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10 Surprisingly Common Ways To Die In Your Sleep

by Joshua Sigafus
fact checked by Jamie Frater

Next to eating a healthy diet and getting enough exercise, getting adequate sleep is a staple cornerstone to a healthy life. But did you know that sleeping can also be dangerous?

SEE ALSO: Top 10 Amazing Facts About Dreams

There are actually a number of things that can go wrong when you close your eyes and slip into unconsciousness—and for some people, the danger is real enough that they never wake up again. In fact, according to an ancient Greek proverb, death and sleep are brothers . . . death being the perfect fulfillment of sleep and sleep being the imperfect embodiment of death.

Sleep has, for the most part, always been seen as a “passive” activity that our body performs on its own. But the truth is that our brain is actually quite active while we slumber. It’s also true that there are many unanswered mysteries about sleep that modern scientists have yet to unravel.[1]

As it turns out, there are still some surprising (and somewhat scary) things going on when our conscious brains turn off and our bodies begin the sleeping state. And sometimes, the results can be completely terrifying.

10 Sudden Cardiac Arrest

Sudden Cardiac Arrest (SCA)

Sudden cardiac arrest, also known as SCA, can occur when the sinoatrial node, the node in the heart that essentially acts as your body’s natural pacemaker, becomes impaired.[2] In other words, this condition occurs when the electrical systems of the heart malfunction. And in some cases, it’s deadly within the first few minutes.

How does it kill? Well, it basically reduces blood flow to the brain. And the scariest part? Not only can it happen during sleep, but half of cases show no symptoms before the cardiac arrest occurs.

9 Carbon Monoxide Poisoning

Carbon monoxide poisoning

Carbon monoxide, or CO, is a colorless, odorless gas that can be lethal if too much of it enters the lungs. CO can be found in the fumes that come from running cars, stoves, grills, fireplaces, gas ranges, furnaces, and so on, and it can be almost impossible to detect unless a carbon monoxide detector is in use.

How does it kill? Basically, if enough of it builds up in a small enough space, breathing it in can become toxic. And if you inhale enough of it, just having it in your lungs can be enough to “seal the deal” in a very final way. If awake, the victim may experience symptoms like dizziness, weakness, a headache, or an upset stomach.

But what if it catches you while you’re asleep? Well, people who are sleeping often experience no symptoms, and they can die in their sleep.[3]

8 Myocardial Infarction

What is a myocardial infarction or heart attack ?

A myocardial infarction, more commonly known as a heart attack, can happen during sleep, though thankfully, the odds are pretty good that this specific type of cardiac event will wake its victim up before it kills them.[4]

Heart attacks happen when blood flow to part of the heart gets blocked. This blockage can destroy part of the heart muscle.

How does it kill? If enough heart tissue gets damaged, the heart may not be strong enough to pump any blood out to the rest of the body. This can result in heart failure, which could be lethal if medical treatment isn’t obtained immediately.

Unfortunately, it usually isn’t possible for a heart attack victim to seek medical attention if they’re asleep—and that’s the part that’s terrifying.

7 Central Sleep Apnea

Central sleep apnea is basically a disorder that causes the sufferer’s breathing to stop and start repeatedly while they are unconscious. It happens when the brain doesn’t send the proper electrical signals to the muscles that control the breathing mechanisms during sleep and is believed to originate from a problem in the brain stem.

How does it kill? Basically, if the case of apnea is bad enough, hypoxemia may set in—which happens when oxygen levels in the body fall below those required for normal life function. This basically leads to oxygen deprivation.[5]

If the brain is not able to rouse the body in enough time to take a breath, the prognosis can be fatal!

SEE ALSO: Top 10 Surprisingly Common Ways To Die In Your Sleep

6 Unexplained Nocturnal Death Syndrome

The Mysterious Sleep Deaths Of The Hmong Refugees

This is undoubtedly one of the more “mysterious” inclusions in our list.

Unexplained nocturnal death syndrome (SUNDS) was first reported in 1977 among southeast Asian Hmong refugees in America and Canada. Since then, it has gained a pretty scary reputation in both textbooks and on the dark corners of the internet. In the Philippines, they call it Bangungut, in Hawaii, they call it Dream Disease, and if you’re in Thailand, you call it lai tai, which means “sleep and die.”

The exact cause of death among those who die of SUNDS is actually still unclear, but the presentation always seems to be similar. It basically causes otherwise young, healthy individuals to die in their sleep for seemingly no reason.

