Well, the results are in...I'm Happy, Sad, and Nervous
I'm a 29yo male, computer nerd by trade during the day, volunteer firefighter, pretty active (gym 3-5 times a week, run 3-4 miles a couple times a week and various cardio, moderate lifting), I'm married with a 3yo and a 1 year old.
So, about 9 months ago I gutted a bathroom in my house then chopped about 2 cords of firewood, the next day I had some chest pain. Being an EMT I wasn't concerned, figured it was muscular, life went on. Well after a couple of weeks of this, feeling anxiety about it, and being scared (and a cardiac history in my family), I decided to get a full workup to ease my mind. See cardiologist, Nuclear stress test with imagery and an Echo. Stress test came back normal (except I had some PVCs) and echo showed Mild Pulmonary Hypertension, systolic pressure of 43 (this was after the stress test which may have increased the pressure slightly too).
First question doctor asks me, do I have sleep apnea. I laughed at her, absolutely not, I barely snore. Asked my wife to listed to me at night, she doesn't notice anything weird. Life goes on. I did start using breathe right strips at night and thought I felt better. I'm a mouth breather at night, probably because of a deviated septum which I'm seeing an ENT for in 2 weeks. So, for 9+ months I continue to worry about this, it consumed me. I started paying attention to my sleep and noticed that I would wake myself up at night, so sleep study here I come.
I've had 2 so far, and don't have the results in front of me but here they are in a nutshell (off the top of my head, sorry)
FIRST STUDY, NO CPAP
AHI was 18.2
Obstructive apnea - 8
combination - 2
Central - 17
hypopnia was in the 60's I believe
02 average was 97
average Desat was 93
Low was 88, 1 time
Pulse was 60
Normal sinus rhythm
SECOND STUDY, CPAP
AHI was 7, it took a while to dial in pressure, I didn't sleep well, was very anxious, and daylight saving time took an hour away
Obstructive Apnea - 0
Combination - 0
Central - 11 (only 1 at pressure 9)
Hypopnia - 40, don't know how many at right pressure but it wasn't many
02 average was 97 and I did not desat at pressure 9
Low was 89 in beginning while dialing pressure
Pulse was 59
Normal Sinus Rhythm
Diagnosis was Moderate Obstructive Sleep Apnea, and a couple other things that go with it.
I read my reports and the centrals scared the living daylights out of me. Obstructive is physical, central is the brain. I talked to the Tech and he said that wasn't abnormal and AHI with central was 2, and most people who have obstructive will have some centrals. He also said they can be hard to interpret sometimes but they lean on the side of caution when doing the reports. He also mentioned that during cpap, my body may be used to a certain CO2 level at night, and with CPAP keeping 02 up and CO2 down because of normal breathing, my body may pause as its not used to the numbers but it should resolve itself. Nothing in diagnosis said anything about Central. But its still worrisome.
So, I've been on CPAP for 2 days now, I've noticed I'm dreaming a lot more, AHI on machine (phillips cflex+ super cpap :-D and resmed quatro face mask), AHI has been 8.2 and 10.2 respectively (seems high). My BIGGEST problem is I'm a mouth breather, as I mentioned earlier, and have very sensitive gums because of dryness at night. With cpap and mouth breathing, I've NEVER had such a dry mouth, my gums hurt in the morning, its not been good and I see that getting worse.. Brushing hurts, so I don't get it as good as I should, and its all downhill from there. I wonder if all this started when I had my wisdom teeth removed???
So, long story short, the centrals scared the daylights out of me (should they, I was told they are not abnormal)
I have a very dry mouth
AHI on machine still seems high but its only a couple of days
I've noticed I may pause breathing as I'm falling asleep, normal in the beginning of cpap?
I have an appointment with a sleep apnea dentist this Tuesday, I want to explore my options.
I have an appointment with an ENT in 2 weeks to see about deviated septum and removing vital parts in my throat?
I really am struggling with this whole thing, but I know it is the cause of the pulmonary pressure and probably some of my restlessness during the day.