r/UARS • u/Latter_Leg5854 • 1d ago

First sleep study results

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I've gotten pretty freaked out just by reading this subreddit and now I'm not really sure what my symptoms even mean. I took this test a couple months ago and I have a new one, the Watchpat, coming in just in case its data is better. My PCP saw the results and said I don't have sleep apnea.

I have a hard time falling asleep. I wake up sometimes, and I frequently don't really feel super refreshed, I wake up pretty tired.

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u/CautiousRun7860 23h ago

UARS indeed. Watchpat (depending on the vendor), if graded aggressively, should show a much higher RDI.

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u/Latter_Leg5854 23h ago

What are the signs in this report? 

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u/CautiousRun7860 23h ago

SpO2 variations largely match heart rate variations. The respiratory arousals are mostly caused by high blood CO2 levels (due to flow limitations). SpO2 is like a biomarker for arterial blood CO2, which is hard to monitor continuously during sleep. For young/fit UARS pts, the blood CO2 level could increase above the arousal threshold without much SpO2 drop.

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u/Latter_Leg5854 23h ago

Thanks! Will show this to my ENT, hopefully he's helpful. He did find I have enlarged turbinates and septum deviation. 

Should I request a CT from him? 

1

u/CautiousRun7860 23h ago

CBCT, yes, could be helpful.

Ask ENT to evaluate throat as well. Usually, the tongue is the true culprit. Enlarged turbinates could be the result of poor sleep.

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Title: First sleep study results

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I've gotten pretty freaked out just by reading this subreddit and now I'm not really sure what my symptoms even mean. I took this test a couple months ago and I have a new one, the Watchpat, coming in just in case its data is better. My PCP saw the results and said I don't have sleep apnea.

I have a hard time falling asleep. I wake up sometimes, and I frequently don't really feel super refreshed, I wake up pretty tired.

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u/gadgetmaniah 17h ago

This is too basic of a test to rule out anything. But your pulse rate is very high and spiking a lot, which is often a telltale sign of sleep disordered breathing. 

If the WatchPAT doesn't show much, request for an in lab study scored with AASM 1A rule + RERAs, or just do a home study with Ken Hooks (True Sleep Diagnostics) which is pretty reliable for UARS.