18 June 2025
: Case report 
Impact of Hypoglossal Nerve Stimulation on Nocturnal Asystole in a Patient with Severe Obstructive Sleep Apnea: A Case Report
Unusual or unexpected effect of treatment
Richard E. Byrne ABCDEF 1*, Candace Miyaki ABCDEF 2DOI: 10.12659/AJCR.947160
Am J Case Rep 2025; 26:e947160
Figure 2 Eight-second asystoleThe electrocardiogram from the patient’s implanted loop recorder demonstrates an approximately 8-second asystole during his usual sleeping hours. This event occurred during the self-titration phase of hypoglossal nerve stimulation therapy, while off bilevel positive airway pressure therapy. The vertical lines at the top of each row denote 1-second intervals.