, and even cognitive impairment. The causes of mild OSA are the same as they are for moderate and severe OSA. What Happens If You Don't Use Your CPAP Machine? While no surgeries or medicines can entirely cure sleep apnea, lifestyle changes can have positive effects and reduce or eliminate the presence of sleep apnea. Gami AS, et al. Healthline Media does not provide medical advice, diagnosis, or treatment. Sleep apnea and caffeine: Any connection? Trusted Source It may cause or worsen chronic illnesses like high blood pressure. This procedure, with the delightfully pronounceable name of uvulopalatopharyngoplasty (UPPP for short), aims to help treat sleep apnea by removing extra tissue in the throat. J Clin Sleep Med. Carrie isnt the only celebrity whose death has been blamed, either partially or primarily, on untreated sleep apnea. Depending on individual factors, its success rate varies from 25% to 80%. https://www.uptodate.com/contents/search. This treatment is effective for many people, especially those with complex sleep apnea. However, not everyone who has sleep apnea snores. Some of the most common signs and symptoms of sleep apnea include: Symptoms like snoring and restless sleep occur while a person is asleep, so people with sleep apnea may not be aware of their nighttime breathing issues. CPAP (continuous positive airway pressure), Transient ischemic attacks (also referred to as mini-strokes). Although treatment often resolves health risks tied to sleep apnea, if left unaddressed sleep apnea can be a life-threatening problem. Sleep apnea. These effects increase the risk of cardiovascular problems. Ongoing use of the CPAP device was associated with a significant decrease in the risk of all-cause mortality. In other words, some people with very mild disease (based on their AHI) can be extremely symptomatic, with excessive sleepiness or severe insomnia, while others with severe disease have subjectively good sleep quality and do not have significant daytime impairment. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. People with mild apnea might snore. Obstructive sleep apnea and heart failure: Pathophysiologic and therapeutic implications. Treating your sleep apnea will improve your quality of life and may even help save your life. OSA impacts people of all ages, backgrounds, shapes, and sizes, and while both patients and doctors have become increasingly aware about OSA and its effects over recent years, about 80% of patients with OSA still go undiagnosed. She has published work in VICE, SELF, The New York Times, The Guardian, The Week, HuffPost, BuzzFeed Reader, Catapult, Pacific Standard, Health.com, Insider, Forbes.com, TalkPoverty, and many other outlets. Children and adolescents with sleep apnea might perform poorly in school or have behavior problems. Do You Have to Use a CPAP Machine Forever? Laura Dorwart is a health journalist with expertise in disability rights, mental health, and pregnancy-related conditions. A medical device that delivers continuous positive airway pressure (CPAP) helps treat sleep apnea. Most population studies suggest that about 60% of people with OSA fall into the mild category. Can Sleep Apnea Kill You? Here Are the Results From A Recent Study Oral appliances are a manual alternative to options like CPAP machines. Keep reading learn about mild obstructive sleep apnea, its signs, and symptoms, the risks associated with it, how it is different than more severe types, and how it is managed and treated. Moderate OSA is identified by more than 15 but fewer than 30, and severe is more than 30. Jameson JL, et al., eds. Complications with medicines and surgery. Oral appliances may be a better choice than CPAP machines for people who travel regularly or worry about the machine failing. Sharma MV. They may only learn of a potential problem when a bed partner, roommate, or family member tells them. (2021, April 22). Don't miss your FREE gift. Its currently the only FDA-approved alternative to a CPAP. Read on to learn more about sleep apnea, including symptoms, causes, complications, diagnosis, and treatment. Trusted Source People with symptoms of sleep apnea, such as loud snoring, gasping during sleep, or excessive daytime sleepiness, should talk with their primary care doctor. Resistant hypertension: an approach to management in primary care. But certain factors increase your risk. Practice parameters for the surgical modification of the upper airway for obstructive sleep apnea in adults. Treatment can often eliminate or decrease the disruptions to breathing and sleep that are associated with obstructive sleep apnea. Click here for an email preview. https://www.uptodate.com/contents/search. information and will only use or disclose that information as set forth in our notice of Regardless of the criteria for categorizing OSA as mild, moderate, or severe, the severity of disease does not always correlate with the extent of symptoms. Yes. Obstructive sleep