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Chayne Stokes Respiration
#1
I'm seeking to learn more about Chayne Stokes Respiration (CSR) episodes. Other than the technical definition and connection to conditions like congestive heart failure, I'm not finding very much. Like, for sleep apnea patients, how often (how many times a night) or frequently (hour, night, week) CSR episodes can be a cause of serious concern? How long in duration these episodes are significantly serious (seconds, minutes)?

I would love to read thoughts and experiences from patients and professionals on this matter. Thank you!
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#2
Hi gdroman,
WELCOME! to the forum.!
I don't know the answer to your question but hang in there, I know there is someone who will be able to help you.
Much success to you with your CPAP therapy.
trish6hundred
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#3
(08-09-2015, 03:54 PM)gdroman Wrote: I'm seeking to learn more about Chayne Stokes Respiration (CSR) episodes. Other than the technical definition and connection to conditions like congestive heart failure, I'm not finding very much. Like, for sleep apnea patients, how often (how many times a night) or frequently (hour, night, week) CSR episodes can be a cause of serious concern? How long in duration these episodes are significantly serious (seconds, minutes)?

I would love to read thoughts and experiences from patients and professionals on this matter. Thank you!

There are a number of us on this forum with Central Apnea/periodic breathing. Try a google search for "Apnea Board Central Apnea" and also look a Search on the Apnea board for "Cheyne Stokes". You should also post more context which might include your statistics CAs Hypopneas etc. I assume that your using a "CPAP" machine and have found CAs that look like Cheyne Stokes Respiration (CSR). Did you have these and or Hypopneas during a Polysomnogram? Did they show up after you started using a machine? Short episodes of CSR and brief periods of periodic breathing are not that uncommon. This is especially the case after one starts using a CPAP machine. The goal for everyone is an AHI less than or equal to 5. Some of us with Central Apnea and periodic breathing would be happy to see an AHI less than 10. What is your situation?
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#4
(08-09-2015, 03:54 PM)gdroman Wrote: I'm seeking to learn more about Chayne Stokes Respiration (CSR) episodes. Other than the technical definition and connection to conditions like congestive heart failure, I'm not finding very much. Like, for sleep apnea patients, how often (how many times a night) or frequently (hour, night, week) CSR episodes can be a cause of serious concern? How long in duration these episodes are significantly serious (seconds, minutes)?

I would love to read thoughts and experiences from patients and professionals on this matter. Thank you!

There are a number of us on this forum with Central Apnea/periodic breathing. Try a google search for "Apnea Board Central Apnea" and also look a Search on the Apnea board for "Cheyne Stokes". You should also post more context which might include your statistics CAs Hypopneas etc. I assume that your using a "CPAP" machine and have found CAs that look like Cheyne Stokes Respiration (CSR). Did you have these and or Hypopneas during a Polysomnogram? Did they show up after you started using a machine? Short episodes of CSR and brief periods of periodic breathing are not that uncommon. This is especially the case after one starts using a CPAP machine. The goal for everyone is an AHI less than or equal to 5. Some of us with Central Apnea and periodic breathing would be happy to see an AHI less than 10. What is your situation?
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here:  http://www.apneaboard.com/wiki/index.php...SleepyHead

Download Sleepyhead
Organize your Sleepyhead Charts
Post from Imgur


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#5
Cheyne Stokes is a specific type of periodic breathing. If you are searching for more information, do a search on periodic breathing and sleep apnea rather than CSR. I think you're more likely to find something more descriptive of common periodic breathing that can occur from complex apnea, central apnea, and common hypopnea.
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#6
(08-10-2015, 10:24 AM)Sleeprider Wrote: Cheyne Stokes is a specific type of periodic breathing. If you are searching for more information, do a search on periodic breathing and sleep apnea rather than CSR. I think you're more likely to find something more descriptive of common periodic breathing that can occur from complex apnea, central apnea, and common hypopnea.

Sleeprider is right. Cheyne Stokes Respiration (CSR) is a very old term that was used to describe a type of breathing seen at the end of life or today in those suffering from congestive heart failure. Periodic breathing with apnea (Central Apnea) may resemble CSR but does not imply a quick trip to the hospital.
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here:  http://www.apneaboard.com/wiki/index.php...SleepyHead

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#7
Yes. And original poster did not say they had c-s-r, just that they are seeking to learn about it. So, good to point to search terms. They should be able to read-up on it. Perhaps they will stay and share what they learned.

Smile

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#8
(08-10-2015, 05:34 PM)quiescence at last Wrote: Yes. And original poster did not say they had c-s-r, just that they are seeking to learn about it. So, good to point to search terms. They should be able to read-up on it. Perhaps they will stay and share what they learned.

Smile

I just pressed the like button.
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here:  http://www.apneaboard.com/wiki/index.php...SleepyHead

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#9
In my attempts to find the difference between periodic breathing and CSR, I found them to be the same except CSR had central apneas in every respiratory flow valley and periodic breathing had hypopneas instead of central apneas.

The following is a quote from Wikipedia under Cheyne Stokes respiration.

"Cheyne–Stokes respiration and periodic breathing are the two regions on a spectrum of severity of oscillatory tidal volume. The distinction lies in what is observed at the trough of ventilation: Cheyne–Stokes respiration involves apnea (since apnea is a prominent feature in their original description) while periodic breathing involves hypopnea (abnormally small but not absent breaths).
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#10
(08-10-2015, 08:53 PM)PaytonA Wrote: In my attempts to find the difference between periodic breathing and CSR, I found them to be the same except CSR had central apneas in every respiratory flow valley and periodic breathing had hypopneas instead of central apneas.

The following is a quote from Wikipedia under Cheyne Stokes respiration.

"Cheyne–Stokes respiration and periodic breathing are the two regions on a spectrum of severity of oscillatory tidal volume. The distinction lies in what is observed at the trough of ventilation: Cheyne–Stokes respiration involves apnea (since apnea is a prominent feature in their original description) while periodic breathing involves hypopnea (abnormally small but not absent breaths).

I like to use the term Cheyne Stokes Like Respiration. It doesn't scare people as much.

Rich
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here:  http://www.apneaboard.com/wiki/index.php...SleepyHead

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