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sir my name is dr douglas bradley im a professor of medicine at the university of toronto im the former director of the division of respirology for the university of toronto i also run the sleep medicine programs at the university health network in toronto well prior to the trial that we just i just presented there was evidence from smaller trials many of which were done in my laboratory that treating both obstructive and central sleep apnea improved cardiovascular function by increasing ejection fraction reducing sympathetic nervous system activity and also theres evidence that it improved to exercise tolerance on the six-minute walking test so theres a number of physiological factors that improve that would suggest that it might improve mortality and hospitalizations as well cellular device is called adaptive cerebral ventilation basically its like a pacemaker so if youre stopped breathing the mesh if you stop breathing you have a center lap the machine will ventilate you okay