Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[Health] Is this CSR? How much should i panic?
#1
Gross 
So, I hate being the newbie asking a million time asked question, but I am paranoid enough to do it anyway.

Long story short, I got divorced at the end of last year, and it was the final butt kick I needed to get myself back on track. Many years ago I had done the sleep study, but never had success.  However, this time around, my body seems to be receptive to my new machine, and I have been 100% compliant for the week+ I have used it.

That said, now that I have been doing all the reading and learning that I can, I have managed to get myself scared (as opposed to happy from greatly reducing my AHI), based on the periodic breathing reported.  I am really afraid that it is CSR, and that it is too late to truly fix me (100% disclosure, I am something of a hypochondriac, and places like WebMD are my arch enemy..)

If people don't mind, could I get some feedback on the three shots?  The gap in the second picture was me waking up, and adjusting the mask for better fit (I turn the machine off to avoid corrupting the data with leak rate, etc).  Following that of course is me going back to sleep (ironically where a bulk of the PB/CSR is...)

[Image: fuscJcg.jpg]

[Image: AMigduX.jpg]

[Image: PBh4QM8.jpg]
Post Reply Post Reply



Donate to Apnea Board  
#2
I wouldn't worry about the periodic Breathing. However your leaks are out of control. I wouldn't trust your results until you get your leak rate down.
Post Reply Post Reply
#3
G'day Madcat207. Welcome to Apnea Board.

The total recorded periodic breathing only lasts a few minutes and the episode in the first plot starting at 04:48 looks more like an obstructive situation to me but is also likely a transition to sleep event. The episode starting at 22:05 is probably during or immediately after your transition to sleep, so is also likely irrelevant.

True CSA CSR usually has lots of central apnea associated with it but you're not showing any centrals. CSA CSR is also associated with congestive heart failure and other nasties which your doctor can quickly eliminate at your regular checkup.

Personally (and remember I'm not a doctor, just another internet opinion) I don't see anything to worry about here. Your hypochondria is likely to do you more harm (by stress) than these few minutes of periodic breathing.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
Post Reply Post Reply
#4
(01-06-2018, 09:38 AM)Walla Walla Wrote: I wouldn't worry about the periodic Breathing. However your leaks are out of control. I wouldn't trust your results until you get your leak rate down.

WW the OP is using a Philips machine which (as I understand it) reports leaks differently from our Resmeds. I don't think there is a problem here going by the reported leak rate.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
Post Reply Post Reply
#5
(01-06-2018, 09:47 AM)DeepBreathing Wrote: G'day Madcat207. Welcome to Apnea Board.

The total recorded periodic breathing only lasts a few minutes and the episode in the first plot starting at 04:48 looks more like an obstructive situation to me but is also likely a transition to sleep event. The episode starting at 22:05 is probably during or immediately after your transition to sleep, so is also likely irrelevant.

True CSA usually has lots of central apnea associated with it but you're not showing any centrals. CSA is also associated with congestive heart failure and other nasties which your doctor can quickly eliminate at your regular checkup.

Personally (and remember I'm not a doctor, just another internet opinion) I don't see anything to worry about here. Your hypochondria is likely to do you more harm (by stress) than these few minutes of periodic breathing.

Thank you both, I appreciate the feedback. 

So, with regards to the PB, I know that's not good either - but should I be overly concerned (in your opinion of course)?   Looking on my data, I have maybe 5-6 marked CA in the whole use of my machine (since the 27th). 

I admit, my hypochondria is a bad thing, and believe it or not, I am probably the worse kind.. I have a tendancy to self diagnose, get VERY worried, and then....... worry. I cant seem to bring myself to a doctor for many things; deep down (and this is so stupid, but I cant fix things if I am not honest) I hate being told I have something wrong (or have done something wrong). So more often than not, I will just worry myself until I forget about it.  It has been a little while since seeing a doc, but they didn't report a bug concern other than my blood pressure (which is a huge risk I know for CHF, so...). 

Sorry for rambling.  I am really trying not to worry, and get it out of my mind that I will keel over in the next few months.  This has been hard for my daughter, and that is the last thing I want to put her through.

