Indian Journal of Sleep Medicine

Register      Login

VOLUME 7 , ISSUE 4 ( October-December, 2012 ) > List of Articles

REVIEW ARTICLE

How to interpret the results of a clinical polysomnogram

Deepak Shrivastava

Citation Information : Shrivastava D. How to interpret the results of a clinical polysomnogram. Indian Sleep Med 2012; 7 (4):113-118.

DOI: 10.5958/j.0974-0155.7.4.018

License: CC BY-SA 4.0

Published Online: 01-10-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Heightened public awareness of sleep disorders has significantly increased the demand for sleep studies. There is ever increasing number of sleep studies being done and report of the results are shared by the sleep specialists and the primary care physicians. Understanding the information discussed in the overnight sleep study report is crucial as it provides significant insight into the sleep pathophysiology in relation to patient symptoms. The purpose of this article is to provide a simple and easy method to interpret the reported results of polysomnography for the physicians and other health care providers. This will facilitate better understanding of the underlying pathophysiology of the sleep disorder and appropriate management of patients.


PDF Share
  1. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep disordered breathing among middle-aged adults. N Engl J Med.1993;328:1230–5.
  2. Bradley TD, Floras JS. Obstructive sleep apnoea and its cardiovascular consequences. Lancet. 2009 Jan 3; 373(9657):82-93.
  3. Hirshkowitz M. The clinical consequences of obstructive sleep apnea and associated excessive sleepiness. J Fam Pract. 2008 Aug; 57(8 Suppl):S9-16.
  4. Pressman MR (2002). Primer of Polysomnogram Interpretation. Boston: Butterworth Heinemann.
  5. Iber, C; Ancoli-Israel, S; Chesson, A; Quan, SF for the American Academy of Sleep Medicine (2007). The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Westchester: American Academy of Sleep Medicine.
  6. Lee-Chiong TL, editor. Sleep: a comprehensive handbook. Hoboken, N.J.: John Wiley & Sons; 2006.
  7. Ratnavadivel R; Chau N; Stadler D; Yeo A; McEvoy RD; Catcheside PG. Marked reduction in obstructive sleep apnea severity in slow wave sleep. J Clin Sleep Med 2009; 5(6):519-524.
  8. Sasai T, et al, Clinical significance of periodic leg movements during sleep in rapid eye movement sleep behavior disorder. J Neurol 2011 Nov; 258(11):1971-8.
  9. Espiritu, Joseph Roland D. (2008). “Sleep-Related Breathing Disorders”. In Schmitz, Paul G. (Ed.), Internal Medicine: Just the Facts, p. 663. McGraw-Hill Medical.
  10. Tamaki M; Nittono H; Hayashi M et al. Examination of the first night effect during the sleep-onset period. SLEEP 2005; 28(2):195-202
  11. Lorenzo JL, Barbanoj MJ. Variability of sleep parameters across multiple laboratory sessions in healthy young subjects: the “very first night effect”. Psychophysiology 2002 Jul; 39(4):409-13.
  12. Meyer T. J., Eveloff S. E., Kline L. R., Millman R. P.1993, One negative polysomnogram does not exclude obstructive sleep apnea. Chest 103:756–760.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.