What Does It Mean If You Have Low Hdl Cholesterol – Hypoxemia is a low level of oxygen in the blood. It causes symptoms such as headache, difficulty breathing, fast heart rate and blue skin. Many heart and lung diseases pose a risk of hypoxemia. It can also occur at high altitudes. Hypoxemia can be life-threatening. If you have symptoms of hypoxemia, call 911 or go to the ER.
If you have symptoms of hypoxemia, especially if you have an underlying medical condition or lung disease, call your healthcare provider or go to the nearest emergency room.
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Hypoxemia is when the oxygen level in the blood is lower than normal. If the oxygen level in your blood is too low, your body may not function properly. A person with low blood oxygen levels is considered hypoxemic.
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Oxygen enters your blood through your lungs. When you breathe, oxygen from the air moves into your lungs in small air sacs (alveoli). Blood vessels (capillaries) move near the alveoli and take in oxygen. Finally, oxygen travels through the blood to your tissues.
Hypoxemia can occur when you can’t breathe in enough oxygen, or when the oxygen you breathe in can’t reach your blood. Both air and circulation are important to get enough oxygen in the blood. Therefore, both lung and heart disease increase the risk of hypoxemia.
Depending on the severity and duration, hypoxemia can cause mild symptoms or lead to death. Mild symptoms include headache and shortness of breath. In severe cases, hypoxemia can interfere with the functioning of the heart and brain. This can cause a lack of oxygen in your body’s organs and tissues (hypoxia).
Hypoxemia can occur temporarily, causing “acute” respiratory failure. In situations where this is a long-term problem for months and years, you may hear it called “chronic respiratory failure.”
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You may have heard the words hypoxemia and hypoxia used interchangeably, but they are not the same thing. The names sound similar because they both involve low oxygen levels, but in different parts of the body.
. Hypoxemia can lead to hypoxia, and often the two occur together, but not always. You can be hypoxic but not hypoxic and vice versa.
Any condition that reduces the amount of oxygen in the blood or restricts blood flow can cause hypoxemia. People living with heart or lung disease, such as congestive heart failure, COPD, or asthma, are at increased risk for hypoxemia. Certain infectious diseases, such as influenza, pneumonia, and COVID-19, can also increase the risk of hypoxemia.
Hypoxemia has many causes, but the most common cause is an underlying disease that affects blood flow or breathing (such as heart or lung disease). Some drugs can slow breathing and cause hypoxemia.
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Sleep apnea and mild lung disease can cause nocturnal hypoxemia — when blood oxygen levels drop during sleep.
Being at high altitude can also cause hypoxemia, so it can be difficult to breathe when you are in the mountains.
Cardiopulmonary dysfunction can lead to five categories of conditions that cause hypoxemia: ventilation-perfusion (V/Q) mismatch, diffusion disorders, hypoventilation, low ambient oxygen, and right-to-left shunting.
In order for oxygen to reach your blood, both air flow into the lungs (ventilation) and blood flow into the lungs (perfusion) are needed to pick up oxygen. If one of these is not working, the lungs will have a lot of oxygen but too little blood flow to take it in, or vice versa. This is called ventilation-perfusion or V/Q mismatch. It is usually caused by heart or lung disease.
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Even if you have good air and blood flow, sometimes oxygen has difficulty leaving or diffusing from the lungs to the blood vessels (diffusion deficit). Circulation problems can be caused by emphysema, scarring of the lungs, or diseases that affect blood flow between the heart and lungs.
Hypoventilation is when you don’t breathe deeply enough or breathe too slowly. This means that not enough oxygen is getting into your lungs. Many lung diseases and some brain diseases can cause hypoventilation.
If there isn’t enough oxygen in the air around you to breathe, without it you can’t get the oxygen your body needs to function. At high altitudes, there is less oxygen available in the air than at lower altitudes.
Deoxygenated blood flows through your heart from the right side, is pumped from the lungs for oxygen, then returns from the left side to be pumped out of the body. In some people, deoxygenated blood can be pushed to the left side of the heart and into the tissues without first getting oxygen to the lungs. This is called a right-to-left shunt and is usually caused by heart problems.
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To diagnose hypoxemia, your healthcare provider will perform a physical exam to listen to your heart and lungs. Abnormalities in these organs can indicate low oxygen levels in the blood. Your doctor may also check to see if your skin, lips, or nails look blue.
Depending on the underlying cause of the hypoxemia, medications or other treatments may help increase blood oxygen levels. To help increase oxygen levels, your provider may use “supplemental oxygen” through oxygen tanks or oxygen concentrators. They may be needed permanently or only with effort, depending on the severity of the disease.
In cases of severe hypoxemia, especially with acute respiratory distress syndrome, health care providers may use a machine that breathes for you (a ventilator). If hypoxemia persists, a condition known as refractory hypoxemia, additional medications or therapies may be used.
If you experience symptoms such as confusion, shortness of breath, or a fast heart rate, or if you notice that your nails, lips, or skin are turning blue, you should seek immediate medical attention. Oxygen levels can also be checked at home with a pulse oximeter. Hypoxemia should be treated immediately to prevent organ damage in severe cases.
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COPD, sleep apnea, and other medical conditions can cause chronic or intermittent hypoxemia with less or no symptoms. Talk to your healthcare provider about managing your specific condition to reduce symptoms and the risk of oxygen levels that are too low.
When your blood has low levels of oxygen, it can’t deliver enough oxygen to your organs and tissues that need it to keep working (hypoxia). This can damage the heart or brain if it persists over time (for example, with nocturnal hypoxemia caused by sleep apnea). Acute cases of hypoxemia can be fatal.
The best way to reduce the risk of hypoxemia is to manage any condition that can reduce blood oxygen levels. If you live with lung or heart disease, talk to your healthcare provider about your concerns and specific ways to reduce your risk.
Even in people without heart or lung problems, certain medications and situations, such as traveling at higher altitudes, can increase the risk of hypoxemia. Ask your provider about any special precautions you should take when traveling or taking medication. Allow time to safely adjust to the higher altitude during travel.
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Depending on the cause, people with hypoxemia may need treatment once or permanently. Your healthcare provider will work with you to manage your condition so you can live an active and healthy life.
Managing all underlying conditions is the best way to keep blood oxygen at a safe level and reduce the risk of hypoxemia.
If you or a loved one has been diagnosed with hypoxemia, here are some questions to ask your healthcare provider:
Hypoxemia can be a life-threatening condition, but it can be treated with prompt medical attention. It can also happen periodically without any obvious symptoms – for example, at night if you have sleep apnea. This can lead to heart damage over time, so it’s important to know your risk and what preventative measures you can take.
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Cleveland Clinic is a not-for-profit academic medical center. Advertising on our site helps support our mission. We do not endorse any non-Cleveland Clinic products or services. Policy Vitamin D is an important vitamin that your body needs to function properly. If you are at risk of low vitamin d levels, serious problems can occur. Strangely, vitamin D acts as a hormone rather than a vitamin in us and binds to receptors found throughout our body. Some of the important functions of vitamin D in our body are to promote a healthy immune system and help absorb calcium for strong bones.
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