Emergency: 9897216947

Patient: Naresh Kumar Gupta (Tundla)

DATE: 30-12-2021

(SLEEP STUDY TEST) PSG SUMMARY REPORT

Patient: Naresh Kumar Gupta AGE: 62 Yrs./M Weight: 107 Kg Height: 5.7 Ft.
DATE: 30-12-2021 BMI: 37.5kg/m2

Technical Comments: Flow limitation was observed, Witnessed Apneas.

PROCEDURE:
Single overnight attended comprehensive diagnostic & therapeutic sleep study (level I/II) done using a portable
data acquisition device.

REPORT:
The baseline sleep architecture was fragmented due to frequent arousals and wake periods. The sleep latency was
2.0 minutes. The sleep onset to REM sleep latency was 208.5 min minutes. Total sleep time was 404.5 minutes
with a sleep efficiency of 95.2% The REM sleep accounted for 28.3% and slow wave sleep was 15.6% of the total
sleep time.

The AHI was 62.3/h in the diagnostic part of the study. The lowest oxygen saturation recorded was 65% from the
baseline of 95% while awake and breathing room air. Most of the events were obstructive and were associated with
severe oxygen de-saturation. Snoring was severe throughout the diagnostic part.

TITRATION: Manual Titration Started (AUTO CPAP) with (Nasal Mask) in the latter half of the night and the
AHI dropped to 10.5/h. The lowest oxygen saturation recorded was 90% from the baseline of 95% while awake
and breathing room air.

PLM: The leg movements were not significant.

ECG: Patient was in regular sinus rhythm throughout the night without significant arrhythmias.

CONCLUSION:
Sleep Disordered Breathing (SDB) with (SEVERE) Obstructive and Central Sleep Apnea leading to (Severe)
Oxygen desaturation 65% and sleep fragmentation with good response to PAP Therapy with AUTO CPAP at 19
cmH2O.

RECOMMENDATION:

∙ Regular use of Auto Bilevel therapy device with Humidifier during sleep.
∙ Lifestyle modification and good sleep hygiene practices.
∙ Avoid supine position sleep.

Referred By
Dr. Vipul Mishra (MD)

Page 1 of 12
 Emergency: 9897216947

DATE: 28-12-2021

SPLIT NIGHT PSG REPORT

Patient Information

Name Naresh Kumar Gupta (Tundla) Age 62 Y

MR Ht.-5.7 Ft Referred By Dr. Vipul Mishra (MD) PT ID #107 Wt.-kg 107 Recorded By Meditech

Healthcare

Sex M BMI 37.5 Scored By Meditech Healthcare

Study Indication:

Polysomnography was conducted on the night of 28-12-2021. The following were monitored: central and occipital EEG,
electrooculogram (EOG), submentalis EMG, nasal and oral airflow, thoracic and abdominal wall motion, anterior tibialis EMG, body
position and electrocardiogram. Arterial oxygen saturation was monitored with a pulse oximeter. The tracing was scored using 30
second epochs. Hypopneas were scored per AASM definition.

Sleep Summary (All Night)

Lights Out: 22:57:17
Stage Duration % TST

Lights On: 06:02:17 N1 18.5 min 4.6% Total Recording Time: 425.0 min N2 208.5 min 51.5% Total Sleep Time

(TST): 404.5 min N3 63.0 min 15.6% Sleep Period Time: 421.0 min R 114.5 min 28.3% Sleep Onset: 22:59:17

Sleep Efficiency: 95.2 %

Latencies From Lights Out From Sleep Onset

Sleep Latency (from LOff): 2.0 min N1 2.0 min 0.0 min R Latency (from Sleep Onset): 208.5 min N2 5.5 min 3.5 min

Wake After Sleep Onset (WASO): 18.5 min N3 204.0 min 202.0 min Wake During Sleep: 16.5 min R 210.5 208.5 Total

Wake Time: 20.5 min

% Wake Time: 4.8

Page 2 of 12
 Emergency: 9897216947

Patient: Naresh Kumar Gupta (Tundla)

DATE: 28-12-2021

DIAGNOSTIC PORTION
Sleep Summary
Lights Out: 22:57:17
Stage Duration % TST

Lights On: 01:55:17 N1 10.5 min 6.4% Total Recording Time: 178.0 min N2 153.5 min 93.6% Total Sleep Time (TST):
164.0 min N3 0.0 min 0.0% Sleep Period Time: 171.5 min REM 0.0 min 0.0% Sleep Onset: 22:59:17
Sleep Efficiency: 92.1 %
Latencies From Lights Out From Sleep Onset

