July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep
No abstract available. Article truncated after first 150 words. A 31-year-old man presented for follow-up in the Sleep Medicine clinic. He has a past medical history of a seizure disorder and supraventricular tachycardia (SVT) and was referred after complaining of excessive daytime sleepiness. Curre...
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
Arizona Thoracic Society
2023-07-01
|
Series: | Southwest Journal of Pulmonary and Critical Care |
Subjects: | |
Online Access: | https://www.swjpcc.com/sleep/2023/7/1/july-2023-sleep-case-of-the-month-fighting-for-a-good-nights.html |
_version_ | 1797790414247297024 |
---|---|
author | Meneena Bright MD |
author_facet | Meneena Bright MD |
author_sort | Meneena Bright MD |
collection | DOAJ |
description | No abstract available. Article truncated after first 150 words. A 31-year-old man presented for follow-up in the Sleep Medicine clinic. He has a past medical history of a seizure disorder and supraventricular tachycardia (SVT) and was referred after complaining of excessive daytime sleepiness. Current medications include citalopram and diltiazem. Four months prior, he was diagnosed with severe obstructive sleep apnea characterized by an apnea-hypopnea index (AHI) of 34 and an oxygen saturation nadir of 86%. The patient was initiated on continuous positive airway pressure (CPAP) therapy; however, he reported ongoing mask discomfort and difficulty with exhalation while wearing CPAP. Despite partial improvement in sleep fragmentation and daytime sleepiness, the patient reported sleeping for only 4 hours per night. The patient's sleep schedule was irregular, with bedtime ranging between 9:30 pm and 12 am, waking up at 5 am, and taking a daily nap for 4-5 hours in the morning during which he continued to use CPAP. Additionally, he described … |
first_indexed | 2024-03-13T02:04:18Z |
format | Article |
id | doaj.art-710ff12d2caf4ca795e05c8ad10d6373 |
institution | Directory Open Access Journal |
issn | 2160-6773 |
language | English |
last_indexed | 2024-03-13T02:04:18Z |
publishDate | 2023-07-01 |
publisher | Arizona Thoracic Society |
record_format | Article |
series | Southwest Journal of Pulmonary and Critical Care |
spelling | doaj.art-710ff12d2caf4ca795e05c8ad10d63732023-07-01T12:42:17ZengArizona Thoracic SocietySouthwest Journal of Pulmonary and Critical Care2160-67732023-07-012711310.13175/027-23swjpccsJuly 2023 Sleep Case of the Month: Fighting for a Good Night’s SleepMeneena Bright MD0Sleep Medicine, Brigham and Women’s Hospital Harvard Medical School, Boston, MA USANo abstract available. Article truncated after first 150 words. A 31-year-old man presented for follow-up in the Sleep Medicine clinic. He has a past medical history of a seizure disorder and supraventricular tachycardia (SVT) and was referred after complaining of excessive daytime sleepiness. Current medications include citalopram and diltiazem. Four months prior, he was diagnosed with severe obstructive sleep apnea characterized by an apnea-hypopnea index (AHI) of 34 and an oxygen saturation nadir of 86%. The patient was initiated on continuous positive airway pressure (CPAP) therapy; however, he reported ongoing mask discomfort and difficulty with exhalation while wearing CPAP. Despite partial improvement in sleep fragmentation and daytime sleepiness, the patient reported sleeping for only 4 hours per night. The patient's sleep schedule was irregular, with bedtime ranging between 9:30 pm and 12 am, waking up at 5 am, and taking a daily nap for 4-5 hours in the morning during which he continued to use CPAP. Additionally, he described … https://www.swjpcc.com/sleep/2023/7/1/july-2023-sleep-case-of-the-month-fighting-for-a-good-nights.htmlrapid eye movement behavior disorderdream enactment behaviorovernight polysomnogramserotonin reuptake inhibitormelatonindiagnosistreatmentbenzodiazepamspramipexolemuscle atonia |
spellingShingle | Meneena Bright MD July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep Southwest Journal of Pulmonary and Critical Care rapid eye movement behavior disorder dream enactment behavior overnight polysomnogram serotonin reuptake inhibitor melatonin diagnosis treatment benzodiazepams pramipexole muscle atonia |
title | July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep |
title_full | July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep |
title_fullStr | July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep |
title_full_unstemmed | July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep |
title_short | July 2023 Sleep Case of the Month: Fighting for a Good Night’s Sleep |
title_sort | july 2023 sleep case of the month fighting for a good night s sleep |
topic | rapid eye movement behavior disorder dream enactment behavior overnight polysomnogram serotonin reuptake inhibitor melatonin diagnosis treatment benzodiazepams pramipexole muscle atonia |
url | https://www.swjpcc.com/sleep/2023/7/1/july-2023-sleep-case-of-the-month-fighting-for-a-good-nights.html |
work_keys_str_mv | AT meneenabrightmd july2023sleepcaseofthemonthfightingforagoodnightssleep |