Truths and Lies from the Polysomnography ECG Recording: An Electrophysiologist Perspective | Zendy

Adrián Baranchuk | Zendy; Christina Quinlan | Zendy; Kevin Michael | Zendy; Christopher S. Simpson | Zendy; Damian Redfearn | Zendy; Michael Fitzpatrick | Zendy

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Truths and Lies from the Polysomnography ECG Recording: An Electrophysiologist Perspective

Author(s) -

Adrián Baranchuk,

Christina Quinlan,

Kevin Michael,

Christopher S. Simpson,

Damian Redfearn,

Michael Fitzpatrick

Publication year - 2009

Publication title -

case reports in medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.2

H-Index - 20

eISSN - 1687-9627

pISSN - 1687-9635

DOI - 10.1155/2009/675078

Subject(s) - medicine , polysomnography , gold standard (test) , confusion , cardiac electrophysiology , apnea–hypopnea index , apnea , sleep apnea , obstructive sleep apnea , intensive care medicine , cardiology , anesthesia , electrophysiology , psychology , psychoanalysis

Polysomnography remains the gold standard for diagnosis of Sleep Apnea (SA) and evaluation of the apnea/hypopnea index (AHI) which is used as the primary index of SA severity. The electrocardiogram (typically a single lead) obtained during the polysomnographic study is usually used to report the association between SA and cardiac rhythm disturbances. These findings help in guiding medical decisions but they could also represent a source for confusion. Electrophysiologists are frequently consulted to determine whether interventions need to be taken. We present 2 cases where the ECG during a polysomnography study required the intervention of an electrophysiologist to help with management.

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