I have been using CPAP since the start of January and I am still extremely exhausted - more so than before I was diagnosed. I am being patient, but even my sleep doc is concerned about the level of my fatigue - he's running blood tests to see if something else is going on. I never have anything that shows up in blood tests, so I have no expectation that we'll learn anything there. Nothing is ever that simple with me.
My first follow-up appointment with my sleep doc was on Wednesday. I did not receive my detailed titration study results until after the appointment, so I was unable to ask him any questions about it. Those results as well as the PLMD thread has made me wonder if there's something else going on in my sleep (maybe not even PLMD, but something).
My titration study results are below:
Sleep Summary
Total study Time: 415.5 min
Sleep Period Time: 301 min
Total Sleep Time: 251 Min
Total Wake Time: 155 Min
Sleep Efficiency: 61.7%
Sleep maint. Efficiency: 83.4%
Sleep Latency: 52 min
Latency to REM: 289.5min
Sleep Stage Summary
WASO: 50 min / 16.6%
Stage 1: 46 min / 15.3%
Stage 2: 134 min / 44.5%
Delta: 64.5 min / 21.4%
Total NREM: 244.5 min / 81.2%
REM: 6.5 min / 2.2%
Respiratory Summary
AHI: 0.7
Total # Apneas: 3
Total # Hypopneas: 0
Mean SaO2%: 97
# Desats: 0
Limb Movement Summary
Total # LMs: 29
Total # PLMS: 91
Total # PLMS w/arousal: 6
Total # RRLMS: 0
Edit - my initial post had REM and NREM numbers reversed:
Sleep Continuity: Arousals
Spontaneous: 15 NREM / 3 REM
Resp. Events: 3 NREM / 0 REM
Snoring: 46 NREM / 4 REM
Desaturation: 0 NREM / 0 REM
Limb Movement: 14 NREM / 1 REM
PLMs: 6 NREM / 0 REM
RRLM: 0 NREM / 0 REM
Total Arousals: 84 NREM / 8 REM
Interpretation
1. Baseline moderate OSA with AHI 14
2. Average AHI on CPAP 0.7
3. Improved sleep architecture from baseline with reduction in total arousals from 462 to 92.
4. Optimal CPAP at 10 cwp
My impression is my titration study showed good sleep. But, 6.5 minutes of REM seems pretty low (my first study had 83 minutes of REM). 92 arousals (22 per hour) also seems like a lot. My initial study had 462 arousals (64.5 per hour), so there's a definite improvement.
I also don't know if the 91 PLMs matter since they are not associated with arousals. On my first study, one of the comments was "Periodic limb movements were frequent as well totalling 196 or 27 per hour yet are likely secondary to the patient's sleep disordered breathing". My first study had 196 PLMs (27.3 per hour) and 22 PLMs w/arousal (3.8 per hour). If the PLMs don't matter, why did he reference them in the fist study?
I did ask about the periodic limb movement at my appointment even though I had not seen the numbers. My doctor told me the titration study had shown the limb movement was tied to my breathing issues, but he didn't actually look in my chart when he answered. Maybe he has a great memory and could recall all aspects of my study. But, now that I've seen the results, I wonder.
I'm happy to post the detailed results of my first study if anyone would like to see them.
Any thoughts are appreciated.
Tired of being tired.
SleepySandy
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CPAPopedia Keywords Contained In This Post (Click For Definition): Titration, CPAP, AHI
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CPAPopedia Keywords Contained In This Post (Click For Definition): Titration, CPAP, AHI
Titration Study Results - Help with Interpretation
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SleepySandy
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- Location: Seattle, WA
Titration Study Results - Help with Interpretation
Last edited by SleepySandy on Sun Feb 11, 2007 8:45 pm, edited 1 time in total.
Even without going to deeply into your numbers, seem obvious to me that no matter what else is going on, you simply didn have enough sleep.
