Is Left or Right Side Sleeping Best for Your Heart‪?‬ Get Your Life Back in Rhythm

Is Left or Right Side Sleeping Best for Your Heart?

Most of my cardiac patients sleep better on their right side.  Is right side sleeping best for your heart?  In this article, I discuss the science of behind right versus left side sleeping.

Gravity and Left vs. Right Side Sleeping?

Gravity plays a role in where the heart goes during sleep.  For example, if you sleep on your left side, then gravity will pull your heart toward your chest wall.  In contrast, gravity pulls the heart toward the center of the chest with right side sleepers. This subtle change in where gravity pulls your heart may affect symptoms, cardiac output, or even your heart rate.

Why Back Sleeping is Probably Bad for the Heart

If you are carrying any extra weight, back sleeping is definitely bad for your heart.  This is because when you sleep on your back, the extra weight collapses your airway (sleep apnea).  And studies show that sleep apnea dramatically increases your risk of heart failure and atrial fibrillation.



Stomach sleeping is another possibility.  However, as I have learned personally, stomach sleeping is a perfect recipe for neck and back issues.

4 Reasons to Sleep on Your Right Side

If you suffer from heart issues, talk with your doctor about whether you should sleep on your right or left side.  Based on the science, here are four reasons why you may want to consider sleeping on the right.

1.  Less Shortness of Breath

As far back as 1937 doctors have noted that heart patients breath better sleeping on their right side.  Indeed, the worse the cardiac function, the more likely people are to sleep right side down.  While the reason for this isn't entirely clear, it may have to do with a better venous return and lower pressures within the heart and lungs.

2. Better Cardiac Output

For the same reasons as number one above, cardiac output may be better with right side sleeping.  Once again, gravity pulling the heart toward the center of the chest may optimize cardiac performance.

3. Fewer Palpitations

No one likes the sensation that their heart isn't beating correctly.  As the heart is in the center of your chest with right-sided sleeping, studies show that palpitations become much less noticeable.  In contrast, when you are on your left side, the heart is pulled to the chest wall, and you may feel every irregular beat of your heart.



While many atrial fibrillation patients have noted that they have fewer arrhythmias when sleeping on the right side, I could find no studies supporting this finding.  Thus, when it comes to sleeping and arrhythmias, I suggest sleeping in whatever position that seems to help.

4. Lower Heart Rate and Less Sympathetic Nervous Activity

The sympathetic nervous system is the fight or flight response.  This fight or flight response makes the heart rate and blood pressure go up.



For most of my patients, sympathetic nervous system stimulation makes their heart failure, chest pain, or arrhythmias worse.  And when it comes to sleeping and sympathetic stimulation, studies show that right-sided sleeping may be better.

3 Reasons to Sleep on Your Left Side

Not everyone does best with right side sleeping.  In fact, there are three distinct groups of people that may do worse.

1. Acid Reflux Sufferers

People suffering from acid reflux may sleep better on their left side.  This is because studies show that acid reflux may be worse with right side sleeping.  Thus, if your acid reflux is causing you more symptoms than your heart, you may want to consider sleeping on your left side.

2. Vagus Nerve Arrhythmias

The vagus nerve connects the heart, brain, and gut.  Because of this connection, vagus nerve activation may be an important cause of arrhythmias.



With vagus nerve stimulation, you get increased parasympathetic activity which is the e...