Post Reply 
[Treatment] Sleep Study Results
Author Message
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
Question Sleep Study Results
Dear Forum Members i am a newbie to your forum and have my sleep study results but no official diagnosis yet. I am to see my Respiratory Consultant next week about my results and was wondering if any of you know at what stage treatment is needed. The diagnosis on my study results is Mild Obstructive Sleep Apnea Syndrome.

These are my results would appreciate anyone's thoughts.

TST: 03:25:00
Sleep Efficiency [%] 42.7
Sleep latency stage 1: 00:1:13:59
Sleep latency stage 2: 01:24:29
Deep sleep latency: 03:25:59
Wake index: 28 (8.2)

Respiratory Analysis
Obstructive: 4 (1.2)
Total A. 4 (1.2)
Hypopnoea: 22 (6.4)
A+H. 26 (7.6)
RDI: 26 (7.6)
Max. Apnoea Duration [s] 11
Max. Hypopnoea Dur. [s] 32
Average Apnoea. Dur. [s] 9.9
Average Hypopnoea Dur. [s] 20.9

02 Saturation
Number of Desaturations: 18 (5.3)
Minimal Sp02 [%] 88. Time: 04.45.00
Baseline 02 Saturation. 92
Number of Desaturations < 90% 2 Time 0.3%
Sum of all desaturations 00:5:21. 2.6%
Average Circulatory delays 16.1

Heart Rate
Narrow Complex Tachycardia. 1 (0.3)
Max HR [bmp] 104 Time 00:35:57
Min. HR [bmp] 61 Time 04:44:58
Artefact (min) 0.3 (0.1%)

PLM
Total LMs index. 45 (13.2)
PLMs with Arousal index. 1 (0.3)
LMs with Arousal index. 2 (0.6)

Snore Analysis
Snore (Index) 659 (192.9)
Snore episodic [%TST] 17.3

Arousal
Total 76 (22.2)
Spontaneous A. 51 (14.9)

Findings
Severely poor sleep
Fragmented sleep architecture
No significant PLMs recorded.
Most respiratory events recorded were hypopneas occurred mostly on supine position.

Diagnosis Mild Obstructive Sleep Apnea Syndrome.

Sorry for such a long post but any thoughts on helping me understand my results and treatment if needed would be much appreciated.

Sweet Birdsong : )
(This post was last modified: 05-10-2015 07:26 AM by Sweet Birdsong.)
05-10-2015 07:23 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #2
RE: Sleep Study Results
In short, you have mild obstructive sleep apnea with mostly hypopnea (shallow breathing) events that causes you minor oxygen desaturations and poor sleep architecture. You will probably be getting a second test for titration, or if you're lucky an automatic CPAP (APAP) so you can self titrate. You could probably self-treat by staying off your back at night.

This test is in a clinical environment and may or may not be typical for you. What prompted you to get tested?

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-10-2015 07:42 AM
Find all posts by this user Post Reply Quote this message in a reply
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #3
RE: Sleep Study Results
Sleeprider

Thank you for your reply. I have been attending a Respiratory Consultant for 5 years now. I have mild asthma and old TB. I had sinus surgery in 2011 and i have pulmonary function tests 3 times a year. My consultant felt i should have a sleep study done because i have been having a lot of problems in the past couple of months. The main symptoms are extreme tiredness during the day not able to do much and i am quite clumsy. My eyes have also being given me a lot of problems, blurry vision and feeling off balance. I have a tendency for convergence spasm so have been advised to get strong reading glasses to try and correct the convergence and accommodation of my eyes.

I feel quite out of kilter since September 2014, I've had many tests and nothing could be found that could be causing these symptoms. I am currently seeing a Neurologist, who has seen my sleep study results and he still would like me to have a neurophyscometry assessment done. I have very foggy memory and find it hard to concentrate or carry out simple tasks. I am wondering if the sleep apnea could be causing all of this? I am concerned about driving also with this sleepiness. I am going to discuss all of this with my consultant and see what he thinks. I feel i should hold off on the neurophyscometry test until i know if maybe the sleep apnea could be the cause.

