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Sleep study- Very high AHI with Central Sleep Apnea and multiple hours of CSR. Help. - JoshO71 - 08-27-2024
Hi All,
I need to know if I should be concerned. My AHI (Central Sleep Apnea mostly) is around 55 (see Sleep Study attachments) and the tech administering my sleep study noted multiple hours with ongoing Cheyne Stokes breathing patterns (see Observation Notes attachment). I'm early in the process and seeing a specialist soon. But this has me very worried the more I read about Cheyne Stokes. I have never been diagnosed with heart problems but do have high blood pressure (taking Nefedipine). Could this all be brain related (damage to respiratory center)? I am tired all the time and getting more brain fog/memory moments, shortness of breath and headaches. And should I go for BiPAP or ASV over CPAP? Please advise.
RE: Sleep study- Very high AHI with Central Sleep Apnea and multiple hours of CSR. Help. - SarcasticDave94 - 08-27-2024
Welcome to Apnea Board,
1. You mention you don't have heart issues, CSR events were probably a variable or shallow breathing. High BP would not cause this, however if you're seriously concerned, get your cardiology team involved
2. Almost all your Apnea are Central (from the diagnostic chart), neither CPAP or standard BPAP will treat this, only ASV, my opinion get a ResMed AirCurve 10 ASV, 11 series like I just got is OK but 10 series is proven, do not accept ResMed ST
3. Request Titration with ASV included to give ammo to that machine being right answer
PS, what's the health insurance story? They will be involved? Doctor might want you to try bilevel first. Answer ResMed VAuto. Refuse ST. You'll fail CPAP likely as it cannot treat CA. You'll then fail VAuto as well.
I would give this a real serious try. Highlight the very high CA on those same charts you posted. Tell them ASV treats while any other machine might make them worse. Request this ASV. Maybe they'll skip the baloney and go to the right thing. Don't be too concerned over ASV settings. Members here can coach, myself included.
Get OSCAR the free program.
Ask for an SD card with your machine.
Sorry I forgot one thing. You'll still be required to pass an echocardiogram to get ASV. At least I don't think this has changed, although it should. The important item is left ventricle ejection fraction. 45% or less is failing. Mine to get onto ASV in 2017 was 55% and I have heart timing issues called PVCs. You'll probably be just fine though, just mentioning the added hurdle.
RE: Sleep study- Very high AHI with Central Sleep Apnea and multiple hours of CSR. Help. - JoshO71 - 08-27-2024
Thanks for all of the great information, Dave. I much appreciate it. I'll update the thread as I work through the process. Meeting with a sleep specialist, cardiologist and a neurologist to cover everything. You're awesome!