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+--- Thread: afib and sleep apnea (/Thread-afib-and-sleep-apnea)
RE: afib and sleep apnea - poppypete - 07-22-2018
I’ve now completed 30 days since adding a c-collar to my bedtime routine of affixing full-face mask from my ASV machine, and attaching my oximeter on my wrist and finger.
Sleep Apnea:
ResScan have regularly scored me 100% on their 4 parameters (>7 hours use; good mask seal <25; events <5; and mask on/off = 2 optimum), while the SpO2% numbers have been well into the 90%+ values, often 97%.
· Consequently I’ve been feeling much better during the day.
Afib:
My INR has been maintained in the 2-3 range for the month required before doctor/hospital will attempt cardioversion, so that’s next (soon I hope)…but the volatility range during sleep has been reduced I can see, obviously with the improved support from the ASV responding now to my usual ‘personal’ breathing efforts.
Regarding the comments about a Kardia device and a heart monitor for while I swim and body surf next summer, I lean towards an Apple watch, having looked into the Suunto and Garmin ranges as other alternatives. As I’m not presently in the water in the middle of our southern hemisphere winter, I’ve a little while before that will be needed, however anyone with ideas I’d like to hear them please.
Finally, my 30 days compliance report for my sleep doctor from ResScan, shows him this result:
30/30 days = 100%
> 4 hours 30days = (100%)
Average usage 7 hours 16 minutes
Apnea index = 0.1; Hypopnea index = 0.6 and AHI = 0.7.
I’ll discuss with him the meaning for us in knowing
1. Tidal Volume (ml) readings (max average 1860; 95% 1131; and median average 592);
2. Respiratory Rate (breaths/min) readings (max average 19; 95% 16; and median average 13); and
3. Minute Ventilation (L/min) readings…
…as I’m curious to understand how my future exercise activity will aid my recovery and future health.
Cheers...poppypete
RE: afib and sleep apnea - jmjm28 - 07-22-2018
Hi Popeye,
You said: Regarding the comments about a Kardia device and a heart monitor for while I swim and body surf next summer, I lean towards an Apple watch, having looked into the Suunto and Garmin ranges as other alternatives.
-------------------
Neither the Apple Watch nor Kardia products (mobile and band) seem suitable for body surfing (see below). Are you looking for something that takes an ecg or just a heart monitor? If you want afib and ecg capability, I'd either get either Kardia Mobile or Kardia Band to use on dry land. If you are just looking for heart rate monitoring, there should be any number of heart monitors that are waterproof including the Apple Watch in a waterproof case. One good waterproof one that comes to mind is the Polar H10 Chest Monitor that can be used either with an Iphone, a compatible blue tooth watch, or by itself as it has a memory feature. How it will hold up to body surfing is another story so alternatively you could look into the Polar OH1 arm band with a waterproof receiver. There are also a few wrist bands around that might work as well.
Jim
From Apple:
"Apple Watch Series 1 and Apple Watch (1st generation) are splash and water resistant, but submerging Apple Watch Series 1 and Apple Watch (1st generation) isn't recommended. Apple Watch Series 2 and Apple Watch Series 3 may be used for shallow water activities like swimming in a pool or ocean. However, Apple Watch Series 2 and Apple Watch Series 3 shouldn't be used for scuba diving, water skiing, or other activities involving high velocity water or submersion below shallow depth. "
RE: afib and sleep apnea - Sleeprider - 07-22-2018
Fantastic. I'd be interested in hearing your comments on what really worked for you. This was a pretty long process and we tried a number oft things before you finally started to get these results. So, what worked for you and how are you feeling?
RE: afib and sleep apnea - poppypete - 07-22-2018
(07-22-2018, 05:34 PM)Sleeprider Wrote: Fantastic. I'd be interested in hearing your comments on what really worked for you. This was a pretty long process and we tried a number of things before you finally started to get these results. So, what worked for you and how are you feeling?
Sleeprider...
re: "what worked for you and how are you feeling?"
What worked for me was clearly getting the support and education you personally gave me through this forum.
The switch to an ASV machine did it though in the final practical terms: having you to help me in how to arrange that switch from my CPAP auto, and then subsequently tweak it to my 'best for me' settings, got me to 90% there, with the final piece of the jigsaw/the clincher, being your suggesting the use of a c-collar.
As you rightly say "This was a pretty long process and we tried a number of things before you finally started to get these results.", and these processes are outlined in previous posts.
As to how I'm feeling...that answer lies in the fact that I don't look for a nap/sleep during the day now, and I have plenty of energy and alertness...although the afib at present limits my ability to exert myself beyond normal activity of movement.
