Take a look at my PulseOx Report

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
icipher
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Take a look at my PulseOx Report

Post by icipher » Sat Jun 07, 2014 8:08 am

First time i've looked at data.

I am confused, as I scanned through the whole graph and never saw a dip below 90%, yet the report tells me my minimum 02 was 82%

Also, I see it flagged 124 pulse events. Is this a big deal?

What are your thoughts on my numbers? I do remember last night I had a lot of awakenings as I was trying to fall asleep. I would wake up with my heart beating a little hard and fast.

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Sludge
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Re: Take a look at my PulseOx Report

Post by Sludge » Sat Jun 07, 2014 8:38 am

icipher wrote:I am confused, as I scanned through the whole graph and never saw a dip below 90%, yet the report tells me my minimum 02 was 82
I believe it is buried at the beginning (with a little artifact).
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icipher
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Re: Take a look at my PulseOx Report

Post by icipher » Sat Jun 07, 2014 8:45 am

Sludge wrote:
icipher wrote:I am confused, as I scanned through the whole graph and never saw a dip below 90%, yet the report tells me my minimum 02 was 82
I believe it is buried at the beginning (with a little artifact).
What is an "artifact"?

Also, here is the beginning of the night, might have just been from my putting the oximeter on.

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Sludge
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Re: Take a look at my PulseOx Report

Post by Sludge » Sat Jun 07, 2014 9:05 am

icipher wrote: What is an "artifact"?
"Crap."
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palerider
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Re: Take a look at my PulseOx Report

Post by palerider » Sat Jun 07, 2014 9:59 am

your report looks fine, though I suggest you pick the oximetry report, it tells you more and doesn't waste as much space for someone's interpretation notes as the summary report does.

if you can't find something you're wondering about, look at the strip chart report, there's more detail of the readings.

you note in your first report, that the left edge of the spo2 chart is green, that's because you got a false reading right at first when you turned it on, easy to see in your second pic, stick it on your finger before turning on next time, maybe.

your report looks great. (o2 wise anyway)

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pbriggs
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Re: Take a look at my PulseOx Report

Post by pbriggs » Sat Jun 07, 2014 6:08 pm

Hello icipher,
I think your first question was well answered by palerider on where the low value came from. As he note, be sure to turn on the device with your finger inserted. I typically wait a few seconds before I start the recording function after turning in on also.

Pulseoximeters do not like a lot of movement - so try this link to understand how they work:
http://www.howequipmentworks.com/physic ... meter.html
It will give you all the technical details on how the device works. As a technical person I find the function interesting, and I also understand that many people will not... so if you don't, just look at the basics of the light shining through the finger... then think of movements of the finger and how the light will change...

Your second question is on the pulse events. - as the reports says, a pulse event is when your pulse changes by 6 beats per minute (either up or down) from one reading to the next. You said that "I had a lot of awakenings as I was trying to fall asleep." As you look at the pulse graph you can see a higher pulse rate early in the night then getting lower with a few spikes. This is pretty typical in my opinion. A way to relate this to blood pressure - many newer automatic BP devices have a wait time before it takes the first reading. My wife's has a 5 minute rest period before it takes the first reading, then takes 2 more each a minute apart and averages them. So, the wait or rest time is to give the body a few minutes to relax. If you would wait a few minutes after starting the pulse ox before starting the recorder, the pulse rate will start lower. For me, if I waited 5 minutes after the hit the bed to start the recording it would be too late as I would already be sleeping. Keep in mind if you move around a lot at night your pulse rate will also change as your body moves, plus your finger is moving so you many find some changes just from movement of the sensor. Typically movement of the sensor causes changes too. Keep in mind that when you go to bed your pulse is typically higher from the days activities (stress, coffee, etc) and low in the morning. If your machine has data and you use sleepyhead, you can compare the graphs in each device. Then you can look for an event and see if it ties into the rise in pulse or drop in SpO2%.

If you use the "OxiMety Report" it will give you below %SpO2 level time in %. Overall, in my opinion, the graphs are pretty good. I wish my SpO2 was as high as yours

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Sludge
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Re: Take a look at my PulseOx Report

Post by Sludge » Sun Jun 08, 2014 3:37 am

icipher wrote:Also, I see it flagged 124 pulse events. Is this a big deal?
Certainly something that should be explained.

Heart Rate Variability (HRV) has long been associated with sleep and/or breathing disturbances:
Cardiovascular changes accompany every single apnea event. With each apnea heart rate decreases. During the apnea we do see a relative bradycardia. After the end of the apnea, when respiration reconstitutes a relative tachycardia is observed.
http://www.nature.com/npp/journal/v28/n ... 0146a.html

Image

However, HRV can occur in a zillion different scenarios. Take at look at this NPSG where HR speeds up (EKG, or red waveform)(the waveform gets denser as the EKG complexes get closer together):

Image

OTOH, you cannot say "Oh look! HRV! My OSA is out of control!" or "I've got PLMs!"

I mean, if somebody has irregular AFib, the HR waveform would be totally unpredictable and useless (similarly, however, one cannot say "Aha! I must have AFib!").

At any rate, your sleep may be getting disturbed 17.5 times per hour, and when you see how crazy people are around here when their AHI is >1.0 times per hour...

...I guess all that proves is that Some People Are Crazy.
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icipher
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Re: Take a look at my PulseOx Report

Post by icipher » Sun Jun 08, 2014 11:51 am

Sludge wrote:
icipher wrote:Also, I see it flagged 124 pulse events. Is this a big deal?
Certainly something that should be explained.

Heart Rate Variability (HRV) has long been associated with sleep and/or breathing disturbances:
Cardiovascular changes accompany every single apnea event. With each apnea heart rate decreases. During the apnea we do see a relative bradycardia. After the end of the apnea, when respiration reconstitutes a relative tachycardia is observed.
http://www.nature.com/npp/journal/v28/n ... 0146a.html

Image

However, HRV can occur in a zillion different scenarios. Take at look at this NPSG where HR speeds up (EKG, or red waveform)(the waveform gets denser as the EKG complexes get closer together):

Image

OTOH, you cannot say "Oh look! HRV! My OSA is out of control!" or "I've got PLMs!"

I mean, if somebody has irregular AFib, the HR waveform would be totally unpredictable and useless (similarly, however, one cannot say "Aha! I must have AFib!").

At any rate, your sleep may be getting disturbed 17.5 times per hour, and when you see how crazy people are around here when their AHI is >1.0 times per hour...

...I guess all that proves is that Some People Are Crazy.
Hmm,

I will talk to my sleep doctor about it. I know I have bradycardia at night. My Ahi is generally less than 1.5, so I am not sure what to think. I'd be curious to hear how many pulse events other members here experience.

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Sludge
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Re: Take a look at my PulseOx Report

Post by Sludge » Sun Jun 08, 2014 2:20 pm

icipher wrote:I will talk to my sleep doctor about it.
I think you need to find your best NPSG, and look at the Total Number of Arousals, Sleep Efficiency and WASO.
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