You were awake for 2.5 hours and only slept for 4 hours practically none of which was REM sleep.
Even the healthiest person in the world would be tired.
I am not an experct or even close so I am sure people here will be able to evaluate the numbers. I feel for you.
You were awake for 2.5 hours and only slept for 4 hours practically none of which was REM sleep.
Even the healthiest person in the world would be tired.
I am not an experct or even close so I am sure people here will be able to evaluate the numbers. I feel for you.
Limb Movements
No wonder you are tired! It might be good for you to sit with your doc with both studies side by side and ask him to show you in a linear fashion how the specific changes from initial test to titration study confirm your movements were related to your breathing. It may help you to see the total picture if you put your numbers in an Excel file lined up side by side. I know when my brain was so scrambled from lack of sleep, I had to use such tools just to make sense of things. If that seems like just too much work right now, I'd be glad to do it for you if you're interested (PM me).
Most people expect the titration study to be the end of the testing phase, but in view of your continuing poor sleep, it may be a starting point for you. Be diligent about the cpap portion of your sleep problems, then tenaciously follow up with your doc as much as it takes to find definitive answers and solutions to whatever else is going on. Sounds like your doc is interested in finding answers for you, but he needs good reporting from you to know which way and how far to go. He likely will at some point want to try you on some medication for PLMD to see if your symptoms subside and sleep improves. If so, my advice on that is to start at a very, very low dose. I was initially put on what was considered a standard starting dose, and after two nights from hell, had to cut the dose in half and build up more gradually. But the medication began to give me some good sleep and I was desperately grateful.
Of course I can't say that you have PLMD. But your test results show you need help with your sleep, and that cpap is just a part of your picture. Best wishes in finding solutions soon.
Kathy
Most people expect the titration study to be the end of the testing phase, but in view of your continuing poor sleep, it may be a starting point for you. Be diligent about the cpap portion of your sleep problems, then tenaciously follow up with your doc as much as it takes to find definitive answers and solutions to whatever else is going on. Sounds like your doc is interested in finding answers for you, but he needs good reporting from you to know which way and how far to go. He likely will at some point want to try you on some medication for PLMD to see if your symptoms subside and sleep improves. If so, my advice on that is to start at a very, very low dose. I was initially put on what was considered a standard starting dose, and after two nights from hell, had to cut the dose in half and build up more gradually. But the medication began to give me some good sleep and I was desperately grateful.
Of course I can't say that you have PLMD. But your test results show you need help with your sleep, and that cpap is just a part of your picture. Best wishes in finding solutions soon.
Kathy
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PSG
Hi Sandy,
You might like to PM Chris regarding this. He's a Polysomnographer and is willing to field questions by PM.
His forum handle is Sleeptech and his PM is privmsg.php?mode=post&u=14793
Good luck,
Peter
You might like to PM Chris regarding this. He's a Polysomnographer and is willing to field questions by PM.
His forum handle is Sleeptech and his PM is privmsg.php?mode=post&u=14793
Good luck,
Peter
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Sandy,
The first thing that jumps out at me is your Sleep Latency doesn't add up. The sum of total wake time, total sleep time and your sleep latency should equal your total recording time (or total study time), but perhaps they are using unequivical sleep as their sleep latency.
To answer your question about PLM's. The main concern with PLM's is when they are followed by an arousal. So the fact that you have 91 PLM's seems very high yes, but only having 6 PLM w/ arousals is not much of a concern and would not qualify you for leg medication.
Every lab has subtle differences in what information they have on their polysomnograph report (oh and as a by the way if you didn't get one, a copy of your histogram is also helpful. It will look like several graphs, showing your different sleep stages and what respiratory events and leg movements you had in conjunction with the stage of sleep your in). There are a few differences in their report.....for example we dont have a 'Snoring arousal' or a 'sleep period time'. After doing the math I figured that is the sumation of time in all your stages of sleep as well as your WASO time (Wake after sleep onset....or any time that you spent awake after your first epoch of sleep).
