Breathing disorders during sleep including obstructive sleep apnea (airway collapse), central sleep apnea (brain signal failure), and complex sleep apnea. Causes repetitive oxygen desaturations and sleep fragmentation. Symptoms include loud snoring, witnessed apneas, excessive daytime sleepiness, morning headaches, cognitive impairment. Increases cardiovascular risk.
Chronic respiratory failure with carbon dioxide retention (shown by PaCO2 >45 mmHg on arterial blood gas) or cor pulmonale, or; requires tracheostomy
Requiring use of breathing assistance device such as CPAP
Persistent daytime hypersomnolence
Asymptomatic despite positive sleep study
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how sleep apnea syndromes affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for sleep apnea syndromes, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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