My name is Ed and although I'm a new to this experience I'm not new to CPAP therapy, I've been sleeping with a CPAP since 1992. Anyway, my machine has recently gone belly up - that is to say it works for about 40 minutes then starts to emit a high pitched whine (sounds like bearing noise to my untrained ear), pressure starts to fall and within a few minutes it's not blowing air. When trying to acquire a replacement I was told I needed a new sleep study. At the time this really frrustrated the bejesus out of me with the rationale that if the hose develops a leak, they send a new hose so why cant they just send a new machine? That's not why I'm writing, just some background to paint the picture.
After a lot of grousing I finally went for another study - what a difference in testing methodologies a quarter century makes. As you all are aware nowadays instead of (for example) "you have 100 apneas per hour average, your perscription is 10", there are obstructive, central, complex, hypopneas of several flavors, etc. I'm glad I went and got retested.
My sleep architecture includes 19 osa's, 42 csa's, 16 mixed sa's, 27 oh's averaged per hour. During the CPAP/BiPAP portion of the study, 16 osa's, 114 ca's, 5 mixed, 5 oh's. In doing some research, these numbers tend to indicate the need for perhaps an ASV machine - EXCEPT - I suffered a heart attack a few months ago complete with Congestive Heart Failure - which I also read that there is a warning NOT to use an ASV if you are a congestive heart desease patient.
So that begs the question, what is the treatment options for someone like me now that the device that seemingly will help with the severe CSA and complex apneas is off the table for folks in my shoes? I have a first doctors appt since receiving the sleep study results in 2 days, I'd like to be able to go in telling him "I'd like you to perscribe this machine or that", so the equipment provider doesn't try to stick me with a basic CPAP machine and shoof me out the door.....any advice is greatly appreciated. Or am I working myself into a lather unnecessarily?