家庭睡眠呼吸暂停检测自动解读。
Home sleep apnea testing auto-interpretation.
作者信息
Wireko Felix W, Morgenthaler Timothy I
机构信息
Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota.
Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
出版信息
J Clin Sleep Med. 2025 Mar 1;21(3):605-607. doi: 10.5664/jcsm.11432.
UNLABELLED
Recent advances in sleep medicine have led to the development of various validated diagnostic devices for obstructive sleep apnea. Despite limitations, there has been an increase in the use of home sleep apnea tests. The accuracy of home sleep apnea tests may be limited by the inability of their automated signal analysis to differentiate between artifacts and the target physiological signal, leading to erroneous test interpretations with management implications. We present a 60-year-old male with a mechanical heart valve diagnosed with obstructive sleep apnea. At the 6-month postintervention follow-up, the home sleep apnea test report indicated loud snoring 100% of the time. After carefully reviewing the raw home sleep apnea test data and history, the source of the nonphysiological high-level sound was identified as the mechanical heart valve, and the patient was reassured. This case highlights how trusting only automated analysis can miss important information and arrive at misleading conclusions.
CITATION
Wireko FW, Morgenthaler TI. Home sleep apnea testing auto-interpretation. 2025;21(3):605-607.
未标注
睡眠医学的最新进展促使了各种用于阻塞性睡眠呼吸暂停的经过验证的诊断设备的开发。尽管存在局限性，但家庭睡眠呼吸暂停测试的使用仍有所增加。家庭睡眠呼吸暂停测试的准确性可能受到其自动信号分析无法区分伪迹和目标生理信号的限制，从而导致错误的测试解读并产生管理方面的影响。我们介绍了一名60岁患有机械心脏瓣膜且被诊断为阻塞性睡眠呼吸暂停的男性。在干预后6个月的随访中，家庭睡眠呼吸暂停测试报告显示100%的时间都有大声打鼾。在仔细审查家庭睡眠呼吸暂停测试的原始数据和病史后，非生理性高水平声音的来源被确定为机械心脏瓣膜，患者因此放心。该病例凸显了仅依赖自动分析可能会遗漏重要信息并得出误导性结论。
引用
Wireko FW, Morgenthaler TI. 家庭睡眠呼吸暂停测试自动解读。2025;21(3):605 - 607。
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