Anyone know how to read a sleep study?

[Cobra4v]

I had a sleep study done a few years ago. My wife constantly complained I kicked her in my sleep and would wake up gasping for air at times. I also had trouble staying still in bed and couldn't stop moving my legs. I was unaware of my results until recently obtaining my record. It says I was supposed to follow up with my doctor, however, I was never contacted. 

 

The diagnosis was "Upper airway resistance syndrome (327.23) and Mild periodic limb movements in sleep (327.51)

 

The interpretation advised mild to loud snoring was noted throughout the study and mild obstructive evens were noted. Primarily respiratory effort related arousal's with an AHI of 2 and RDI of 6 per hour, associated with mild oxygen desaturations. Obstructive events were slightly worse in REM and supine sleep. 

The mean heart rate was 52 bpm with a sinus bradycardia pattern and no arrhythmias detected. Mild periodic limb movements in sleep were noted occurring with associated arousals. 

 

I don't know how to read the rest of the study or what the diagnosis really means. But from what it seems I have very mild RLS. I always thought it was bad because of how terrible it is before going to bed, but the study shows different. I'm still curious if this would be considered apnea or just RLS. Anyone have experience with this? 

[brokensoldier244th]

You can try this: 

 

http://www.daveburrows.com/cpap/sleepstudy/sleepstudy.pdf

 

AASM diagnostic criteria for OSA

According to the Centers for Medicare & Medicaid Services criteria for the positive diagnosis and treatment of obstructive sleep apnea,^[32] a positive test for OSA is established if either of the following criteria using the AHI or the RDI is met:

• AHI or RDI greater than or equal to 15 events per hour, or
• AHI or RDI greater than or equal to 5 and less than or equal to 14 events per hour with documented symptoms of excessive daytime sleepiness (EDS); impaired cognition; mood disorders; insomnia; or documented hypertension, ischemic heart disease, or history of stroke

Edited April 21, 2016 by brokensoldier244th

[Cobra4v]

Thanks for the info. Is this what the VA uses to identify apnea?

[brokensoldier244th]

its the medically accepted standard for Sleep disturbances, so, they would have to. 

[Cobra4v]

My claim is in the preparation for decision phase for the RLS. And I just recently added the study along with a medical record about my sleep issues to my claim. I am wondering if I should open a new claim for Apnea at this point. Because it almost seems RLS may be a separate issue. It's just weird they went from under review straight to preparation for decision. I was expecting a new sleep study as this one is several years old. 

[brokensoldier244th]

I have RLS and my apena as 1 diagnosis so I don't know if they can separate those or not. 

[Andyman73]

I know during my sleep study, the part with no CPAP, I had around 100 or so apnea events, and no REM sleep. And my O2 saturation dropped into the mid 70% range.  Not sure what the mean bpm was, but I think it peaked at over 100 bpm a time or two.