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Assembly

Cheyne-Stokes Respiration

Authors
Aaron Roberts, MD; Ninotchka L. Sigua, MD


Case

46 year old male was sent by his primary care physician for a sleep study for symptoms of daytime fatigue and poor sleep. In addition, he snores and wakes up gasping for air during sleep. Medical history is significant for hypertension, diabetes mellitus and dilated cardiomyopathy with an ejection fraction of 20%. Medications include carvedilol, furosemide, pravastatin, lisinopril, hydralazine and isosorbide mononitrate.

His baseline polysomnogram is shown below.

baseline polysomnogram

Question

What is the diagnosis?

A. Obstructive Sleep Apnea
B. Cheyne Stokes Respiration
C. Primary Central Sleep Apnea
D. Sleep-related Hypoxemia

Answer