Pre CPAP Summary

Anyalized time : 247.4 min
Index Time : 234.5 min
Apnea + Hypopnea : 274   70.1/h
Supine A + H : 265     71.3/h
Average oxygen saturation : 88.5%
Snore time : 0
Number of snoring episodes : 0

No information for optimal period

Sleep information

Total time anaylized : 247.4 min
Sleep period : 241.4 min
Wake time durring sleep period : 6.9 min
Total sleep time : 234.5 min
Sleep onset : 6.0
Sleep efficency : 97.1%
# of awakenings : 0
# of movement time epochs : 0
Sleep latency to S1 : 6.0 min
Sleep latency to S2 : 20.5 min
Sleep latency to S3 & 4 ------
Rem  from sleep onset : 134.5


_______S1
Minutes : 108 min
% of TST : 46.1%
% of sleep period: 44.7%

_______S2
Minutes : 120.5 min
% of TST : 51.4%
% of sleep period: 49.9%

_______S3
Minutes : - min
% of TST : - %
% of sleep period: - %

_______S4
Minutes : - min
% of TST : - %
% of sleep period: - %

_______REM
Minutes : 6.0 min
% of TST : 2.6%
% of sleep period: 2.5%

_______Wake
Minutes : 6.9 min
% of TST : - %
% of sleep period: 2.9%


RESPERATION

Apnea

Number : 191
% : 70
A or H/h : 48.9
Supine : 189
non-Supine : 2
Mean seconds : 28.8
Longest seconds : 105.8
# in REM : 5
REM index : 50.0
# in NREM : 186
NREM index : 48.8

Obstructive

Number : 128
% : 47
A or H/h : 32.8
Supine : 128
non-Supine : 0
Mean seconds : 31.1
Longest seconds : 105.8
# in REM : 4
REM index : 40.0
# in NREM : 124
NREM index : 32.6



Central

Number : 12
% : 4
A or H/h : 3.1
Supine : 10
non-Supine : 2
Mean seconds : 14.1
Longest seconds : 19.5
# in REM : 0
REM index : 0
# in NREM : 12
NREM index : 3.2


Mixed

Number : 51
% : 19
A or H/h : 13.0
Supine : 51
non-Supine : 0
Mean seconds : 26.5
Longest seconds : 57.7
# in REM : 1
REM index : 10.0
# in NREM : 50
NREM index : 13.1


Hypopnea

Number : 83
% : 30
A or H/h : 21.2
Supine : 76
non-Supine : 7
Mean seconds : 22.9
Longest seconds : 63.3
# in REM : 0
REM index : 0.0
# in NREM : 83
NREM index : 21.8


TOTAL

Number : 274
% : -
A or H/h : 70.1
Supine : 265
non-Supine : 9
Mean seconds : 27.0
Longest seconds : 105.8
# in REM : 5
REM index : 50.0
# in NREM : 269
NREM index : 70.6



Would the "SP02" & Desaturation Statistics help to, if so I will post them also?

TY


_________________
Everything, but green

Sp02 Statistics

Average Oxy Sat__88.5%_____Saturation < 90%________127.4 Min____54.8%
Lowest Oxy Sat___66.0&______Saturation < 80%_________13.3 Min____5.7%
Average DeSat___12.5%______Saturation < 70%___________________0.2%

Average oxygen saturation during Wake______91.6%
Average oxygen saturation during REM_______84.2%
Average oxygen saturation during NREM______88.6%


Desaturation Fall

Total

Number____________306
Cumulative Number__306
OD/h______________78.3
Cmulative OD/h_____78.3


<5%

Number____________18
Cumulative Number__306
OD/h______________4.6
Cmulative OD/h_____78.3

5% to 9%

Number____________86
Cumulative Number__288
OD/h______________22.0
Cmulative OD/h_____73.7

10% to 20%

Number___________189
Cmulative Number__202
OD/h_____________48.4
Cmulative OD/h____51.7

>20%

Number___________13
Cmulative Number__13
OD/h_____________3.3
Cmulative OD/h____3.3


DeSaturation
Low Point

Number

<90%___286
<85%___195
<80%___83
<70%___4
<60%___0

OD/h

<90%___73.2
<85%___49.9
<80%___21.2
<70%___1.0
<60%___0.0


This test was done in April of 04 and I swear my sleep is worse, I frequently fall asleep w/o the mask for a short nap for 15min to a few hrs and I wake up with a tight chest and feeling poorly.

