"please keep me updated about oximeters "
Sleep Apnea Forum Bringing Power to the Patient
New? Free Sign Up
Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:
CPAP machines, Sleep Apnea surgery and dental appliances.
CPAP Supplies
Latest Activity
Intro about me and my sleep study report.
Hi everyone. I'm Wendy Wheeler and I have severe OSA. I am 41, not overweight and pretty healthy, I feel like anyway. I have been reading this forum for a while and have learned alot so far, but I have a lot to still learn...
My sleep study was done July this year. I was told my AHI was 59/hr and I had severe sleep apnea. A couple of weeks later I was using my APAP machine. I have now since been on my machine for a while and my AHIs have gown down to 2 and I am feeling pretty good. I have finally received my sleep results and they are as follows: (sorry its so long)
It was a split-study.....
Results without CPAP:
The first portion of the study was done without CPAP and lasted a total of 248 minutes,
sleep latency 3 minutes
REM latency 234 minutes
sleep efficiency 91%
total sleep time: 225 minutes
sleep distribution: 6% stage 1; 81% stage 2; 10% stage 3; 3% stage REM
Snoring was mild. There were a total of 66 scorable events, primarily hypopneic and 55 respiratory related arousals. The respiratory disturbance index was 32, supine 59. Oxygen saturation was well maintained. The arousal index was 37 with reactive cyclic tachycardia/bradycardia
Results with CPAP:
applied a total of: 155 minutes
sleep latency: 22 minutes
REM latency: 79 minutes
sleep efficiency: 85%
total sleep time: 131 minutes
sleep distribution: 12% stage 1; 50% stage 2; 20% stage 3; 18% stage REM
CPAP was titrated to as high as 6 cm which was maintained for 7 mins. 5 cm was maintained for 88 minutes, associated with a respiratory disturbance index of 10, and arousal inidex of 12 and included supine REM.
The overall arousal index was 15. PLM activity was reduced from 28 to 14. Reactive cyclic tachycardia/bradycardia seemed to be reduced. Review of the sleep hypnogram shows improved REM progression and sleep consolidation under pressure.
Lab Impression:
1. Severe positional sleep apnea documented the first portion of the study evidenced by mild snoring, a respiratory disturbance index of 32, supine 59 with sleep fragmentation, reactive cyclic tachycardia/bradycardia.
2. Near successful CPAP titration
3. Insufficient sleep syndrome with the patient averaging 5 to 6 hours of sleep per night
Recommendations:
This patient appears to have an insufficient sleep syndrome and underlying anxiety based mood disorder. She will be counseled about an appropriate sleep period of 7 to 8 hours. Further evaluation and pharmacotherapy forh er underlying anxiety may also be of benefit.
My questions:
1. Could someone explain my Sleep Distribution?
2. What the heck is reative cyclic tachycardia/bradycardia? I remember my doc saying that if I had not been dx with osa, that he thought in the future I would probably have a heart attack/stroke. He said that my heart would increase during an episode. But still not sure if I understand this or not.
3. What is pharmacotherapy? and is insufficient sleep syndrome the same as OSA?
4. What is respiratory related arousals?
I have been trying to find some info on the tach/bradicardia and what I am reading is not really good and I am starting to get REALLY nervous about this. Should I call the doc and dig more into this?
Thanks for your help.
Wendy
My sleep study was done July this year. I was told my AHI was 59/hr and I had severe sleep apnea. A couple of weeks later I was using my APAP machine. I have now since been on my machine for a while and my AHIs have gown down to 2 and I am feeling pretty good. I have finally received my sleep results and they are as follows: (sorry its so long)
It was a split-study.....
Results without CPAP:
The first portion of the study was done without CPAP and lasted a total of 248 minutes,
sleep latency 3 minutes
REM latency 234 minutes
sleep efficiency 91%
total sleep time: 225 minutes
sleep distribution: 6% stage 1; 81% stage 2; 10% stage 3; 3% stage REM
Snoring was mild. There were a total of 66 scorable events, primarily hypopneic and 55 respiratory related arousals. The respiratory disturbance index was 32, supine 59. Oxygen saturation was well maintained. The arousal index was 37 with reactive cyclic tachycardia/bradycardia
Results with CPAP:
applied a total of: 155 minutes
sleep latency: 22 minutes
REM latency: 79 minutes
sleep efficiency: 85%
total sleep time: 131 minutes
sleep distribution: 12% stage 1; 50% stage 2; 20% stage 3; 18% stage REM
CPAP was titrated to as high as 6 cm which was maintained for 7 mins. 5 cm was maintained for 88 minutes, associated with a respiratory disturbance index of 10, and arousal inidex of 12 and included supine REM.