I also need to have an echo of my heart done soon. I feel extremely tired all the time. I am 45 years old and i smoke but i have reduced to 8-10, and I know I have to quit completely. My consultant has been telling me this from day 1, but now i know they are killing me so they have to go.

Just like to mention about the old TB, My consultant thinks i may have had it as a child but was probably treated for a chest infection. What is titration? I have read that mild obstructive sleep apnea may be treated without CPAP, in my case i don't know what my consultant will advise.

Sweet Birdsong
05-10-2015 11:01 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,453
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: Sleep Study Results
Hi Sweet Birdsong,
WELCOME! to the forum.!
Hang in there for more answers to your questions and much success to you.

trish6hundred
05-10-2015 11:03 AM
Find all posts by this user Post Reply Quote this message in a reply
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #5
RE: Sleep Study Results
Hi there trish6hundred

Many thanks for your welcome! Yes i hope to stay with this forum for their advice on sleep apnea.

Thanks
Sweet Birdsong : )
05-10-2015 12:27 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,297
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #6
RE: Sleep Study Results
Hi Sweet Birdsong.

It seems that your apnea issues relate mainly to hypopneas while sleeping on your back. A hypopnea is a reduction in airflow (typically 50% or more) for at least ten seconds. On the other hand an apnea is a complete cessation of breathing for ten seconds or more. So an hypopnea is not as serious as a full apnea, but can still cause the undesirable effects that sleep apnea is noted for. The good news is that it should respond well to PAP therapy. Other options include mandibular advancement devices (a fancy mouth guard) and surgery (last resort when all else has failed). In the meantime, try sleeping on your side - you might find that helps.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
05-10-2015 07:53 PM
Find all posts by this user Post Reply Quote this message in a reply
trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #7
RE: Sleep Study Results
Welcome Sweet Birdsong!
Don't fret about the diagnosis. You are a mild case that they diagnosed on a short time (3 hours 25 mins). The medical folks may do a titration study on you. That is a sleep study where you sleep with a machine that they control. As you are sleeping, they will adjust the pressures up and down to confirm what minimum pressure is needed at the lightest part of your sleep to stop the events, and the highest pressure needed when you are sleeping deeply.

The hardest part will be finding a mask that fits you comfortably, and getting used to being attached to a hose. The machine itself is often less troublesome than the attachments!

If you have a long-term RT you work with, I have no doubt they will help you adjust to this new device. Best wishes for your new therapy!
05-11-2015 12:08 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #8
RE: Sleep Study Results
(05-10-2015 07:53 PM)DeepBreathing Wrote:  Hi Sweet Birdsong.

It seems that your apnea issues relate mainly to hypopneas while sleeping on your back. A hypopnea is a reduction in airflow (typically 50% or more) for at least ten seconds. On the other hand an apnea is a complete cessation of breathing for ten seconds or more. So an hypopnea is not as serious as a full apnea, but can still cause the undesirable effects that sleep apnea is noted for. The good news is that it should respond well to PAP therapy. Other options include mandibular advancement devices (a fancy mouth guard) and surgery (last resort when all else has failed). In the meantime, try sleeping on your side - you might find that helps.

Many thanks for your thoughts. I still don't know what my consultant will recommend for my sleep apnea, but everyone on the forum thinks CPAP would be good for me. I think my oxygen is a little low and maybe causing a lot of my sleepiness also. I'll know this week what he'll recommend. I am a smoker and now know they have to go asap, i have reduced to 8-10 from 20, but they certainly are not helping my oxygen levels whatsoever.

He has told me to quit numerous times, this time i think he'll lay it on the table big-time. Dreading in a way facing him, but hopefully he will understand that i have gotten a good wake-up call and i will now give it my best shot to quit.