Whats really throwing me here is that if your sleep latency is 52 min. and your Sleep Period Time is 301 min (which includes all your stages of sleep and WASO time) then thats only 353 min. Your total study time is 415.5 min. I'm missin 62.5 min somewhere. Again it may just be in the difference in how they accumulate their information, perhaps they include some of the time the tech spent with you going over calibrations and such, I'm not sure.
Anyways, what I do want to point out is that there are alot of factors that go into why you may not have had alot of sleep time during your Titration. The tech coming in the room to fix your mask, different sleep enviroment, etc... Try not to focus too much on how much your sleep efficiency is from the study (ha...of course I just went thru an entire parapragh going over your times, but I was more confused by their accumulation than anything).
What I do notice is you had a delayed REM latency of 289.5 min. The average sleep cycle is 90-120 min (from wake to end of first REM). Average normal person will have 3-5 sleep cycles in 8 hours of sleep.
Average Stage 1 for a normal adult is 3-7%.....you had 15.3% - Stage 1 is non-restorative sleep, you don't want this number to be too high. Means your probably having alot of wake-stage 1 time. Kinda going back and forth between wake and sleep (dozing in and out if you will). Or you could be having arousals to stage 1 from other stages of sleep.
Average Stage 2 is 45-55%..you had 44.5%
Average Delta (or slow-wave sleep) is 15-18%...you had 21.4% - Little high, but not bad. Slow-wave sleep really decreases as you age. In this stage is when growth horomones are secreted, so obviously younger people will have a higher slow-wave sleep than elderly.
Average REM sleep is 18-25%...you had 2.2%
Obviously REM sticks out at you, therefore if you investigate further you find that the majority of your arousals happened while in REM. Your report doesn't say how many times you dropped into REM, and it wont say how many times your body tried to go to REM but was interrupted by an arousal. So for you to have a combination of 84 REM arousals in 6.5 min is quite astonishing to me. They recorded 46 snoring arousals, personally I don't quite know what they are referring to here. You had a snore that caused an arousal....not sure, again we dont record them in such a way. Generally if a snort or loud single snore occurs during an arousal thats generally in conjuntion with a respiratory event. The Resp. events we can score are Hypopneas and Apneas. There are certain qualifications to score such events. If those qualifications aren't meet then its simply scored as a spontaneous arousal, but your study should record a reduction in airflow (just not enough to score as a hypopnea or apnea). That could possibly be where they get their snoring arousals from, the tech and physician know its probably still respiratory that caused the arousal, just not big enough to score it clinically as an event (I really hope that made sense).
Now what I'm assuming the doctor meant by the PLM's being tied to a breathing issue (please understand I am not a doctor). Is that the study showed a leg movement at that moment in time along with an arousal, but the fact that there was a respiratory event that happened preceeding it, that is what most likely caused the arousal then in the process of the arousal you kicked your legs. Thats why the PLM's w/ arousals index is so important, again the fact that yours is so low I wouldn't put that as a possible complication (per that report).
Your arousals improved significantly from your baseline to your titration but 92 total arousals is still a little high. This could be contributed to any number of things. Intolerence to CPAP is a biggie (it just takes time for your body to adjust to CPAP therapy.....be patient), like I said earlier, a new enviroment, different bed, (if your married or have a bed partner) the lack of a bed partner can make a difference. unfortunately other things that will affect you is an improper titration may have been done (PLEASE understand I'm not making this assumption), sometimes a pressure is set a little too high which will cause arousals, but being your spontaneous arousals were somewhat low at 15, that may fall under intolerence to CPAP. The mojority of your arousals were under the snoring category (honestly I would love to hear how this lab describes what a snoring arousal is). If they simply mean you awoke from hearing yourself snore it would be very difficult to prove that is the exact reason you had an arousal, again I would associate it with a reduction in airflow that is not scorable as a repiratory event (the vibration of the partially closed airway is what causes you to snore). If you are still snoring quite a bit, your pressure may be a little too low....BUT the physician may have done this purposely. Thinking he will start you a little lower to get you more tolerant to CPAP therapy then gradually increase your pressure.
