Question: I have been sleeping very poorly for almost a year, very few hours. Due to the terrible economic situation I am going to have to close my business. I’ve already had two arrhythmias and the cardiologist wants me to see a psychiatrist. (Román J. Vargas, from Santa Rosa)
The heart beats at an average of 70 beats per minute, 100,000 times per day, 35 million per year and a little more than 2.5 billion in the life of a person of about 80 years of age on average.
Currently sleeping poorly at night It is a very common symptom and it is estimated that in a period of one year approximately 30-40% of adults suffer from it.
Sleeping well involves 7 to 9 hours of good night’s sleep. That is to say, Not only the number of hours matters but also the quality of sleep which is considered satisfactory if it meets the following:
1) Fall asleep within 30 minutes of going to bed.
2) Sleep throughout the night.
3) Resume sleep within 20 minutes if there is any awakening.
4) Wake up with energy and with the feeling of having rested.
What are the risks of sleeping poorly?
Poor sleep quality is a serious risk factor that affects health in general and cardiac function in particular. Many experts give it the same hierarchy in this sense as leading a sedentary life.maintaining a poor diet or smoking.
Cardiac activity depends on the Neurovegetative Nervous System, which combines greater sympathetic activity (designed for stress, flight or attack) during the day with a parasympathetic predominance during the night.
The greatest proportion of parasympathetic to sympathetic activity during sleep is a protective factor for cardiac function and product of interactions between the heart-brain and the dynamic processes of the autonomic nervous system.
When this relationship decreases or is reversed and causes greater nocturnal sympathetic activity – in insomnia – such a situation becomes dangerous and is related to greater frequency and risk of arrhythmias or heart attacks that usually occur at that time.
The correct equation (nighttime predominance of the parasympathetic over the sympathetic) when sleeping well, allows blood pressure and heart rate to lower and thus the cardiovascular system rests and recovers.
The decrease in heart rate during sleep is not the same for all people, neither throughout life nor in different phases of sleep.
Most experts agree that heart rate should decrease by about 8% compared to the rate during wakefulness.
If you don’t get enough sleep or wake up frequently, blood pressure and heart rate will remain elevated.
At the same time, a vicious circle can also be generated if the person already suffers from heart failure because it can affect sleep due to difficulty breathing, persistent nighttime cough or frequent need to urinateall factors that interrupt sleep and prevent it from being restful.
The nocturnal increase in blood pressure and heart rate triggers hormonal changes: increased levels of cortisol (stress hormone), decreased sensitivity to insulin (increased blood glucose),
increased hunger-inducing hormones (increased weight gain)all risk factors for better heart health.
It also has an impact by reducing the effectiveness of the immune system.
In conclusion, Getting a good night’s sleep is an effective way to take care of your heart.
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