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Chest tightness
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adam12 Offline

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Post: #1
Chest tightness
I have been having problems waking up with chest tightness. I have a BiPap but do not always use it. Sometimes the tighness is very worrisome and it feels like there is something wrong with my heart. Ive had EKG, echo, stress test, and Holter and they didn't find any irregularities. I do have some PVC's and because of that can't have caffeine. Today for example I've been up 4 hours and my chest is still tight. Do you guys know if apnea events at night cause chest tightness? And if so can that tightness last most of the next day?

Thanks
01-23-2016 02:34 PM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: Chest tightness
(01-23-2016 02:34 PM)adam12 Wrote:  I have been having problems waking up with chest tightness. I have a BiPap but do not always use it. Sometimes the tighness is very worrisome and it feels like there is something wrong with my heart. Ive had EKG, echo, stress test, and Holter and they didn't find any irregularities. I do have some PVC's and because of that can't have caffeine. Today for example I've been up 4 hours and my chest is still tight. Do you guys know if apnea events at night cause chest tightness? And if so can that tightness last most of the next day?

Thanks


Hi adam12,
Apnea events don't cause chest tightness.

I experienced the same when I first started. My doc told me that it was just a matter of adapting to breathing with your machine. Of course, I thought he was crazy. I had a lot of anxiety at first and was trying too hard to breath.

I don't use a bipap, but I think if you just try to relax and breath normally, that tight feeling will disappear.

Try to use your machine while sitting up either watching TV or reading a book. The time goes fast when your not focused on your breathing. You will get used to it quicker that way.

OpalRose
01-23-2016 03:08 PM
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Want2SleepInMT Offline

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Machine: DreamStaion Auto
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Mask Make & Model: Wisp (S/M) Or DreamWear (M frame/S pillow)
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CPAP Software: EncorePro

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Post: #3
RE: Chest tightness
(01-23-2016 03:08 PM)OpalRose Wrote:  Try to use your machine while sitting up either watching TV or reading a book. The time goes fast when your not focused on your breathing. You will get used to it quicker that way.

This is exactly how I felt the first week of CPAP therapy. I thought I was going insane. Soooo, I called my sleep doc, and she put me on Valium (not sure the dosage) one full pill per night for 5 nights, and half pill per night for the next ten days, and bam, I was ok! You might want to discuss it with your Doc, as an anxiety issue.

"I am not a Doctor, but I DID stay at a Holiday Inn Express last night.Coffee
01-23-2016 03:20 PM
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OpalRose Offline

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Posts: 3,166
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #4
RE: Chest tightness
(01-23-2016 03:20 PM)Want2SleepInMT Wrote:  
(01-23-2016 03:08 PM)OpalRose Wrote:  Try to use your machine while sitting up either watching TV or reading a book. The time goes fast when your not focused on your breathing. You will get used to it quicker that way.

This is exactly how I felt the first week of CPAP therapy. I thought I was going insane. Soooo, I called my sleep doc, and she put me on Valium (not sure the dosage) one full pill per night for 5 nights, and half pill per night for the next ten days, and bam, I was ok! You might want to discuss it with your Doc, as an anxiety issue.


Taking Valium or any anxiety medicine when you have OSA should only be done under a doctor's care, and should be taken as a last resort.

OpalRose
01-23-2016 03:38 PM
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Want2SleepInMT Offline

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Posts: 47
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Machine: DreamStaion Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp (S/M) Or DreamWear (M frame/S pillow)
Humidifier: DreamStation
CPAP Pressure: 7-18 (auto)
CPAP Software: EncorePro

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Sex: Female
Location: Big Sky Country

Post: #5
RE: Chest tightness
(01-23-2016 03:38 PM)OpalRose Wrote:  
(01-23-2016 03:20 PM)Want2SleepInMT Wrote:  
(01-23-2016 03:08 PM)OpalRose Wrote:  Try to use your machine while sitting up either watching TV or reading a book. The time goes fast when your not focused on your breathing. You will get used to it quicker that way.

This is exactly how I felt the first week of CPAP therapy. I thought I was going insane. Soooo, I called my sleep doc, and she put me on Valium (not sure the dosage) one full pill per night for 5 nights, and half pill per night for the next ten days, and bam, I was ok! You might want to discuss it with your Doc, as an anxiety issue.

Taking Valium or any anxiety medicine when you have OSA should only be done under a doctor's care, and should be taken as a last resort.

The Valium is a pretty standard protocol in the sleep clinic I use for people with a history of anxiety. Again, in order to use it, the sleep Doc would have to prescribe it.

"I am not a Doctor, but I DID stay at a Holiday Inn Express last night.Coffee
01-23-2016 03:42 PM
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Dreams of Green Offline

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Post: #6
RE: Chest tightness
Communicating about health issues can be challenging because what one person may mean when using a term is different than what another person thinks of when they read that term.

So that said, when you use the term chest tightness, you mention only heart related issues, and having heart related tests. But chest tightness is also a often a result of lung related issues such as asthma.

Have you been tested to see if you might have a case of mild or moderate asthma? For people with asthma, a simple inhaler can do wonders.

I'd see a pulmonary specialist and have them test your lungs. There are a couple of very simple and painless tests they'll start with to measure your lung performance.
(This post was last modified: 01-23-2016 05:24 PM by Dreams of Green.)
01-23-2016 05:22 PM
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ezdrifler Offline

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Post: #7
RE: Chest tightness
Hi Adam,

Apnea and the whole cpap treatment have caused the same symptoms you described, I also ended up numerous times in the ER with multiple tests including carrying a heart monitor a full day only to reveal im perfectly healthy from my heart.

The tricks I use to overcome my anxiety attacks are:

1) Deep breathe, fill up belly and lungs as much as possible for for seconds, hold my breath 4 seconds, exhale slowly.

2) Accept im having an axiety attack, tell myself im healthy and this too shall pass, ride it out, dont fight it.

3) A cup of whine, relaxing.

4) I work out so I use muscle relaxant lotion on my chest, it gives me a fresh sensation and helps me relax.

5) try to distract yourself, stay away from stressing situations and dont overeat or cause yourself indigestion or gas.

I hope it helps.

Im going trough one attack as i type this but i did the rub and wine above and feel much better.
(This post was last modified: 01-26-2016 02:12 AM by ezdrifler.)
01-26-2016 02:11 AM
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