Patient Name: Juneja, Mr.

Rahul
Study Date: 01-02-2022
Acquisition #: 1292

SPLIT NIGHT REPORT

Patient Information
Name Juneja, Mr.Rahul
Sex M
Age 30
Polysomnography was conducted on the night of 01-02-2022. 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 VII4.B (3% desaturation).
Sleep Summary (All Night)
Lights Out: 22:38:43 Stage Duration % TST
Lights On: 05:49:55 N1 20.5 min 5.5%
Total Recording Time: 431.2 min N2 351.5 min 94.5%
Total Sleep Time (TST): 372.0 min N3 0.0 min 0.0%
Sleep Period Time: 397.0 min R 0.0 min 0.0%
Sleep Onset: 22:58:13
Sleep Efficiency: 86.3 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff): 19.5 min N1 19.5 min 0.0 min
R Latency (from Sleep Onset): N/A N2 40.0 min 20.5 min
Wake After Sleep Onset (WASO): 39.7 min N3 min min
Wake During Sleep: 25.0 min R N/A N/A
Total Wake Time: 59.2 min
% Wake Time: 13.7

POLYSOMNOGRAPHY REPORT

Type of Study : Complete Overnight Polysomnography with Titration

OBSERVATION : Sleep architecture showed predominantly stage 2 sleep by the patient and a sleep efficiency
was 86.9 % during the diagnostic period. In the titration period the patient achieved sleep
time and an improved sleep efficiency of 85.7 %.

Oxygen Saturation Data : The lowest SpO2 was 65 % during the diagnostic period. In the titration period the patient
achieved lowest SpO2 was 85 %.

TITRATION : TITRATION with CPAP

IMPRESSION : AHI was observed : 44.1 diagnostic period and an improved AHI 1.6 .
Obstructive Sleep Apnea (5 Normal, 5-15 Mild, 15-30 Moderate, 30 Severe)

RECOMMENDATION : Requirement of BIPAP S/T With Tidal Volume with setting Minimum IPAP at 11 cm H2o .

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

DIAGNOSTIC PORTION
Sleep Summary
Lights Out: 22:38:43 Stage Duration % TST
Lights On: 02:06:55 N1 20.5 min 11.3%
Total Recording Time: 208.2 min N2 160.5 min 88.7%
Total Sleep Time (TST): 181.0 min N3 0.0 min 0.0%
Sleep Period Time: 184.5 min REM 0.0 min 0.0%
Sleep Onset: 22:58:13
Sleep Efficiency: 86.9 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff) 19.5 min N1 19.5 min 0.0 min
R Latency (from Sleep Onset): N/A N2 40.0 min 20.5 min
Wake After Sleep Onset (WASO): 7.7 min N3 min min
Wake During Sleep: 3.5 min R N/A N/A
Total Wake Time: 27.2 min
% Wake Time: 13.1

Respiratory Summary
By Event Classification Central Mixed Obstructive
Count Mean Max Count Mean Max Count Mean Max
Apneas, NREM 16 29.9 53.5 0 0.0 0.0 115 22.6 56.0
Apneas, REM
Apneas, Total 16 29.9 53.5 0 0.0 0.0 115 22.6 56.0
*Hypopneas scored based on 4 % or greater desaturation.
Hypopneas, NREM 2 26.3 36.5 RERAs, NREM 0 0.0 0.0
Hypopneas, REM RERAs, REM
Hypopneas, Total 2 26.3 36.5 RERAs, Total 0 0.0 0.0
Event Statistics Total With Arousal
Count Index Count Index
Apneas, Total 131 43.4 0 0.0
Hypopneas, Total 2 0.7 0 0.0
Apnea + Hypopnea Total 133 AHI: 44.1 0 0.0
Apnea + Hypopnea NREM 133 AHI: 44.1 0 0.0
Apnea + Hypopnea REM AHI: N/A 0 0.0
RERAs, Total 0 0.0 0 0.0
Total Events (A+H+RERA) Total 133 RDI: 44.1 0 0.0
Total Events (A+H+RERA) NREM 133 RDI: 44.1 0 0.0
Total Events (A+H+RERA) REM RDI: N/A 0 0.0

