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Doctor insights on: Apnea Hypopnea Index Scale

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Dr. Patrick Melder
1,062 Doctors shared insights

Apnea (Definition)

This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more


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What does an apnea/hypopnea index of 1.9 mean?

What does an apnea/hypopnea index of 1.9 mean?

AHI: Apnea hypopnea index is the number of episodes per hour that the breathing either stops or is shallow enough to cause a drop in oxygen saturation and an arousal from sleep. AHI numbers under 5 are fairly normal as most of these episodes are very brief and not remembered by a patient. Most patients with an AHI over 10 will benefit from treatment of sleep apnea. ...Read more

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What is the definition or description of: apnea-hypopnea index?

What is the definition or description of: apnea-hypopnea index?

AHI: Apnea hypopnea index is defined as the number of these events recorded in a psg test per hour of sleep. It is the standard by which a board certified sleep specialist uses in diagnosing the level of obstructive sleep apnea and makes recommendations of treating a particular condition. ...Read more

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Apnea-hypopnea index, how bad an index must one have to have to go on cpap?

Apnea-hypopnea index, how bad an index must one have to have to go on cpap?

How tired are you?: Generally speaking 10 may be the cut off but if you are having excessive daytime fatigue CPAP therapy would be of great benefit for your quality of life. ...Read more

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Is an apnea hypopnea index of 23 on a Bipap machine good? My AHI without the machine is 23. I have OSA, CSA and hypopnea.

Is an apnea hypopnea index of 23 on a Bipap machine good? My AHI without the machine is 23. I have OSA, CSA and hypopnea.

FATIGUE WITH OSA: Provigil iand nuvigil help with energy and fatigue Also adderal/Ritalin/Starttera. Start a gluten free diet WEIGHT LOSS IS CRITICAL. Wholeapproach. Com /gut loss. Com. If CPAP or BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension/Partial Glosectomy. Also vitamins to increase metabolism ribose/ubiquinol/carnatine. REJUVENATION-SCIENCE. COM ...Read more

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Had a sleep study. 99 episodes of arousal and woke many times in under 6 hours. No apnea nor hypopnea. Why? What is going on? Fixes?

Had a sleep study. 99 episodes of arousal and woke many times in under 6 hours. No apnea nor hypopnea. Why? What is going on? Fixes?

Arousals: Hard to say. No airway disturbances, just arousals. Reflux disease can irritate and awaken, as can chronic pain symptoms which disturb restful sleep. Fatigue and arousals may be signs of depression or anxiety. Fixes include careful diet and gerd meds, exercise, good sleep hygiene, and management of pain with appropriate meds. ...Read more

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At sleep study I had zero apnea's, 2 centrals and 14 hypopnea's resulting in pulse ox lowest of 83. How is this considered mild? Very overweight : (

At sleep study I had zero apnea's, 2 centrals and 14 hypopnea's resulting in pulse ox lowest of 83. How is this considered mild? Very overweight : (

It's a number: Your index is a number that compares # of events per hour on average. Normal people have index of up to 5 per hour. If in range of 5-15, it is mild. Symptoms, however, mandate treatment. Consider all options. Good luck. You can google my (or anyone else's) website for more info. ...Read more

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I have apnea and hypopnea. My doctor told me that the only solution is to put the cpap machine. Is this true?

I have apnea and hypopnea. My doctor told me that the only solution is to put the cpap machine. Is this true?

NO: According to the american academy of sleep medicine guidelines, you should be presented with all your options which includes oral appliances that keep the airway open. Other strategies are; weight loss, changing sleep positions, and surgery. ...Read more

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Sleep study: 154 hypopneas, zero obstructive apneas, 2 central apneas. Could dysautonomia be to blame? (I have Ehlers-Danlos w/POTS & other auto sx.)

Sleep study: 154 hypopneas, zero obstructive apneas, 2 central apneas. Could dysautonomia be to blame? (I have Ehlers-Danlos w/POTS & other auto sx.)

Apnea: Your various medical conditions may indeed cause you sleep issues.
The sleep doctor should be able to help you do better and, if needed, have you see other medical specialists.

Please follow the evaluation and advice of all the doctors you might need to see.

Once under better control doctor visits will tone down markedly. ...Read more

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Sleep study just revealed I have: moderate sleep fragmentation, leg movement, mild apnea, and sleep disordered breathing (hypopnea). Can this be treated? Nurse said a cpap machine wouldn't help me, but referring to respirology. Anything I can take (supp

Sleep study just revealed I have: moderate sleep fragmentation, leg movement, mild apnea, and sleep disordered breathing (hypopnea). Can this be treated? Nurse said a cpap machine wouldn't help me, but referring to respirology. Anything I can take (supp

See a Sleep MD: It depends on your actual sleep study. I would have it reviewed with a sleep physician. Sometimes patients with mild apnea and significant daytime symptoms do benefit from cpap. Also, depending on the significance of the leg movements, getting that taken care of will help as well. ...Read more

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I had a sleep apena test and the results apena 0 and hypopnea 6. Lowest oxygen 88% oxygen desaturation odi 1.9 total 14. Snores 53. What could it be?