How does it kill? Scientists still aren’t sure, but it tends to occur frequently in Southeast Asia, and researchers suspect a range of possible explanations, from malfunctions of the ion channel to ventricular fibrillation.[6]

5 Cerebral Aneurysm

intracranial aneurysm and the 3D brain

A cerebral aneurysm, also known as a brain aneurysm, is basically a weak spot in the wall of a blood vessel in the brain. It is kind of like a thin balloon that fills with blood. Over time, as the blood pumps through the artery, it continues to weaken and swell—and if the pressure increases too much, a rupture can occur.

How does it kill? When an aneurysm ruptures, the bleeding usually only lasts for a few seconds. But the blood causes damage to the surrounding brain cells and can increase the pressure inside the skull. If the pressure elevates too much, the condition can quickly turn fatal.[7]

4 Enterovirus D68

Is Enterovirus D68 Worse Than Ebola?

This is one of the more obscure entries on our list, but that makes it no less terrifying.

Enterovirus D68 (EV-D68) is a type of non-polio enterovirus that was first identified in California back in 1962. But back in 2014, there was a huge increase in the number of reported cases, leaving researchers to wonder if the virus was going to become more predominant in coming years than they had expected.

The scary thing about EV-D68 is that while it usually causes mild to severe respiratory illness symptoms, it sometimes produces no symptoms at all. And yet, physicians are saying that the disease has the potential to be more dangerous than Ebola in the US.[8]

How does it kill? It can cause particularly severe respiratory problems, characterized by a high-pitched wheezing sound that has become a dreaded earmark of infection. It has also been associated with muscle weakness and spinal cord inflammation, which is perhaps even more terrifying than the wheezing.

Dying of an infection is not necessarily common, but sometimes, the symptoms are dangerous enough to kill—even if the victim is asleep.

3 Dry Drowning

What is dry drowning?

Most of us are aware that you can drown in the water—this is obvious, but a lot of people aren’t familiar at all with the term “dry drowning” and what it means. It turns out, it is a pretty horrific way to die!

Basically, the idea behind this danger is that it is a type of drowning that can occur even after the victim has left the water. It’s technically still drowning, but “dry drowning” is the term that has come to be used to describe it, though some doctors have argued for the dropping of said term.

It can occur when inhaled water, even just a drop or two, makes it past the throat and into the lungs. This usually causes symptoms, but they are sometimes mild and easy to miss.[9]

The scary thing is that this water can cause breathing problems that get worse over time. In some cases, these breathing problems don’t strike until hours, or even days later—after the victim has fallen asleep. So-called “dry drowning” is actually pretty rare when you look at total deaths attributed to drowning, but this makes it no less disturbing.

How does it kill? It basically asphyxiates the victim—depriving them of oxygen until they suffocate.

2 The Widowmaker Heart Attack

Inside a Widow-Maker Heart Attack | WebMD

While most heart attacks have a decent chance of waking their victims up before death occurs, the “widowmaker” tends to be an exception. We’ve already mentioned heart attacks in general once on this list, but this particular type of infarction deserves its own spot.

Why? Because it’s among the deadliest types of heart attacks that can occur. It happens when the left main artery, also known as the left anterior descending artery, gets blocked. A 100-percent blockage in this artery is almost always fatal without immediate emergency care, hence the nickname.[10]

How does it kill? Heart attacks with severe enough blockages result in damaged heart muscle. And if the muscle becomes too damaged to pump blood, the result can be fatal.

1 Obstructive Sleep Apnea

Obstructive Sleep Apnea – Mayo Clinic

Obstructive sleep apnea (OSA) is a sleep disorder in which the victim repeatedly stops and starts their breathing process during sleep. OSA is by far the most common type of sleep apnea, and as it turns out, it is also probably the most likely reason that a person may die in their sleep.

This type of sleep apnea is literally caused by an obstruction that blocks the airway. This obstruction is usually caused by sagging throat muscles, though the muscles and tissues of the tongue, uvula, tonsils, and soft palate can all play a part. It is estimated that as many as 22 million Americans suffer from sleep apnea but that 80 percent of cases go undiagnosed making it a true “silent killer” that many people remain unaware of.

How does it kill? People with OSA experience sudden drops in blood oxygen levels when they stop breathing. If they’re already at risk for a heart attack, stroke, or heart failure, then OSA can be the trigger that sets a sudden cardiac event into motion.[11]

In such cases, death may occur before the victim even has a chance to wake up.

Joshua Sigfus is just a writer trying to make the world a better place.

Read about more surprising ways to die on 10 People Killed By Animals You Wouldn’t Expect and 10 Ways Water Can Kill You.

fact checked by Jamie Frater