Hypopnea Increased after lowering EPR?

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fdw
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Hypopnea Increased after lowering EPR?

Post by fdw » Fri Feb 26, 2021 1:39 pm

Hello All

I decided to lower EPR from 3 to 1 figuring it would help with excessive CO2 intake take which may be affecting my heart rhythm (AFIB), now I've noticed that Hypopnea's have really ruled. I also changed my min and max pressures from 12-16 to 10-14.

Anyone care to comment?

Thanks
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Julie
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Re: Hypopnea Increased after lowering EPR?

Post by Julie » Fri Feb 26, 2021 2:19 pm

Why do you think you're inhaling CO2 instead of it;s going out of the vents?

And do you kmow that back sleeping causes more events like hypops?

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fdw
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Re: Hypopnea Increased after lowering EPR?

Post by fdw » Fri Feb 26, 2021 2:22 pm

Blood test results indicated higher than normal levels CO2

I only sleep on my side, never on my back
Last edited by fdw on Fri Feb 26, 2021 2:24 pm, edited 1 time in total.
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0

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Pugsy
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Re: Hypopnea Increased after lowering EPR?

Post by Pugsy » Fri Feb 26, 2021 2:24 pm

The lowering of the minimum to 10 from 12 is likely the cause of the slight increase in hyponeas.
Could also simply be a normal nightly variance.

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fdw
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Re: Hypopnea Increased after lowering EPR?

Post by fdw » Fri Feb 26, 2021 2:33 pm

Do you suppose I should return to my previous pressures?
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0

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Pugsy
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Re: Hypopnea Increased after lowering EPR?

Post by Pugsy » Fri Feb 26, 2021 5:15 pm

fdw wrote:
Fri Feb 26, 2021 2:33 pm
Do you suppose I should return to my previous pressures?
If it were me I would continue with current new settings for a week or so and see if any trends or patterns develop.
I don't ever change anything based on one night's results.

The slight increase right now...still well within acceptable range and it very well could just be normal nightly variance.
I had a night last summer where my AHI was 9.4...normally it runs around 1.0 or a little less. It was just an off night fluke.

Don't forget to factor in how you sleep or feel into your choice.

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raisedfist
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Re: Hypopnea Increased after lowering EPR?

Post by raisedfist » Sat Feb 27, 2021 8:24 am

Higher EPR blows off more CO2 though, because it mimics bi-level pressure support. Did your doctor mention and discuss your CO2 levels with you? Or did you just look at the results yourself. Need some more information here.

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Miss Emerita
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Re: Hypopnea Increased after lowering EPR?

Post by Miss Emerita » Sat Feb 27, 2021 1:17 pm

As raisedfist says, higher EPR will tend to wash out more CO2.

I'm curious: when you lowered your EPR, did your flow limitations increase?

In any event, Pugsy has the best advice for you. Give the experiment a fair run for its money before you try to assess the results.
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