Polysomnography Report

Unknown Institution
Total Recording Time: 5 hours 52 minutes ( 352 minutes ) Lights Off Clock Time: 23/02/2011 23:26 Lights On Clock Time: 24/02/2011 5:17

Patient Information
Name: ID: Address: City: Zip Code: E-Mail: Phone:

Mr.Mahaboob

Sleep Summary

Date of Birth: Age: Gender: Height: Weight: BMI: Cheyne Stokes Breathing: Apnea + Hypopnea (A+H): Obstructive Apnea: Central Apnea: Mixed Apnea: Hypopnea (All): Obstructive Hypopnea: Central Hypopnea: Mixed Hypopnea: Oxygen Desaturation Events (OD): Snore Time: Limb Movement: PLMI: 66 51 0 0 15 -

1/01/1952 59 Male N/A N/A N/A No 62.4 / 48.2 / 0.0 / 0.0 / 14.2 / h h h h h

Total Recording Time: Sleep Period: Wake After Sleep Onset: Total Sleep Time: Sleep Onset: Sleep Efficiency: Number of Awakenings: Sleep Latency to N1: Sleep Latency to N2: Sleep Latency to N3 (SWS): Stage R Latency from Sleep Onset:

351.9 minutes 327.9 minutes 264.4 minutes 63.5 minutes 24.0 minutes 18.0 % 27 24.0 minutes 34.5 minutes 36.0 minutes - minutes

34.4 minutes 60 25.5

57

53.9 / h 54.1 %

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Polysomnography Report Study Date: 23/02/2011

Summary Graph

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Polysomnography Report Study Date: 23/02/2011

Sleep Information
Minutes: % of TST % of Sleep Period N1 36.0 min 56.7 % 11.0 % N2 12.5 min 19.7 % 3.8 % N3 15.0 min 23.6 % 4.6 % R 0.0 min - % - % Wake 288.4 min 80.6 %

Arousal Statistics

Arousals Apnea Arousals LM Arousals Desaturation Arousals Respiratory Arousals User Defined Arousals

Number 0 0 0 0 0 0

Index 0.0 0.0 0.0 0.0 0.0 0.0

Spontaneous Arousals Hypopnea Arousals PLM Arousals Snore Arousals RERA Total Arousals

Number 0 0 0 0 0 0

Index 0.0 0.0 0.0 0.0 0.0 0.0

Apnea/Hypopnea Statistics
Respiration Apnea Obstructive Central Mixed Hypopnea (All): Obstructive Central Mixed Total
Number

51 77.3 51 77.3 0 0.0 0 0.0 15 22.7 66

A or H/h

48.2 48.2 0.0 0.0 14.2 62.4

Supine

3 3 0 0 2 5

Non-Supine

48 48 0 0 13 61

Mean [seconds]

17.8 17.8 0.0 0.0 22.1 18.8

Longest [seconds]

28.7 28.7 0.0 0.0 64.7 64.7

Respiration Apnea Obstructive Central Mixed Hypopnea (All): Obstructive Central Mixed Total

Number in REM

REM Index

Number in NREM

51 51 0 0 15 66

NREM Index

48.2 48.2 0.0 0.0 14.2 62.4

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Apnea-Desaturation Relation
Desaturation >90% 81-90% 71-80% 61-70% 51-60% <50% Total Apnea 15 20 0 0 0 0 35
Obstructive

15 20 0 0 0 0 35

Central

0 0 0 0 0 0 0

Mixed

0 0 0 0 0 0 0

Hypopnea Total 9 24 4 24 0 0 0 0 0 0 0 0 13 48

Breath Statistics
Breath Type Normal Breath [#] Breath with flow limitation [#]
& no snore [#] & snore [#]

All Breaths [#]

Flow Limitation Index [%]

Data Source:

Flow

Total 929 72 13 59 1001 7.2

Supine Position 107 9 2 7 116 7.8

Non-Supine Position 822 63 11 52 885 7.1

Snoring Statistics

Snoring Time: Relative Snoring Time: Number of Snoring Episodes: Average Snoring Episode Duration: Longest Snoring Episode:

34.4 54.1 76 0.5 2.0

minutes % minutes minutes

SpO2 Statistics
Mean Oxygen Saturation: Lowest Oxygen Saturation: Average Desaturation: 96.5 83.0 6.9 % % % Saturation < 90%: Saturation < 80%: Saturation < 70%: 1 minute 97.0 % -% 96.5 % 4.7 % % %

