Loud snoring with breathing pauses is associated with an increased risk of cardiovascular disease and increased health-care utilization. Loud snorers had 40 percent greater odds of having hypertension, 34 percent greater odds of having a heart attack and 67 percent greater odds of having a stroke, compared with people who do not snore, after statistical adjustment for age, sex, body mass index, diabetes, level of education, smoking, and alcohol consumption. Quiet snoring was associated only with an increased risk for hypertension in women. Loud snoring was also associated with increased use of health care resources (emergency visits and hospitalization).