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First Cheyne Stokes Episode
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Jim Bronson Online

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Posts: 264
Joined: Dec 2014

Machine: ResMed Airsense 10 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built-in
CPAP Pressure: 9.2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #11
RE: First Cheyne Stokes Episode
Thanks everyone for all the info. I feel a bit better now. I have an appointment with the sleep Dr. in a couple of weeks, and I'll bring it to his attention.
07-23-2015 06:59 PM
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Sleeprider Online
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Posts: 3,390
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #12
RE: First Cheyne Stokes Episode
Jim, the labeling of the periodic breathing line is an unfortunate error in the programming of Sleepyhead. Fortunately you can change the labels to Periodic Breathing (PB) for the graphs in File/Preferences/Events. You do not have CSR and there are a number of reasons this pattern can be recorded. I have experienced it, and with a limited extent of time, it's really not a problem.

Looks like you need to work on leaks.

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07-23-2015 08:21 PM
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Jim Bronson Online

Advisory Members

Posts: 264
Joined: Dec 2014

Machine: ResMed Airsense 10 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built-in
CPAP Pressure: 9.2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #13
RE: First Cheyne Stokes Episode
(07-23-2015 08:21 PM)Sleeprider Wrote:  Jim, the labeling of the periodic breathing line is an unfortunate error in the programming of Sleepyhead. Fortunately you can change the labels to Periodic Breathing (PB) for the graphs in File/Preferences/Events. You do not have CSR and there are a number of reasons this pattern can be recorded. I have experienced it, and with a limited extent of time, it's really not a problem.

Looks like you need to work on leaks.
The ResScan application also labels it as CSR, so it must misidentify it too.

I was reading a 2006 article by the American Heart Association that says CSA is synonymous with CSR and that they both fall under the umbrella term Periodic Breathing. The author also says and that the breathing pattern can be associated with either H or CA events. Things must have changed a lot since then. I think it is sometimes dangerous to read old papers.

Yeah, I still have a leak problem sometimes. I don't know what triggers them. I'm going to try routing the hose differently and see if that helps.
07-23-2015 11:58 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,390
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #14
RE: First Cheyne Stokes Episode
First, CSR is a very specific type of periodic breathing with a distinctive waxing and waning of respiration volume punctuated by a CA at the low point of respiration. Mostly associated with congestive heart failure. It is not a synonym for CA. Always occurs with CSR, but you can have CA without CSR for many reasons. This is a pretty good example of what a CSR looks like on a non-ASV CPAP. It is persistent, continuous and in this case, associated with CHF. If you ever see this, get to a hospital.

[Image: drWZCTfl.png]

______________________________________________
Organize your SleepyHead Data
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Robysue's Beginner's Guide to Sleepyhead
07-24-2015 08:19 AM
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richb Online

Advisory Members

Posts: 539
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #15
RE: First Cheyne Stokes Episode
As Sleeprider says CSR is usually associated with Congestive Heart failure. Periodic Breathing can have periods of CSR type breathing but the peak to peak period is usually shorter than 1 minute. Periodic breathing can be induced by the machine and in combination with a bad nights sleep. As others have said just keep an eye on it and mention it to your sleep doc.
07-24-2015 08:13 PM
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