sleep study summary perplexing

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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seamonkey21
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Joined: Tue Jun 05, 2007 2:46 pm
Location: TN

sleep study summary perplexing

Post by seamonkey21 » Thu Jun 07, 2007 9:59 am

Well, yesterday I got a copy of the summary results of my sleep study, and I find the numbers a little perplexing. This is an old study, from a year ago.

Can anyone with more experience with these take a look and see what they think?

Points of interest:
AHI seemingly relatively ok (5.5)
Out of 114 'arousals' - 105 categorized as 'spontaneous'
almost the entire night spend in Stage 2 - no time (virtually) spent in Stage 3, 4, or REM sleep.

:scratches head:

image links below:

http://i37.photobucket.com/albums/e66/s ... titled.jpg

http://i37.photobucket.com/albums/e66/s ... itled2.jpg


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Snoredog
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Post by Snoredog » Thu Jun 07, 2007 10:40 am

I'd look up the meaning of that word "spontaneous".

My suggestions:

1. Address the easy stuff like OSA events (obstructive sleep apnea).
2. Try and address any residual vibratory snoring seen. Snoring is sometimes thought to be a contributing factor with spontaneous arousal's (if the snoring stops and spontaneous arousal's continue then you know those snores were not).
3. Look at any medications you might be taking even if you have been taking it a long time, even those for hypertension can play havoc on your sleep.
4. Look at any chronic muscle-skeletal pains, like from a bad back, arthritis etc. IF those pains bother you during the day they can also bother you during the night and can contribute to interruptions to your sleep.

When the cause of the event is unknown, you have to look at everything as a possible cause.

What I found helps is melatonin for getting me to deeper sleep and helping me stay there. I address my bad back and arthritis pains with traction therapy and a daily enteric coated aspirin which also doubles as stroke prevention for me.

Only problem you have is you have no way of monitoring those spontaneous arousals, but if you continue to be tired during the day effectively being treated with cpap, that is where I'd be looking.

someday science will catch up to what I'm saying...

justplainbill
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Joined: Sat Sep 09, 2006 10:38 am

Post by justplainbill » Thu Jun 07, 2007 10:58 am

I am not an expet but there is a discussion of the term Spontaneous Arousal at the ASAA website here: http://www.apneasupport.org/viewtopic.php?t=2344 (in their FAQ on Sleep Study Terms).

I am a little confused about the study you posted. Was this study done with CPAP/BiPAP (as the title on the first page suggests) and a mask or not? If it is a titration study (a study done to figure out the correct pressure for your CPAP/BiPAP therapy) I would expect to see some description of the various pressures that they tried. In any case, that would explain the low level AHI. If this was an initial titration study this might also explain the number of spontaneous arousals (since their clever recording devices cannot isolate out arousals due to your trying to adjust to a foreign object on your face, and it might also explain your poor sleep architecture (the total absence of REM sleep and the near total absence of Stage 3 and 4 sleep).

If this study was done without CPAP and mask, or if you had been using a CPAP and mask for some time and this was just a study done to see how you are doing, then this warrants some more exploration. It looks like snoring can be ruled out as a source for your arousals (since there were no snoring arousals noted). The other factors Snoredog notes are worth examining.

Hope this helps.

Are you on CPAP? If so, how is it going?

Best wishes,
Bill