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Help understanding the attached sleep study report?

Hi all,

Here's the results of a sleep study. Any info on what all of this means is appreciated.

I'm sure it would help other newcomers like me to be better able to understand what this all means!

I started my CPAP therapy last night. The machine reports that I had AHI = .8 last night. I'm guessing that's an improvement?

The report says that there was no stage 3/4 delta sleep. That doesn't sound good!

The review doc says that "Sleep architecure was remarkable for increased REM latency and absent delta sleep,.." Somehow I don't think she's complimenting me... :|

Thanks in advance for any help!

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It looks like you are waking up quite a bit only sleeping 67% of the time and half of that is actual REM sleep which is the good stuff! I am not a doctor, but I wake up about 37 times per hour with out my mask on. I stop breathing most of the times I wake up. All that matters si that you need sleep to survive and if your sleeping only 67% of the time then your not doing your body any good. I would use the CPAP or Bi-PAP which ever during the sleep study you like the best. They both take at least 3-6 months to get use to but int he long run you will satrt sleeping and feel better. It places a ton of strain on your heart when you stop breathing that many times and strain on your brain with no sleep.

Good luck to you!

Tim
Hi Andy:

Scientifically speaking, on the night of your polysomnogram (PSG) you didn't sleep worth a damn. You woke up a bunch due to breathing interruptions, & you don't seem to have gotten any of the deepest sleep.

Was there another study after the one reported? Did you wear a CPAP mask during another study?

The one night report of AHI 0.8on PAP is very, very good. It's only one night, but for that one night you could hardly have gotten a better report. If your symptoms diminish & your AHI stays low, you're about to realize better nights & therefor better days!

Rock
Once you apnea is more under control your Delta sleep stages 3 and 4 will increase and your REM latency should improve. This just means REM will happen 90 to 120 minutes of Sleep onset.
In addition to using CPAP/BiPAP be sure and address issues in the bedroom to make it more sleep friendly. Remove televisions, desk etc. Remember the bedroom is for 2 things. Sleep and celebrating marriage.
Looks like a very good diagnostic report. Not a whole lot more I can say. I believe that you would definately benefit from PAP therapy. Please post your treatment study as well. I would love to see the differences.
Hi Tim, Rock, D.W., jnk, Rock

Thanks for your replies.

Here's what's happened so far.

I did the initial sleep study, the results of which are attached to the original post in this discussion. The study experience was typical of my nights, not much sleep, and what there was was low quality. There was no CPAP used during this first study.

After weeks of waiting for the results, and meeting with my doctor, a second titration study as ordered. However, the center is booked so far ahead that I would have to wait until December before having the study and getting the results.

So I went back for another doctor appointment, and asked her to prescibe a "self-adjusting" CPAP right away, so that I could at least have something, and then I'll still go to the titation study to get more accurate results.

She agreed to this plan, and ordered a ResMed AutoSet II, H4i heated humidifier, and a Mirage Micro nose mask, though she ordered the ResMed to be set to a fixed pressure of 8.

The Resed has a ResTraxx option installed, which transmits data to the DME over the cellphone network. I am able to see AHI, AI, and HI as well as leakage figures, but only because I know the secret keypresses to retrive that info (found at this site).

At this point the insurance company is all set, and my authorization is for rental for the year. I'm told that after 90 days of compliance at >= 4 hours/day that they'll buy out the rental, and I'll own the unit.

I managed a .8 AHI on night one but, due to leakage, only AHI of 8.8 on night two. Still, I feel much better than ever, and I'm confident that I can eliminate the leakage and keep the AHI down low.

I've had no issues with the equipment, and I don't even feel the CPAP pressure when I wake up.

I guess that a pressure setting of 8 is fairly low, but I'm assuming that the .8 AHI is pretty good. I don't know what the goal is, though. Am I looking to get AHI=0?

As for the bedroom, there are no distractions such as TV, desk, etc., only lots of books. I usually read for 20-30 minutes before sleep.

Prior to the CPAP, I'd get maybe 4 to 6 hours sleep per night, but quality was low. I have gotten up exhausted for a long time, but it has been much worse the last two years.

Anyway, I'm curious about the "technical" aspects of the study and report, and I posted the results in hopes of getting some specifics about what they mean, or a link to someplace that has explanations of the data.

Thanks again for your comments!
Way to take charge Andy! Exactly what kind of technical questions are you wanting answered? We could write an essay based on the information found in any PSG report.

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