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Catathrenia +/- UARS: Bilevel or ASV or other? - Printable Version

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Catathrenia +/- UARS: Bilevel or ASV or other? - empiricismandstatistics - 03-21-2024

I'm a tall very thin male with small facial structure.
Had 1.5-2 hours wake time on my whoop data so decided to get a Watchpat study.
I'm awaiting the official sleep study (due in September 2024) but when I record myself I have long expiratory groans (sexual type sounding) and thrash about in my sleep, constantly moving as per my girlfriend.

Results (attached):
pRDI: Total events 88. 14.6/hr in REM, 12/hour nREM. Average all night 12.3/hour. (18.7 when supine)
AHI: Total events 46. 8.3/hr in REM, 6.2/hour nREM. Average AHI 6.4 (11.4 when supine)




In essence, I likely have
1. UARS (small retrognathic facial structure and low BMI)
2. Catathrenia (long nocturnal expiratory groaning and sexual type noises). Similar to Newbie-Please look at my charts [Catathrenia] | Apnea Board



I have tried a MAD up to 10mm with no success (persistent high awake time on whoop and subjectively unrefreshing sleep.
I have also tried a Hypnus CA820W CPAP machine up to 9cmH20 with no success also.



1. Anyone have any experience with successfully treating catathrenia?
2. What device should I buy that may successfully treat:
a. Resmed AirCurve 10 VAuto (Bilevel)

b. ASV