Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/9/2025

REM Predominant Sleep Apnea and Cardiac Risk

Evidence for Increased Cardiac Risk

  • The American Heart Association notes that enhanced sympathetic and diminished parasympathetic tone creates conditions that initiate cardiac arrhythmias, which is particularly pronounced with REM apneas 1, 2

Physiological Mechanisms

  • The American Heart Association notes that diminished heart rate variability, reflecting autonomic imbalance, is associated with 2-3 fold increased cardiovascular mortality risk 3

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