UPDATE ON OBSTRUCTIVE SLEEP APNEA IN THE RAPID EYE MOVEMENT STAGE

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Patricio Cárdenas Barros
Cesar Imarai Bahamonde
Rodrigo Aliaga Duran

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Abstract

Obstructive sleep apnea during rapid eye movement sleep (REM OSA) is defined as the presence of obstructive episodes of apnea and/or hypopnea in REM sleep. The epidemiology of this pathology is complex and there is currently no standardized definition. Although no consensus has been reached to define REM OSA, the evidence indicates that it is indepen­dently associated with cardiovascular, metabolic and neurocognitive risk factors. Although its main treatment is continuous positive airway pressure (CPAP), the criteria for an ade­quate use of CPAP in OSA are not sufficient to adequately treat REM OSA. It is necessary to standardize a universal definition and carry out prospective studies designed to search for specific treatment strategies for REM OSA.

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