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

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 0.0 AHI, REM 0.0 0.0 0.0
Apn Index, NREM 42.6 42.2 44.8 43.4 AHI, NREM 42.6 44.1 45.4 44.1
Apn Index, Total 42.6 42.2 44.8 43.4 AHI, Total 42.6 44.1 45.4 44.1
Hyp Index, REM 0.0 0.0 0.0 RDI, REM 0.0 0.0 0.0
Hyp Index, NREM 0.0 1.9 0.6 0.7 RDI, NREM 42.6 44.1 45.4 44.1
Hyp Index, Total 0.0 1.9 0.6 0.7 RDI, Total 42.6 44.1 45.4 44.1
Duration (min) 51.3 31.3 100.6 184.5 TST (min) 47.9 31.3 100.5 208.2

Heart Rate Summary

Average Heart Rate During Sleep 77.4 bpm

Periodic Leg Movements

Total # Limb Movement 18 Limb Movement Index 6.0
Total # PLMS PLMS Index
Total # PLMS Arousals PLMS Arousal Index

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

Arousals
Limb
Total # Respiratory Movement Snore Spontaneous
REM 0 0 0 0 0
NREM 0 0 0 0 0
WAKE 0 0 0 0 0
TOTAL 0 0 0 0 0
INDEX 0.0 0.0 0.0 0.0 0.0

Oximetry Data
Average O2 while awake 96 % Average O2 while in Non-REM 85 %
Average O2 while in REM % Approximate minimum O2 value 65 %
Oximetry Distribution
WK REM NREM Total
<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 2.7 2.7
<75 % (min) 0.0 0.0 21.1 21.1
<80 % (min) 0.2 0.0 46.0 46.2
<85 % (min) 0.3 0.0 69.5 69.8
<90 % (min) 1.1 0.0 95.4 96.5
<95 % (min) 3.1 0.0 121.3 124.4
<89 % (min) 0.9 0.0 89.7 90.6
Fail (min) 1.1 0.0 27.1 28.2
Average (%) 96 85 87
Desat Index (#/hour) 0.0 58.5 58.5
Desat Max (%) 0 0 30 30
Desat Max Dur (sec) 0.0 0.0 84.0 84.0
Oximetry Summary
W R NR Total
Fail Duration (min) 1.1 0.0 27.1 28.2
Average (%) 96 85 87
# of Desaturations* 0 0 150 150
Desat Index (#/hour) 0.0 58.5 58.5
Desat Max Dur (sec.) 0.0 0.0 84.0 84.0

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

Minimum SpO2 value during sleep: 64%
Minimum SpO2 value duration during sleep: 1 seconds
Minimum SpO2 value associated with a respiratory event: 64%

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

THERAPY PORTION
Sleep Summary
Lights Out: 02:06:55 Stage Duration % TST
Lights On: 05:49:55 N1 0.0 min 0.0%
Total Recording Time: 223.0 min N2 191.0 min 100.0%
Total Sleep Time (TST): 191.0 min N3 0.0 min 0.0%
Sleep Period Time: 191.0 min REM 0.0 min 0.0%
Sleep Onset: 02:24:13
Sleep Efficiency: 85.7 % Latencies From Lights Out From Sleep Onset
Sleep Latency (from LOff): 17.3 min N1 min min
R Latency (from Sleep Onset): N/A N2 17.3 min 0.0 min
Wake After Sleep Onset (WASO): 14.7 min N3 min min
Wake During Sleep: 0.0 min R N/A N/A
Total Wake Time: 32.0 min
% Wake Time: 14.3

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 5 25.0 33.0
Apneas, REM
Apneas, Total 0 0.0 0.0 0 0.0 0.0 5 25.0 33.0
*Hypopneas scored based on 4 % or greater desaturation.
Hypopneas, NREM 0 0.0 0.0 RERAs, NREM 0 0.0 0.0
Hypopneas, REM RERAs, REM
Hypopneas, Total 0 0.0 0.0 RERAs, Total 0 0.0 0.0
Event Statistics Total With Arousal
Count Index Count Index
Apneas, Total 5 1.6 0 0.0
Hypopneas, Total 0 0.0 0 0.0
Apnea + Hypopnea Total 5 AHI: 1.6 0 0.0
Apnea + Hypopnea NREM 5 AHI: 1.6 0 0.0
Apnea + Hypopnea REM AHI: N/A 0 0.0
RERAs, Total 0 0.0 0 0.0
Total Events (A+H+RERA) Total 5 RDI: 1.6 0 0.0
Total Events (A+H+RERA) NREM 5 RDI: 1.6 0 0.0
Total Events (A+H+RERA) REM RDI: N/A 0 0.0

