CPAP MACHINE AND MILD SLEEP APNEA?Ok.. So I went to have a sleep study and I was very very uncomfortable and hated the enviorment but managed to fall asleep half azz asleep. I moved a lot due to discomfort in the bed. However I slept about 5.49 hours. Out of those 5.49 hours I have 2 obstructed apneas 2 Central apneas and 66 partial apneas. Now the 66 partials from what I was told are not a 100% cessation in breathing. My oxgyen levels never fell below 88%. Now I have been diagnosed just about a month ago with High Blood pressure but it was with a new doc that had no medical history on me and I have a long long history of low blood pressure. So I have lost 27 pounds since the sleep study and since being put on BP meds 29 days ago. I went back to to my CPAP Titration study and the tech had to come in and ask me to lay on my back because she was not getting any negative readings. Then when I moved to my back which was hard to stay on since I DON"T sleep on my back the highest level of setting the CPAP machine ended up on was 6 and she said that was pushing it. She said I dreamt alot and didn't move as much as last time. ( This time I brought my own pillows)..... Along with all this my BP meds 5mg of Amlodipine 1 time a day is dropping my BP down to like 104/68 maybe 107/70 during the day and down to 90/64 with heart rate of 54 at night. Now this Doc seems to keep telling me :(ITS OK).. I don't feel ok.. I am only 38 and I weight now 223 was 248 29 days ago. I am eating healthy quit smoking and drinking and no caffeine. This docs major patient base is geriatric I am thinking that he is over reacting to my symptoms and treating me by the book instead of by symptoms and as an individual. Maybe even more like if I were an elderly patient.... What is everyones opinons???? I just think he maybe has over reacted a bit and hasn't allowed me to try and fix myself without meds.. Which I think is the most healthy way to do it as long as I am not placing myself in stroke or heart attack situations.. I mean this doc did an ekg and I have very large breasts and the EKG he said may have shown left ventrical hytrophy or something like that but anyway sent me for an echo and my heart was AWESOME they said and ejection rate was 67%. What do you guys think????? Sorry so long winded.... LOL!!!
Cowgirl Nurse
An ejection fraction of 67% is NOT good at all.
If you are overweight, just use the CPAP until you lose some weight and then just tell the doctor you no longer want it. People who are overweight commonly have apnea problems, so don't be alarmed.
The blood pressure you describe now sounds great. If the meds are keeping you there, just keep taking them.
Also, having large breasts have nothing to do with an EKG. EKGs read electrical activity, no matter if your breasts are large or not.
If you just aren't happy with your doctor, definintely get a second opinion, but I would certainly investigate your potential cardiac issues.
Hope you're feeling better very soon.
superstup
Sounds like you are on your way. Seems to me you got to keep losing weight - great job so far, though. The only med I see you on is Amlodipine ? You just have to keep dropping weight. If you have the discipline to keep on your diet (and exercise !!) I would probably quit your doctor and your meds right now.
scott s
I would get a second opinion. BP can play a roll in OSA and that fact that you don't have to have a lot of apneas to need a cpap machine, but in your case I would be wondering. After having lost so much weight, the doc really should have sent you for another initial test. Weight loss and/or gain plays a huge roll in OSA. With them only wanting to put you on a pressure of 6cm, that shows you have very mild OSA considering the machines only start at 4cm, and in 10 yrs of working for a DME company we have never set a machine at 4! Hope this helps you. Good Luck!
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