Could years of sleep apnea obstructive cause autonomic dysfunction?

See below: Good question. Obstructive sleep apnea (osa) ; autonomic dysfunction have been studied intently over the recent years. There are direct links surfacing between the two but more indirect links exist via osa ; Insulin resistance. So to answer your question, it's possible, especially if the osa is poorly controlled w/ other comorbidities present exacerbating the situation. Best to keep osa in check!

It depends: Obstructive sleep apnea if treated will not. If untreated for long it may.