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Differences in the duration of individual respiratory events, total apnea and hypopnea times, and the percentage of disturbed breathing from total sleep time (AHT%) were compared between normotensive and hypertensive patients separately by genders. Furthermore, differences in the respiratory event characteristics were assessed between three AHT% groups (AHT%\u2009\u2264\u200930%, 30%\u2009&lt;\u2009AHT%\u2009\u2264\u200945%, and AHT%\u2009&gt;\u200945%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Hypertensive women had lower percentage apnea time (15.2% vs. 18.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.003) and AHT% (33.5% vs. 36.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.021) when compared with normotensive women. However, these differences were not observed between hypertensive and normotensive men. Percentage hypopnea time was higher in hypertensive men (13.5% vs. 11.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.043) but not in women (15.2% vs. 12.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.130) compared with their normotensive counterparts. The variation in AHI explained 60.5% (<jats:italic>\u03c1\u2009=<\/jats:italic>\u00a00.778) and 65.0% (<jats:italic>\u03c1\u2009=<\/jats:italic>\u00a00.806) of the variation in AHT% in normotensive and hypertensive patients, respectively. However, when AHT% increased, the capability of AHI to explain the variation in AHT% declined.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>There is a major inter- and intra-gender variation in percentage apnea and hypopnea times between hypertensive and normotensive patients with severe OSA. OSA is an important risk factor for hypertension and thus, early detection and phenotyping of OSA would allow timely treatment of patients with the highest risk of hypertension.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11325-020-02047-8","type":"journal-article","created":{"date-parts":[[2020,4,5]],"date-time":"2020-04-05T10:02:32Z","timestamp":1586080952000},"page":"105-116","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Polysomnographic characteristics of severe obstructive sleep apnea vary significantly between hypertensive and normotensive patients of both genders"],"prefix":"10.1007","volume":"25","author":[{"given":"T.","family":"Lepp\u00e4nen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kulkas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"T\u00f6yr\u00e4s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Myllymaa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Gadoth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Oksenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,4,5]]},"reference":[{"key":"2047_CR1","doi-asserted-by":"publisher","first-page":"zsy083","DOI":"10.1093\/sleep\/zsy083","volume":"41","author":"D Hillman","year":"2018","unstructured":"Hillman D, Mitchell S, Streatfeild J, Burns C, Bruck D, Pezzullo L (2018) The economic cost of inadequate sleep. 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