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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
Attaching Files
Mask Primer
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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