apnea. (2011). She has written for publications like SELF, The New York Times, VICE, and The Guardian. Trusted Source There are three main types of sleep apnea: All types of sleep apnea have similar symptoms. It can lead to more accidents, especially while driving, and decreased efficiency at work or school. CSA involves an inability of the brain and respiratory muscles to properly regulate breathing and is Sleep study. Minnesota Department of Health. Verywell Health's content is for informational and educational purposes only. Its not well understood yet, but complex sleep apnea typically occurs in people with OSA and develops from CPAP treatment. This approach is often the first and most effective step toward treating sleep apnea, so doctors often recommend this. Parthasarathy S. Treatment-emergent central sleep apnea. If you have mild sleep apnea, it is possible your healthcare provider might recommend a CPAP machine. Obstructive sleep apnea is the most common form of sleep apnea, a disorder in which your breathing during sleep repeatedly stops and starts. These breathing interruptions are called "apneas" a word derived from a Greek term that literally means a stop in breathing. Jerry Garcia (member of the Grateful Dead band) and Justin Tennison (who appeared on The Deadliest Catch) also died from sleep apnea as a significant contributing factor. frequently linked to underlying health problems Each cycle, lasting about 90 to 110 minutes, has four stages. Many people with sleep apnea also snore loudly and frequently. Sudden drops in blood oxygen levels that occur during central sleep apnea can adversely affect heart health. This treatable sleep disorder often goes undiagnosed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. You can learn more about how we ensure our content is accurate and current by reading our. Badr MS. Central sleep apnea: Treatment. compared health outcomes in people with OSA who started and continued using a CPAP machine versus people who started with a CPAP device but then stopped using it. Fifteen to 30 so-called "events" are rated as moderate sleep apnea, and . There are three types of sleep apnea: obstructive sleep apnea, central sleep apnea, and complex sleep apnea: Obstructive sleep apnea causes apneic events that reduce blood flow to the brain. Obstructive sleep apnea as a risk factor for stroke and death. Obstructive sleep apnea and the risk of sudden cardiac death: A longitudinal study of 10,701 adults. increased risk of death But because the condition is mild, it might be hard to know if you have it or for your healthcare provider to diagnose you with the condition. All these interruptions can cause you to feel sleepy throughout your day. higher in people with more severe OSA Sleep apnea. Brown LK. In this article, well take a closer look at what sleep apnea is, discuss how it affects your chance of death, and answer some common questions people have about this common sleep disorder. Required fields are marked *. There are two primary types of sleep apnea: Obstructive (OSA) and Central (CSA). Verywell Health's content is for informational and educational purposes only. All rights reserved. Working in conjunction with your doctor, you can try a stepwise approach if one treatment doesnt work, you can stop that and try an alternative. When you wake up in the morning, are you refreshed and ready to go, or groggy and grumpy? 2017; doi:10.5664/jcsm.6730. Nate aims to make learning about sleep apnea and CPAP products as enjoyable as possible. Dangers of sleep apnea without treatment: What the research says, American Journal of Respiratory and Critical Care Medicine, Journal of the American College of Cardiology, heart.org/en/health-topics/consumer-healthcare/sleep-apnea-and-heart-disease-stroke, news.yale.edu/2007/05/24/sleep-apnea-increases-risk-heart-attack-and-diabetes, sleepfoundation.org/articles/sleep-apnea-and-heart-disease-0, sleepapnea.org/carrie-fisher-yes-you-can-die-from-sleep-apnea/. People with sleep apnea have difficulty breathing or stop breathing for short periods while sleeping. Complex sleep apnea is, well, complex. Multiple research studies have shown that people with OSA have a higher risk of all-cause mortality, which means that they are more likely to die of any cause when compared to people who do not have OSA. American Sleep Apnea Association. Sleep apnea information for clinicians. A level of 70% and lower may be life-threatening. View Source The severity of OSA is based on the number of respiratory sleep disruptions per hour of sleep during a sleep study, also called the apnea-hypopnea index (AHI). It does not occur in every individual who uses a CPAP, and may resolve with time. People with severe OSA were more at risk of heart disease and death than people with mild or moderate OSA. Can You Die From Sleep Apnea? | Sleep Foundation National Heart, Lung, and Blood Institute. Make sure that you get an adequate amount of sleep, and keep fairly regular sleep and wake times across the week. Sleep Apnea is a disorder in which you repeatedly stop breathing while asleep. Eric Suni has over a decade of experience as a science writer and was previously an information specialist for the National Cancer Institute. These can scan breathing patterns and put them into a database, then use that information to create a pressure cycle that helps normalize airflows. Excessive daytime sleepiness from sleep apnea can also lead to fatal accidents, such as car crashes, and negatively affect performance at work or school. