Sleep Apnea: Symptoms, Dangers, and Treatment
Sleep apnea — breathing pauses during the night that you might not even know about. It's a serious condition posing risks to your heart and brain. How to recognize it and what to do.
You sleep 8 hours. You wake up exhausted. Throughout the day, you experience overwhelming sleepiness. Your partner says you snore loudly and sometimes 'stop breathing' for a second or two. Your tests are normal. Doctors shrug their shoulders.
Get tested for sleep apnea.
1. What is Sleep Apnea
Obstructive Sleep Apnea Syndrome (OSAS) is characterized by repeated episodes of complete or partial cessation of breathing during sleep, caused by the collapse of soft tissues in the throat. Each time breathing stops, the brain 'wakes' the body to resume breathing – which happens hundreds of times a night. The person does not remember these awakenings, but sleep is never deep.
2. Symptoms to Watch Out For
- Loud snoring with pauses (noticed by partner)
- Chronic daytime sleepiness – falling asleep in meetings, on public transport
- Unrefreshing sleep – 8 hours, but 'as if you haven't slept'
- Morning headaches
- Dry mouth in the morning
- Frequent nighttime awakenings
- Memory and concentration impairments
- Irritability
3. Who is at Risk
- Men (2–3 times more often than premenopausal women)
- Overweight (fat around the neck narrows the airways)
- Over 40 years old
- Anatomical features: enlarged tonsils, small lower jaw
- Alcohol and sleeping pill use (relax throat muscles)
4. Why Sleep Apnea is Dangerous
- Hypertension – in 50% of OSAS patients
- Increased risk of heart attack and stroke
- Heart rhythm disorders (atrial fibrillation)
- Cognitive decline, dementia with prolonged course
- Type 2 diabetes (impaired insulin resistance)
5. Diagnosis and Treatment
Diagnosis: polysomnography (standard) or home respiratory monitoring. Referral – somnologist or ENT.
Treatment:
- CPAP (continuous positive airway pressure) – effective in 95% of cases
- Weight loss – reduces OSAS severity
- Positional therapy – avoiding sleeping on your back
- Avoiding alcohol before sleep
- Surgery – in individual cases
Read also: Insomnia and Sleep Disorders. Discuss your symptoms with our AI psychologist psybot.app.