That's what I got out of your report, I know its a novel and I hope it helps to explain a little. The big thing for you is to keep working with the machine and get your tolerence level up. If down the road your physician reads the card from your machine and realizes your having a few too many respiratory events s/he may need to increase a little bit, that may help reduce some of those so-called 'snoring arousals', unfortunately though increase in pressure could increase spontaneous arousals until you get adjusted to that new pressure. Also it's invaluable if you have a bed partner for them to let you know if they are noticing any breath holding or snoring throughout the night.
If you feel I missed something or didn't explain anything please don't hesitate to PM me and ask. Also if you do speak with the sleep lab and get an answer on the snoring arousal, I would love to hear their explaination on that. Like I said we don't track anything as a snoring arousal, and if there's something new out there that they are tracking I would love to hear about it.
Sandy, stick with CPAP. If your pressure is correct it really will change your life. Be patient, you have a ton of resources here, as well as a TON of support!!
Thanks for your time,
Chris
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): Titration, Arousal, CPAP, Hypopnea
The first thing that jumps out at me is your Sleep Latency doesn't add up. The sum of total wake time, total sleep time and your sleep latency should equal your total recording time (or total study time), but perhaps they are using unequivical sleep as their sleep latency.
To answer your question about PLM's. The main concern with PLM's is when they are followed by an arousal. So the fact that you have 91 PLM's seems very high yes, but only having 6 PLM w/ arousals is not much of a concern and would not qualify you for leg medication.
Every lab has subtle differences in what information they have on their polysomnograph report (oh and as a by the way if you didn't get one, a copy of your histogram is also helpful. It will look like several graphs, showing your different sleep stages and what respiratory events and leg movements you had in conjunction with the stage of sleep your in). There are a few differences in their report.....for example we dont have a 'Snoring arousal' or a 'sleep period time'. After doing the math I figured that is the sumation of time in all your stages of sleep as well as your WASO time (Wake after sleep onset....or any time that you spent awake after your first epoch of sleep).
Whats really throwing me here is that if your sleep latency is 52 min. and your Sleep Period Time is 301 min (which includes all your stages of sleep and WASO time) then thats only 353 min. Your total study time is 415.5 min. I'm missin 62.5 min somewhere. Again it may just be in the difference in how they accumulate their information, perhaps they include some of the time the tech spent with you going over calibrations and such, I'm not sure.
Anyways, what I do want to point out is that there are alot of factors that go into why you may not have had alot of sleep time during your Titration. The tech coming in the room to fix your mask, different sleep enviroment, etc... Try not to focus too much on how much your sleep efficiency is from the study (ha...of course I just went thru an entire parapragh going over your times, but I was more confused by their accumulation than anything).
What I do notice is you had a delayed REM latency of 289.5 min. The average sleep cycle is 90-120 min (from wake to end of first REM). Average normal person will have 3-5 sleep cycles in 8 hours of sleep.
Average Stage 1 for a normal adult is 3-7%.....you had 15.3% - Stage 1 is non-restorative sleep, you don't want this number to be too high. Means your probably having alot of wake-stage 1 time. Kinda going back and forth between wake and sleep (dozing in and out if you will). Or you could be having arousals to stage 1 from other stages of sleep.
Average Stage 2 is 45-55%..you had 44.5%
Average Delta (or slow-wave sleep) is 15-18%...you had 21.4% - Little high, but not bad. Slow-wave sleep really decreases as you age. In this stage is when growth horomones are secreted, so obviously younger people will have a higher slow-wave sleep than elderly.
