Hello.. I am a new here, My name is Kristin

I just had my sleep study the first week of June, I was told by my doctor to come in to discuss the results. I did that today.. They suprised me alot. For one I had a real hard time sleeping in that setting and I was just uncomfortable with all the wires all over. It was not easy for me to sleep but appearently I did sleep some and I struggled during that time. While I had no episodes of apneas, I had many hypopneas.

Here is my report I reveiced today:

FINDINGS:

(skip to number 2.. the good stuff)

2. Sleep architecture: Sleep latency was 37.7 minutes, which is slightly increased. The patient slept for 279.3 minutes out of a recording time of 509.9 minutes, acheiving a sleep efficiency of 54.8% The patient spent 18.8% of the night in N1 sleep, 50.1% of the night in N2 sleep, 20.8% in N3, 10.3% in REM sleep. The REM latency was 364.5 minutes which is markedly increased. The patient had 239 arousals for an arousal index of 51.4, which is consistant with severe sleep framentation.

3. Cardiac: The patients initial heart rate was 90 and heart rate at the end of study was 81.
initial blood pressure 117/75. Cardiac rhythm was normal sinus rhythm througout.

4. MOTOR: The patient spent 40.3% supine and 59.7% on her right side. The patient had no
limb movements. The patient had 4 respiratory event related arousals for a respirartory
event related arousal index of 0.9.

5.RESPIRATORY: During the total of 279.3 minutes of sleep, this patient displayed no apneas
and 162 hypopneas, for an apnea hypopnea index of 34.8 and combined respiratory disturbance
index of 35.7. The patient did not demonstrate significant desaturation during the course of
the night.

6. CONCLUSION: Abnormal sleep architecture to include mildly increased sleep latency, increased
N1 sleep, decreased N2 sleep, and delayed REM latency. This is likely a combination of first
night effect as as for obstructive sleep apnea. There were no significant cardiac or motor
disturbances seen. The patient did demonstrate severe obstructive sleep apnea with an
hypopnea index of 34.8 without oxyhemoglobin desaturation.

Reccomendations: In light of the patients symptoms and the results of the polysomnogram, she
does meet criteria for a diagnosis of obstructive sleep apnea syndrome. She would likely
benefit from a CPAP titration. Weight loss is unlikely to have a significant benefit for this
patient as she allready has a BMI of only 19.9. If CPAP is not thought to be acceptable or
tolerated, other treatment options are oral surgery such as mandibular advancement or an
oral appliance, although these would not be felt to be as efficacious as CPAP in most
circumstances.

AXIS A: obstructive sleep apnea 780.53-0
AXIS B: Polysomnogram 89.17

Hi Kristin and Welcome!!

You might have Upper Airway Resistance Syndrome (UARS) read sypark's long post on page 3 of this thread.  Keep us posted and keep asking questions!!

http://www.apneasupport.org/viewtopic.php?t=19067&postdays=0&postorder=asc&start=0

Vicki


_________________
Being defeated is often a temporary condition. Giving up is what makes it permanent.
Marilyn Von Savant

That which does not kill you makes you stronger-Friedrich Nietzsche
Friedrich must of had apnea.

Looks like you have a significant case of OSA.

Id recommend going through with the titration before looking into any UARS treatments. The pressure during titration has the potential to relieve UARS findings.

Thanks for your input.
My doctor suggested either doing another sleep study with titration this time but I was allready so uncomfortable the first time and that was with out the CPAP mask on. I got to try the mask and see what it was like at my sleep study to be honest it really freaked me out made me some what panicky, just freaked me out that I couldn't open my mouth without feeling like my head was sticking out the car window. So I thought it would be best for me to try it out in my own home and see what happens.  That way to I am more comfortable and relaxed. They are going to call me after the holiday to schedule an appt.  to come to my house to set it up.. etc.

I really didn't want to have that mask on for long I thought for sure I did not have any form of sleep apnea. My husband says he has never heard me snore or struggle for breath or choke either but he sleeps like a rock unlike myself. However I have found that when I am first falling asleep I do wake up alot choking, like I am choking on extra drool or something.
 I also wake up nearly every morning with a pounding headache that seems to go away as I wake through the day. I also have alot of neuromuscular problems.. ie trouble swallowing, muscle weakness, eye droop on one side of the face, muscle twitching and tremors, I can't whistle, I have trouble with expression mildly, slow digestive motility, muscle inflammation for no reason, spasms. Stuff like that... also had poor feeding as an infant, again trouble swallowing and sucking poor weight gain. So I have problems basically with muscles, my doctor told me to take my sleep study results to my nuerologist next week as well.

Thanks for welcoming me! Glad to be here..