Sleep Latency (from LOff) 2.0 min N 1 2.0 min 0.0 min R Latency (from Sleep Onset): N/A N 2 5.5 min 3.5 min Wake
After Sleep Onset (WASO): 12.0 min N 3 min min Wake During Sleep: 7.5 min R N/A N/A Total Wake Time: 14.0 min
% Wake Time: 7.9
Respiratory Summary

By Event Classification Central Mixed Obstructive

Count Mean Max Count Mean Max Count Mean Max

Apneas, NREM 0 0.0 0.0 0 0.0 0.0 184 35.5 86.5 Apneas, REM
Apneas, Total 0 0.0 0.0 0 0.0 0.0 184 35.5 86.5
*Hypopneas scored based on 3% or greater desaturation.
Hypopneas, NREM 11 44.5 69.5 Hypopneas, REM
RERAs, NREM 0 0.0 0.0 RERAs, REM
Hypopneas, Total 11 44.5 69.5
RERAs, Total 0 0.0 0.0

Event Statistics Total With Arousal

Count Index Count Index

Apneas, Total 184 67.3 127 46.5 Hypopneas, Total 11 4.0 1 0.4

AHI: 62.3

AHI: 62.3

AHI: 65.3
Apnea + Hypopnea Total 195 128 46.8 Apnea + Hypopnea NREM 195 128 46.8 Apnea + Hypopnea REM 0
0.0 RERAs, Total 0 0.0 0 0.0
RDI: 62.3

RDI: 62.3

RDI: 65.3
Total Events (A+H+RERA) Total 195 128 46.8 Total Events (A+H+RERA) NREM 195 128 46.8 Total Events
(A+H+RERA) REM 0 0.0
Page 3 of 12
Patient: Naresh Kumar Gupta (Tundla)
DATE: 28-12-2021
Cheyne Stokes Breathing
 Emergency: 9897216947

W R N1 N2 N3 TIB NREM

Number 0 0 0 0 0 0 0 Longest Event (sec.)

Total Duration

Hypoventilation: None Present

Respiratory Summary by Body Position

By Body Position Back Left Right Prone Total Back Left Right Prone Total

Apn Index, REM 0.0 0.0 0.0 AHI, REM 0.0 0.0 0.0
Apn Index, NREM 73.6 43.4 75.0 67.3 Apn Index, Total 73.6 AHI, NREM 73.6 62.4 75.0 71.3 AHI, Total 73.6 62.4 75.0
43.4 75.0 67.3 Hyp Index, REM 0.0 0.0 0.0 71.3 RDI, REM 0.0 0.0 0.0
Hyp Index, NREM 0.0 19.1 0.0 4.0 Hyp Index, Total 0.0 19.1 RDI, NREM 73.6 62.4 75.0 71.3 RDI, Total 73.6 62.4 75.0
0.0 4.0 Duration (min) 123.6 34.7 10.4 171.5 71.3 TST (min) 121.4 34.6 8.0 178.0

Heart Rate Summary

Average Heart Rate During Sleep 76.8 bpm
Highest Heart Rate During Sleep 120 bpm
Highest Heart Rate During Sleep 95th % 96.0 bpm
Highest Heart Rate During Recording (TIB) 94 bpm
Highest Heart Rate During Recording (TIB) 95th % 108.0 bpm Heart Rate
Observations

Event Type # Events

Bradycardia 0 Lowest HR Scored: N/A Sinus Tachycardia During Sleep 0 Highest HR

Scored: N/A Narrow Complex Tachycardia 0 Highest HR Scored: N/A Wide Complex
Tachycardia 0 Highest HR Scored: N/A
Asystole 0 Longest Pause: N/A Atrial Fibrillation 0 Duration Longest Event: N/A Other
Arrythmias Yes or No Description:

Periodic Leg Movements

Total # Limb Movement 0 Total # Limb Movement Index 0.0

PLMS PLMS Index
Total # PLMS Arousals PLMS Arousal Index

Arousals

Total # Respiratory Limb Snore Spontaneous

Page 4 of 12
Patient: Naresh Kumar Gupta (Tundla)
DATE: 28-12-2021

Movement
 Emergency: 9897216947

REM 0 0 0 0 0 NREM 139 128 0 0 11 WAKE 0 0 0 0 0 TOTAL 139 128 0 0 11 INDEX 50.9
46.8 0.0 0.0 4.0

Oximetry Data

Average O2 while awake 92 % Average O2 while in Non-REM 80 %

Average O2 while in REM 90 % Approximate minimum O2 value 61 %

Oximetry Distribution

WK REM NREM Total

<50 % (min) 0.0 0.0 0.0 0.0 <60 % (min) 0.0 0.0 3.0 3.0 <70 % (min) 0.7 0.0 28.3 29.0
<75 % (min) 1.2 0.0 51.9 53.1 <80 % (min) 1.9 0.0 78.7 80.6 <85 % (min) 3.0 0.0 104.8
107.8
<90 % (min) 3.6 0.0 129.8 133.4 <95 % (min) 4.3 0.0 151.9 156.2 <0 % (min)
Fail (min) 0.1 0.0 0.0 0.1 Average (%) 92 80 81 Desat Index (#/hour) 71.3 71.3 Desat
Max (%) 0 0 40 40 Desat Max Dur (sec) 0.0 0.0 88.0 88.0

