Sleep easy: Relief from sleep apnoea

Many of us experience trouble sleeping from time to time but if you feel continuously tired during the day even after a full night’s sleep, it may be a sign of a condition called sleep apnoea. Loud snoring is the most common symptom and the condition can be harmful to your heart, but our world-leading sleep specialists can diagnose and treat the condition quickly, to help you sleep peacefully again.

What is sleep apnoea?

Sleep apnoea (ap-nee-uh) is a relatively common condition where your breathing is interrupted during sleep. Your breathing can stop and start repeatedly, sometimes hundreds of times a night.

“The condition can be serious if left untreated and result in a range of health problems. These include high blood pressure, diabetes, and heart problems, such as an irregular heartbeat – called atrial fibrillation, heart attacks and stroke.” explains our consultant physician in respiratory and sleep medicine, Dr Allie Hare.

“If you have sleep apnoea, you may snore loudly and feel tired or have trouble concentrating during the day even after a full night’s sleep. Daytime sleepiness can increase the risk of road traffic accidents and accidents at work.”

Our world-leading sleep experts, such as Dr Hare, can diagnose and treat the condition quickly. If you think you might have the condition, get in touch with our team who can book you an appointment with one of our consultants.

What causes sleep apnoea?

Obstructive sleep apnoea is the most common form of the condition. This occurs due to narrowing and closure of the upper airway in the throat, during sleep. Anything which makes the upper airway narrower will increase the tendency for it to close during sleep – for example, enlarged tonsils, a set-back lower jaw, or increased weight or musculature in the neck area.

When the upper airway narrows or closes in sleep, the flow of air to the lungs is reduced, or stops completely, lowering the oxygen levels in the bloodstream. Your brain is very sensitive to the lower oxygen levels, and will wake you up, or rouse you into a lighter sleep stage, so that the neck muscles wake up and open the airway. The flow of air then restarts (often with a loud gasp or body jerk), the oxygen levels increase and you can return to sleep, when the whole process can start again. This can happen 30-50 times an hour or more, in severe cases.

This repeated drop in oxygen levels overnight can interfere with your sleep, reduce the amount of oxygen getting to your organs and cause problems with your blood pressure and your heart’s rhythm.

Central sleep apnoea is another, less common, form of the condition. This occurs when your brain fails to send signals to your breathing muscles causing you to stop breathing for a short period. Some people may have a mixture of both conditions, called ‘complex sleep apnoea syndrome’.

Who gets sleep apnoea?

There are different factors that increase the risk of obstructive sleep apnoea and central sleep apnoea.

For obstructive sleep apnoea, risk factors include:

• excess weight – obese people are at an increased risk
• gender – men are two to three times more likely to have the condition than women. However, menopause and gaining excess weight can increase the risk in women
• smoking – smokers are three times more likely to have the condition than people who have never smoked
• age – your risk of obstructive sleep apnoea increases with age
• a family history of obstructive sleep apnoea
• neck anatomy – you may have inherited a narrow throat, or larger tonsils or adenoids may block airways (particularly in children). People with larger necks may also have narrower airways

For central sleep apnoea, risk factors include:

• age – middle-aged and older people are at increased risk
• gender – the condition occurs more commonly in men than women
• heart disorders, such as congestive heart failure
• taking narcotic pain medications, such as opioid ‘morphine-type’ medications
• stroke – having had a stroke previously increases the risk of getting the condition

How is sleep apnoea diagnosed?

If your doctor thinks you may have sleep apnoea, they will refer you to a sleep specialist like Dr Allie Hare for an evaluation. You can also book an appointment directly with one of our sleep specialists yourself, if you think you might be experiencing symptoms of sleep apnoea.

During your initial appointment with one of our consultants, they will evaluate your symptoms and sleep history – someone who shares your bed or household can help you with this. For example, they can confirm if you snore or experience any other symptoms that you may not be aware of while asleep.

Depending their initial evaluation, our sleep specialists may recommend a sleep study. A sleep study is an overnight assessment of your breathing and other body functions during sleep and helps our consultants with their diagnosis.

There are two types of overnight sleep study:

• Nocturnal polysomnography. This study is performed at our Royal Brompton Centre for Sleep in Chelsea. Our team will attach a range of sensors to your chest, finger and upper lip to measure your oxygen levels, breathing and movements of your chest and abdomen. Our specialist team will check on you while you sleep to make sure your sleep study is completed successfully
• Home sleep study. Depending on your health background, you can complete a sleep study in the comfort of your own home if you wish to. You will be provided with medical devices that measure your blood oxygen levels, airflow, breathing patterns and heart rate. We will then review your recordings and make an assessment when the medical devices are sent back to us

How is sleep apnoea treated?

Our sleep specialists may recommend a range of treatment options for your sleep apnoea, depending on the severity of your condition.

Lifestyle changes

For mild sleep apnoea, you may be recommended to undertake some lifestyle changes, such as quitting smoking and losing weight. If you have allergies which affect your breathing, our specialists may recommend treatment for your allergies.

If your sleep apnoea doesn’t improve with lifestyle changes, or your sleep apnoea is moderate to severe and you have daytime symptoms and/or sleep disturbance, our consultants may recommend other treatments such as devices that can help keep your airways open while sleeping.

Continuous positive airway pressure (CPAP)

Get in touch

If you think you may have sleep apnoea and would like to speak to one of our sleep specialists like Dr Allie Hare, get in touch with our team to see how we can help you.