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help
hello: I have had sleep problems for years that has affected my life greatly.A lack of energy and tiredness. I never wake up rested. I am tired of being tired. I do not know anymore what it feels like to be rested. I have recently did a sleep test , the results are below. I did the study in a city of Toronto in canada which is in another province from where i live and I can not go for a follow up. In your opinion do i need a cpap??? I want to fix this disorder? Thank you
REPORT::
EEG:the total recording time of the polysomnogram was 6.6 hours. the total sleep time was 5 hours equating to a reduced efficiency of 76%. the total arousal index was moderately increased at 29 events/hour and the awakening index was elevated 8 event/hour. the latency to sleep onset was normal at 15 mintues, and the latency to consolidated sleep (5 mintues of stage 2 sleep) was normal at 30 mintues. Sleep architecture was marked by increased fragmentation, but all sleep stages were normaly represented.
Respiratory analysis: Snoring was noted to be moderate and continuous. The apnea-hypopnea index (AHI) was mildly elevated at 14.8 events/hour (REM_ index = 20 events/hour) The supine adjusted index was 22 evented/hour, compared to 3 events/hour while sleeping non-supine. the patient slept in the supine position 63% of the time. the patient experienced oxygens desaturations to 85% with 0.2% of the total sleep time spent with an oxygen saturation of less than 90%. The ECG showed a regular rhythm and the rate ranged from 55-76 BPM.
Movement analysis: There was no periodic limb movement.(PLM) observed.
The study showed evidence of mild obstructive apnea associated with continous moderate snoring , some respiratory arousals and mild aterial oxygen desaturation (while supine) . He displayed signification sleep fragmentation but in the absence of other sleep physiologic disturbance.
REPORT::
EEG:the total recording time of the polysomnogram was 6.6 hours. the total sleep time was 5 hours equating to a reduced efficiency of 76%. the total arousal index was moderately increased at 29 events/hour and the awakening index was elevated 8 event/hour. the latency to sleep onset was normal at 15 mintues, and the latency to consolidated sleep (5 mintues of stage 2 sleep) was normal at 30 mintues. Sleep architecture was marked by increased fragmentation, but all sleep stages were normaly represented.
Respiratory analysis: Snoring was noted to be moderate and continuous. The apnea-hypopnea index (AHI) was mildly elevated at 14.8 events/hour (REM_ index = 20 events/hour) The supine adjusted index was 22 evented/hour, compared to 3 events/hour while sleeping non-supine. the patient slept in the supine position 63% of the time. the patient experienced oxygens desaturations to 85% with 0.2% of the total sleep time spent with an oxygen saturation of less than 90%. The ECG showed a regular rhythm and the rate ranged from 55-76 BPM.
Movement analysis: There was no periodic limb movement.(PLM) observed.
The study showed evidence of mild obstructive apnea associated with continous moderate snoring , some respiratory arousals and mild aterial oxygen desaturation (while supine) . He displayed signification sleep fragmentation but in the absence of other sleep physiologic disturbance.
MEDICAL PROFESSIONAL
jer10,
Sorry for the delay. I posted an answer a few days ago, but some reason, it didn't show up.
Your sleep study showed that you stop breathing almost 15 times every hour, which is considered as having mild obstructive sleep apnea. It's somewhat worse on your back, so sleeping on your side or stomach is better for you than on your back (you're probably doing that already). Your oxygen level did drop to a low of 85%, but most of the night you were in the safe range.
The next step is to follow-up with your sleep doctor, as these numbers and results have to be interpreted in light of your entire medical history and circumstances. You have to take the 'mild, moderate, severe" classification of sleep apnea with a grain of salt, since sometimes people with lower scores than you can have severe symptoms and I have people who stop breathing 70 times every hour who feel fine.
CPAP is usually the first line therapy, but the only way to know if you'll feel better is to give it a try. Depending on your anatomy, a dental appliance that pulls your lower jaw forward may be another option. There are so many other variable to deal with including sleep hygiene, possible nasal congestion, weight, diet, sleep times, etc. Your recommended course of treatment has to be personalized. Good luck.
Sorry for the delay. I posted an answer a few days ago, but some reason, it didn't show up.
Your sleep study showed that you stop breathing almost 15 times every hour, which is considered as having mild obstructive sleep apnea. It's somewhat worse on your back, so sleeping on your side or stomach is better for you than on your back (you're probably doing that already). Your oxygen level did drop to a low of 85%, but most of the night you were in the safe range.
The next step is to follow-up with your sleep doctor, as these numbers and results have to be interpreted in light of your entire medical history and circumstances. You have to take the 'mild, moderate, severe" classification of sleep apnea with a grain of salt, since sometimes people with lower scores than you can have severe symptoms and I have people who stop breathing 70 times every hour who feel fine.
CPAP is usually the first line therapy, but the only way to know if you'll feel better is to give it a try. Depending on your anatomy, a dental appliance that pulls your lower jaw forward may be another option. There are so many other variable to deal with including sleep hygiene, possible nasal congestion, weight, diet, sleep times, etc. Your recommended course of treatment has to be personalized. Good luck.
Copy and paste your post at cpaptalk.com They are very knowledgable, helpful and quick to respond.
Good Luck!
Good Luck!
Thank you Dr. Park for your answer. I will defintely try a cpap. I am tired of being tired and having no energy. I wake up feeling like i never slept. My eyes are sore like i never slept. In the afternoon i feel lke taking a nap. If i do take a nap ( i try not to) i feel worse when i wake. By night i feel exhausted. Then it all begins the next morning with the same feelings.
I am not a doctor, but I can comment, jer 10 ( I had a sleep study myself and had to do a lot of research on what it meant) Your sleep study shows that your sleep is being somewhat disturbed by apnea, which is a cessation of breathing. They describe it has mild, but I think some labs would classify your numbers as moderate. Since a lot of the apneas happen while you are sleeping on your back (supine) a quick way to get improvement would be to sleep on your side and stomach - not on your back. I would encourage you, based on my layman's knowledge, to follow up with a sleep doctor. That is because the apnea can have consequences on the health of your heart, lungs, blood pressure, etc. Treatment would not only help you feel rested, but might reduce the risk of heart attack or stroke, if they are being increased by your apnea.
Thank you: I really need to get some help with this. Does one have to pay the doctor in this forum to get an answer? which i am willing to do. i am really sick of this feeling of lack of sleep
Am i doing something wrong, no onw will answer my post
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