Sleep apnea and severe bradyarrhythmia – an alternative treatment option: a case report

Table 1 Symptoms reported, Holter monitor, theophylline levels and polysomnography results at presentation and during follow up

	Symptoms	Weight (kg)	24-hour Holter monitor			Theophylline level^*	Polysomnography
	Symptoms	Weight (kg)	Max sinus pause (seconds)	Total number of sinus pauses	Min/max/Average HR (beats/minute)	Theophylline level^*	Polysomnography
Prior to presentation (2008 until 2011)	Presyncope twice a year for 3 years	115	–	–	–	Not on treatment	–
At presentation (September 2011)	Presyncope once a month for 3 months	119	22	71	49/119/85	Not on treatment	Epworth score 7
							Sleep latency of 17 minutes
							AHI of 98/hour
							Arousal index of 49/hour
							Lowest oxygen saturation at 78% on room air
5-month follow up	None	120	6	18	61/125/93	11.11	Not done
6-month follow up	None	122	5	5	68/124/94	13.0	Not done
7-month follow up	None	126	None	None	71/128/92	14.4	Epworth score of 11
							Sleep latency of 28 minutes
							AHI of 96/hour
							Arousal index of 43/hour
							Lowest oxygen saturation at 78% on room air
14-month follow up	None	123	None	None	69/123/90	11.4	Not done
19-month follow up	None	129	2.9	3	67/115/82	14.6	Epworth score of 11
							Sleep latency of 48.5 minutes
							AHI of 83/hour
							Arousal index of 42.8/hour
							Lowest oxygen saturation at 75% on room air
29-month follow up	None	130	None	None	65/110/81	Not done	Not done

ISSN: 1752-1947