Average REM sleep is 18-25%...you had 2.2%
Obviously REM sticks out at you, therefore if you investigate further you find that the majority of your arousals happened while in REM. Your report doesn't say how many times you dropped into REM, and it wont say how many times your body tried to go to REM but was interrupted by an arousal. So for you to have a combination of 84 REM arousals in 6.5 min is quite astonishing to me. They recorded 46 snoring arousals, personally I don't quite know what they are referring to here. You had a snore that caused an arousal....not sure, again we dont record them in such a way. Generally if a snort or loud single snore occurs during an arousal thats generally in conjuntion with a respiratory event. The Resp. events we can score are Hypopneas and Apneas. There are certain qualifications to score such events. If those qualifications aren't meet then its simply scored as a spontaneous arousal, but your study should record a reduction in airflow (just not enough to score as a hypopnea or apnea). That could possibly be where they get their snoring arousals from, the tech and physician know its probably still respiratory that caused the arousal, just not big enough to score it clinically as an event (I really hope that made sense).
Now what I'm assuming the doctor meant by the PLM's being tied to a breathing issue (please understand I am not a doctor). Is that the study showed a leg movement at that moment in time along with an arousal, but the fact that there was a respiratory event that happened preceeding it, that is what most likely caused the arousal then in the process of the arousal you kicked your legs. Thats why the PLM's w/ arousals index is so important, again the fact that yours is so low I wouldn't put that as a possible complication (per that report).
Your arousals improved significantly from your baseline to your titration but 92 total arousals is still a little high. This could be contributed to any number of things. Intolerence to CPAP is a biggie (it just takes time for your body to adjust to CPAP therapy.....be patient), like I said earlier, a new enviroment, different bed, (if your married or have a bed partner) the lack of a bed partner can make a difference. unfortunately other things that will affect you is an improper titration may have been done (PLEASE understand I'm not making this assumption), sometimes a pressure is set a little too high which will cause arousals, but being your spontaneous arousals were somewhat low at 15, that may fall under intolerence to CPAP. The mojority of your arousals were under the snoring category (honestly I would love to hear how this lab describes what a snoring arousal is). If they simply mean you awoke from hearing yourself snore it would be very difficult to prove that is the exact reason you had an arousal, again I would associate it with a reduction in airflow that is not scorable as a repiratory event (the vibration of the partially closed airway is what causes you to snore). If you are still snoring quite a bit, your pressure may be a little too low....BUT the physician may have done this purposely. Thinking he will start you a little lower to get you more tolerant to CPAP therapy then gradually increase your pressure.
That's what I got out of your report, I know its a novel and I hope it helps to explain a little. The big thing for you is to keep working with the machine and get your tolerence level up. If down the road your physician reads the card from your machine and realizes your having a few too many respiratory events s/he may need to increase a little bit, that may help reduce some of those so-called 'snoring arousals', unfortunately though increase in pressure could increase spontaneous arousals until you get adjusted to that new pressure. Also it's invaluable if you have a bed partner for them to let you know if they are noticing any breath holding or snoring throughout the night.
If you feel I missed something or didn't explain anything please don't hesitate to PM me and ask. Also if you do speak with the sleep lab and get an answer on the snoring arousal, I would love to hear their explaination on that. Like I said we don't track anything as a snoring arousal, and if there's something new out there that they are tracking I would love to hear about it.
Sandy, stick with CPAP. If your pressure is correct it really will change your life. Be patient, you have a ton of resources here, as well as a TON of support!!
Thanks for your time,
Chris
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CPAPopedia Keywords Contained In This Post (Click For Definition): Titration, Arousal, CPAP, Hypopnea
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StillAnotherGuest
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Maybe...
If they subtracted Time After Final Awakening in the Sleep Period Time, that could explain the missing hour. You're right, we could see that on the histogram.
Their snoring arousals is probably what we would otherwise refer to as RERAs.
SAG
Their snoring arousals is probably what we would otherwise refer to as RERAs.
