Severe mixed apnea at the age of 35

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Rubicon
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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 7:42 am

Herbert wrote:
Thu Feb 02, 2023 7:19 am
Rubicon wrote:
Thu Feb 02, 2023 7:02 am
Oh wait I forgot all may SleepHQ characters...
your parcel has been shipped. how do you plan to integrate into my data without the raw data of the resmed?
Yeah my latest free version of SleepHQ just expired this morning so that's gonna be a problem. But looking at it coarsely

Image

there's nothing there that's gonna cause you to die anytime soon. Couple desats that could even be artifact, I'll take a browse later.

Really need to do some retirement stuff tho...
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Experience slips away.

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 7:58 am

The desat to 92% (and 92% is fine) at 01:43 AM happened in here somewhere:

Image

So an arousal F/B a little bit of central stuff as sleep returns...

Meh.
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 8:03 am

Rubicon wrote:
Thu Feb 02, 2023 7:58 am
The desat to 92% (and 92% is fine) at 01:43 AM happened in here somewhere:

Image

So an arousal F/B a little bit of central stuff as sleep returns...

Meh.
where would you put the limit for "fine"? 90%?

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 8:14 am

I like 92-93%. Depends if you're talking about desats or baseline because time spend at x level is critical.
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 8:26 am

Rubicon wrote:
Thu Feb 02, 2023 7:42 am
Really need to do some retirement stuff tho...
yes sure, I'll wait for your feedback lateron

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 12:13 pm

The periodic breathing is a little less but the respiratory instability and HRV is still there:

Image

In re:
Herbert wrote:
Sat Jan 28, 2023 6:49 am
My heart (has)... been checked thoroughly ...
what workups do you have especially Holter monitoring. Any and all. Was there any comment about heart rate in any of the sleep studies.

This is a chicken and egg thing, IMO it's time to look at the chicken.
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 12:21 pm

Rubicon wrote:
Thu Feb 02, 2023 12:13 pm
The periodic breathing is a little less but the respiratory instability and HRV is still there:

Image

In re:
Herbert wrote:
Sat Jan 28, 2023 6:49 am
My heart (has)... been checked thoroughly ...
what workups do you have especially Holter monitoring. Any and all. Was there any comment about heart rate in any of the sleep studies.

This is a chicken and egg thing, IMO it's time to look at the chicken.
I had cardio mri, regularly ultra Ssound, 3 sleep studies in Hospital and 2 at home of which I don't know how thorouhly they looked at the ecg. and just 2 weeks ago u had an 24h ecg from my cardiologist. the reason was especially how my heart behaves at night in connection to periodic breathing. he told me everything was fine, Sinus rhythm all night an not even one extra systolic. so I guess I've been checked quite well concerning my heart. what would be your interpretation?

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 12:25 pm

Get a hold of the 24 hour EKG and let's take a look.

Why'd they do it anyway?
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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 12:28 pm

Rubicon wrote:
Thu Feb 02, 2023 12:25 pm
Why'd they do it anyway?
I mean like just for laughs, stab in the dark, good a guess as any...
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 12:32 pm

Rubicon wrote:
Thu Feb 02, 2023 12:28 pm
Rubicon wrote:
Thu Feb 02, 2023 12:25 pm
Why'd they do it anyway?
I mean like just for laughs, stab in the dark, good a guess as any...
because I told him (cardiologist) that the sleep doctor said my periodic breathing was due to afib, but I didn't believe it as I did not have afib for months now. I'm highly symptomatic, so i would recognize. he agreed that "inactive" afib can't affect breathing when it's just not there at that moment. I asked if we could check once again what's happening with my heart at night. that was the intention

Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 12:42 pm

Rubicon wrote:
Thu Feb 02, 2023 12:25 pm
Get a hold of the 24 hour EKG and let's take a look.

Why'd they do it anyway?
you mean like a copy? never asked for that, but I will. usually he's very uncomplicated about sth like that.

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 12:46 pm

Yes, especially anything relating to Heart Rate Variability. They'll be measuring it as r-r interval.
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Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 12:52 pm

just had a look on my old recordings. seems to look like that most nights.

Herbert
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Re: Severe mixed apnea with 35

Post by Herbert » Thu Feb 02, 2023 12:54 pm

Rubicon wrote:
Thu Feb 02, 2023 12:46 pm
Yes, especially anything relating to Heart Rate Variability. They'll be measuring it as r-r interval.
I thought a high heart rate variability was good, not bad..

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Re: Severe mixed apnea with 35

Post by Rubicon » Thu Feb 02, 2023 12:58 pm

Different kinds of HRV. See my post earlier re: HRV:

viewtopic/t184442/Fluctuating-pulse.html?start=15

Image

That's measuring r-r interval in absolute synchrony with everything else.

We got a Wellvue that we're lucky if it's within a half hour.

Sledgehammer.

I can't work like this.
Freeze this moment a little bit longer.
Make each sensation a little bit stronger.
Experience slips away.