Afib and OSA

I was diagnosed with Afib around Jan 1, 2025. I also found I had sleep apnea (AHI of 46). I started with a ResMed 10 and a nasal pillow mask on Feb 1. My AHI only dropped to 25-30. I had a cardioversion on Feb 7, which eliminated the Afib. My AHI dropped below 4 immediately, and has stayed that way for a month. I wear the mask for an average of 7 hours a night, and usually have a sleep rating of 97-100. I wake earlier than I used to and feel rested (better than before) I was never a snorer nor did I have severe fatigue, although, during the Afib episode, I did have shortness of breath with exercise, and was more tired than normal I am 77 years old but generally pretty active. Generally, I am pretty satisfied..the unit is quiet, the auto ramp seems to work well, and my normal nasal congestion is not a problem when I am using the mask. Once in awhile, the pressure kicks up and wakes me up, but things usually settle down pretty quickly. Any suggestions? I clean the mask and the water reservoir every day, and the hoses about once per week. I hope I don't need to use this forever, but I will let my cardiologist advise me on that.

I don't do things half way like you. I am 79 now.
I was diagnosed with AFIB and OSA in August of 2010.
Several bouts with a Holter monitor suggest I have constant, Mostly silent AFIB. Did not learn about cardioversion until it was way to late to try it.
My Sleep Test AHI was only 83.
Now I generally keep my AHI below 3 and I have had 2 nights recently at 0.0 AHI.
I don't expect to use my Aircurve 10 ASV for ever, only while I am still alive, another 10 or 20 years.

rojcycleman wrote: ↑

Thu Mar 06, 2025 2:20 pm

Once in awhile, the pressure kicks up and wakes me up, but things usually settle down pretty quickly. Any suggestions?

If you restart the machine, the ramp will start over.

Otherwise, you haven't said what you would like help with.

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Chicago granny...
I have restarted the machine and reset the ramp. That helps. Thanks

Bwexler....

Too bad about not knowing about cardioversion. As soon as my Holter monitor showed Afib my friends told me about it. The lowest level shock did not work, but the second level did, and when I woke up, I immediately felt normal. A big relief. I was nearly 78 when I had it...nothing was mentioned about not being able to do it. It is non invasive. On the other hand, it sounds like you are doing well without it. My AHI is always below 5 now, and usually around 1. I do roll over a lot because of bad shoulders, and maybe that is why I can't get much lower.

Not really looking for advice, just sharing what worked for me. I just ran across this forum yesterday. Nice to be able to see how others are coping.