Sleep Architecture has zero Stage 3 or Stage 4 sleep.
At Titrated Pressure of 7 AHI was reduced from 70 REM AHI and 10 NREM AHI to 2.6 and 0.9 respectively. (34 total apneas reduced to 0)
Spontaneous Arousal Index INCREASED from 45/hr to 52/hr
The Spontaneous Arousals of over 52/hour was a surprise. Can they be detected on any home machines? Are they affected by any CPAP pressure or other PAP available? Sure looks like getting the AHI corrected is only a small part of the problem and this was not included in the initial summary.
Got copy of sleep report and puzzled by Spontaneous Arousals
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• Page 1 of 1
Got copy of sleep report and puzzled by Spontaneous Arousals
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| Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
| Mask: Fisher & Paykel Vitera Full Face Mask with Headgear - Fit Pack (All Sizes Included) |
| Additional Comments: Titrated on Auto CPAP at 7/14 cm: Only licensed medical professionals can give medical advice or write prescriptions |
Spontaneous arousals are micro arousals seen on the EEG that they can not identify the cause, or arousals without a known cause.
for example, a hypopnea or apnea can become one of these arousals which in turn destroy your sleep architecture. These arousals can prevent or kick you out of a particular stage of non-REM and REM sleep. But since they can see and identify those events by correlating respiratory effort and feedback from other sensors they can classify many of those.
PLMD, RLS are other parasomnias can also contribute to micro arousal which can also destroy your sleep architecture.
Those residual unidentified micro arousals left over are called spontaneous arousals. So if you are having 52 per hour, that is akin to having 52 events per hour interrupting your sleep. Some may not disturb your sleep at all but many do.
There can be many causes including snoring, medications, chronic pain such as lower back and arthritis etc.
Dr. K who sometimes visits here seems to suggest they are from untreated UARS and that they can be eliminated in a sleep lab by use of a non-recording bilevel machine being administered by specially trained technicians from Stanford who have trained on the secret handshake
But personally, i have not seen anything that would suggest to me that method actually works.
for example, a hypopnea or apnea can become one of these arousals which in turn destroy your sleep architecture. These arousals can prevent or kick you out of a particular stage of non-REM and REM sleep. But since they can see and identify those events by correlating respiratory effort and feedback from other sensors they can classify many of those.
PLMD, RLS are other parasomnias can also contribute to micro arousal which can also destroy your sleep architecture.
Those residual unidentified micro arousals left over are called spontaneous arousals. So if you are having 52 per hour, that is akin to having 52 events per hour interrupting your sleep. Some may not disturb your sleep at all but many do.
There can be many causes including snoring, medications, chronic pain such as lower back and arthritis etc.
Dr. K who sometimes visits here seems to suggest they are from untreated UARS and that they can be eliminated in a sleep lab by use of a non-recording bilevel machine being administered by specially trained technicians from Stanford who have trained on the secret handshake
But personally, i have not seen anything that would suggest to me that method actually works.
someday science will catch up to what I'm saying...
2 posts
• Page 1 of 1