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I read with interest the recent article by Dr. Michael Levitzky on using the pathophysiology of obstructive sleep apnea (OSA) to teach cardiopulmonary integration . With 10 years of experience of teaching courses in both respiratory physiology and sleep at the University of Toronto, I also find that sleep-related breathing disorders, including OSA, provide a rich resource of material to integrate fundamental physiological principles. Importantly, these disorders also provide a focus for interesting case presentations to illustrate these integrative concepts. Indeed, in a previous issue of Advances in Physiology Education, we first introduced the use of sleep as a teaching tool for integrative respiratory physiology, and a major focus of that article was OSA.
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