Average Oxygen Saturation during wake: Average Oxygen Saturation during REM: Average Oxygen Saturation during NREM:

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Desaturation Statistics
Position Total Supine Non-Supine Desaturation Fall Total <5% 5%-9% 10%-20% >20% Desaturation Low Point Number OD/h Number 57 4 53 OD/h 53.9 35.7 56.0 Average OD Fall [%] 6.9 6.8 6.9 Average OD [%] 90.3 90.0 90.3

Number 57 9 39 9 0 <90% 22 20.8

Cumulative Number 57 57 48 9 0 <85% 1 0.9 <80% 0 0.0

OD/h 53.9 8.5 36.9 8.5 0.0 <70% 0 0.0

Cumulative OD/h 53.9 53.9 45.4 8.5 0.0 <60% 0 0.0

Heart Rate Statistics

Total Supine Non-Supine REM NREM

Mean [bpm] 73.8 76.8 73.1 74.8

(STD) [bpm] 14.0 14.1 13.9 13.6

Min [bpm] 25.7 26.9 25.7 34.9

Max [bpm] 148.1 144.2 148.1 138.7

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Cardiac Events
Heart Rate Average Heart Rate during Sleep: Highest Heart Rate during Sleep: Lowest Heart Rate during Sleep: 138.68 148.08 74.77 bpm bpm bpm bpm bpm Longest Pause sec

Highest Heart Rate during Recording: Lowest Heart Rate during Recording:

34.91 25.73 0 0 0 0 0 0 0

Arrhythmias

Narrow Complex Tachycardia:

Sinus Tachycardia:

Asystole:

Highest Heart Rate Highest Heart Rate Highest Heart Rate

bpm bpm bpm bpm

Wide Complex Tachycardia:

PLM Statistics
LM

Other Arrhythmia:

Atrial Fibrillation:

Bradycardia:

Lowest Heart Rate:

All EMG.Tibialis
LM with Arousals LM with Apnea/Hypopnea LM with no association LM during N1 LM during N2 LM during N3 LM during R

Number 60 0 16 44 34 12 14 0

Index 56.7 0.0 15.1 41.6 56.7 57.6 56.1 0.0

During PLM Number 27 0 2 25 17 2 8 0 Minimum Duration [seconds] 0.5 0.8 112.7

Index 25.5 0.0 1.9 23.6 28.3 9.6 32.0 0.0 Maximum Duration [seconds] 8.7 4.4 211.1

Limb Movements (LM) LM in PLM PLM

Total Number 60 27 5

Index 56.7 25.5 4.7

Mean Duration [seconds] 2.3 2.0 159.4

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Position Statistics
Position Supine Left Prone Right Upright Unknown Total

Index time [minutes] 6.7 7.1 2.4 47.3 0.0 0.0 63.5

Relative [%] 10.6 11.2 3.8 74.4 0.0 0.0 100.0

Transitions

208 (197/h)

A+H/h 44.6 93.0 59.7 -

Respiratory Data Integrity

Flow: SpO2: Pulse: 100.0 98.3 99.5 % % % Percentage of time with no artifacts. Low values, less than 90%, normally indicate bad or low signal quality.

Scoring Information

Recording Information
Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace: Trace:

Scorer Name: Sleep Scoring Assistant Scoring Palette: Sleep Scoring Comments:

Scoring Date: 24/02/2011 11:36:40

C3 (Signal: EEG-C3) C4 (Signal: EEG-C4) M1 (Signal: EEG-M1) M2 (Signal: EEG-M2) EKG (Signal: EKG) ChinL (Signal: EMG.Chin-Lower.Left) ChinR (Signal: EMG.Chin-Lower.Right) Left Leg (Signal: EMG.Tibialis-Leg.Left) E1 (Signal: EOG-E1) E2 (Signal: EOG-E2) Position (Signal: Pos.Discreet) Pulse (Signal: Pulse.Averaged-Probe) Flow_CU (Signal: Resp.Flow-Cannula.Nasal) Abdomen (Signal: Resp.Movement-Inductive.Abdomen) Thorax (Signal: Resp.Movement-Inductive.Thorax) Phase_CU (Signal: Resp.Phase-Inductive) RMI_CU (Signal: Resp.RMI-Inductive) Snore_CU (Signal: Resp.Snore-Cannula.Nasal) SpO2 (Signal: SpO2.Averaged-Probe) SpO2-Quality_CU (Signal: SpO2.Averaged-Quality) Polysomnography Report Study Date: 23/02/2011

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Polysomnography Report Study Date: 23/02/2011

Analysis Criteria

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Respiratory Analysis Profile: Default PLM Analysis Profile: Default Report Profile: Default Body position detection: Changes in position lasting less than 5.0 s are not considered valid.