The overall arousal index was 15. PLM activity was reduced from 28 to 14. Reactive cyclic tachycardia/bradycardia seemed to be reduced. Review of the sleep hypnogram shows improved REM progression and sleep consolidation under pressure.
Lab Impression:
1. Severe positional sleep apnea documented the first portion of the study evidenced by mild snoring, a respiratory disturbance index of 32, supine 59 with sleep fragmentation, reactive cyclic tachycardia/bradycardia.
2. Near successful CPAP titration
3. Insufficient sleep syndrome with the patient averaging 5 to 6 hours of sleep per night
Recommendations:
This patient appears to have an insufficient sleep syndrome and underlying anxiety based mood disorder. She will be counseled about an appropriate sleep period of 7 to 8 hours. Further evaluation and pharmacotherapy forh er underlying anxiety may also be of benefit.
My questions:
1. Could someone explain my Sleep Distribution?
2. What the heck is reative cyclic tachycardia/bradycardia? I remember my doc saying that if I had not been dx with osa, that he thought in the future I would probably have a heart attack/stroke. He said that my heart would increase during an episode. But still not sure if I understand this or not.
3. What is pharmacotherapy? and is insufficient sleep syndrome the same as OSA?
4. What is respiratory related arousals?
I have been trying to find some info on the tach/bradicardia and what I am reading is not really good and I am starting to get REALLY nervous about this. Should I call the doc and dig more into this?
Thanks for your help.
Wendy
Views: 115
Replies to This Discussion
-
Permalink Reply by susan mccord on
-
Hi Wendy--I'm somewhat new to apnea treatment myself--diagnosed late June 2009, have been on CPAP since July. I don't have answers for your technical questions. (don't even understand my own yet!).
What I DO understand is heart disease. I was diagnosed in October 2005, and have done a fair amount of research and training about women's heart disease. I'd encourage you to have a heart workup as soon as you can manage it. Have you had a stress test? Given your sleep study results, you may also want to request an echocardiogram and see what else the cardiologist might recommend. I've learned, in the course of all this apnea stuff, that there IS a relationship between apnea and heart disease. I don't think it's something you should panic about, but I DO think you should locate a cardiologist that you like and see about getting set up for testing. Better safe than sorry!!
Having said all that, I want to welcome you to SleepGuide. This is an excellent site with a lot of really great, well-informed people. With the way you've jumped right in, I think you'll get a lot from being here. The support and information is unbelievable. We have a # of sleep professionals--sleep MDs, sleep techs, etc., who donate their time to SG in an effort to be helpful. And they are! There are also a LOT of patients in different stages of diagnosis and treatment, so it's a rich learning environment.
You'll be getting replies re: your clearly-stated quesions and the pros are gonna love the fact that you have all your information listed. A lot of people on SG know how to read those #s and what they mean.
Please don't be freaked out re: the heart talk--I'm just highly tuned in to heart issues--women are undertreated and underdiagnosed, still, so it's good to get active with your heart health just like you're doing here with apnea.
Is that your baby? CUTE!!!
Susan McCord :-)
-
Permalink Reply by RockRpsgt on
-
Insufficient Sleep Syndrome is not the same as OSA. It is commonly known as Behavoir Induced Insufficient Sleep syndrome (BIISS). Behaviorally induced insufficient sleep syndrome occurs when you regularly fail to get enough sleep at night. The result is sleep deprivation. This keeps you from feeling alert and well rested during the day.
http://www.sleepeducation.com/Disorder.aspx?id=32
http://www.ncbi.nlm.nih.gov/pubmed/17981500
-
-
Your heart is speeding up and slowing down. It sounds like your doc believes this to be tied to your bad sleep. I would not panic. Listen to your PCP. Ask them if they think you should see a cardiologist. You have to remember that you have already taken the steps to better health. Continue on this path.
A respiratory effort related arousal (RERA) is an event in which your breathing effort drops and causes an arousal which will either bring you to a lighter sleep or wake you up. Sometimes the throat narrows enough to cause loud snoring and hard breathing, but not enough to produce apneas or hypopneas. Breathing in this situation can be difficult enough to wake the sleeper, an occurrance referred to as a respiratory effort related arousal (RERA
-
-
Your sleep distribution is the percentage of time that you spent in each of the 4 stages of sleep. Normal sleep distribution is stage 1 5-15%, stage 2 45-55%, stage 3 20-25%, and REM 20-25%. Your initial distribution tells me that your sleep-related breathing disorders (SBD) are keeping you from getting deep sleep (Stage 3 and REM). After CPAP your distribution was normal. This is a good thing.
