Mixed

Positive airway pressure (PAP) therapy, including CPAP and ASV, does not reduce the risk of major adverse cardiovascular events (ACS, stroke, vascular death) or all-cause mortality in adults with sleep apnea compared to no treatment or sham.

If you have sleep apnea, use PAP to improve your sleep quality and daytime alertness, as it does provide symptomatic relief. However, do not rely on PAP alone to protect your heart or prevent death. You must still follow standard cardiovascular prevention guidelines, such as managing blood pressure, cholesterol, and using antiplatelet therapy if indicated.