Can someone please help me understand these results?  I use a CPAP but I always feal tired and in a fog.  Thanks
 

 
Diagnostic Analysis
Total Recording time 395.5
Totoal Sleep Time 310.5
Sleep Latency (min) 11
REM Latency (min) 107.5
Sleep Efficiency (%) 78.5
Stage 1 (%TST) 27.1
Stage 2 (%TST) 59.4
Stage 3 (%TST) 0
Stage 4 (%TST) 0
REM (%TST) 13.5
Wakefulness (%TST) 2.019.2
Awakenings: 6
Total Apneas & Hypopneas: 411
Respiratory Arousals: 481
Respiratory Arousal Index:  92.9
Spontaneous Arousals: 0
Central Apneas 0
Obstructive Apneas 316
Mixed Apneas 6
Obstructive Hypopneas 89
Longest Apnea duration (seconds) 75.4
Snoring time 148.4
# of snoring events 462
# of epochs 3  
Lowest O2 Saturation % 80
Average O2 Saturation % 93.2
Average Desaturation 6.5%
Total PLM events 0

Comments: Variant heart rate with frequent PAC's, PVC's noted as well.  REM sleep decreased.  SWS not achieved.
Respiratory events appear to be more severe while supine and during REM sleep.

Thanks for any comments.  
PLM arousals 0
PLM Index 0
 

Hmmm, lemme try a template.  How's this:

Quote:

An apnea is defined as cessation of breathing (>80% reduction in flow) for 10 seconds or longer. Three types are recognized:
a) Obstructive: apnea associated with evidence of persisting respiratory effort
b) Central: apnea associated with cessation of breathing effort
c)  Mixed: mixture of central and obstructive features

A hypopnea is defined by:
1. A clear decrease of breathing (50-80%) from baseline breathing during sleep.  Baseline is defined as the mean amplitude of stable breathing and oxygenation in the two minutes preceding onset of the event (in individuals with a stable breathing pattern during sleep) or the mean amplitude of the three largest breaths in the two preceding minutes where breathing pattern is unstable; and
2. Is associated with either an oxygen desaturation of>3% or an arousal; and
3. The event lasts 10 seconds or longer.

A RERA (Respiratory effort-related arousal) is defined as an arousal from sleep that follows a 10 second or longer sequence of breaths that are characterized by increasing respiratory effort, but which does not meet criteria for an apnea or hypopnea. Snoring, though usually associated with this condition need not be present. Respiratory effort is measured via esophageal pressure monitoring. Where esophageal pressure is being monitored the pattern is one of progressively more negative pressure terminated by a sudden change to a less negative level and an arousal. An alternative to esophageal pressure monitoring is the use of nasal pressure signal with progressive inspiratory flattening followed by an arousal.  RERAs have the same implications for sleep fragmentation and consequent daytime sleepiness as do apneas and hypopneas. Some patients who have symptoms suggestive of OSA have few apneas or hypopneas on polysomnography, but frequent respiratory effort related arousals to which their clinical presentation can be related.  This condition has been termed Upper Airway Resistance Syndrome

Need the titration results to have a shot at figuring out why there's less than optimal results.
sleepydave

Thanks Sleepydave for helping me understand what these numbers may mean.  I'll admit I don't understand all of the test resuls, but I was told today that my doctor wants me to be retested ASAP as he did not like what the first test revealed.  I still have not met with him to discuss the results of the 1st test so I do not know what it is that he did not like.

All I know is I don't like being exhausted all the time.  I have been using a CAP for four years know, but it is losing it's effectivness.  I'll post again after I have the second study completed.

Againg thanks for helping!