Why does your blood pressure go up when your sleep is disrupted by sleep apnea?
Your blood pressure will go up because when you're not breathing, the oxygen level in your body falls and excites receptors that alert the brain. In response, the brain sends signals through the nervous system and essentially tells the blood vessels to "tighten up" in order to increase the flow of oxygen to the heart and the brain, because they have priority.
The problem is that things that go on at night tend to carry over in the daytime, even when the sleep apnea patient is awake. The low oxygen levels at night seem to trigger multiple mechanisms that persist during the daytime, even when the patient is breathing normally.
The available evidence tells us that when you treat people with sleep apnea using a CPAP, their blood pressure is not only lower at night—it's also lower during the day.
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