-
-
2. What the heck is reative cyclic tachycardia/bradycardia? I remember my doc saying that if I had not been dx with osa, that he thought in the future I would probably have a heart attack/stroke. He said that my heart would increase during an episode. But still not sure if I understand this or not.
Ok to answer this question we have to look at the effects of apnea. Apnea causes oxygen desaturations and fragmented sleep. Both of these are bad. Our heart works in conjunction with our lungs to transport o2 to our organs. I like to explain the heart as a marathon runner always running. If you are healthy and sleep well your heart gets a chance to walk when we sleep. In some patients I have seen the heart rate drop 10-20 beats a minute during sleep. Your body is used to getting a certain amount of o2 delivered to all of it’s organs via blood from the heart. Our organs do not care that we are not getting the same amount of o2 because of apnea. When we have a drop in o2 our heart has to work harder to make better use of the o2 that it does get. This effect overworks and damages our heart eventually leading to bigger problems. On top of the heart problems the rest of our organs will begin to suffer from the lack of o2.
Healthy sleep produces physical and mental restoration. Meaning that when we sleep our body heals from the daily activities that we call life. If our sleep is fragmented that healing process is interrupted. If we can’t heal then the effects of the oxygen desaturations begin to stack on us. Our bodies will begin to breakdown and age faster. This lack of o2, and fragmented sleep can and will lead to diabetes, high blood pressure, heart attacks, seizures, strokes, and brain damage. Eventually the effects of untreated apnea will kill us one way or another.
This is my short answer. I could post study after study on these findings if you would like. It sounds to me like you are on the right path. Build a medical or PAP team. Listen to them, and remember that you are a part of that team. Sleepguide.com can be an essential part of that. Good luck.
Oh yeah, welcome to sleepguide Wendy Wheeler!
Rock
-
Permalink Reply by Wendy Wheeler on
-
Thank you all for your responses. I was being silly when I introduced myself, like I am an addict or something. :) I knew when I posted here I would get some great responses.
Susan, I will call my PCP and get an appointment to see if my results warrent further testing regarding my heart. The report I received is not a 'full' report. It is just the Interpretation that they faxed to my PCP. However, I tried to obtain a copy of everything else about three weeks ago. I did exactly what the sleep center wanted me to do...I wrote a letter stated what I wanted a copy to, date of birth, signed it, and made a copy of my drivers license and military ID, and I still have yet to recieve it in the mail. I called them yesterday about it and all I could get were answering machines. I left a message on one machine but no return call yet. 'sign'
Rock, Thank you so much for your respones as well. So initially they are saying I have Insuffient Sleep Syndrome then? When I spoke to one tech over the phone right after I had my sleep study done, he told me I had severe sleep apnea. Then at my docs appt a week ago the doc said that I had severe sleep apnea and started to explain that the make up of my throat is what is causing me to not breath at night. He measured my throat to be 13 (not sure what that means or if it is even relevant) I have not seen my PCP since my sleep study. I am going to call today and ask to come in tho. I have no numbers as regard to the tachycardia/bradycardia to go by. So I don't know how low or high my heart worked that night.
I visited my sister the other weekend and she is a CV tech student. She graduated doing invasive CVT but now she is going non-invasive route. She wanted to scan my heart. I thought it would be interesting to see, since now after I have been dx with severe sleep apnea. As a student she kept saying how pretty my heart was and she didnt see any vegetation. But it sure was interesting to watch her do it.
Thank you again for all of your help. I will look at those links that you posted. I will be printing the out as well to have for future reference.
Wendy
-
-
Susan. I forgot, yes that is my son. He will be 3 in November! Time flies by doesn't it? I want to understand my health and what is going on. I want to be around to watch him grow up. :) I had him late in life and I am glad I did.
-
-
Ok, I have an appointment to see my PCP today to discuss the tachycardia/bradycardia. I also called my sleep doctor again. I have another appointment with them in January. At that time they will be running an Ansar test on me. A nerve test. Is this done to most for people who have OSA? Wonder why they would be doing it? What exactly are they looking for?
Wendy
© 2024 Created by The SleepGuide Crew.
Powered by
