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CHEYNE STOKES RESPIRATION...Should I Be Concerned???
#1
Question 

Hi All,
I have been noticing a trend on SleepyHead concerning Cheyne Stokes Respiration. I believe it was called Periodic Breathing on previous version of SleepyHead. I am seeing this three or four times a week.

My AHI is not high. Normally runs under 1.0, but last night was higher. No changes in Meds. or sleeping patterns.

Have been waking up feeling like I've been in a boxing match, whatever that feels like. Unsure

I've read that Cheyne Stokes may have something to do with heart problems. Had all that checked out last year and nothing unusual showed up. My doctor doesn't seem concerned. He only looks at AHI number.

Should I be concerned???
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OpalRose
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#2
I don't see anything in your numbers that I would get concerned about. It looks to me like you're perking along just fine.

You might try one less taco before you go to bed tonight and see if that helps.
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#3
The biggest thing I noticed is that your machine is set for an upper limit of 10cm, and it seems to spend a lot of time there, and is unable to fix all your hypopneas. These will make you feel like crap.

You might want to see about raising your upper limit a couple of CM and see if that makes you feel better. If it does, you could also bump up the lower limit a little so the pressure doesn't spend all night flying up and down, which can also disturb your sleep.

Terry


(04-21-2015, 08:20 AM)OpalRose Wrote: Hi All,
I have been noticing a trend on SleepyHead concerning Cheyne Stokes Respiration. I believe it was called Periodic Breathing on previous version of SleepyHead. I am seeing this three or four times a week.

My AHI is not high. Normally runs under 1.0, but last night was higher. No changes in Meds. or sleeping patterns.

Have been waking up feeling like I've been in a boxing match, whatever that feels like. Unsure

I've read that Cheyne Stokes may have something to do with heart problems. Had all that checked out last year and nothing unusual showed up. My doctor doesn't seem concerned. He only looks at AHI number.

Should I be concerned???


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#4
(04-21-2015, 11:07 AM)retired_guy Wrote: I don't see anything in your numbers that I would get concerned about. It looks to me like you're perking along just fine.

You might try one less taco before you go to bed tonight and see if that helps.



How did you know I was making Tacos tonight? :grin:
OpalRose
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#5
Wish I lived closer to you as I love homemade tacos Smile
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#6
Do note that the machine is not 100% accurate at classifying apneas and can assign normal obstructive apneas as central events and so on.
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#7
Although there is a waxing and waning of respiration, it is not marked by the classic CA at each minimum that is typical for Cheyne Stokes Respirations. Sleepyhead classifies all periodic breathing (pattern breathing) as CSR, and this is an error in the program I'm sure Mark will correct the default name if he ever gets back to programming, but for now, you can change CSR label to Periodic Breathing.

Relax, you do not have CSR. Not even close. The suggestion above to perhaps increase the minimum pressure +1 might be valid to reduce hypopnea. This might even out the periodic breathing episodes, which actually look more like incomplete hypopnea to me.
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#8
(04-21-2015, 08:23 PM)Sleeprider Wrote: Although there is a waxing and waning of respiration, it is not marked by the classic CA at each minimum that is typical for Cheyne Stokes Respirations. Sleepyhead classifies all periodic breathing (pattern breathing) as CSR, and this is an error in the program I'm sure Mark will correct the default name if he ever gets back to programming, but for now, you can change CSR label to Periodic Breathing.

Relax, you do not have CSR. Not even close. The suggestion above to perhaps increase the minimum pressure +1 might be valid to reduce hypopnea. This might even out the periodic breathing episodes, which actually look more like incomplete hypopnea to me.


Thanks Sleeprider for the explanation on CSR.
I will label these episodes as PB, which may actually be incomplete hypopneas.
I need to go back into SleepyHead and study those graphs a bit more. I didn't know what to look for.
I will also take the advice and raise the lower pressure up +1 and watch this for awhile.
Thanks again!

OpalRose
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#9
totally agree that no problem with CSR/PB in such short bursts.

oh, and the bumps in your pressure that look like routine blips, you know why. You do not stay "close to 10" as Terry suggests. All looks great to me, but I am still trying to steadily have RDI under 8 and AHI under 5.

yay.

QAL
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#10
(04-27-2015, 08:16 AM)quiescence at last Wrote: totally agree that no problem with CSR/PB in such short bursts.

oh, and the bumps in your pressure that look like routine blips, you know why. You do not stay "close to 10" as Terry suggests. All looks great to me, but I am still trying to steadily have RDI under 8 and AHI under 5.

yay.

QAL


Hi QAL,
I've changed my pressure from 8-12 to 9-13, with a setting of C FLEX-2 ( not sure if I should use A FLEX or CFLEX, but C FLEX feels better.

Question??? What is an acceptable RDI number. I know AHI should be under 5, but if I add RERA's to AHI number to get RDI, what is too high?
OpalRose
Apnea Board Moderator
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How to Organize and Post ScreenShots

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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