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Diagnosis In OSA, the most common SBD, sleep arousal and arterial hypoxia happen due to intermittent partial or complete closure of upper airways, resulting in respiratory cessation for 20–30 seconds after a brief gasping. Apnea is a complete cessation of breathing, while hypopnea is a reduction in the airflow by 30% with ≥ 4% oxygen desaturation.6,10 The apnea–hypopnea index (AHI) is the total number of apnea and hypopnea episodes per hour of sleep.
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