Desaturation Analysis An oxygen desaturation event was detected when the oxygen saturation fell by at least 4%. All saturations values below 50% were excluded as artifact values and not counted as part of a desaturation event. Apnea Detection A sleep apnea event was detected when a 10.0 second(s) interval of the signal dropped below 10.0% of the reference amplitude. The reference amplitude was calculated as the mean value of the peak amplitudes found in a period of 100 seconds preceding the event. All events lasting longer then 120.0 seconds were excluded.

Hypopnea Detection A hypopnea event was detected when a 10.0 second(s) interval of the signal dropped below 70.0% of the reference amplitude. The reference amplitude was calculated as the mean value of the peak amplitudes found in a period of 100 seconds preceding the event. All events lasting longer then 120.0 seconds were excluded.For a Hypopnea to be scored, a desaturation event had to occur no later than 20.0 seconds after the start of the Hypopnea. Respiration effort stop detection: A respiration effort stop was detected where intersecting effort stops were found in both belts. Abdomen method: A respiration effort stop was detected when the amplitude of a 5.0 second(s) interval of the signal dropped below 10% of the reference amplitude. The reference amplitude was calculated as the mean value of the amplitudes found in a period of 240 seconds preceding the signal drop. All events lasting longer than 120 seconds were excluded. Thorax method: A respiration effort stop was detected when the amplitude of a 5.0 second(s) interval of the signal dropped below 10% of the reference amplitude. The reference amplitude was calculated as the mean value of the amplitudes found in a period of 240 seconds preceding the signal drop. All events lasting longer than 120 seconds were excluded. Snoring detection: Minimum number of snores needed to create a snoring period are 3. Snoring periods are merged into one if the interval between them was less than 10.0 s. Snoring periods are allowed to continue through movement periods. Pulse artifact detection: An artifact was scored in the Pulse trace where Pulse values below 25 or above 250 were found.

LM Analysis: Traces Used: Left Leg Non EMG-envelope traces with sampling frequencies higher that 20 Hz are band pass filtered (low: 10 Hz, high 45 Hz), rectified and downsampled to 20Hz before analysis. LMs have duration in the range of 0.5 s - 10.0 s. The baseline is active and calculated dynamically through the whole night. LM events exceed amplitude of 8.0 times baseline and are lower than 200.0 times baseline. LMs are merged into one if the interval between them is less than 5.0 seconds. LM events may be scored 0.0 seconds into wake.

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LM events may be scored 0.0 seconds into wake.

PLM Analysis: Traces Used: Left Leg PLMs consist of 4 or more LMs with intervals greater than 5.0 seconds and less than 90.0 seconds. LMs associated with apneas are discarded from PLM detection. PLMs can overlap wake periods. Arousal is associated with LM if it starts 0.5 seconds before and 0.5 seconds after the LM. Apnea is associated with LM if it 10.0 seconds before and 0.0 seconds after the LM. Automatic detection of events: Events were not detected during movement period or 10.0 seconds after a movement period or during wake if present. Following event(s) were not used in the report because they occurred in the period described above: 149 Obstructive Apneas, 4 Hypopneas, 75 Desaturations, Index Time = Analyzed Time - (Movement Time(+ interval of no events) + Wake Time). The Index Time is derived from the total Analyzed Time minus the total Movement (and interval of no events) and Wake (if present) Time values.

Valid pulse interval is from 25.0 bpm to 150.0 bpm but not during artifacts. Values excluded from pulse spanned 0.0 minutes. Valid SpO2 interval is from 50.0 % to 100.0 % but not during artifacts. Values excluded from SpO2 spanned 41.9 minutes. Sleep Efficiency is calculated from Total Sleep Time/Total Recording Time.

Sleep onset is calculated as the duration from analysis start (Lights off) to the first epoch of Sleep.

Latency to stage N1 is calculated from analysis start (lights off) until 30.0 seconds of consecutive N1 sleep. Latency to stage N2 is calculated from analysis start (lights off) until 30.0 seconds of consecutive N2 sleep. Latency to stage N3 is calculated from analysis start (lights off) until 30.0 seconds of consecutive N3 sleep. Latency to Stage R is calculated from sleep onset until 30.0 seconds of continuous R sleep.

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Polysomnography Report Study Date: 23/02/2011