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

looks like i have cheyne stokes..
#1
looks like i have cheyne stokes..
new to OSCAR. looks like I have CSR.... :Sad   

freaking out sorta. looks like i get this 2 - 3 times a month. so its not consistent.  

not sure if anyone has CSR but I'm wondering what this all means, and what I can do.

thanks for any experiences or suggestions.


Attached Files Thumbnail(s)
   
Post Reply Post Reply






Donate to Apnea Board  
#2
RE: looks like i have cheyne stokes..
That was a poor choice for a descriptor name by Resmed.   You need more than breathing patterns to diagnose CSR.  It is really periodic breathing.  Several members here experience this problem.   Don't fret over it.   It seems to be localized and not spread out throughout your sleep session.  Your breathing builds up to a hyperventilation condition and washes the CO2 out of your system, causing the breathe response to cease.  Once your CO2 builds back up, you start breathing again but now are trying to make up for the O2 that got depleted.   This is just a guess, but you could have been having a dream that was causing you anxiety.
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Beginner's Guide to Sleepyhead and OSCAR
Apnea Helpful Tips

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
#3
RE: looks like i have cheyne stokes..
Thanks Crimson. Ya I scanned thru previous posts about CSR and noticed my flow rate pattern matched exactly this pattern as posted in a previous post: i.imgur.com/Po5bH2o.jpg 

I need to research periodic breathing, (again i'm new to OSCAR and deep diving into my stats) and how to prevent this or change things...

thanks again for the words Crimson.
Post Reply Post Reply
#4
RE: looks like i have cheyne stokes..
That is a CSR pattern. If you have health problems that you are aware of, let us know. Otherwise, call your doctor and discuss this. Overall, the extent of this is very short, and is may be an anomaly just to keep an eye on. If it becomes more persistent. a different therapy may be appropriate. Let's assume you are in otherwise good health, and just need time to adapt to CPAP. Reduce EPR to 1 and it's likely this won't repeat. I have more to say, but need to take a break. Any questions?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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






Donate to Apnea Board  
#5
RE: looks like i have cheyne stokes..
Thanks for replying. health is so-so. overweight, high blood pressure on beta blockers.. but i can do daily activities, walk about 2 miles with major hills. 

i've seen this pattern about 3-4 times now in the past 3 months. so its not daily. and it tends to be 20mins or less. i've been on CPAP for 6 years so not new to CPAP..

how do i adjust the EPR? and what does that do?
Post Reply Post Reply
#6
RE: looks like i have cheyne stokes..
Keeping in mind, carbon dioxide drives, respiration, part of the problem with this breathing pattern is a repetitive cycle of hypocapnea and hypercapnea from an imbalance of CO2 in the blood. This becomes a feedback loop as it progresses resulting the the very even cyclic pattern, as hypoventilation leads to hyperventilation, then hypo and hyper, until the cycle breaks. The mechanism involves more complex chemical feedback, but that is the basics of respiratory drive. We can reduce that effect by not using "pressure support" (PS) which is the difference between inhale and exhale pressure, where higher differences tend to enhance the flushing of CO2. Right now, you are using EPR 3, which is the same as PS 3. Your median pressure is 9.3/6.3 (inhale/exhale or IPAP/EPAP). So you have pressure support. To change that setting, just enter the clinical setting menu, scroll down to comfort and find the EPR setting. It is currently 3, set it to 1. This little tutorial describes how to access the clinical menu to access that setting by pressing the home button and control knob at the same time. https://www.apneaboard.com/resmed-airsen...setup-info


It's not time to push the panic button. This pattern was only 15 minutes on one night. It can be considered a problem when it becomes a trend and even more prevalent in your results.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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
#7
RE: looks like i have cheyne stokes..
EPR is exhale pressure relief, literally on exhale the pressure drops by 1, 2, or 3 cmH2O, same measure as that for therapy pressures. It should be found in the comfort settings, will have duration including full time, which is what I'd set, then set the value, try full-time 2.

If it's not under comfort then it's in clinical menu. In that case hold Home and Dial in at the same time for about 5 seconds and you're in clinical.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply






Donate to Apnea Board  
#8
RE: looks like i have cheyne stokes..
last nights OSCAR....much much better. but like i said before the CSR comes randomly. but hoping the EPR setting helps in the long run. also used flonase before bed, def helped. i may continue that at night we'll see.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#9
RE: looks like i have cheyne stokes..
That's great! You absolutely responded to the reduced EPR and this shows your CSR episode was actually a result of the ventilation resulting in you being at and above your apneic threshold, and in a feedback loop. So, no health problems, you just don't tolerate pressure support or EPR well. As you note, looking a the longer term will confirm.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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
#10
RE: looks like i have cheyne stokes..
thanks sleeprider!! 

and thank you for the tip on EPR, i never knew that existed! i also confirmed the change with my sleep dr. and they gave me the go ahead  Thanks'

many thanks!
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Cheyne Stokes Respiration Question Jeff J 8 206 02-10-2021, 06:11 AM
Last Post: Gideon
  Worried about Cheyne-Stokes Respirations emals 5 2,390 07-07-2020, 10:05 PM
Last Post: Sleeprider
  Cheyne Stokes? sosotired 19 835 06-09-2020, 04:24 PM
Last Post: Bassline
  Is this real Cheyne Stokes Respiration or not ? jsljsljsl 71 3,521 05-20-2020, 12:55 PM
Last Post: Gideon
  Cheyne Stroke Respiration clroach 5 447 04-17-2020, 06:02 AM
Last Post: Gideon
  Cheyne Stokes Respiration ? Mal777 122 4,955 02-28-2020, 08:45 PM
Last Post: Sleeprider
  Is This Cheyenne-Stokes? monkeybusiness 4 647 09-28-2019, 09:10 PM
Last Post: monkeybusiness


New Posts   Today's Posts






About Apnea Board

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