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+--- Thread: afib and sleep apnea (/Thread-afib-and-sleep-apnea)
RE: afib and sleep apnea - poppypete - 05-11-2018
Sleeprider...
Last night's (research) result's suggest I stay the course for a few more nights on your suggested settings of 7-11 with my change of EPR being on still @ level 1, not 3, before making a final decision about continuing use, as I put forward yesterday.
After a social day out drinking a lot more than I'd normally imbibe (last drink 4pm), I 'retired' at 8.26pm (a little earlier than normal too).
Your prediction of what would likely happen was proven I'd suggest...more hypopneas, but no OSAs over the 4hr 46min of use.
Centrals are another matter entirely, so I'd further ask for your ongoing opinion.
The CSR period in particular, I'd appreciate your seeing, with its cluster of 21 CAs over 31m 28sec, as appreciating both your own and Hojo's previous/recent comments, they may not be now as alarming (in my current Afib context), as previously thought (?).
(The second period on the mask lasted another hour or so, when I remained awake I'd submit...so that too shows my 'normal'/awake breathing pattern...with CAs registered, but of much shorter duration however.)
I spent no further time masked up, and eventually dozed off after a cup of herbal tea.
I look forward to your thoughts, again.
Cheers...poppypete
RE: afib and sleep apnea - poppypete - 05-11-2018
Beginning and end of CSR CAs attached, with details on LH side.
RE: afib and sleep apnea - poppypete - 05-11-2018
The 'awake' period graph attached.
RE: afib and sleep apnea - Sleeprider - 05-11-2018
Well, there is some flow limit there, and the centrals again showed that periodic breathing pattern we'd really rather not see. I think your medical team needs to get off their duff and start talking about what it's going to take to put you on ASV or an alternative with backup rate. This is not acceptable, and your continued suffering is entirely on their unwillingness to consider the well known therapy that exists to resolve this.
RE: afib and sleep apnea - Hojo - 05-12-2018
Agreed, it is strongly indicative for the need of ASV. That being said, AFIB has been shown to result in sleep apnea and I know you are working on this but may need more aggressive treatment, has cardioversion or ablation been considered?
RE: afib and sleep apnea - poppypete - 05-12-2018
Hojo...
re: "...has cardioversion or ablation been considered?"
Yes...I am due for this in June (date unknown at present)...but on 28 May I'll be having an ECG.
Six hours last night, in 2 sessions. NO CSR/periodic breathing...with result suggesting another night's 'trial' at Sleeprider suggested settings. Might try turning EPR off totally tonight however.
Cheers...poppypete
RE: afib and sleep apnea - poppypete - 05-12-2018
Sessions' breakup attachments...
RE: afib and sleep apnea - Sleeprider - 05-12-2018
Pete, you will have to remind me, did we ever try a maximum pressure of 9.0?
RE: afib and sleep apnea - poppypete - 05-12-2018
Sleeprider...
re: "did we ever try a maximum pressure of 9.0?"
No.
We changed my 6-20 range down to
8-12 on 21 April;
8-10 on 22nd and 23rd; and
6-12 on 24th.
On 25th I reverted back to Dr's recommendation of 6-20, but tried 6-18 subsequently, where I remained until my most recent discussions and current 'trial'.
That's my recent history since going onto this Forum trying to educate myself.
Cheers...poppypete
RE: afib and sleep apnea - Hojo - 05-12-2018
Looks like you had a few obstructive events which could be from rolling over or tucking your chin, but one night isn't a trend. Sleeprider may be suggesting a lower pressure which in turn, may help reduce CA events.
I knew you had an appointment in June but didn't realize you had a plan of attack, getting the Afib fixed may be a big help and if your lucky, fix everything, if not, then ASV is something you should talk with your doctor sooner than later.