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Thirteen years of CPAP - now failing again. [Central apnea]
#21
RE: Thirteen years of CPAP - now failing again. [Central apnea]
Your goal is to get an ASV Titration. That is what you need to ask both doctors.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#22
RE: Thirteen years of CPAP - now failing again. [Central apnea]
As a reminder  Review this WIKI article.

http://www.apneaboard.com/wiki/index.php...P_Machines
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#23
RE: Thirteen years of CPAP - now failing again. [Central apnea]
I programmed my APAP to be a CPAP and set it at 6.0 pressure. I woke up this morning with some energy and a fair amount of mental clarity. My AHi was 25 but I did have a period of sleep that was without the green shading and probably the best period of sleep in three weeks.

How do  I set my CPAP for tonight?
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#24
RE: Thirteen years of CPAP - now failing again. [Central apnea]
How do I arrange the order of my posted screen shots. If I have two, the second one pushes the first and makes it second. Do I attach them in reverse order?

From time to time I see a summary of my thread without all the disclaimers. How do I bring up a tread summary?

I have been studying available machines. I probably need an ASV due to high centrals and low obstructive apneas. I went to the ResMed ASV site and found this warning : "ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF = 45%) and moderate to severe predominant central sleep apnea. "

What do you make of this?
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#25
RE: Thirteen years of CPAP - now failing again. [Central apnea]
LVEF warning and ASV: you can be required to test for your LVEF percentage number via an imaging department item using an echocardiogram, an ultrasound test that records audio-visual of the heart. A cardiologist reviews it, writes a report on that. If you’ve got severe issues with your heart you would know that already.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#26
RE: Thirteen years of CPAP - now failing again. [Central apnea]
Not sure how LVEF got in the discussion. Several have indicated that that I need to see a carddiologist. I had an echocardiogram a few months back. Nothing shows.

My question is  why does a manufacturer say an ASV is not appropriate for moderate dominant central apnea?
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#27
RE: Thirteen years of CPAP - now failing again. [Central apnea]
It’s good you’ve had a recent echocardiogram, but when you see your PCP on Wednesday, I hope you will report that you have what looks like Cheyne-Stokes respiration. This may suggest some other tests or referrals that could be helpful to getting you whatever treatment you need.
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#28
RE: Thirteen years of CPAP - now failing again. [Central apnea]
(08-25-2019, 03:49 PM)tykelmice Wrote: How do I arrange the order of my posted screen shots. If I have two, the second one pushes the first and makes it second. Do I attach them in reverse order?

From time to time I see a summary of my thread without all the disclaimers. How do I bring up a tread summary?

I have been studying available machines. I probably need an ASV due to high centrals and low obstructive apneas. I went to the ResMed ASV site and found this warning : "ASV therapy is contraindicated in patients with chronic, symptomatic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF = 45%) and moderate to severe predominant central sleep apnea. "

What do you make of this?
----------------------------------------------

"Not sure how LVEF got in the discussion. Several have indicated that that I need to see a carddiologist. I had an echocardiogram a few months back. Nothing shows."

My question is why does a manufacturer say an ASV is not appropriate for moderate dominant central apnea?

I was only answering your question on LVEF and that it has a tie-in with ASV recommendation. I'm not saying I agree with that test's findings or reasoning. My original answer was probably not a full answer.

Regardless, you've probably got another thing to consider and discuss with your doc on the possibility of CSR.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#29
RE: Thirteen years of CPAP - now failing again. [Central apnea]
(08-25-2019, 04:00 PM)SarcasticDave94 Wrote: LVEF warning and ASV: you can be required to test for your LVEF percentage number via an imaging department item using an echocardiogram, an ultrasound test that records audio-visual of the heart. A cardiologist reviews it, writes a report on that. If you’ve got severe issues with your heart you would know that already.

It's not there yet, but it looks like this caution will be eliminated in 2020.

This originated because (paraphrasing) those with the worst heart conditions had the highest mortality resulting from symptomatic heart failure and LVEF<45% being the split.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#30
RE: Thirteen years of CPAP - now failing again. [Central apnea]
You bet I will.  Thanks.
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