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Scary event nighttime event, need advice
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Daso Offline

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Posts: 50
Joined: Aug 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: 5I
CPAP Pressure: Unsure
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #1
Scary event nighttime event, need advice
Hello all. After using an MAD for the past few months (mild OSA AHI 6) and recommitting to my resmed S9 Autoset last week after wondering if CPAP would be better It seems that the CPAP route has the better effect on me after 1 weeks use. Here is where I need thoughts , I've adjusted pretty well over the past week to using the CPAP, not loving wearing it but not as bad as my first round. Waking up with better energy, still got hit with some fatigue yesterday but much better overall. Now here's what happened. I've had a mild cold (past three days) with one nostril (either one) which keeps clogging and breathing through the swift fx has been a bit hit or miss. Love the mask, and I seem to be keeping my mouth fairly shut. Reports show a leak of no mer than 6ml and my AHI has been between .1-.6. I did the net pot last night and use a nose spray, but I do have congestion issues here and there. Two nights ago, I was trying to fall asleep and out of nowhere my pulse (resting pulse normally 55-60) shot up to 126, I jumped up freaked a bit and after around a minute or less it started to gradually slow down again and after a few minutes total (not max HR) I was back to normal but pretty freaked out. Went to sleep, tracked my SPO2 and HR and all were good at avg of 97spo2 and 50-60HR. I chalked it up to some indigestion and a martini and moved on. Next night was fine, although still congested. Then last night I was more congested with a bit of a cough, used the neti pot and nose spray decongestant then again went to sleep. About 20 minutes in (i was feeling really exhausted as well) Bam my heart rate starts to go up again, but this time to 146 BPM and stays there for about a minutes, then same thing again, HR drops to under 100 and then slowly drops back down to 60 over the next 5 min. Needless to say, I am experiencing some heavy anxiety at this point and pretty much did not sleep most of the night until I finally passed out of exhaustion staying up out of fear and got 3 hours sleep. SPO2 97% avg and HR 60 avg were fine again for rest of night and the pleats on my pulse ox looks nice and even. Can this be a CPAP anxiety attack from restricted breathing, does this sound familiar to anyone. My heart had been recently cleared with no issues, but I think I'm going to a cardiologist tomorrow. Nothing worse then needing CPAP, getting a bit used to it and happy that it works, then becoming scared to go to sleep. Really not what I was hoping for after a fairly successful week of using CPAP seriously. Thanks all. A scared Hosenose
02-01-2015 11:21 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: Scary event nighttime event, need advice
" I chalked it up to some indigestion and a martini and moved on. Next night was fine, although still congested. Then last night I was more congested with a bit of a cough, used the neti pot and nose spray decongestant.............."

Yeah,,,,, dump the nose spray.
02-01-2015 11:37 AM
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BigEars Offline

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Posts: 30
Joined: Jan 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: none
CPAP Pressure: The machine decides
CPAP Software: SleepyHead

Other Comments: Ex Olympic Snorer

Sex: Male
Location: Scotland

Post: #3
RE: Scary event nighttime event, need advice
Nasal decongestants contain adrenaline like chemicals to shrink the blood vessels in your nasal passages. You may well be hypersensitive to the active ingredient of your spray.

Try a nasal steroid spray instead if you regularly have a stuffy nose.
02-01-2015 12:03 PM
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PaulaO2 Offline
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Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Scary event nighttime event, need advice
Or just use a saline nasal spray. But dump the spray you are using now.

Do you feel the heart rate going up or is it just the oximeter telling you it is up?

PaulaO2
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02-01-2015 02:36 PM
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quiescence at last Offline

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Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
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CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #5
RE: Scary event nighttime event, need advice
I think it is paroxysmal tachycardia (times of accelerated heart rate). You should mention it to your doctor. Even if it is, there may be minimal risk. Best to check it out, though, even if you do not feel any different.

see https://answers.yahoo.com/question/index?qid=20070424182702AAHhdr9 - I am sure there are dozens of other places on the net that talk about it.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
02-01-2015 04:08 PM
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Daso Offline

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Joined: Aug 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
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Humidifier: 5I
CPAP Pressure: Unsure
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #6
RE: Scary event nighttime event, need advice
PaulaO2, yes I feel my heart rate increase and beating heavily. 145 felt no different than 125 front 2 nights before. As an update, I had an ECG today and it showed normal. Will probably do the Holter for 24 hours as well. Quiescense, thank you. I'll look into it (I completely felt it and it freaked the hell out of me) thought I was going to have heart attack although no other symptoms. Now it's all about anticipation. I'll be waiting to see if it happens again. Although it doesn't seem that nasonex has any heart related side effects, I will drop using it tonight.
(This post was last modified: 02-01-2015 08:16 PM by Daso.)
02-01-2015 08:13 PM
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Ghost1958 Offline

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Posts: 957
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Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
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CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

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Location: KY

Post: #7
RE: Scary event nighttime event, need advice
Yep drop the nose spray. As one who battled fast HR for 15 yrs trust me its a huge no no if you have any tendency to have a fast HR.

Cpap slowed my HR so that now I do not take any meds to slow it to normal whereas I did have too for years before and they worked hit or miss.
02-02-2015 02:41 AM
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BigEars Offline

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Posts: 30
Joined: Jan 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal mask
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Other Comments: Ex Olympic Snorer

Sex: Male
Location: Scotland

Post: #8
RE: Scary event nighttime event, need advice
(02-01-2015 08:13 PM)Daso Wrote:  PaulaO2, yes I feel my heart rate increase and beating heavily. 145 felt no different than 125 front 2 nights before. As an update, I had an ECG today and it showed normal. Will probably do the Holter for 24 hours as well. Quiescense, thank you. I'll look into it (I completely felt it and it freaked the hell out of me) thought I was going to have heart attack although no other symptoms. Now it's all about anticipation. I'll be waiting to see if it happens again. Although it doesn't seem that nasonex has any heart related side effects, I will drop using it tonight.

You're correct about Nasonex, no need to drop it.
02-02-2015 07:01 AM
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OpalRose Offline

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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: #9
RE: Scary event nighttime event, need advice
Daso,
What Paula said.
Dump the Nasonex. I used it before I started CPAP Therapy and for about one month into therapy and suffered nose bleeds. My blood pressure went up and pulse rate too. There were nights I woke
up because my pulse rate was so high and it felt like I may have heart problems. Had checkup, and heart is normal. Good luck with your therapy.
Sleep-well

Just wanted to add that I use saline nasal spray which is safe, and also use a nasal rinse.

OpalRose
(This post was last modified: 02-02-2015 07:45 AM by OpalRose.)
02-02-2015 07:42 AM
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Daso Offline

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Posts: 50
Joined: Aug 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: 5I
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #10
RE: Scary event nighttime event, need advice
(02-02-2015 07:42 AM)OpalRose Wrote:  Daso,
What Paula said.
Dump the Nasonex. I used it before I started CPAP Therapy and for about one month into therapy and suffered nose bleeds. My blood pressure went up and pulse rate too. There were nights I woke
up because my pulse rate was so high and it felt like I may have heart problems. Had checkup, and heart is normal. Good luck with your therapy.
Sleep-well

Just wanted to add that I use saline nasal spray which is safe, and also use a nasal rinse.

I tried doing the nasal rinse and saline spray, but by 3 am, I was congested again. I'm really trying to avoid a full mask as that will kill my desire to keep the Cpap. It's been bearable with the swift fx so far.
02-02-2015 10:59 AM
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