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? 

[Gastone]

No idea regarding your leg movement. Who did the Sleep Study and what was the final determination regarding SA? This was from a few yrs ago and your 90% SC, right.

More important than your restless leg problem, what current SC do you have, that is a "Probable" cause of SA? Keep in mind, for a Secondary SA claim, DX Dates rule.

From your above posting, my lay opinion, WTF are you doing asking us questions, get in to see a VA Sleep Specialist. Sleep Apnea KILLS, episodes of 02 De-saturation, KILLS Faster. if you don't have a DX'd Cardiac problem, you soon will. With the 02 Desat problem, Pulmonary Hypertension and Cor Pulmonale are probably on your horizon. This is not something to DICK around with.

If you get a SA SC of 50%, review the 100% "ORS," evidence of RV proplem, Cor Pulmonal and chronic Respiratory Failure. Having a DX requiring the use of an 02 Concentrator qualifies as Chronic Respiratory Failure. What were your "Mild 02 Desat's," will be below 90%?

Semper Fi

 

[Cobra4v]

I don't believe I have 02 problems. It wasn't documented in my report. I asked my p/c about my results and he told me to bring my print out in. I was more or less wondering if I should claim this before my time is up in case it develops into an issue to where i need a CPAC in the future. As far as probable cause for SA I have none documents other than RLS. I have Anxiety Disorder but never documents it as it would effect my employment. 

 

Mean Sp02: 95%

Min Sp02: 83%

Mean Heart Rate 52

Max Heart Rate 112

Total Arousals 128

Respiratory effort arousals 36

Hypopnea 16

Total Apneas and Hypopneas 16

Total RERA, Apnea, Hypopnea 52

 

As far as the referral the doctor stated, Concerns of restless legs. Appx 3x per week has trouble falling asleep because of urge to move legs while in bed. He bends and kick the legs repeatedly. Last for appx one hour before he can fall asleep. Wife reports he moves a lot while sleeping and loud snoring. PT awakens during night coughing. PT does not feel rested and feels irritable. "Loud snoring, and excessive daytime fatigue. Possible OSA. However, appears to have multiple factors contributing to his sleep issues. Constant leg movements when first getting into bed may be a nervous tick or habit. Sleep study will also evaluate for RLS. 

Edited April 22, 2016 by Cobra4v

[john999]

Who did your sleep study?  I would not trust the VA at all.   If you have decent insurance I would get private sleep doctor with the best credentials to do another study.  Did you have these symptoms in the service or within one year of discharge?  You probably have OSA because I was DX'ed  at one point with "Profound OSA" with about 50 incidents an hour and desaturation down to about 70%.  My doctor thought I was going to die.  Now I take oxygen at night which has helped and had Inspire Implant which I am not so sure about these days.   The excessive daytime fatigue is awful .   I take Provigil but it drives my blood pressure up.  I can either be a zombie or die from a stroke I guess.   If you can tolerate generic of Provigil (Modafinil)  that really helps with daytime fatigue.  I was even taking an amphetamine legally for a while.   The VA objected, of course.  They said they would cut off my pain meds if I took doctor proscribed mild amphetamine so I could stay awake to visit the VA without killing myself by having an accident.  I pointed out this contradiction but the VA doctor just looked at me with the "  Do you want me to lose my job"  stare.  Why seek and kill ISIS terrorists in Syria when the VA is killing vets from neglect right here at taxpayer expense. 

[Cobra4v]

It was referred out to a private place in California when I was station on camp Pendleton. 

I had the sleep issues while I was active. Anxiety issues when I was active as well. I'm coming up on my last year of IR now

[Buck52]

Even if OSA OR  S.A. diagnose  by the VA, we still need it to be SC...AND THATS HARD TO DO IF YOU DON'T HAVE RECORDS ABOUT IN YOUR PAST Military days.

It could be secondary from some other disability  but getting them to connect the two is what me and andyman and some others are having problems with.

jmo

 

................Buck

Edited April 22, 2016 by Buck52

[Cobra4v]

Maybe I'm confused. I was referred to an outside clinic from the military. The flight Doctor put the referral in for me to be evaluated by San Diego sleep and sinus clinic. 

 

Is is that not considered record of it?

Edited April 22, 2016 by Cobra4v