SAG
Aromatherapy may help CPAP compliance. Lavender, Mandarin, Chamomile, and Sweet Marjoram aid in relaxation and sleep. Nature's Gift has these and a blend of all four called SleepEase.
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SleepySandy
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Snoring Arousal?
My initial study had RERA listed. Nothing labeled Snoring.
In the same place, my titration study had Snoring listed. Nothing labeled RERA.
Is it possible they're the same thing under 2 different names?
In the same place, my titration study had Snoring listed. Nothing labeled RERA.
Is it possible they're the same thing under 2 different names?
Ok if they flip the two back and forth (snoring and RERA) then yes I would assume that's what it would be.
I gotta say this is a well informed group on here, I was hesitant to use the term RERA earlier not wanting to confuse ya more than I did. So yea a RERA (respiratory effort related arousal) is anything respiratory related that doesn't fall under the qualification of a hypopnea and apnea. But I'm sure y'all already knew that I'm very impressed by the way!
Ok well that helps, so now we know (based on the report) that your having a ton of respiratory events while your in REM. Unfortunately for your tech (and you), you were unable to hit REM for any decent amount of time, which is probably why they MAY have been unable to achieve a proper pressure setting for you while in REM (which is common for most people because of the muscle atonia in REM). Or possibly your doctor saw that and he has you at a higher setting anyways, thinking that will solve the problem. Only way to know is for you to stick with the machine and follow-up with your doctor and have him review the information for a possible change in pressure. (right now I'm sticking with having the doctor make the call on a pressure change).
I know alot of people on here have the card readers, and I'm reading alot of people making changes to their machines, switching from CPAP to APAP, adjusting their pressures up and down. I'm hesitant to tell you to do that. There are quite a few other problems that can arise (that wouldn't of normally been there) by an incorrect pressure...for example: too much pressure can cause a person to have central apneas. I'm not here to judge though, alot of people on here seem to know what they are talking about, and I realize the card readers are probably cheaper than repeatative doctors visits (and definately cheaper than another titration study).
Wow I need to stop writing these novels, I really hope I'm helping to some degree.
Chris
I gotta say this is a well informed group on here, I was hesitant to use the term RERA earlier not wanting to confuse ya more than I did. So yea a RERA (respiratory effort related arousal) is anything respiratory related that doesn't fall under the qualification of a hypopnea and apnea. But I'm sure y'all already knew that I'm very impressed by the way!
Ok well that helps, so now we know (based on the report) that your having a ton of respiratory events while your in REM. Unfortunately for your tech (and you), you were unable to hit REM for any decent amount of time, which is probably why they MAY have been unable to achieve a proper pressure setting for you while in REM (which is common for most people because of the muscle atonia in REM). Or possibly your doctor saw that and he has you at a higher setting anyways, thinking that will solve the problem. Only way to know is for you to stick with the machine and follow-up with your doctor and have him review the information for a possible change in pressure. (right now I'm sticking with having the doctor make the call on a pressure change).
I know alot of people on here have the card readers, and I'm reading alot of people making changes to their machines, switching from CPAP to APAP, adjusting their pressures up and down. I'm hesitant to tell you to do that. There are quite a few other problems that can arise (that wouldn't of normally been there) by an incorrect pressure...for example: too much pressure can cause a person to have central apneas. I'm not here to judge though, alot of people on here seem to know what they are talking about, and I realize the card readers are probably cheaper than repeatative doctors visits (and definately cheaper than another titration study).
Wow I need to stop writing these novels, I really hope I'm helping to some degree.
Chris
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rested gal
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Yes, you're helping!! And no, you don't need to stop writing "these novels."SleepTech wrote:Wow I need to stop writing these novels, I really hope I'm helping to some degree.
Chris
Chris, you've seen how we "cpap users" on this board are trying our best to learn and help each other. Sometimes getting it right, sometimes not. Sometimes getting fussy...but always trying to better understand our particular sleep disorders and treatment.
