AHI suddenly increased

[staceyburke]

Are you using EPR?  If not I would try EPR=3 and min=8 for tonight and post tomorrow.

[pen123]

Hi Stacy, I just saw your message about changing settings.  Yes, I do use EPR and it is set at 2. I do need to change my minimum.  I will do that tonight.  I believe I have tried EPR at 3 and it did better at 2.  I will consider it.

Anyway, last night was pretty good.  At least not as many CAs.

I've attached files.  I'm having to run my laptop in safety mode, so it won't let me attached but one screenshot at a time, so scroll down and there will be more.

Thank you and Happy Memorial Day!!!  It's a beautiful day here in Georgia!

[pen123]

Another screen shot

[pen123]

Another screenshot

[Ratchick]

How are you feeling in yourself? I think that's probably the bigger question right now.

[pen123]

Thanks for asking.  Some days, I am more tired than others, but overall I guess I feel ok.  It seems to have level off back to where it was.  I had not been checking it on Oscar...just got busy, and thought if the AHI was low it wouldn't check it.

But now that I had that high day, I've started checking it again.  Last night my AHI was 1.something, but I had 13 CA's.  Should that be concerning??

Heres the chart.

[pen123]

Another chart.

[Gideon]

Don't look at counts, look at the AHI as that is count per hour
you CAI is 1.32, that is what your count of 17 equates to. Because it is increased it does bear a watch. Your overall is under 2 which is excellent.

[Ratchick]

What Gideon says. The raw number isn't as useful as the AHI and distribution. 8 CAs over half an hour is obviously more of a problem than 8 over a whole night, etc. And sometimes, when events cluster, that can suggest other issues, depending on the events etc.

If you zoom in on them and see a number of deeper, faster breaths before the central (so bigger spikes closer together) then it may simply be a response to your stirring and taking a deep breath and not needing to breathe for a little longer than usual. If they're relatively few and short, and not making you feel cruddy, then it's not a huge issue.

I think, if you're feeling about the same as you were before, then I would just see how it goes. Maybe keep a check on it in OSCAR and make sure it's not trending upwards, and if you're starting to feel worse, or there are more days with increase centrals than usual, then obviously that's worth keeping a closer eye on and seeing if that can be mitigated.

[Sleeprider]

Your CPAP use seems to run 10 to 12 hours per night, which is a lot. I suspect some of the CA is simply the time you're not fully asleep. Overall, I think your therapy looks pretty good. If I was looking for something to change, it would be a minor increase in minimum pressure to 7.0 to reduce the fluctuations in pressure.