Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

High RERA Numbers
#1
Do high RERA numbers push up your AHI or do they just disrupt your sleep? For those that don't have Sleephead, RERA stands for "Respiratory Event Arousal...a sequence of breaths characterized by increasing respiratory effort leading to an arousal from sleep, but which does not meet criteria for an apnea or hypopnea."

I see my DME tomorrow afternoon and would like to try APAP. I'm doing very well on CPAP (on11 since strting on Sept. 11) and my 7 day AHI is 1.2, 30 day 1.5 a of today. I know he will say "why change a good thing" and say I'm doing great. I have a heart problem and am worried about Cheyne-Stokes Respiration and CA's. They both had high readings at first, but are going down now. I don't want to risk pushing CA's up with higher pressure. How can I get the RERA's down--they range from 50 to a low of about 15 per night. I had a AHI once this week of .3--it consisted of 1 CSR, 0 CA, 1 hypopnea, 1 OA and 35 RERA. I did turn off my ramp--set a 5--after a week or so because I couldn't breathe. I haven't changed settings on my own--want to get by my 3 month doctor's appointment before I do that! Have 100% all night compliance and 100% no Large Leaks. Thanks to all who try to help--great forum!
Post Reply Post Reply



Donate to Apnea Board  
#2
RERAs are not part of the AHI.

The approach to reducing them would be more pressure.
Post Reply Post Reply
#3
Thanks--didn't think they were. Now need to know just how they affect the overall sleep experience.
Post Reply Post Reply
#4
(11-29-2015, 11:16 PM)SideSleeper Wrote: Thanks--didn't think they were. Now need to know just how they affect the overall sleep experience.

They can cause fragmented sleep and daytime symptoms because of the arousals.
Post Reply Post Reply
#5
That may be the reason for my never-ending yawns most of the day. I haven't fallen asleep in the late afternoon or evening like I used to and haven't taken a nap since I started the CPAP routine. My energy level hasn't improved much either. I usually only wake up once during the night--at least that I remember. I don't move around much--pain sometime interferes. I've had two rotator cuff surgeries in the past year--was just able to sleep on my side again when I got the CPAP--I'd been sleeping on my back for a long time. My right knee will be replaced in February and it causes sleep problems.
Post Reply Post Reply



Donate to Apnea Board  
#6
As mentioned, RERA is an arousal statistic. With your mentioned health issues , it is certainly no wonder that you have a lot of RERA's.
RERA's can be caused by daily psychological issues, stress, pain, anxiety, spicy foods, too many issues to mention.
The arousals certainly interfere with the quality of sleep.
If a cpap were placed on most of the population (those not with sleep apnea) I feel sure that nearly all would record many events.
Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
Post Reply Post Reply
#7
Thanks you for your information, JudgeMental!
Post Reply Post Reply
#8
I used a PRS1 Auto and had higher RERA than after I switched to BiPAP. In auto, I got good treatment at a pressure of 11 cm, but with BiPAP I use a minimum pressure of 12.5/8.5 (IPAP/EPAP), and pressures 13.5*8.75. So with the comfortable reduction of pressure for exhale, and slightly higher IPAP pressure, it works to keep RERA lower. I do trade off a small amount of CA, but my sleep feels better. RERA index is currently .2 to .6 and varies up to to 1.0 rarely. The RERA index on Auto was around 3.5.

I can't say bilevel is your answer, but a number of members here have similar experience with bilevel and RERA reduction.
Post Reply Post Reply
#9
Quote:As mentioned, RERA is an arousal statistic. With your mentioned health issues , it is certainly no wonder that you have a lot of RERA's.
RERA's can be caused by daily psychological issues, stress, pain, anxiety, spicy foods, too many issues to mention.
The arousals certainly interfere with the quality of sleep.
If a cpap were placed on most of the population (those not with sleep apnea) I feel sure that nearly all would record many events.

Just a point of clarification: Arousals can be due to a number of issues like those mentioned above, but RERAs are respiratory effort related arousals that are due to flow-limited breathing. A RERA is a very specific type of arousal with a specific cause.
Post Reply Post Reply



Donate to Apnea Board  
#10
I appreciate the information--anyone else with opinions, suggestions, etc?
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Numbers getting worse, any advice would be appreciated KCFLY 61 1,748 02-14-2018, 09:01 PM
Last Post: ajack
  I’m new [interpreting my numbers] Riverbank 20 609 01-23-2018, 07:46 AM
Last Post: Sleep2Snore
  Help with Hubby's numbers- new user Sandyelle 5 282 01-22-2018, 09:44 PM
Last Post: trish6hundred
  High AHI while awake? DanGagner 11 404 01-16-2018, 10:31 PM
Last Post: CB91710
  C-Flex setting 3 resulting crazy high AHI TimtheEnchanter 9 549 12-23-2017, 08:59 PM
Last Post: bspengler
  [Equipment] Correct mask for high pressure djfro 4 231 12-17-2017, 07:09 PM
Last Post: Apnea Infant
  Normal or NOT my report numbers I am at a lost Lise C Gervais 17 673 12-12-2017, 11:27 PM
Last Post: Shin Ryoku

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.