Oximetry Summary

W R NR Total

Fail Duration (min) 0.1 0.0 0.0 0.1 Average (%) 92 80 81 # of Desaturations* 0 0 195
195 Desat Index (#/hour) 71.3 71.3 Desat Max Dur (sec.) 0.0 0.0 88.0 88.0

*Desaturations based on 3% or greater drop from baseline.

Minimum SpO2 value during sleep: 65%
Minimum SpO2 value duration during sleep: 2 seconds
Minimum SpO2 value associated with a respiratory event: 65%

Page 5 of 12

Patient: Naresh Kumar Gupta (Tundla)

DATE: 28-12-2021
THERAPY PORTION
Sleep Summary
Lights Out: 01:55:17
Stage Duration % TST

Lights On: 06:02:17 N1 8.0 min 3.3% Total Recording Time: 247.0 min N2 55.0 min 22.9% Total Sleep Time (TST):
240.5 min N3 63.0 min 26.2% Sleep Period Time: 244.0 min REM 114.5 min 47.6% Sleep Onset: 01:56:17
 Emergency: 9897216947

Sleep Efficiency: 97.4 %

Latencies From Lights Out From Sleep Onset

Sleep Latency (from LOff): 1.0 min N1 1.0 min 0.0 min R Latency (from Sleep Onset): 31.5 min N2 7.0 min 6.0 min
Wake After Sleep Onset (WASO): 5.5 min N3 26.0 min 25.0 min Wake During Sleep: 3.5 min R 32.5 31.5 Total Wake
Time: 6.5 min
% Wake Time: 2.6
Respiratory Summary

By Event Classification Central Mixed Obstructive

Count Mean Max Count Mean Max Count Mean Max

Apneas, NREM 9 25.0 37.5 4 31.5 56.5 12 21.8 36.0 Apneas, REM 0 0.0 0.0 0 0.0 0.0 1 10.0 10.0 Apneas, Total 9 25.0 37.5 4
31.5 56.5 13 20.9 36.0

*Hypopneas scored based on 3% or greater desaturation.

Hypopneas, NREM 0 0.0 0.0 Hypopneas, REM 0 0.0 0.0 Hypopneas, Total 0
RERAs, NREM 0 0.0 0.0 RERAs, REM 0 0.0 0.0
0.0 0.0
RERAs, Total 0 0.0 0.0

Event Statistics Total With Arousal

Count Index Count Index

Apneas, Total 26 6.5 3 0.7 Hypopneas, Total 0 0.0 0 0.0

AHI: 10.5

AHI: 10.5

AHI: 2.5

Apnea + Hypopnea Total 26 3 0.7 Apnea + Hypopnea NREM 25 3 1.4 Apnea + Hypopnea REM 1 0 0.0
RERAs, Total 0 0.0 0 0.0
RDI: 10.5

RDI: 10.5

RDI: 2.5

Total Events (A+H+RERA) Total 26 3 0.7 Total Events (A+H+RERA) NREM 25 3 1.4 Total Events
(A+H+RERA) REM 1 0 0.0

Page 6 of 12
Patient: Naresh Kumar Gupta (Tundla)
DATE: 28-12-2021

Cheyne Stokes Breathing: None Present

Hypoventilation: None Present

Respiratory Summary by Body Position

By Body Position Back Left Right Prone Total Back Left Right Prone Total

Apn Index, REM 0.0 0.0 0.7 0.5 Apn Index, NREM 41.2 2.2 6.3 AHI, REM 0.0 0.0 0.7 0.5 AHI, NREM 41.2 2.2 6.3 11.9
11.9 Apn Index, Total 41.2 1.0 3.5 6.5 Hyp Index, REM 0.0 0.0 AHI, Total 41.2 1.0 3.5 6.5 RDI, REM 0.0 0.0 0.7 0.5 RDI,
 Emergency: 9897216947

0.0 0.0 Hyp Index, NREM 0.0 0.0 0.0 0.0 Hyp Index, Total 0.0 NREM 41.2 2.2 6.3 11.9 RDI, Total 41.2 1.0 3.5 6.5 TST
0.0 0.0 0.0 Duration (min) 24.2 61.4 158.4 244.0 (min) 23.3 61.0 156.2 247.0