(01-06-2018, 09:50 AM)DeepBreathing Wrote:
(01-06-2018, 09:38 AM)Walla Walla Wrote: I wouldn't worry about the periodic Breathing. However your leaks are out of control. I wouldn't trust your results until you get your leak rate down.

WW the OP is using a Philips machine which (as I understand it) reports leaks differently from our Resmeds. I don't think there is a problem here going by the reported leak rate.

I do have to agree there DB - I don't possibly see how I could improve it.  when I first lay down, the seal is excellent, but the mask (hose) has the vent holes, so it will "leak" no matter what.  When I do wake, the leaks I have adjusted for feel minor, but I guess I cant be certain..
Post Reply Post Reply



Donate to Apnea Board  
#6
I agree about no leak problem. I even own a Dreamstation and know the difference between total leaks and leak rate. I just flat out missed it. Sorry about that!
Post Reply Post Reply
#7
I think we have all experienced some periodic breathing from time to time. This does not resemble CSR and you do not have any of the requisite central apnea events. Among other things, you seem to have a very healthy tidal volume and minute vent, although you "appear" to have a slightly high resp rate, that is often due to the machine improperly counting respiratory irregularities. With pressures at 14.5-20 and you are using the upper end of that range, I think you might be better off with a bilevel machine for both comfort and efficacy.

It takes some time to settle into CPAP therapy, and these periodic events and other irregularities are not uncommon in new users. Give it some time, and it should look more settled. If you have any discomfort with pressure, a bilevel may be a better solution long-term, but don't worry about it for now.
Post Reply Post Reply
#8
Hi Madcat207,
I agree with the others, don't worry about it. This is your first week, for some of us the beginning is the worst for CAs and periodic breathing. This was my experience with periodic breathing. One my first few days on therapy is shown on the link. After the PB was reduced quite a bit. After 6 months, I very rarely see it.
https://i.imgur.com/5xYgmmH.png
Post Reply Post Reply
#9
For me, after reading about it, I was a bit concerned since I had a "marked" PB at least once a night (though no more than a few a night at most). But I am still starting, so I am not sure where my body will settle.

Believe it or not, but the higher pressure doesn't really deem to bother me.  Or if it does, I am not realizing it.  I am sleeping pretty well, though I wake a few times (most of it I think is to fix the mask, but its hard to say; it doesn't feel like a chocking event, but I am not sure).
Post Reply Post Reply



Donate to Apnea Board  
#10
If people don't mind, I just wanted to run two other shots of "PB" and see what people thought.

This first one just feels like the machine is perhaps over sensitive?
[Image: Bjn2ndA.jpg]

This is the other kind of "PB" that I see marked (again, don't have a ton of these things in general, and looking at it, it looks like about 90% are within ~30-40 minutes of laying down to sleep.
[Image: cxq1OSg.jpg]


Do either of these raise significant alarms?
Finally, here is one with some of the very rare CA's that are marked...
[Image: P0kzMfP.jpg]

BTW, I acknowledge that I should ask a provider these things... only, I don't have a provider, having moved recently, I don't anyone I am working with right now. Thus, while I know its not "medical", I really do appreciate all the feedback and support. Forums like these are amazing for the knowledge they hold, and I am so thankful to be able to pick experienced brains.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Night Sweats every night and feelings of anxiety/panic MyronH 5 291 05-14-2018, 08:20 AM
Last Post: MyronH
Question AHI Panic limit JamesW 4 705 08-08-2016, 06:45 PM
Last Post: Ghost1958
Rainbow [CPAP] Mask panic after long term use ryan63 15 3,428 07-06-2015, 09:49 AM
Last Post: Mosquitobait
Sad [CPAP] Difficulty breathing, panic attack, suffocating sensation Amandine 19 12,116 11-01-2014, 06:30 AM
Last Post: Amandine
  What to do about three o'clock in the morning panic attacks? Dolla Bill 34 6,454 08-11-2014, 04:26 PM
Last Post: retired_guy
  Predictable panic attacks chd3143 12 2,588 07-06-2014, 07:30 PM
Last Post: Sleepster
  Afib and Cpap and panic attacks Marnid2014 6 2,340 03-20-2014, 09:39 PM
Last Post: me50

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.