EKG



EKG


James D. Geyer, MD

Paul R. Carney, MD









FIGURE 9-1 Polysomnogram: CPAP montage (prior display montage); 30 second page.

Clinical: 56-year-old man with snoring and excessive daytime sleepiness.

Staging: Stage 2 sleep.

Respiratory: Intermittent snoring.

EKG: Frequent premature ventricular complexes (PVCs) with couplets (*).







FIGURE 9-2 Polysomnogram: Standard montage (prior display montage); 30 second page.

Clinical: 48-year-old woman with intermittent snoring and witnessed apneas.

Staging: Stage 1 sleep.

Respiratory: Normal respirations.

EKG: Narrow premature complexes (*) without definite P waves.







FIGURE 9-3 Polysomnogram: Standard montage (prior display montage); 10 second page.

Clinical: 48-year-old woman with intermittent snoring and witnessed apneas.

Staging: Stage 1 sleep.

Respiratory: Normal respirations.

EKG: Narrow premature complexes (*) without definite P waves.







FIGURE 9-4 Polysomnogram: Standard montage (prior display montage); 30 second page.

Clinical: 27-year-old man with obstructive sleep apnea.

Staging: Stage 2 sleep.

Respiratory: Apnea followed by an arousal, snoring, and an oxygen desaturation.

EKG: Ventricular bigeminy.







FIGURE 9-5 Polysomnogram: CPAP montage (prior display montage); 30 second page.

Clinical: 31-year-old man with obstructive sleep apnea.

Staging: Stage 2 sleep.

Respiratory: Normal respirations.

EKG: Ventricular trigeminy.







FIGURE 9-6 Polysomnogram: CPAP montage (prior display montage); 30 second page.

Clinical: 71-year-old man with obstructive sleep apnea.

Staging: Stage 2 sleep.

Respiratory: Normal respirations.

EKG: Ventricular quintigeminy.







FIGURE 9-7 Polysomnogram: CPAP montage (prior display montage); 60 second page.

Clinical: 69-year-old man with obstructive sleep apnea and atrial fibrillation.

Staging: Stage 2 sleep.

Respiratory: Mild variations in respiratory effort.

EKG: Atrial fibrillation.







FIGURE 9-8 Polysomnogram: Standard montage (prior display montage); 30 second page.

Clinical: 52-year-old man with excessive daytime sleepiness and intermittent atrial fibrillation.

Staging: Stage REM sleep.

EKG: Atrial fibrillation.







FIGURE 9-9 Polysomnogram: Standard montage (prior display montage); 30 second page.

Clinical: 40-year-old woman with obstructive sleep apnea.

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Oct 17, 2018 | Posted by in NEUROLOGY | Comments Off on EKG

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