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Nowadays, being awake late at night is a regular occurrence in a society and it's because of work deadlines, binge watching, social media, or exam stress. In the same way that occasional sleep loss may appear not to be dangerous, sleep deprivation is becoming a serious risk factor for heart rhythm disorders even in young and otherwise healthy individuals. Physicians are also raising alarm due to the fact that sleep disturbances may disrupt the sleep cycle and can pose heart diseases increasing the risk of arrhythmias. Abnormalities in the heart rhythm are called arrhythmias. The heartbeat can either be too fast, too slow or abnormal. Others are harmless and temporary, and others, including atrial fibrillation or ventricular arrhythmias, may raise the risk of stroke, heart failure or sudden cardiac arrest.
Sleep plays a critical role in the regulation of the autonomic nervous system, which is a system that controls involuntary body functions like heartbeat and blood pressure. A deep sleep is a restorative period when in deep sleep the heart rate is low, and blood pressure is low, and the stress hormones are low.
This is disrupted when sleep is shortened or disrupted.Sleep deprivation causes more stimulation of the sympathetic nervous system or the fight or flight reflex, which increases the heart rate and blood pressure. This sustained stress may eventually destabilise the electrical signalling of the heart and make arrhythmias more to flare up.
Lack of sleep increases the amount of cortisol and adrenaline. The stress hormones may cause irritation of the heart tissue as well as electrical instabilities of the heart. Repeated nights of inadequate sleep might result in a permanent physiological stress condition among the young people who are faced with academic pressures, demanding work schedules, or even social demands.
The body has a natural circadian learning rhythm which is a 24-hour inner clock, which controls sleep, hormones and the heart rate. Being up late at night or having a crazy wake sleep pattern disfigures this clock.
The rate of heart rhythm disturbances is higher in shift workers and since people who are awake during night have their internal rhythms they have their sleeping consistency violated time and again.Even young adults who are getting sufficient sleep although at irregular hours are at a risk.
Late nights are also accompanied with habits that cause more strain to the heart. Overdose caffeine, energy beverages, nicotine, alcohol, and long hours in front of the screen are typical of sleep deprived people. These stimulants have the potential of overstimulating the heart and increasing the quality of sleep, causing a vicious cycle and increasing the chances of irregular heartbeats.Also, lack of sleep is associated with gaining weight, insulin resistance and inflammation all of which are indirect contributors to heart rhythm disorders in the long run.
The positive factor is that the risk can be greatly reduced by changing the sleep patterns. It is proposed by experts to have 7-9 hours of quality sleep per night with a regular sleeping pattern, caffeine and screen time should be reduced before sleep, and stress can be dealt with either with physical activities or relaxation. Sleep is not a luxury to be prioritised, but it definitely means something for our heart health. Overall, Sleep deprivation is no longer simply a lifestyle problem, it is a cardiovascular risk factor. In young adults, the disorder of heart rhythm may be unnoticed in the form of chronic late nights, which may enhance the probability of arrhythmias. The first step towards protecting the heart is by prioritising rest, since a rested heart is stronger and stable.