You and other professionals (SAG, KansasRT, mattman, Titrator, drbandage, and others I recall in previous years, like IllinoisRRT) who are willing to post on this board are helping so many people. More than you could ever know. Thank you.
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viewtopic.php?t=17435
Humidifier: Integrated + Climate Control hose
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NightHawkeye
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Welcome to the forum, Chris. FWIW, some studies have shown that patients are capable of adjusting their own pressures quite well. Stick around and you'll see a link to one of the studies posted every now and again.SleepTech wrote:I'm hesitant to tell you to do that. There are quite a few other problems that can arise (that wouldn't of normally been there) by an incorrect pressure...for example: too much pressure can cause a person to have central apneas. I'm not here to judge though, alot of people on here seem to know what they are talking about, and I realize the card readers are probably cheaper than repeatative doctors visits (and definately cheaper than another titration study).
Regards,
Bill
Hi Chris, and a belated welcome! Some of us have no choice but to 'DIY'. My MD told me to "look it up on the internet and figure it out"! He said I had a sleep study and titration, "come back in 5 years". So I most definitely appreciate any and all input you may have!
Brenda
Brenda
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Question for the techs out there
Been dealing with this stuff for ten years as a patient, but still so much to learn. Can you help me understand how the tests interpret a situation where an arousal is recorded when an obstructive event is happening simultaneously to a PLMD movement? I'm speaking of times when either would have happened independently in the other's absence. How does the data reveal which caused the arousal? Are these by default counted as respiratory arousals?
Kathy
Kathy
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I think Chris gave an excellent explanation.
my guess is you have some type of REM disorder, you only had 6.5min worth of REM sleep then it was full of and interrupted by arousals what ever they may be.
More events were seen in REM than NREM and that is with cpap therapy?
Sleep Continuity: Arousals
Spontaneous: 15 REM / 3 NREM
Resp. Events: 3 REM / 0 NREM
Snoring: 46 REM / 4 NREM
Desaturation: 0 REM / 0 NREM
Limb Movement: 14 REM / 1 NREM
PLMs: 6 REM / 0 NREM
RRLM: 0 REM / 0 NREM
Total Arousals: 84 REM / 8 NREM
Even though the above events may not be associated with any kind of desaturation or put undue stress on the heart, they can contribute just as much as obstructive events towards interrupted sleep. Many don't get any REM at all, looks like you are making it there but when you get there you cannot stay there for very long.
First thing I would look at and evaluate is what medications you may be taking and try eliminating any sodas or anything containing caffeine.
my guess is you have some type of REM disorder, you only had 6.5min worth of REM sleep then it was full of and interrupted by arousals what ever they may be.
More events were seen in REM than NREM and that is with cpap therapy?
Sleep Continuity: Arousals
Spontaneous: 15 REM / 3 NREM
Resp. Events: 3 REM / 0 NREM
Snoring: 46 REM / 4 NREM
Desaturation: 0 REM / 0 NREM
Limb Movement: 14 REM / 1 NREM
PLMs: 6 REM / 0 NREM
RRLM: 0 REM / 0 NREM
Total Arousals: 84 REM / 8 NREM
Even though the above events may not be associated with any kind of desaturation or put undue stress on the heart, they can contribute just as much as obstructive events towards interrupted sleep. Many don't get any REM at all, looks like you are making it there but when you get there you cannot stay there for very long.
First thing I would look at and evaluate is what medications you may be taking and try eliminating any sodas or anything containing caffeine.
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SleepySandy
- Posts: 330
- Joined: Sat Jan 13, 2007 5:25 pm
- Location: Seattle, WA
THANKS!
Thanks everyone for your responses. They're incredibly helpful.
I really appreciate all of your input.
I'm still digesting the comments, and I welcome any additional thoughts you have.
Sandy
I really appreciate all of your input.
I'm still digesting the comments, and I welcome any additional thoughts you have.
Sandy