I had a sleep apena test and the results apena 0 and hypopnea 6. Lowest oxygen 88% oxygen desaturation odi 1.9 total 14. Snores 53. What could it be?

Hypopnea: Your breathing does not stop completely while you're sleeping, but you are not getting enough air to keep your blood sufficiently oxygenated. See your sleep physician foe Positive Airway Pressure (PAP) therapy. I hope this helps. ...Read more

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Home O2 monitor consistently records 17-30 hypopnea/hr at night but GP still won't refer as 'looks fine-no apnoea'! Persist y/n? In UK, v. frustrated!

Hypopnea: If you are not happy with the explanation of your GP, find a new one or ask to see a sleep specialist, as 17-20 apnea/hypopnea index is not a normal number to see in the USA for our recordings. ...Read more

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I have sleep apnea and a hypoxia index of 17. Is 17 bad or good? I am going on cpap and oxygen. Looking for an answer. Thanks!

I have sleep apnea and a hypoxia index of 17. Is 17 bad or good? I am going on cpap and oxygen. Looking for an answer. Thanks!

Moderately bad: Apnea-hypopnea index of 17 means you obstruct (stop breathing) or partially obstruct an average of 17 times per hour (normal is <5). More important, however, is the degree of oxygen deprivation caused by the disruption. I have many patients who have ahi > 90. If your blood o2 levels are low, your regimen is great. If not low, you can use dental device, likely with good success. ...Read more

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Is apnea during the day a real thing? How is it diagnosed?

Is apnea during the day a real thing? How is it diagnosed?

R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more

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What is the definition or description of: Central apnea?

Central: Centrally mediated (CNS) lack of breathing stimulation. As opposed to obstructive (airway blockage) of air movement. Sleep apnea can be central, obstructive, or mixed. ...Read more

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Central apnea--do I need drug or cpap?

It depends: You may need both or either one depending on how one may benefit you over the other. CPAP can still help central apnea but a bit more tricky. You should have more discussion with a sleep medicine doctor to get a game plan to improve your quality of life. ...Read more

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Why deglutition apnea occurs swallowing?

Why deglutition apnea occurs swallowing?

To prevent: Aspiration. It is imperative to separate swallowing from breathing to prevent the food from going into the airways and entering the lungs. ...Read more

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What causes apnea? Can stress be a reason?

What causes apnea? Can stress be a reason?

Usually not.: However, many people who are stressed drink alcohol which can exacerbate sleep apnea. Sleep apnea is usually caused by the obstruction of the airways when the soft tissue relaxes and collapses in on itself. Let your doctor know about your concerns - sleep apnea is associated with certain other medical problems and should be taken seriously. Good luck! ...Read more

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Can one have both sleep apneas & narcolepsy?

Can one have both sleep apneas & narcolepsy?

Sure: In narcolepsy, you just skip all the early phases of sleep, and just go to sleep immediately and at inappropriate times and places. Once alseep, you are not immune to the potential of blockage of the airway and apneas that everyone else has. So you can be narcoleptic, and experience apnea once you are asleep. ...Read more

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Can obstructive sleeep apnea cause mild autism?

No: Obstructive sleep apnea is caused by upper airway collapse or flaccidity. It can also be due to enlarged tonsils and adenoids. Autistic patients can suffer from osa, but osa has not be found to cause autism, although children with autism can have worsened autistic symptoms from untreated osa. ...Read more

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What can you do for chest pain caused by apnea?

What can you do for chest pain caused by apnea?

Treat the apnea: Chest pain from sleep apnea occurs because of drop in oxygen level which strains the heart, an arrhythmia or just lack of breathing. If you're being treated with cpap, follow up with your doctor to make sure treatment is adequate. They may need to monitor your overnight oxygen level to determine if you need extra oxygen at night. A cardiology consult would also be helpful. ...Read more

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Diagnosed with severe apnea should I stop trazodone at night?

Sleep apnea: If you were diagnosed with severe osas, then you were placed on CPAP or one of its relatives. I would not stop the trazodone as your sleep physician will have known you were on it, likely for depression. ...Read more

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What does a sleep study apnea score of 46 mean? What are my next steps?

What does a sleep study apnea score of 46 mean? What are my next steps?

Sleep apnea: An Apnea Hypopnea Index of 46 suggests moderate sleep apnea. Your sleep specialist will need to determine why this is happening before a treatment can be recommended. It is safe to assume that you will be started on a trial of CPAP or BiPAP before any alternate treatments such as head and neck surgery are explored. If obesity is a contributing factor, effective management must include weight loss. ...Read more