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Treatment for mild OSA may improve sleep-related symptoms and your quality of life. This type of sleep apnea is more rare and may result from other health issues, like a stroke or heart condition. Pro. Mild obstructive sleep apnea means that your AHI is between 5 and 15. Episodes in which you stop breathing during sleep which would be reported by another person. Yes. (2011). Death as a result of surgical complications here is extraordinarily unlikely. Journal of Clinical Sleep Medicine. Fatigue. She is. In addition to daytime fatigue, the symptoms of sleep apnea include: Men and people over 60 are more at risk of developing sleep apnea. Badr MS. Central sleep apnea: Risk factors, clinical presentation, and diagnosis. Even a slight weight loss might help relieve constriction of your throat. Relationship between CPAP termination and all-cause mortality: A French nationwide database analysis. (2007). Other treatments and remedies for sleep apnea include: You may not be aware that you have sleep apnea. Wang J, Wang Y, Feng J, et al. Dr. Rehman, M.D., is a board-certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism. Recognizing the signs of sleep apnea can help people know when to contact their doctor. Med J DY Patil Univ 2017;10:467-9. http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/. 21st ed. Treatment may include getting diagnosed at a sleep clinic and wearing a CPAP mask at night. Clinical presentation and diagnosis of obstructive sleep apnea in adults. Thank you, {{form.email}}, for signing up. Many people with sleep apnea arent aware of any interruptions in their sleep during the night. American Academy of Sleep Medicine. Sleep apnea is a serious sleep disorder that happens when your breathing stops and starts while you slumber. This less common form of sleep apnea occurs when your brain fails to send signals to your breathing muscles. Want to read more about all our experts in the field? He is an attending emergency medicine physician at White Plains Hospital in White Plains, New York and also works at an urgent care center and a telemedicine company that provides care to patients across the country. privacy practices. frequently linked to underlying health problems, Best Anti-Snoring Mouthpieces & Mouthguards. Other risk factors for sleep apnea include: Untreated sleep apnea can lead to serious, potentially life-threatening health conditions, including: Sleep apnea decreases the overall quality of sleep and restricts oxygen flow. The long-term consequences of not treating sleep apnea are extensive. Your partner or another family member may notice that you snore, snort, or stop breathing during sleep or that you wake up suddenly. American Sleep Apnea Association. With that said, can you die from sleep apnea? The Reggie White Foundation was created to raise awareness and assist in the research of this common, yet underdiagnosed sleep disorder. A 2010 study published in the American Journal of Respiratory and Critical Care Medicine found that having sleep apnea can raise your risk of a stroke by two or three times. https://www.uptodate.com/contents/search. National Library of Medicine, Biotech Information There have not always been consistent outcomes data or consensus about treatment recommendations for people with mild sleep apnea. These internal links are intended to improve ease of navigation across the site, and are never used as original sources for scientific data or information. The results are similar to tissue removal, but since its considerably less invasive and has fewer risks, some people prefer this as a treatment option. If youre not sure whether you have sleep apnea or not, an at-home test can provide quick answers. However, it can be treated with positive airway pressure (PAP) therapy. This content does not have an Arabic version. Central Sleep Apnea and the Risk of Death, https://www.uptodate.com/contents/clinical-presentation-and-diagnosis-of-obstructive-sleep-apnea-in-adults, https://www.uptodate.com/contents/obstructive-sleep-apnea-and-cardiovascular-disease-in-adults, https://pubmed.ncbi.nlm.nih.gov/16282178/, https://medlineplus.gov/ency/article/007657.htm, https://pubmed.ncbi.nlm.nih.gov/35176275/, https://www.uptodate.com/contents/central-sleep-apnea-risk-factors-clinical-presentation-and-diagnosis, https://pubmed.ncbi.nlm.nih.gov/29109195/, Best