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[CPAP] Waking with elevated heart rate >100bpm
#1
Gross 
Greetings (my first post!),

WOW, this is very cool and you folks are awesome!

My Problem:
Last few weeks, something has been waking me up with an elevated heart rate ~110bpm (80=normal). Usually in the middle of a dream (not a nightmare) during the morning hours. I assumed it was Apneas and that I just needed to increase my pressure due to aging; so that's how I found you.

My Concern:
These wakeups are disrupting my sleep and can't be good for my heart (beating >100bpm).

My Background:
Male, age 53. I've been using my ResMed S9 AutoSet for a few years (only 1yr of data) with no problem and no recent doctor visits. It totally cured my snoring and I like it!

My Stats:
Last Night (pretty typical): Hrs=8.5, ApneaIndex=0.2 (Obstructive=0.1), HypopneaIndex=0.3, Leak95%=3.6, LeakMax=4.8, Pressure95%=8.1, PressureMax=9.5.

My Question:
Are these wakeups due to apneas, CPAP/Settings, or other?

THANKS for any feedback !!!!
…Snorkeler
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#2
Hey Snork, welcome aboard! Your stats look great! I don't see anything in the above numbers that would be cause for concern. So that suggests you may need to investigate other ideas. Do you happen to own one of those cute and darling little o2 sensors that go on your finger? It might be interesting to know what your o2 level is doing when this occurs. Have you had a lot of weight gain in the last few months? You look pretty slender in your avatar pic... Anyhow, maybe it's time for a good old physical or checkup with your pcp doc person. I don't think it's anything to stress about, but it sure wouldn't hurt to follow up.
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#3
Your stats look good. CPAP settings and apneas should not be causing what you describe with that low an AHI.

May I suggest a cardiac workup by a cardiologist.
At 53, with sleep apnea; if you've not see a cardio doc, might just be time to start.
Rhetorical question: How's your weight, blood pressure, and blood glucose?

Could just be adrenaline release caused by dream content.
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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#4
Hi Snorkeler,
WELCOME! to the forum.!
Hang in there for more responses to your post.
trish6hundred
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#5
Welcome Snorkeler,

IMHO you have found a great place
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#6
Thanks Mongo & Retired Guy!
Good questions. I'm 5'10" and 180# with BP=138/90; not sure about Blood Glucose and no recent cardio work. I found an O2 sensor on Walgreen.com for $39.99, sounds like a good investment and cardio workup sounds like a no brainer. BTW, I have lot's of insomnia due to Lyme disease and found that 7oz of vodka before bed get's me about 3 cherished hours of sleep with no events or wake ups. After that, sleep is hit and miss. Yes, I know about the health risk from the booze but that's minor compared to health problems associated with Lyme disease, not to mention epilepsy and antiseizure med side effects.
Thanks for all your help!
...Snorkeler
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#7
Your Body Mass Index (BMI) is 25.8 which is consider just slightly overweight. (24.9 is top of normal range)
Your BP is approaching the upper limits of the desired range. For today's social norms your weight is actually quite good.
So, you are perhaps on an antibiotic for the Lyme disease. (You are being treated for the Lyme disease?)
Plus anti-seizure meds.

7 ounces of Vodka is a bit of a hit on alcohol. Most sleep docs discourage ethanol use.
It's a bi-phasic drug: first a sedative then a stimulant. ergo, the hit and miss after a few hours.

I suggest a consult with your doc. Might be time to start a BP medication; and if he/she picks a Beta blocker like metoprolol, it will reduce your heart rate. Whether a Beta block is a proper choice depends on your medical history. They are not first line BP control drugs anymore. And, they can be an issue for asthmatics. Calcium channel blockers are in favor as first line BP meds -- like Amlodipine. This is a discussion for you to have with your doc. The point is to reduce cardiac afterload to reduce changes to the left side of the heart that become a problem as the years advance. These are things to consider -- I am not qualified to diagnose you nor prescribe for you.

To the main subject of this board... sounds like you are doing well in terms of sleep apnea.
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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#8
(04-09-2014, 01:13 PM)Snorkeler Wrote: My Concern:
These wakeups are disrupting my sleep and can't be good for my heart (beating >100bpm).
See your doctor to alleviate your concern, you don,t want to ignore heart warning signs


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#9
No, this is not apnoea related, from what you have shown us. However, there are a lot of reasons for your problem and it behoves me to point you straight to your physician for a consultation. Mention your vodka habit in context with this, and all the various meds you take. My first guess is an anxiety reaction brought on by the combination of meds and vodka, but it could be just about anything.
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#10
One way to see if it is an apnea event is to note the time you wake up then check the data the next day. I'm guessing you'll see an increase in respiration but not an actual event. Or if you do, it won't be any different from any other.

This is why a data capable machine is so important. You can almost immediately rule out sleep apnea as the culprit. Your AHI is good so it is not like it is out of control and your pressure needs immediate adjusting.

My advice? Go see your GP. Time to sit down and have a talk. This ain't something to fool around with.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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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