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...

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Main Author: Meneena Bright MD
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
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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 …
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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
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