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new to this, have questions
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lolewis Offline

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Post: #1
new to this, have questions
I just received my sleep study results yesterday:
apnea:5
obstructive:1
Central:3
Mixed:1
hypopnea:143
total:148
A/H:19.4
Average saturation:91.7
saturation events:139
snore time:3.7
snore episodes:17
Periods of prolonged desaturation, lowest 79%

Conclusion:moderate positional obstructive sleep apnea

Questions:
with only 1 obstructive event and 3 central, why do I have obstructive sleep apnea?

I have been tested a couple of times over the years for pulmonary hypertension with no definitive diagnosis but have a low diffusion capacity(69%). I am not followed by a respirologist for this. Could this "play" in to it? I am 40 lbs overweight, female and 52 years old. If it is 100 % because of my weight, I get it but if not, should I be asking for a consult to a respirologist?
the only good thing is maybe I will be able to get some sleep! I had this done two years ago and it was perfectly normal! and my weight has not changed. Thanks for any guidance.
07-07-2015 06:56 AM
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DeepBreathing Offline
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Posts: 2,296
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

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Sex: Male
Location: Perth, Western Australia

Post: #2
RE: new to this, have questions
Hi Lolewis, welcome to the forum.

Although you apnea numbers are very low, you have a high rate of hypopneas. Think of these as partial obstructions or "apneas which didn't grow up". Even though they are not a full stoppage, hypopneas still restrict your breathing and are counted in the AHI (apnea hypopnea index) which is a measure of the severity of your condition.

Hope this helps.

DeepBreathing
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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.
07-07-2015 07:11 AM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: new to this, have questions
(07-07-2015 06:56 AM)lolewis Wrote:  Questions:
with only 1 obstructive event and 3 central, why do I have obstructive sleep apnea?
The answer is in the sleep study report
hypopnea:143
Periods of prolonged desaturation, lowest 79%

The treatment of hypopna is the same as obstructive apnea
AHI is called Apnea Hypopnea Index

Sleeping on your side and avoid sleeping on your back helps with positional apnea

Hypopnea http://www.resmed.com/content/dam/resmed...er_eng.pdf
A hypopnea is an episode of shallow breathing during sleep. A hypopnea is scored when there is a reduction in breathing by 50% of baseline breathing with partial upper airway obstruction for 10 seconds or more. The event is scored after 10 seconds of the hypopnea.

You'll need CPAP, here is a guide take through machines choices
http://www.apneaboard.com/wiki/index.php?title=Machine_choices
07-07-2015 07:17 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: new to this, have questions
Understanding Sleep Disordered Breathing
http://www.apneaboard.com/wiki/index.php...hing_(SDB)

Welcome to the forum, lolewis
07-07-2015 07:20 AM
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Sleeprider Online
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Posts: 3,376
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

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Sex: Male
Location: Where they make Respironics

Post: #5
RE: new to this, have questions
Do a search for UARS (upper airway resistance syndrome). While you have moderate positional apnea, it appears you may have a greater need for CPAP due to UARS. We certainly can't diagnose here, but it might be worth discussing with your doctor. If you had Polysomnography with esophogeal probe, then it would have shown up on the study, however many sleep studies do not include that channel. Whether or not UARS is present, treatment with CPAP is still the standard, so you should get relief soon.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
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07-07-2015 07:53 AM
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Mosquitobait Offline

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Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #6
RE: new to this, have questions
(07-07-2015 06:56 AM)lolewis Wrote:  Periods of prolonged desaturation, lowest 79%

I have been tested a couple of times over the years for pulmonary hypertension with no definitive diagnosis but have a low diffusion capacity(69%). I am not followed by a respirologist for this. Could this "play" in to it? I am 40 lbs overweight, female and 52 years old. If it is 100 % because of my weight, I get it but if not, should I be asking for a consult to a respirologist?

I'm a newbie, but I would guess that if the cpap does not improve your oxygen lows, then you should see a pulmonologist (not sure if respirologist is the same thing). Your average oxygen level is lower at 91%, but still comfortable (mine is 91% with cpap and they aren't worried about it).

As someone described to me, an apnea is when you stop breathing due to obstruction. A hypopnea is when you are breathing through a straw - you still get air, but not enough. Having a bunch of hypopneas - wow, I'm just exhausted thinking about that nunber!

Welcome to the board! Be sure to do lots of reading about different machines. You want to be sure you get a data capable machine because the information in it can help you improve your therapy.
07-07-2015 07:58 AM
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quiescence at last Offline

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Machine: REMstar System One with Autoflex
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Mask Make & Model: Quattro AirFit F10
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CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

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Location: US

Post: #7
RE: new to this, have questions
It will be interesting to see if your sleep doctor will recommend CPAP as the treatment of choice. Hypopnea can be for other reasons besides airway restriction. Has your doctor mentioned supplemental oxygen?

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
07-07-2015 08:01 AM
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lolewis Offline

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Posts: 15
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Machine: none
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Post: #8
RE: new to this, have questions
(07-07-2015 08:01 AM)quiescence at last Wrote:  It will be interesting to see if your sleep doctor will recommend CPAP as the treatment of choice. Hypopnea can be for other reasons besides airway restriction. Has your doctor mentioned supplemental oxygen?

QAL

I haven't seen any doctor for this yet. I am anxious to get started with it so I won't be so drowsy but mad at myself for letting myself get overweight, if in fact that is the cause.
All I know so far is my family doctor's secretary called me yesterday and read me the report and said she was sending it to the oxygen equipment company that did the test. So, I just wait which is hard since I have so many questions! thanks for all the responses though!
07-07-2015 09:17 AM
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bwexler Offline

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Posts: 563
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Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #9
RE: new to this, have questions
Where are you located?
You need to call the secretary and have her provide you with a copy of the sleep study including all the detail pages not just the summery and any prescription he sent to the supply company.
If in the U.S. You have a right to copies of everything. You will over time want to learn what all the details mean. You will also want to do research here BFORE you get any equipment, to be sure you get the best equipment for you.
Always remember, no one cares more about your health then you.
07-07-2015 09:52 AM
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trish6hundred Offline

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Machine: Resmed S9 AutoSet for Her
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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: #10
RE: new to this, have questions
Hi lolewis,
WELCOME! to the forum.!
Much success to you and hang in there for more responses to your post.

trish6hundred
07-07-2015 11:28 AM
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