Diagnostic Sleep Study: Roberta Cecolini

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Thank you fore referring Roberta Cecolini, a 67 year-old lady who has previously worked as a secretary and currently is caring for her 98 year-old mother. Roberta is a non-smoker and infrequently consumes alcohol. Regular medications include Avapro, Zoloft, Crestor and vitamin D. As you are aware, Roberta recently underwent a home-based diagnostic sleep study and much to my surprise, Roberta informs me that the technician did not actually perform an equipment set-up rather provided her the equipment in a suitcase and requested that she set herself up at home. The report from the study performed a couple of months ago indicates severe supine sleep related obstructive sleep apnoea with a respiratory disturbance index of 45 events/hr for the entire night. During supine sleep, the AHI was 66 events/hr as opposed to three events/hr during non-supine sleep. There was intermittent oxygen desaturation to a nadir of 81%. …show more content…

There is a history of snoring but no witnessed apnoeas or nocturnal choking/gasping episodes. She reports fragmented sleep but no history of nocturia. When she wakes at between 7.30 and 8.00am, she typically feels unrefreshed although is not aware of any significant daytime somnolence with a normal Epworth Sleepiness Score of 2/24. Roberta reports intermittent allergic rhinitis

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