No more CSR events;
Tidal Volumes have increased...no doubt creating the higher SpO2% readings;
Rate of breaths per minute has considerably decreased...no doubt aiding my heart's necessary/now greater 'rest' while I'm sleeping.
The few (6) apneas such as I experienced last night (I'm fighting off a cold at present too), were for less than 15 seconds duration...a vast improvement on the past.
The bottom line is that by knowing more about this 'condition', and how best to treat it long term, provides the incentive to persist with one's own efforts using a machine...to remain as healthy as personally possible.
I'm also fortunate to have a partner who both understands my desire to be well, and supports the efforts I'm making towards that goal.
So, Sleeprider, I hope this answers the question you've asked, and I have a coldie in the fridge for when you are next Downunder!!!
Cheers...poppypete
RE: afib and sleep apnea - SarcasticDave94 - 07-22-2018
Glad to read of your great progress. Hope it continues. To present and future successes.
RE: afib and sleep apnea - trance - 07-22-2018
(07-22-2018, 06:48 PM)poppypete Wrote:(07-22-2018, 05:34 PM)Sleeprider Wrote: Fantastic. I'd be interested in hearing your comments on what really worked for you. This was a pretty long process and we tried a number of things before you finally started to get these results. So, what worked for you and how are you feeling?
Sleeprider...
re: "what worked for you and how are you feeling?"
What worked for me was clearly getting the support and education you personally gave me through this forum.
The switch to an ASV machine did it though in the final practical terms: having you to help me in how to arrange that switch from my CPAP auto, and then subsequently tweak it to my 'best for me' settings, got me to 90% there, with the final piece of the jigsaw/the clincher, being your suggesting the use of a c-collar.
As you rightly say "This was a pretty long process and we tried a number of things before you finally started to get these results.", and these processes are outlined in previous posts.
As to how I'm feeling...that answer lies in the fact that I don't look for a nap/sleep during the day now, and I have plenty of energy and alertness...although the afib at present limits my ability to exert myself beyond normal activity of movement.
No more CSR events;
Tidal Volumes have increased...no doubt creating the higher SpO2% readings;
Rate of breaths per minute has considerably decreased...no doubt aiding my heart's necessary/now greater 'rest' while I'm sleeping.
The few (6) apneas such as I experienced last night (I'm fighting off a cold at present too), were for less than 15 seconds duration...a vast improvement on the past.
The bottom line is that by knowing more about this 'condition', and how best to treat it long term, provides the incentive to persist with one's own efforts using a machine...to remain as healthy as personally possible.
I'm also fortunate to have a partner who both understands my desire to be well, and supports the efforts I'm making towards that goal.
So, Sleeprider, I hope this answers the question you've asked, and I have a coldie in the fridge for when you are next Downunder!!!
Cheers...poppypete
Thank you poppypete (and sleeprider) for sharing this... I'm sure it gives hope to many of us here.
RE: afib and sleep apnea - poppypete - 07-22-2018
(07-22-2018, 04:22 PM)jmjm28 Wrote: Hi Popeye,
You said: Regarding the comments about a Kardia device and a heart monitor for while I swim and body surf next summer, I lean towards an Apple watch, having looked into the Suunto and Garmin ranges as other alternatives.
-------------------
Neither the Apple Watch nor Kardia products (mobile and band) seem suitable for body surfing (see below). Are you looking for something that takes an ecg or just a heart monitor? If you want afib and ecg capability, I'd either get either Kardia Mobile or Kardia Band to use on dry land. If you are just looking for heart rate monitoring, there should be any number of heart monitors that are waterproof including the Apple Watch in a waterproof case. One good waterproof one that comes to mind is the Polar H10 Chest Monitor that can be used either with an Iphone, a compatible blue tooth watch, or by itself as it has a memory feature. How it will hold up to body surfing is another story so alternatively you could look into the Polar OH1 arm band with a waterproof receiver. There are also a few wrist bands around that might work as well.
Jim
From Apple:
"Apple Watch Series 1 and Apple Watch (1st generation) are splash and water resistant, but submerging Apple Watch Series 1 and Apple Watch (1st generation) isn't recommended. Apple Watch Series 2 and Apple Watch Series 3 may be used for shallow water activities like swimming in a pool or ocean. However, Apple Watch Series 2 and Apple Watch Series 3 shouldn't be used for scuba diving, water skiing, or other activities involving high velocity water or submersion below shallow depth. "
Jim...
Thanks for taking the trouble to reply to this question about equipment to monitor what goes on with the heart for an afib patient wishing to swim and surf.
