There are 3 reliable clinical symptoms for have sleep apnea: high blood pressure symptoms, snoring and breathing stops during sleep.
About 50% of sleep apnea patients have hypertension, and almost 30% of hypertensive patients also have sleep apnea, often undiagnosed.
Several studies have demonstrated clear evidence that implicates sleep apnea in the development of high blood pressure symptoms. More specifically, the severity of hypertension was found to progressively increase with severity of obstructive sleep apnea.
The Sleep Heart Health Study demonstrated an increased risk of high blood pressure symptoms in patients with obstructive sleep apnea, even at low levels of severity (AHI 5–15 events/hour).
Identifying the high blood pressure symptoms is really difficult, because there are no clear signs, which is the main reason for hypertension to be known as the silent killer.
However, when symptoms do appear, it means that blood pressure is already too high, resulting in damage to important organs like the heart or kidneys. Here are the most common symptoms of hypertension in severe cases:
High Blood Pressure Symptoms |
headache |
excessive sweating, |
muscle trembling, |
chest pains, |
bleeding from the nose, |
fatigue (which can be mistaken with sleepiness) |
vomiting, |
palpitations of the heart, |
vision deficiency, |
signs of blood in urine, |
nausea, |
weakness. |
A person with sleep apnea gasps for breath and snores during sleep, following severeal stops in breathing (apnea episodes or apnea events). If these events happens more than five or more times in an hour, it will affect the person's health, worsening over time.
Because the individual stops breathing many times, he has low levels of oxygen in his blood and increased carbon dioxide.
Having decreased levels of oxygen will cause the blood vessels to narrow, resulting in high blood pressure. Furthermore, the person with sleep apnea also tend to have serious heart problems. It may be helpful to learn that the death caused in patients with sleep apnea is mainly caused by serious heart damage.
Here are other examples of triggers for high blood pressure in patients with sleep apnea:
If you have high blood pressure symptoms, then time is not on your side. You need to treat hypertension as soon as possible. If you wait too long, other dangerous health problems will appear, such as:
Most of these health problems have deadly consequences.
This video explains how can hypertension damage your body:
Tthe best solution for a person with sleep apnea, to fight and treat hypertension, is to use CPAP .
Sustained and effective treatment of sleep apnea with CPAP, has been reported to acutely decrease the levels of high blood pressure symptoms and sympathetic traffic during sleep.
Because the air pressure from CPAP keeps the airway open, you shouldn't experience loud snoring, apnea episodes or gasps for air. Your sleep will be much more restful, and the high blood pressure usually subsides as well.
However, if you've had sleep apnea for a long time, the high blood pressure may continue for a while.
What should you do if you can't tolerate CPAP, or can't afford it?
Well, oral appliances that effectively attenuate your obstructive sleep apnea may also lower your blood pressure.
If you have a mild sleep disorder, you can try many types of other alternative treatments.
Also, there are some antihypertensive drugs that can lower hypertension, but there are too dangerous for your health. You may worsen your sleep apnea. Talk with your doctor about this before taking any medication.
Recent reports suggest that some drugs used for treating high blood pressure symptoms may worsen your sleep disorder, which decreases after discontinuation of the drug.
The following list shows the side effects of the most common hypertension drugs:
Side Effects of Drugs for High Blood Pressure |
|
Side Effects |
Medication |
Fatigue, |
Beta blockers and doxazosin |
Headache , |
Vasodilators, calcium channel blockers, and ACE inhibitors, |
Drowsiness, |
Alpha and beta blockers, |
Liver damage, |
Methyldopa, |
Dizziness, |
All diuretics, labetalol, and doxazosin, |
Depression, |
Clonidine, guanabenz, guanfacine, and calcium channel blockers |
Heart failure, |
Alpha-1 adrenergic receptor antagonists and vasodilators, |
Insomnia and sleep disorders, |
Beta blockers, |
Breast enlargement, |
Spironolactone, |
Increased cholesterol, |
Thiazide diuretics, |
Menstrual irregularities, |
Spironolactone, |
Nausea and vomiting, |
All diuretics, |
Reduced erections, |
Thiazide diuretics, spironolactone, and methyldopa, |
Vivid dreams or nightmares |
Clonidine, guanabenz, guanfacine, and beta blockers. |
These drugs are great to treat hypertension, but like any synthetic drug, they may cause side effects. If you notice that you have side effect from the list, discuss with your doctor about reducing the dosage or changing the medication.
It is strongly recommended to continue the prescribed medicine unless the doctor decides other alternatives. Moreover, tell your doctor if you take natural or alternative medicines, which can lower the effectiveness of your medication.
A good way to treat high blood pressure is to make life-style modification, such as:
The benefits of all these life-style modification include lowering your blood pressure and reduction of cardiovascular risks. It's difficult to change, but with determination and faith you will be a normal and healthy person, as I am now.