Anti-Snoring Mouthpieces and Mouthguards, Irregular breathing, including gasping or choking, during sleep, Waking up with a sore throat or dry mouth, Struggling with concentration or memory during the day, Feeling unrefreshed despite sleeping for seven hours or more. If we combine this information with your protected According to a 2011 medical review, up to 60 percent of people with heart failure also have sleep apnea. A.D.A.M. information submitted for this request. Because sleep apnea can affect oxygen balance in the body, untreated sleep apnea can put you at risk for many very serious conditions. A person is given a diagnosis of mild sleep apnea based on an overnight sleep study called a polysomnography. There are several lifestyle changes you can make to help prevent sleep apnea, including: In cases of mild OSA, these changes may be all you need. Sleepiness can also cause you to have low energy and drowsiness, and might affect your cognition (i.e., thinking, reasoning, etc.). If there's underlying heart disease, these repeated multiple episodes of low blood oxygen known as hypoxia or hypoxemia worsen prognosis and increase the risk of irregular heart rhythms. Sleep apnea linked to smaller brain volume, study finds | CNN NFL superstar Reggie Whites death has also been partially associated with untreated sleep apnea. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. However, there is no one-size-fits-all approach when it comes to sleep disorders, but rather a multidimensional and individualized approach to find what works for you. Yes, You Can Die From Sleep Apnea By Laura Dorwart Published on March 12, 2022 Medically reviewed by Keri Peterson, MD Table of Contents View All Sleep Apnea Symptoms Causes Risk of Death Diagnosis Sleep apnea is a medical condition that causes someone to stop breathing intermittently while they sleep. (2015). If youre unsure whether you have sleep apnea, get a test as soon as possible. View Source In some cases, self-care might be a way for you to deal with obstructive sleep apnea and possibly central sleep apnea. 2013;7:633-641. doi:10.2147/PPA.S46626, Tietjens JR, Claman D, Kezirian EJ, et al. Olson EJ (expert opinion). There is a problem with Sleep apnea can cause or worsen heart conditions. Sleep apnea is not curable. Accessed July 1, 2022. Maximize a side sleeping position; try not to sleep on your back. Getting a sleep apnea diagnosis. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Without treatment, sleep apnea can lead to serious complications. . Instead, the first symptom many people notice is excessive daytime sleepiness. Sleep apnea: management and treatment. The risk of sudden death may be higher in people with severe CSA and heart failure because of the way that CSA can interfere with cardiovascular function. (2014). Last medically reviewed on June 11, 2019. Reestablishing normal breathing patterns may help enhance sleep quality and reduce other symptoms and complications of CSA. This type of sleep apnea happens when the muscles in the back of the throat relax. In the same study, the benefits of CPAP therapy were seen at follow-up after one year and after three years. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. They helped us put together seven things you need to know about obstructive sleep apnea, advances in CPAPs, and other OSA treatments. 2019;8(1):e010440. Yes. When people hear the word mild as it relates to OSA, they think they dont have a lot to worry about. Children can also have sleep apnea. Mild . During a sleep study, youll be provided with a comfortable place to rest for around six hours. Its possible to cure sleep apnea in some cases. BiPAP machines may be better for people with severe sleep apnea, but only a qualified expert can determine which device is most appropriate for you. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. See a doctor if you think you might have sleep apnea. So, can you die from sleep apnea? Sleep apnea is closely linked to several life-threatening conditions. As a result, people who are effectively treated for OSA can avoid the heightened risk of complications and death linked to untreated OSA. Management of obstructive sleep apnea in adults. A member of our medical expert team provides a final review of the content and sources cited for every guide, article, and product review concerning medical- and health-related topics. Counting less-severe forms of sleep apnea, the death rate is roughly double the population average. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. When sleep apnea is moderate or severe, continuous positive airway pressure (CPAP) is considered the first-line treatment, and is the recommended treatment by the American Academy of Sleep Medicine (AASM). Symptoms of sleep apnea can also be caused by other health issues, so diagnostic testing is required to determine if a persons symptoms are caused by sleep apnea.
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