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Help interpreting non-obstructive events in OSCAR
#11
RE: Help interpreting non-obstructive events in OSCAR
Just adding 2 day's worth of data with EPR setting of 2. It seems that the AHI has stabilised at around 1.7 however I have found that I have quite broken sleep recently (which I'm not sure is related to settings or something that people encounter when starting PAP therapy in general).

Is there anything else that I can do to reduce the CAs as I wouldn't say I'm fully refreshed throughout the day and assume that these have some form of impact on sleep quality.

Many thanks again!

       
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#12
RE: Help interpreting non-obstructive events in OSCAR
Try reducing EPR to setting 1.
Sleeprider
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#13
RE: Help interpreting non-obstructive events in OSCAR
Just sharing another day's data. I'm going to be more patient with the Central Apneas given that I don't know if they are treatment emergent or not (and I think the morning ones were when I was awake so probably junk) and if they are they can hopefully disappear by themselves after some time on therapy.

I had a cluster of hypopneas which I'm a bit confused about. Not sure if the clustering means anything but they aren't super clustered compared to some people's charts.

I also wanted to get a bit of reassurance regarding CPAP therapy as I felt amazing the first week but my energy after sleep seems to have dipped again with some fatigue (albeit not as pronounced as before). I read about getting an AHI < 5 but I thought I'd not feel this way getting AHIs of ~ 1.5-2. Is this a process that requires patience? I feel like I'm updating this thread too frequently and should try giving it more time between updates but I'm not sure. I can get a bit obsessive and I noticed that had a negative impact on another night's sleep that I haven't shared.

   
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#14
RE: Help interpreting non-obstructive events in OSCAR
Changes in EPR have not significantly changed your event rate or respiration statistics. A slight increase in 95% flow limitation of 0.01 is not a concern. If not for the cluster of hypopnea, your results would have been pretty good, and I'm tempted to increase minimum pressure by 1-cm to see if that resolves. As far as your after-sleep energy, there are so many factors that can play into that, including the initial relief of going from untreated to a treated condition being initially a bit euphoric, then transitioning to routine. I don't have answers there. You have good time in therapy and remain consistently under 2 AHI with most events being the less disruptive CA. As we discussed before, the CA events are often just a change in sleep stage, change in position and are not unusual, especially in early therapy.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Optimizing Therapy
Organize your OSCAR Charts
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How To Deal With Equipment Supplier


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.
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#15
RE: Help interpreting non-obstructive events in OSCAR
Just posting the results of my sleep study. But as a TLDR I was discharged as my AHI was 2.1, with most of those being hypopneas and one central apnea.

For some reason the apneas and hypopneas were isolated to REM sleep. I guess one thing I can take away from this is that the CA events are probably treatment emergent from CPAP therapy.

Not sure what I can pick out from these results. I've been discharged without having a conversation with anyone from the hospital so I guess I need a bit of advice as to whether it looks like I could have a sleep disorder or whether CPAP therapy is the wrong direction for me.

           
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