along comes yet another Newbie...with Complex Central Apnea
Posted: Fri Aug 21, 2009 10:30 pm
Hi all,
This is my first post here so I thought I'd introduce myself. I'm 43, and I think I'm about to be diagnosed with apnea. My wife has been telling me that I often stop breathing during the night and pushing me to talk to my doc about it so I did. He ordered the first study, the a titration and here I am.
I have copies of the sleep study reports as they were given to my GP.
From the first study:
"Impression: Severe obstructive sleep disordered breathing with obstructive apnea hypopneas and discordant chest abdominal movements while sleeping on back. This is associated with sever hypoxemia, subjective (Epworth score 13) and objective (early sleep onset) excessive sleepiness and reduced sleep efficiency because of problems with sleep mainenance."
During the first study, my SaO2 dropped to 63% at one point, with 83.6% of the time it was between 80-89% SaO2. Mean O2 sats=85%. It only took me 6 minutes to fall asleep after the tech turned out the lights. I was monitored for 7 hours, slept for 5.8 of those hours. N1: 8.6%, N2 74.1%, N3 6.9%, REM 10.3%. AHI 36.2, REM AHI 38.3.
From the second study, the titration that was ordered as a result of the first:
"Impression: 1. Significant central apneas are induced at 13 cms CPAP (cmplex sleep apnea) and obstructive events and snoring are also not eliminated. I think this patient needs to be on BiPAP S/T. Patient tolerated CPAP well."
Monitored for 7 hours again, 10.5 minutes for sleep onset (this was my first time ever to wear CPAP mask, a full face RESMED). REM onset was 55 minutes with 11 cwp. N1: 5.4%, N2: 65.9%, N3 4.7%, REM 24%. (The next COUPLE of days I felt better than I have in years!)
"CPAP titration: CPAP was started at 5 cms. This was titrated to 13 cms because of snoring, and obstructive hypopneas. Patient had significant apneas induction (complex sleep apnea) associated with desaturations to 87% In non cheyne stokes pattern. Obstructive events and snoring also persisted. Tech should have switched the patient to BiPAP S/T."
The Dr. that wrote this reccomends BiPAP S/T 17/13 cms with back up rate of 12, heated humidifier, ramp 10...
This was received by my GP a couple of days ago, I am waiting to see what he has in store for me...but I'm thinking I'm a candidate for this board. I couldn't believe how much better I felt the day after the titration study, and that was with the tech not switching me to BiPAP as the sleep Dr. thought he should.
Any comments are welcome.
To the owner of this board and the moderators, THANKS!
This is my first post here so I thought I'd introduce myself. I'm 43, and I think I'm about to be diagnosed with apnea. My wife has been telling me that I often stop breathing during the night and pushing me to talk to my doc about it so I did. He ordered the first study, the a titration and here I am.
I have copies of the sleep study reports as they were given to my GP.
From the first study:
"Impression: Severe obstructive sleep disordered breathing with obstructive apnea hypopneas and discordant chest abdominal movements while sleeping on back. This is associated with sever hypoxemia, subjective (Epworth score 13) and objective (early sleep onset) excessive sleepiness and reduced sleep efficiency because of problems with sleep mainenance."
During the first study, my SaO2 dropped to 63% at one point, with 83.6% of the time it was between 80-89% SaO2. Mean O2 sats=85%. It only took me 6 minutes to fall asleep after the tech turned out the lights. I was monitored for 7 hours, slept for 5.8 of those hours. N1: 8.6%, N2 74.1%, N3 6.9%, REM 10.3%. AHI 36.2, REM AHI 38.3.
From the second study, the titration that was ordered as a result of the first:
"Impression: 1. Significant central apneas are induced at 13 cms CPAP (cmplex sleep apnea) and obstructive events and snoring are also not eliminated. I think this patient needs to be on BiPAP S/T. Patient tolerated CPAP well."
Monitored for 7 hours again, 10.5 minutes for sleep onset (this was my first time ever to wear CPAP mask, a full face RESMED). REM onset was 55 minutes with 11 cwp. N1: 5.4%, N2: 65.9%, N3 4.7%, REM 24%. (The next COUPLE of days I felt better than I have in years!)
"CPAP titration: CPAP was started at 5 cms. This was titrated to 13 cms because of snoring, and obstructive hypopneas. Patient had significant apneas induction (complex sleep apnea) associated with desaturations to 87% In non cheyne stokes pattern. Obstructive events and snoring also persisted. Tech should have switched the patient to BiPAP S/T."
The Dr. that wrote this reccomends BiPAP S/T 17/13 cms with back up rate of 12, heated humidifier, ramp 10...
This was received by my GP a couple of days ago, I am waiting to see what he has in store for me...but I'm thinking I'm a candidate for this board. I couldn't believe how much better I felt the day after the titration study, and that was with the tech not switching me to BiPAP as the sleep Dr. thought he should.
Any comments are welcome.
To the owner of this board and the moderators, THANKS!