On average I'll fall asleep 2 nights a week w/o the mask. If 2 nights in a row I'll wake up and it's difficult to urinate and sometimes I am unable to feel cold water w/my left hand. The morning urination problems and the PVD in my legs started when I was 32 yrs old and have continued for the last 12 yrs that I didn't use my old constant pressure CPAP w/only a nose mask (was very difficult to use after having 2 corrective surgeries).I have had a "stress test" and a "Nuclear test" on my heart, those test came back OK. But I find it hard to believe because of the PVD in my legs.


_________________
Everything, but green

Is this bad enough to cause the PVD I've mentioned before. My Doctor says it is the Apnea applying pressure on my veins, not a plaque build-up. I think it's feasible, since a main side effect is pressure on that side of the heart. But I don't trust him, so I've made an appointment with a doctor I do trust, that appointment is still more than 2 weeks away, out of a month 1/2 waiting period.


_________________
Everything, but green

Hi Shreck:
Well, a couple things really stand out.

That's some horrific positional apnea you got going there.

And your baseline oxygen level is a little worrisome-ly low.

Might even have another consideration, there's like no REM in there.

Do you have any CPAP results?  Get that titration table.  What happened between the reports of "No optimal pressure" and what you ended up with?  I went back through your posts and couldn't see that, unless I missed it.

As we talked about before, I think trying to establish a cause-effect relationship between OSA and PVD is a major stretch.
sleepydave

sleepydave wrote:

And your baseline oxygen level is a little worrisome-ly low.
As we talked about before, I think trying to establish a cause-effect relationship between OSA and PVD is a major stretch.

You know, that's a stupid thing to say, the desaturations associated with OSA are associated with vascular changes, I don't know what I was thinking of, that's OSA 101.  It's certainly gotta be a major contributor.

But back to your story, the low baseline oxygen level certainly suggests there might be something else underfoot, and if that isn't corrected by CPAP the risk factors may still remain.
sleepydave

Thank you for taking a look,

my cpap is at 12, but only because that what I asked for. There are no test results supplied by the sleep clinic (They never got past 8 and a 13 yr old study recomended 10 so thats what they used.) and my other test is so old, the doctor no longer have them. This month I am planning to schedule another sleep test and replace my new remstar face mask (I like your helmet idea).

Do pain killers like vicadin or darvecet effect apnea?. They certainly have contributed to making me a insomniac.


_________________
Everything, but green

Quote:

But back to your story, the low baseline oxygen level certainly suggests there might be something else underfoot, and if that isn't corrected by CPAP the risk factors may still remain.
sleepydave

What are other causes for that?


_________________
Everything, but green

There are a few, like Asthma, COPD, etc.

Hi Shreck:
Yeah, there are a of bunch of things that can cause your baseline oxygen level to be chronically low, generally lumped into pulmonary or cardiac origin (like congestive heart failure as a cardiac example).  Once your oxygen saturation drops below 90%, small changes in condition will create greater drops in oxygen level.  So starting out in the low 90's kinda puts you in a hole right off the bat.

Any drug that lists respiratory depression as a side effect can be of great risk to sleep apnea patients.  And those do.

Hustle up with the CPAP titration.

Why didn't you get past 8 during the titration?
sleepydave

GERD seems to be related to COPD and Apnea. Last year I had blood clots in my lungs and left calf, within 3 months of that I received a pulmonary function test and that came back normal.

The sleep study was completed 4 months before the clots and I didn't really have any problems breathing before the clots. I've never smoked and I drink rarely. At the time of the sleep study I was taking aprox. 2400 mg of ibuprofen each day for back pain. Also during that time I found that my body didn't respond to well to aspartame sweeteners.

I didn't have any coffee the day of the test, but I was a heavy coffee drinker, the Apnea would cause major "hang over like" headaches and a stop at starbucks each morning was almost a necessity. Too much caffeine, stress, apnea led to an irregular heartbeat 3 times (all about 4 am in the morning) and some other heart thing.


_________________
Everything, but green

sleepydave wrote:

Hustle up with the CPAP titration.

Why didn't you get past 8 during the titration?

sleepydave

Have no Idea, that entire half of the test is blank. The only information in the test results,  was the info I gave them based on a 13 yr old sleep study.

The only other info (from the 2004 test) I have is a page with a graphs or tracings of the sleep test. If you want that I'll get it scanned and put it up tomorrow as an image.


Thank you for your time & assistance

Bill


_________________
Everything, but green

Hey Bill:
Ok, re: scan, always helpful to see all info.

But the underlying theme, with AHI 70 and low O2 saturation of 66%, an effective CPAP titration is the priority.  If your O2 saturation stays low even during optimal titration, some supplemental oxygen can be added relatively easily.  If it pops up, then this is academic.  Either way, the issue can be addressed.
sleepydave

Thanks again


_________________
Everything, but green