Hello, My name is Leslie and I am new to the forum.  I have alot of background to share but I think I will just stick with the results for now and see what you think.

Total time in bed:  6.9 hrs
Total sleep time:  5.5 hrs
Sleep onset latency :  13 minutes
Sleep effciency:  79%
Stage I NREM sleep 10%
Stage II NREM sleep 73%
Stage III & IV NREM sleep 17%
REM sleep - %
REM sleep latency = minutes
Total apneas: 24
Total hypopneas 129
AHI: total 39  supine 0, sides 39  REM 0
Snoring: There was moderate snoring
ECG: No arrhythmia's noted
PLMS: The patient has a total fo 135 PLMS,
          The PLMS index was 25
          PLMS arousal indes was -
Oxygen satuation:  Range 76 - 98%   Minimum 76%
EEG characteristics: No epileptiform discharges seen.  The patient has a total of 229 arousals,
giving rise to an arousal index of 42.
Behavioral Data: Nothing significant

Patient has severe obstructive sleep apnea
Patient has mild PLMS

A CPAP titration has been ordered and I guess I will be anxiously waiting to find out when I get to do that!  

Any way this is all that they sent me, no explanation just here you go and and here is your machine.

Any help with how bad or maybe how not so bad the results are would be appreciated

Thanksjavascript:emoticon('')
Smile

Hi Leslie!
Not really a lot more to add here.  Your OSA is rated severe because your apnea-hypopnea index is >30, and those oxygen desaturations are pretty low at 76.  I would wait and see what and see what the PLMs do during the CPAP titration before I start worrying about them.  Anyway, it's the PLM arousal index that would be of concern, and I guess "-" means "0", so so there's "0" concern right now.  Hmmm, your REM total is "-" too, that could be from a couple of things.  That could be very important because OSA tends to get much worse in REM, so you could be even more severe than this.
What the rest of the background, anything pertinent?  The arousal index is too high from what you've shared, and your sleep efficiency too low.  How many desaturations were there?  Any chance on getting the sleep architecture graph?  It looks like this:



It seems like there's one or two more things underfoot here, and that graph might be helpful.
sleepydave

Thanks sleepydave for replying so quickly,

    I only got my results from my GP on Friday and I guess I just got a little spooked with all of these numbers an no answers for me so I posted.  And yes, I think  "-" means "0".
    As for the background I spoke of.  The main reason my GP sent me for sleep study was because I suffer migraines and have regular headaches all the time.  I am also hypothyroid and take medicine and my numbers are in a good range but alas, I still have unrefreshed sleep and tired all the time, brain fog, etc.  I thought all of this was related to my thyroid but to my surprise I get these results from sleep study!
     I do have a question about something during my study.  The nose/mouth canula kept slipping out of place thoughout the night and the tech would ask me to adjust it (I guess at times when I woke myself up).  Would this have any big affect on any of the test?  And one other question, I toss from one side to the other, is this the PLMs that they are talking about or something else? ( which is probably why they graph will be helpful)

     I will try and get a graph if I can get one, and post it to see what you all think.  
  
thanks
Leslie

Here is that graph from my study.  I go on Monday to get titrated for a cpap. and I can't wait.  




The "W" at the top above the REM I assume means awake.  Yet on my results page they said I had no awakenings.  Strange.

Thanks,
Leslie

Hi Leslie:

Getting the graphs always makes things so much easier, you can get a much better idea what happened, as well as pick up stuff that may have been overlooked or somehow failed to get transcribed from there to here.

Anyhow, that night was a real wreck.  You've got about 35 awakenings in there.  Normal is about 2.

Your PLMS are not listed on the graph at all.  (Whoops, I lied, there they are).  But let's sit on that till after the CPAP, they may "disappear", and we'll consider that then.

I still can't get the arousal index and AHI to work out.  If you had 24 apneas + 129 hypopneas = 153 events divided by 5.5 hours of sleep, that's AHI 28, not 39.  And you arousal index is 42, so that's quite a few arousals still there.  That, coupled with the lack of REM, while it might be just "lab effect", suggests something else, related to perhaps basic sleep hygiene or medication effect.

Any other medications?  When do you take your thyroid medication, AM or PM?  Barring anything else, you might want to make sure your thyroid treatment is optimal.

Finally, let me rock the boat a little.  If your low O2 saturation is 76%, that's of great concern.  However, when I look at all the deep dips in the SaO2 graph, they all occur during times of motion or awakening.  In other words, these could very well be motion artifact.  Especially when your SaO2 is quite stable during your (brief) periods of sustained sleep.  For that matter, the concentrations of respiratory events are significantly less during these periods, too.  But again, with no REM sleep and and now I see no supine sleep as the reason behind your supine AHI of 0, the OSA might even be a little more severe than the numbers indicate as well.

Aren't you glad everything's all cleared up now?  Isn't this stuff interesting?

Stay in touch.

sleepydave