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Posted by sleepie_med_student on April 03, 2008 at 19:31:05:In Reply to: Sleep Study Results - need help! posted by saabbe on April 02, 2008 at 18:29:26:
The RDI should be the number of obstructive apneas, hypopneas, and respiratory event–related arousals (RERAs) per hour... so it should be the grand total of flow limitations/apneas per hour that ended in an arousal. What I'm confused about is what is causing your arousal rate to be 27/hour...
I have about 20 hypopneas/hour and I am normal weight and only 24 yrs old. I only just got my CPAP, so I can't say whether those hypopneas are actually causing my sleepiness.
If you do have a clear anatomic abnormality (such as huge tonsils or adenoids) that is blocking airflow, surgery could be 1st line. Although, if it were me, I would try the CPAP first because if your symptoms don't improve, they probably aren't related to your sleep breathing no matter what the sleep study says. Dental devices would be last resort unless they are clearly trying to fix a problem (such as your mandible sitting too far back).
I'll end with the caveat that I'm not a sleep doctor, so please continue research situation and discuss with your doctor.
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