[CPAP] Does the infarction affect the breathing in the device?

[Melman]

@Fred Bonjour

I will search, but I will not write about it on the forum. It seems that the forum police are very vigilant.

Please feel free to write about it. The only problem with your earlier post was that it included a direct link to a site that sells or rents equipment. We must remove such links to protect our legal status. Writing about the equipment in detail or even mentioning the supplier without a direct link is acceptable. If you don't understand and make such a mistake again we will remove the link. Please don't feel that you are being punished in any way.

[Sleeprider]

Are these different territorial names for the same device? 
Is one of them better for me than the others? 
For now, I have confidence that AirCurve 10 ASV would be the best ...

It seems that in Poland it would be the cheapest, if only due to state subsidies (ca. $ 500).

PS' I was at the doctors today. I have very low pressure. They changed some medicine for me. 
     My family doctor has analyzed the results of my research for the last 3 years. There is nothing in them that would indicate a possible heart attack. 
     Therefore, he thinks that this apnea could be an important factor affecting the heart attack.

Prior to the heart attack, your AHI was low and you would have been considered treated for the obstructive apnea that you had.  HOWEVER! Beginning on April 30, and intermittently at the beginning of May, you began to have the Cheyne-Stokes Respiration and central apnea. It was intermittent but was prevalent in your results April 30, May 5, 8, 9, 13, 15 and 16. You did not use your machine on May 17 prior to the MI.  On May 18 there was an incredible increase of AHI to 30.6/hour with 87% of the night in CSR.  You did not use the machine May 19.  Your AHI increased to 45.8 on May 20, 46.2 on May 21, 49.0 on May 22, AHI of 54 on May 23 with 97% in CSR. Your AHI dropped to 27.8 on May 24, then you did not use the machine on the 25-28. On May 29 you had an amazing 59.2 AHI and 87.2% CSR!  That is an event every minute for 7 hours and 40 minutes or 460 apneas, and on 5/30 you were at 56.4 AHI.  Your last night of use in my records was June 1 at over 23 AHI and lots of CSR.  

The data was a warning of your impending heart attack, and if you had been monitoring it, it would have told you of a big health change. Since the heart attack, you have had constant CSR and central apnea.  You need treatment!  The CPAP treatment may or may not have been related to your infarction, but now you need treatment to prevent heart failure and other impacts to your health.  You need proper treatment or oxygen supplement as soon as possible

[Sleeprider]

Here is a monthly summary of your results. You can see that before May, everything was pretty good except for August and September 2018.  If you had been watching your data back in 2018, you would have seen the early warning sign of this heart problem.  A sudden change in results with alarming CSR and AHI.  This result was completely uncharacteristic of your therapy, and you may have had a smaller cardiac event at that time.  Looking back in time, you have had mostly good results when you used the machine, but there are many days and weeks that you did not record data or use the machine.  There has been occasional periodic breathing or CSR and infrequent high AHI.  Based on past results, you have sometimes had similar excursions and returned to normal, but this seem to be larger in magnitude and longer in duration than past occurrences of CSR. 

Regardless of the fluctuations, it appears you need ASV to deal with the Cheyne-Stokes respiration and central apnea, along with the mild obstructive apnea that you have had. Also, you need to use the machine and monitor results.

[lech]

That night I had only 6.6 events. Maybe I am getting better and that's why everything is slowly coming back to normal?

PS' F12 in Oscar is not working (I have PC). How do I send current Oscar data?

[Sleeprider]

If you're saying that your current results are trending better, that seems to be a repeat of some past issues. You seem to have periods of time with very low obstructive event rates, and brief periods with very high rates of central apnea and CSR. You sometimes have unflagged periodic breathing that looks like CSR without a full apnea. It may be better to use ASV treatment in view of the recurring nature of this problem Your most recent results after the heart attack were far worse than previous episodes. I cannot predict whether your current improvement is going to be long-lasting, or if it is part of a pattern of recurring low AHI with periods of central apnea and CSR. It is an unusual case.

[Gideon]

I'll add that it is not uncommon for Central apnea to be consistently inconsistent.

Are you monitoring your oxygen overnight? IMHO you should be.

I too would like to see you on the ResMed AirCurve 10 ASV this machine should easily manage your AHI to under 5, I expect under 3 with many users achieving under 1 0

[lech]

Oscar is here: https://1drv.ms/u/s!AtANIfcgMoHLgdAgr7ri...A?e=PMCXXN

can you see?

[lech]

...  I cannot predict whether your current improvement is going to be long-lasting...  It is an unusual case.

Today I had the first day of rehabilitation exercises. I have such a low pressure, and at the same time in Poland there is a lot of African heat, that I almost fainted. I still have a long way to go.

[Sleeprider]

You posted the entire OSCAR directory in your Dropbox. All we need is the folder in My Documents/Oscar/Profiles/Lech Kowolesky The program files have no data.

Your fatigue and sensitivity to heat are to be expected. While you have had EKG, you really should have an Echocardiogram to evaluate your heart efficiency, specifically left ventricular ejection fraction.

[lech]

You posted the entire OSCAR directory in your Dropbox.  All we need is the folder in My Documents/Oscar/Profiles/Lech Kowolesky   ....

https://1drv.ms/u/s!AtANIfcgMoHLgdEHJoqa...Q?e=20hGoK
OK ?