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having doubts about my PSG sleep study results and the self treatment.

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mugen4u +0 points · 9 months ago Original Poster

i did this test because i tried everything to make me feel better but nothing works, also my friends claim that when i sleep at night i stop breathing and that it is followed by a gasp for air (i cant remember any of this tho).

The doctors claimed several times that even tho i have mild CSA, that it is not the cause of me feeling so sleepy 24/7 no matter what measurements i take. So i bought a Resmed Airsense 10 and gonna tweak it so it is useful for CSA as well, but i am starting to doubt if it is really worth the try.

any experts here who recognise some patterns and think that it indeed causes me to feel like this 24/7 and doesn't improve no matter what?

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Sierra +0 points · 9 months ago Sleep Patron

It appears that virtually all of your apnea events are central. That is when you stop breathing while the airway is open. Since it is already open a simple CPAP is not going to help because all it does is open the airway with air pressure. An AirSense 10 CPAP will not even attempt to increase air pressure in response to a central event. More air pressure can make it worse, instead of better.

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mugen4u +0 points · 9 months ago Original Poster

Hi,

I don't really believe that i only have central, but that i have UARS and that the sleep study did not measure that during the study itself. CSA indeed is when there is no breathing signal from the brain, but when i sleep my friends can actually hear my breathing get shallow and that i have difficulty breathing, that should not happen if it was CSA right?

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Sierra +0 points · 9 months ago Sleep Patron

Actually breathing in a cycle of shallower and shallower breaths, followed by a cycle of deep and deeper breaths is classic central apnea events. A whole series of them is called Cheyne Stokes Respiration. Here is an example of what it looks like on an OSCAR graph. You can see the flow rate going in cycles. Same with the minute ventilation which is a measure of flow volume. If the flow stops at the minimum for more than 10 seconds it gets flagged as a CA event.

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mugen4u +0 points · 9 months ago Original Poster

Thanks for your clear information. According to my friends it sounds like my windpipe is closing up, followed by a gasp (i think that's when i wake up briefly). This continues the entire night.

but if it really is CSA then i have a huge problem as the resmed doesn't help me with that at all, i can't believe some so called experts adviced me to buy that device. i dont have the money for a CSA device as they cost up to 1000 bucks.

i am still gonna try it ofcourse (if i ever receive it, DHL lost the package) to see if my AHI increases or not, cause if it increases then you are 100% correct.

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