HI vs AI?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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time2sleep
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HI vs AI?

Post by time2sleep » Sat Jul 11, 2009 8:15 am

I am a newbie and as I understand it AI refers to the number of apneas per hour and a good number is under 1.0. HI is the number of partial hypopneas per hour and a good number is under 2.4.

I have been on OSA therapy since early April. I write down the readings from my LED screen most mornings, so I have a snapshot of the last couple of months. My AI's are always under 1.0 but my HI's are up in the 3-4.5 range.

My question is this: Why do we care what the partial obstructions are? If it is partial can't you still breathe? Why aren't we just concerned about the total obstructions, or AI events?

How do I get the HI's lower? Thanks in advance for your help.

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mars
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Re: HI vs AI?

Post by mars » Sat Jul 11, 2009 9:31 am

Hi Time2Sleep

I am not a technical person, others can give you more detail. But my twopennorth is a follows -

[quote="time2sleep"]I am a newbie and as I understand it AI refers to the number of apneas per hour and a good number is under 1.0. HI is the number of partial hypopneas per hour and a good number is under 2.4.

A hypopnea could be called a partial apnea, a partial hypopnea could, I suppose, be called a partial partial apnea. Best just to use the terms apnea and hypopnea. A good number is the lowest you can get for you, not some else's lowest.

Quote - I have been on OSA therapy since early April. I write down the readings from my LED screen most mornings, so I have a snapshot of the last couple of months. My AI's are always under 1.0 but my HI's are up in the 3-4.5 range.

My guess would be that is just the way your disease works, in combination with your machine and its settings. Fine tuning may help. You have all you need to do this.

Quote - My question is this: Why do we care what the partial obstructions are? If it is partial can't you still breathe? Why aren't we just concerned about the total obstructions, or AI events?

What we are concerned about, apart from interrupted sleep etc, is the lack of oxygen in our blood. A hypopnea still reduces the oxygen, therefore it is doing us harm.

Good luck with the fine tuning, there are experts here who can help you there (but I am not one of them)

cheers

Mars
for an an easier, cheaper and travel-easy sleep apnea treatment :D

http://www.cpaptalk.com/viewtopic/t7020 ... rapy-.html

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time2sleep
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Location: Colorado

Re: HI vs AI?

Post by time2sleep » Sat Jul 11, 2009 9:36 am

Thanks. I see your point about oxygen reduction no matter what the event. I appreciate your insight.

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rested gal
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Re: HI vs AI?

Post by rested gal » Sat Jul 11, 2009 11:36 am

Mars gave you a very good answer about why hypopneas can cause problems.

As for this...
time2sleep wrote:My AI's are always under 1.0 but my HI's are up in the 3-4.5 range.
---
How do I get the HI's lower?
You're using a ResMed machine.

With a ResMed machine, I mentally cut the HI number in half.

If you do that, you'll see a very nice low Hypopnea Index.

Even if you don't do that, you're getting a nice low hypopnea index as it stands.

I think both your numbers look fine already.

Here's why I personally halve the Hypopnea Index when I use a ResMed machine and want to compare my results with what I normally see when I use other brands of machines:

Chart posted by Velbor showing the differing definitions used by the different manufacturers:
April 2, 2009
viewtopic.php?p=356255#p356255


High HI affecting AHI rating. Should I be worried - topic started by ChrisC
Mar. 30, 2009
viewtopic.php?p=355205


Alternative ways to decrease the AHI - topic started by christo
Dec. 21, 2008
viewtopic.php?p=324087#p324087


I need to stop chasing 0 AHI. - topic started by fortomorrow
Dec. 4, 2008
viewtopic.php?p=319432#p319432


Hubby's AHI sucks... - topic started by Debjax
Feb. 15, 2009
viewtopic.php?p=339278#p339278
ResMed S9 VPAP Auto (ASV)
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time2sleep
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Location: Colorado

Re: HI vs AI?

Post by time2sleep » Sat Jul 11, 2009 1:40 pm

THANK YOU sooooo much for all the good info!