Best Wishes
Sweet Birdsong Smile
05-11-2015 12:37 PM
Find all posts by this user Post Reply Quote this message in a reply
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #9
RE: Sleep Study Results
(05-11-2015 12:08 PM)trailrider Wrote:  Welcome Sweet Birdsong!
Don't fret about the diagnosis. You are a mild case that they diagnosed on a short time (3 hours 25 mins). The medical folks may do a titration study on you. That is a sleep study where you sleep with a machine that they control. As you are sleeping, they will adjust the pressures up and down to confirm what minimum pressure is needed at the lightest part of your sleep to stop the events, and the highest pressure needed when you are sleeping deeply.

The hardest part will be finding a mask that fits you comfortably, and getting used to being attached to a hose. The machine itself is often less troublesome than the attachments!

If you have a long-term RT you work with, I have no doubt they will help you adjust to this new device. Best wishes for your new therapy!

Hi there and thank you for your reply.

Yes my sleep was for a short time, but they actually wrote two times. One is 3 hours and 25 minutes being my total sleep time. The other one i did not mention was the total sleep period which was 05:48:30 and the sleep change index was 65 (8.1) wake index 28 (8.2) Haven't a clue what it all means!

The thing is lights went out at 11 and they stopped the study at 7a.m. so i don't know if my results are based on the 3 or 5 hours sleep. Why is titration needed is it for the flow that is needed for each individual case? Does everyone when they are first diagnosed have to have titration?

Thanks for your thoughts.

Best Wishes
Sweet Birdsong Smile
05-11-2015 12:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sweet Birdsong Offline

Preferred Members

Posts: 46
Joined: May 2015

Machine: REMstar Auto A-Flex
Mask Type: Full face mask
Mask Make & Model: Respironics Amara
Humidifier: None
CPAP Pressure: 6.0 cmH20
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #10
RE: Sleep Study Results
(05-10-2015 07:53 PM)DeepBreathing Wrote:  Hi Sweet Birdsong.

It seems that your apnea issues relate mainly to hypopneas while sleeping on your back. A hypopnea is a reduction in airflow (typically 50% or more) for at least ten seconds. On the other hand an apnea is a complete cessation of breathing for ten seconds or more. So an hypopnea is not as serious as a full apnea, but can still cause the undesirable effects that sleep apnea is noted for. The good news is that it should respond well to PAP therapy. Other options include mandibular advancement devices (a fancy mouth guard) and surgery (last resort when all else has failed). In the meantime, try sleeping on your side - you might find that helps.

Hi there and thank you for your thoughts. It's great to know that Hypopnoea is not as serious as a full apnea. It's also great to know that it can be treated well with CPAP. I smoke so they are going asap! My respiratory consultant has been telling to quit for years, this time when i see him it'll be the first time i will be serious when he tells me to quit and i am determined to give it my best shot. I will see him this week so i am going to update you guy's on his recommendations.

I did reduce my smoking from 20 to 8-10, but my oxygen levels have given me a good wake-up call, CPAP won't help much if i don't quit the cigarettes, i think he'll say that also, one would over ride the other, so i have to do my part as well.

Best Wishes
Sweet Birdsong Smile
05-11-2015 01:06 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Got my diagnostic, MSLT, and CPAP titration results Beej 6 120 12-09-2016 11:41 PM
Last Post: Beej
  Sleep latency -study results Dagmar 1 101 12-06-2016 10:04 PM
Last Post: chill
  [Diagnosis] Waiting for sleep study results...got Pulse Ox in the meanwhile jds2001 10 335 12-01-2016 03:13 AM
Last Post: kwhenrykerr
  sending sleep study to another doctor's office sleepytimegal 3 243 11-30-2016 10:26 PM
Last Post: Mosquitobait
  Accuracy of Resmed AS10 vs Sleep Study Type IMSleeplessInSeattle 5 461 11-28-2016 12:11 AM
Last Post: sleepytimegal
  Sleep Study: Nasal vs. Full Mask harmon k 2 337 11-20-2016 06:38 PM
Last Post: harmon k
  When is it time to get another sleep study done. duece12345 7 377 11-19-2016 11:51 PM
Last Post: Sleepster

Forum Jump:

Who's Online (Complete List)