New sleep study results - Central Apnea

[bb0490]

Hi all - I got my at home sleep study results back and would love recommendations/insight...

AHI - 9.1 (Obstructive 1.2, Central 5.2)
ODI - 7.5 
151 snores
10.5 avg breaths/minute
90% lowest oxygen saturation with avg at 95%
Avg. 40 pulse, min 40, max 78

I'm a 27 year old male but have had bruxism for many years and a history of fatigue as well as TMJ/fibromyglia ever since I developed an open bite at the age of 19. I also have had two serious cases of pneumonia in the past 9 years.

I saw an ENT doctor over the summer and found out that have a deviated septum and enlarged turbinates. 

The sleep physician who ordered the test doesn't want to start any treatment until I get a lab study to confirm the results but at the earliest that will be November 15th (assuming insurance gives the authorization). 

Anyone have similar results? What worked and what didn't?

Thanks for the help!

[Hojo]

Some one with better knowledge of this will come along, but I will say that your saturation isn't that bad.

[Gideon]

I would like you to post a copy of your Sleep Study.

You said "AHI - 9.1 (Obstructive 1.2, Central 5.2)"
The numbers here definitely do not add up and they should.

You have Central Apnea apparently as the major portion of your Apnea, though at a fairly low level.  This level will typically make it hard to get an ASV machine.  Insurance wants to give you the cheapest solution and an ASV is among the more expensive.

There is not enough info to advise you in more than a general way.  

First Read the content of the links in my signature.
Your next Sleep Study is an opportunity to try several different masks on.  Make sure you try several, you will not get many opportunities to try masks on, push and try several.

The Mask Primer will help with a strategy to try masks.  Masks are very individual and MUST be tried on.

Also a lot of guidance in what you are about to go through is in the links.


Please ask any questions that come up.

Fred

[Sleeprider]

I think any home study like this that shows a higher incidence of central apnea needs follow-up investigation. The home sleep studies are notorious for under-estimating events, and when they show centrals, there is no way a CPAP should be prescribed. Getting a full PSG will confirm or reverse this finding, and a more appropriate recommendation can be made. The HST did its job of identifying a potential problem.

[bb0490]

I would like you to post a copy of your Sleep Study.

You said "AHI - 9.1 (Obstructive 1.2, Central 5.2)"
The numbers here definitely do not add up and they should.

You have Central Apnea apparently as the major portion of your Apnea, though at a fairly low level.  This level will typically make it hard to get an ASV machine.  Insurance wants to give you the cheapest solution and an ASV is among the more expensive.

There is not enough info to advise you in more than a general way.  

First Read the content of the links in my signature.
Your next Sleep Study is an opportunity to try several different masks on.  Make sure you try several, you will not get many opportunities to try masks on, push and try several.

The Mask Primer will help with a strategy to try masks.  Masks are very individual and MUST be tried on.

Also a lot of guidance in what you are about to go through is in the links.


Please ask any questions that come up.

Fred

[ajack]

personally, with a min desaturation of 90%, it is in the normal range. Is the ins. going to approve a sleep study?
I think any xpap would be optional, depending if it can directly help your bruxism and TMJ. some find an xpap does help bruxism. but it's normally a byproduct of treatment, rather than the goal.