I'm narrowing down on the question now and I think a heart rate monitor which works in water will reveal the rate of variation of bpm as being the best indicator I'm likely to find...but the last sentence in your info about the Apple's submersion suspect ability, I'll follow up on before making a decision...so thanks for this reply.
Cheers...poppypete
RE: afib and sleep apnea - jmjm28 - 07-22-2018
A good combination would be a waterproof HR monitor like the Polar H10 with a compatible waterproof watch, or you could pair it with your Iphone in a waterproof case. This assumes that you have afib tachycardia. If you have afib with normal heart rate, like many do, then this isn't going to help much. In any event, having a Kardia Mobile on the beach in your bag will allow you to capture the event
with an ecg that you can then mail to your doctor. Equally important, it will tell you when you come out of afib, saving you a trip to the doctor's or hospital.
Jim
RE: afib and sleep apnea - poppypete - 07-23-2018
(07-22-2018, 11:07 PM)jmjm28 Wrote: A good combination would be a waterproof HR monitor like the Polar H10 with a compatible waterproof watch, or you could pair it with your Iphone in a waterproof case. This assumes that you have afib tachycardia. If you have afib with normal heart rate, like many do, then this isn't going to help much. In any event, having a Kardia Mobile on the beach in your bag will allow you to capture the event with an ecg that you can then mail to your doctor. Equally important, it will tell you when you come out of afib, saving you a trip to the doctor's or hospital.
Jim
Thanks Jim...
re: "afib tachycardia" or "afib with normal heart rate"
I'm a little in the dark about this difference at present, as all I know is that I'm in afib, and my heart rate as I see it shown on my oximeter readings, is up and down like the proverbial yoyo!!!
I guess you've given me the idea to be a little more clear in my own understanding...
...in the meantime however, I've put this (below), ...onto the Afibber's Forum thread ("kardiaband"), and in an email to Wiggle (as they sell the Polar H10 Chest Monitor and Wrist band) and so I'll see what that turns up:
"What I’m searching for is
- how I can monitor my afib while swimming and surfing…
…that is, to be aware after I come out of the water (by going to a computer download) of what WAS happening during that activity.
Heart rate seems simple to monitor with one of many styles of watches and bands, but…
- ...the irregularity of the beat (afib) of the heart (as can be seen like this…on dry land: Commercial Link Removed, instead do a google search for Alivecor.
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RE: afib and sleep apnea - jmjm28 - 07-23-2018
Poppey: that is, to be aware after I come out of the water (by going to a computer download) of what WAS happening during that activity (body surfing).
============================
Hi PoppyPete,
The short answer is there is nothing on the market that I'm aware of that will do what you're asking in a reliable manner. If anyone on the affiber forum comes up with something please report back here.
I'm going to oversimplify the longer answer a little but hopefully this will help.
Afib is an irregular beat that is usually very fast (tachycardia) but sometimes not. In other words you can sometimes have afib with a normal heart rate. The only way you can be sure you are in afib is with an cardiogram (ecg). That's because there are other conditions that present as irregular beats either with a fast or normal heart rate. Heart rate monitors do what their name says. The Kardia devices (mobile and band) are small portable devices that let you take an ecg anywhere in 30 seconds. If will tell you that your ecg is either normal or that you may be in afib. If it says you may be in afib then you can either email the ecg to your doctor or email it to one of Kardia doctors for evaluation within 24 hours.
Now here's the important thing. The Kardia products, like the ecg in your doctor's office, will only tell you if you're in afib during the time the ecg was taken, which is a 30 second time slot. They will not tell you if you were in afib ten minutes earlier or ten minutes later. So, in answer to your question, they will not tell you what was happening DURING say an hour of body surfing activity. The only type of monitor that will do what you want (record your ecg continuously during an activity) is called a halter monitor or activity monitor but those you have to get from your doctor and you have to return. Zio Patch is one popular activity monitor that you wear for 2-4 weeks and then return to your doctor for analysis, however it cannot be used in the water environment you describe, and even if it could, you would not get the immediate feedback you are looking for, unless you carried a transmitter with you, but even in that case, you would have to be in contact with your doctor's office to know if you were in afib.
A heart rate monitor on the other hand will record during that hour of body surfing, but it will record only heart rate, and not tell you that you're in afib. However, if it turns out that your type of afib is accompanied by high heart rate, then a heart rate monitor can be used as an alarm for you to pull out your Kardia and take an ecg. If your afib is with a normal heart rate, this strategy won't work.
My suggestion is to start with either a Kardia Mobile or Kardia Band and learn to identify what type of afib you have, assuming you are in aib and do not have another type of irregular heart beat. Once you get this basic understanding you should be able to extrapolate what is going on in the water, but in any event you will know what is going on out of the water, which I assume is most of your life
Jim