Do I need CPAP?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jans2003
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Do I need CPAP?

Post by jans2003 » Sun Jan 15, 2023 8:37 am

These are my sleep study results. It says I only have hypopneas. Would I be fine if I just slept on my side?
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LSAT
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Re: Do I need CPAP?

Post by LSAT » Sun Jan 15, 2023 9:18 am

YES..You need CPAP therapy. Hypopneas are treated just like Apneas. An Apnea is when have 70-100% airway blockage. Hypopneas have a 40-70% blockage. In your Sleep Study you had 29 events in 1.4 hours of sleep.

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Rubicon
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Re: Do I need CPAP?

Post by Rubicon » Sun Jan 15, 2023 9:33 am

I'd certainly fully explore all angles before I committed to CPAP. They used the more liberal 1A definition and anyway your sleep quality is beyond awful. I need to look in the Thesaurus to find the right word.

Do you have the number of desaturations in the report?
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Rubicon
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Re: Do I need CPAP?

Post by Rubicon » Sun Jan 15, 2023 9:35 am

Also, because of the limited sleep and absence of REM, this study is inadequate.
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Miss Emerita
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Re: Do I need CPAP?

Post by Miss Emerita » Sun Jan 15, 2023 11:54 am

Because you got so little sleep -- and no REM, as Rubicon points out -- the study is inadequate. Was it in a sleep lab? If it was, it was probably a "gold-standard" test. Home tests generally aren't "gold-standard," but you might ask for one in hopes that you could clock more sleep if you were sleeping in your own bed. Another possibility: ask for another in-lab test plus a prescription for a sleep aid like Ambien.
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Okie bipap
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Re: Do I need CPAP?

Post by Okie bipap » Sun Jan 15, 2023 2:00 pm

Not having REM sleep does not make a sleep study inadequate. My sleep study was noted for the lack of REM sleep. I could never sleep long enough to get into REM sleep.

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Rubicon
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Re: Do I need CPAP?

Post by Rubicon » Sun Jan 15, 2023 3:03 pm

Okie bipap wrote:
Sun Jan 15, 2023 2:00 pm
Not having REM sleep does not make a sleep study inadequate. My sleep study was noted for the lack of REM sleep. I could never sleep long enough to get into REM sleep.
OK, since this is a decision that could affect the rest of the OP's life, let's call it "acquiring reliable data".

You know:
Okie bipap wrote:
Tue Mar 21, 2017 5:39 pm
I took Ambien during both of my last two sleep studies at the doctor's suggestion. I did not take anything during the first two and had a hard time sleeping enough to get reliable data.
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peelunkins
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Re: Do I need CPAP?

Post by peelunkins » Sun Jan 15, 2023 3:27 pm

Okie bipap wrote:
Sun Jan 15, 2023 2:00 pm
Not having REM sleep does not make a sleep study inadequate. My sleep study was noted for the lack of REM sleep. I could never sleep long enough to get into REM sleep.
Same here. Did not sleep long enough to get to REM but was still diagnosed and rec'd CPAP

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Rubicon
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Re: Do I need CPAP?

Post by Rubicon » Sun Jan 15, 2023 3:40 pm

Will certainly agree that OSA can bump out of or prevent REM (and REM Rebound is seen during titration). But OP's sleep is horrible, there doesn't appear to be any desats, and the hypopneas are VERY long. I would question if there are any hypopneas at all or is it simply an extension of poor sleep. I'd get the raw data and look myself.
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Rubicon
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Re: Do I need CPAP?

Post by Rubicon » Sun Jan 15, 2023 3:43 pm

This data is INADEQUATE for a lifetime decision.
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robysue1
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Re: Do I need CPAP?

Post by robysue1 » Mon Jan 16, 2023 1:15 pm

To piggyback on what Rubicon has said:

That sleep study has mighty little actual sleep in it. And almost all of the sleep that is recorded is light sleep (i.e. stages N1 and N2). And since there was only 1.4 hours of sleep actually recorded and since the sleep that was recorded was broken into two main sections, it's not a huge surprise REM wasn't reached: Typically the first REM cycle starts about 1.5 hours after sleep onset.

To the OP: If you were asked to compare this night's sleep to a typical one, did you tell the tech you got significantly less sleep than you think you usually get? Or did you indicate that you thought you got about the same amount of sleep that you usually get?

How much sleep did you think you got during the night?

Were you surprised that the study showed that you were asleep for 1.4 hours?

Do you have a history of severe insomnia?

In all seriousness I ask about insomnia because the only sleep study that I've ever seen posted here with this little recorded sleep time is my own first bi-level titration study where a whopping 111 minutes of sleep time was recorded during the whole night. That sleep study did convince both me and the PA treating me at the time that the insomnia that started shortly after I started CPAP was significant and had to be dealt with if I was ever to benefit from xPAP therapy at all. (My first titration study was 3 months earlier and was a straight CPAP titration study, and over 4 hours of actual sleep was recorded on it.)
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