Heart Rate Summary

Average Heart Rate During Sleep 71.0 bpm
Highest Heart Rate During Sleep 79 bpm
Highest Heart Rate During Sleep 95th % 84.0 bpm
Highest Heart Rate During Recording (TIB) 89 bpm
Highest Heart Rate During Recording (TIB) 95th % 85.0 bpm
Heart Rate Observations

Event Type # Events

Bradycardia 0 Lowest HR Scored: N/A Sinus Tachycardia During Sleep 0 Highest HR

Scored: N/A Narrow Complex Tachycardia 0 Highest HR Scored: N/A Wide Complex
Tachycardia 0 Highest HR Scored: N/A
Asystole 0 Longest Pause: N/A Atrial Fibrillation 0 Duration Longest Event: N/A Other
Arrythmias Yes or No Description:

Periodic Leg Movements

Total # Limb Movement 0 Total # Limb Movement Index 0.0

PLMS PLMS Index
Total # PLMS Arousals PLMS Arousal Index

Page 7 of 12
Patient: Naresh Kumar Gupta (Tundla)
DATE: 28-12-2021

Arousals

Total # Respiratory Limb Snore Spontaneous

Movement

REM 0 0 0 0 0 NREM 21 3 0 4 14 WAKE 1 0 0 0 1 TOTAL 22 3 0 4 15 INDEX 5.5 0.7 0.0

1.0 3.7
 Emergency: 9897216947

Oximetry Data

Average O2 while awake 98 % Average O2 while in Non-REM 96 %

Average O2 while in REM 98 % Approximate minimum O2 value 90 %

Oximetry Distribution

WK REM NREM Total

Page 8 of 12
<50 % (min) 0.0 0.0 0.0 0.0 <60 % (min) 0.0 0.0 0.0 0.0 <70 % (min) 0.0 0.0 0.0 0.0
Patient: Naresh Kumar
<75 % (min) 0.0 0.0 0.0 0.0 <80 % (min) 0.0 0.0 0.0 0.0 <85 % (min) 0.0 0.0 0.0 0.0
<90 % (min) 0.0 0.0 2.3 2.3 <95 % (min) 0.0 0.0 13.1 13.1 <0 % (min)
Gupta (Tundla)
Fail (min) 0.2 0.0 0.2 0.4 Average (%) 98 98 96 97 Desat Index (#/hour) 0.0 10.0 5.2 DATE: 28-12-2021
Desat Max (%) 0 0 13 13 Desat Max Dur (sec) 0.0 0.0 70.0 70.0
TITRATION
Pressure Distribution
Oximetry Summary
RxIn TIB Sleep REM Apneas Hypopneas A+H RERAs
s
W R NR Total
cmH2O (min) (min) (min) CA# OA# MA# Index Count Index Index Count Index RDI
Fail Duration (min) 0.2 0.0 0.2 0.4 Average (%) 98 98 96 97 # of Desaturations* 0 0 21
21 Desat
4 Index (#/hour)
10 0.0 10.0055.2 Desat
0.0 Max Dur
0 (sec.) 2
0.0 0.0 70.0
1 70.0 40.9 0 0.0 40.9 0 0.0 40.9

6 12 10 0.0 2 0 0 16.4 0 0.0 16.4 0 0.0 16.4

8 13 10 0.0 3 0 1 66.7 0 0.0 66.7 0 0.0 66.7

10
*Desaturations based15
on 3% or12 0.0 from baseline.
greater drop 0 0 1 24.0 0 0.0 24.0 0 0.0 24.0
Minimum SpO2 value during sleep: 90%
11 20 19 0.0 0 3 0 18.2 0 0.0 18.2 0 0.0 18.2
Minimum SpO2 value duration during sleep: 4 seconds
12
Minimum SpO2 value 30 29with a respiratory
associated 9.5 0event: 90`%
2 0 8.5 0 0.0 8.5 0 0.0 8.5

13 50 48 24.8 0 1 0 1.6 0 0.0 1.6 0 0.0 1.6

14 100 95 55.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0

20 00 00 00 00 00 00 00 00 00 00 00 00 00

Optimal Pressure: 19 cmH2O

Mask Type/Size: Nasal Mask
Humidifier Type: 3
Chin Strap:
 Emergency: 9897216947

Page 9 of 12
Patient Name: Naresh Kumar Gupta (Tundla)
Date: 28-12-2021

NIGHT HYPNOGRAM
 Emergency: 9897216947

OSA

Page 10 of 12

Patient Name: Naresh Kumar Gupta (Tundla)

Date: 28-12-2021
 Emergency: 9897216947

Page 11 of 12

Patient Name: Naresh Kumar Gupta (Tundla)

Date: 28-12-2021
 Emergency: 9897216947

WITH CPAP

Page 12 of 12