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

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 0.0 AHI, REM 0.0 0.0 0.0
Apn Index, NREM 3.9 0.0 0.0 1.6 AHI, NREM 3.9 0.0 0.0 1.6
Apn Index, Total 3.9 0.0 0.0 1.6 AHI, Total 3.9 0.0 0.0 1.6
Hyp Index, REM 0.0 0.0 0.0 RDI, REM 0.0 0.0 0.0
Hyp Index, NREM 0.0 0.0 0.0 0.0 RDI, NREM 3.9 0.0 0.0 1.6
Hyp Index, Total 0.0 0.0 0.0 0.0 RDI, Total 3.9 0.0 0.0 1.6
Duration (min) 77.7 50.7 61.4 191.0 TST (min) 77.7 50.7 61.4 223.0

Heart Rate Summary

Average Heart Rate During Sleep 82.5 bpm

Periodic Leg Movements

Total # Limb Movement 2 Limb Movement Index 0.6
Total # PLMS PLMS Index
Total # PLMS Arousals PLMS Arousal Index

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

Arousals
Limb
Total # Respiratory Movement Snore Spontaneous
REM 0 0 0 0 0
NREM 0 0 0 0 0
WAKE 0 0 0 0 0
TOTAL 0 0 0 0 0
INDEX 0.0 0.0 0.0 0.0 0.0

Oximetry Data
Average O2 while awake 96 % Average O2 while in Non-REM 95 %
Average O2 while in REM % Approximate minimum O2 value 85 %
Oximetry Distribution
WK REM NREM Total
<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
<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) 0.1 0.0 0.9 1.0
<95 % (min) 1.9 0.0 62.1 64.0
<89 % (min) 0.1 0.0 0.6 0.7
Fail (min) 0.0 0.0 2.0 2.0
Average (%) 96 95 95
Desat Index (#/hour) 0.0 5.7 5.7
Desat Max (%) 0 0 9 9
Desat Max Dur (sec) 0.0 0.0 71.0 71.0
Oximetry Summary
W R NR Total
Fail Duration (min) 0.0 0.0 2.0 2.0
Average (%) 96 95 95
# of Desaturations* 0 0 18 18
Desat Index (#/hour) 0.0 5.7 5.7
Desat Max Dur (sec.) 0.0 0.0 71.0 71.0

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

Minimum SpO2 value during sleep: 85%
Minimum SpO2 value duration during sleep: 10 seconds
Minimum SpO2 value associated with a respiratory event: 86%

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 Patient Name: Juneja, Mr.Rahul
Study Date: 01-02-2022
Acquisition #: 1292

Pressure Distribution
RxIns RxExp TIB Sleep REM Apneas Hypopneas A+H RERAs
cmH2O cmH2O (min) (min) (min) CA# OA# MA# Index Count Index Index Count Index RDI
0 0 185.3 179.7 0.0 16 115 0 43.7 2 0.7 44.4 0 0.0 44.4
4 0 9.0 0.0 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
4 3 29.3 29.3 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
5 1 5.1 5.1 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
5 2 16.9 16.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
5 3 6.1 6.1 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
6 2 15.0 15.0 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
6 4 8.1 5.4 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
6 5 6.3 6.3 0.0 0 2 0 19.0 0 0.0 19.0 0 0.0 19.0
6 7 20.1 20.1 0.0 0 2 0 6.0 0 0.0 6.0 0 0.0 6.0
6 8 2.7 2.7 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
7 3 11.5 11.5 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
7 4 10.7 7.2 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
7 5 2.6 0.0 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
8 3 2.5 2.5 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
8 6 4.8 4.8 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
8 7 4.9 4.9 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
9 7 24.0 24.0 0.0 0 1 0 2.5 0 0.0 2.5 0 0.0 2.5
9 8 4.1 4.1 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
10 8 11.6 11.6 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0
11 9 3.5 3.5 0.0 0 0 0 0.0 0 0.0 0.0 0 0.0 0.0

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Patient Name: Juneja, Mr.Rahul Study Date: 01-02-2022

NIGHT HYPNOGRAM
W Stage
R
N1
N2
N3
HR,BPM
190
170
150
130
110
90
70
50
30
100 SpO2,%
90
80
70
60
50
20 CA,sec
10
0
20 OA,sec
10
0
20 MA,sec
10
0
20 HYPO,sec
10
0
30 LegMvt,sec
15
0
30 arousal,sec
15
0
L Pos L L L L
P
PL S S S S S
S
SL R R R
R
SR
PR
.
20 IPAP,cmH2O
15
10 7
5 4
0 0 0 00 0 0 0

20 EPAP,cmH2O
15
10 7 8
5 3 3
0 0 0

22:38:43 00:00 01:00 02:00 03:00 04:00 05:00

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