periodic breathing oscar data

[JamesKing7388]

Hello i'm new to the board and just been using my cpap for about 2 months now. I have a Phillips Dreamstation Autocpap set to 9.5 - 16.0 pressure.
I just learned about Oscar software as well but i just uploaded my data in there and saw the periodic breathing over 1%. So far i only seen it show that for maybe two or 3 days so far, Most of the time its under 1% or 0%. I haven't been diagnosed with heart failure or anything like that and it had it worried. Thank you

[Pugsy]

Nothing to worry about.
Periodic Breathing is just a little waxing and waning of the air flow. We don't worry about it unless it's chocked full of central apneas and has a much different pattern than yours.
Cheyne Stokes Respiration is a form of periodic breathing but not the only form of PB.

Now if your PB looked like this and it had a bunch of CAs/centrals flagged in it...then we might worry depending on how much you had but even a small segment of CSR breathing that is random, rare and short lived doesn't mean anything is wrong with your heart.

So ignore it.

This is what real CSR looks like that makes us worry.

[JamesKing7388]

Nothing to worry about.
Periodic Breathing is just a little waxing and waning of the air flow. We don't worry about it unless it's chocked full of central apneas and has a much different pattern than yours.
Cheyne Stokes Respiration is a form of periodic breathing but not the only form of PB.

Now if your PB looked like this and it had a bunch of CAs/centrals flagged in it...then we might worry depending on how much you had but even a small segment of CSR breathing that is random, rare and short lived doesn't mean anything is wrong with your heart.

So ignore it.

This is what real CSR looks like that makes us worry.

Thank you very much. I'm new to all this so i'm learning as i go

[Miss Emerita]

James, I realize you didn't ask about this, but ....

Your AHI is somewhat on the high side for someone using PAP treatment. You might want to consider inching up your minimum pressure, going to 10 at first, staying with that for at least a few days, then 10.5, and so on, until you see your AHI staying pretty consistently below 2 (better still, below 1).

One other thought: there's a little bit of clustering in your chart, which makes me wonder whether you might be tucking your chin toward your chest during some parts of the night. If you are, that can constrict your airway a bit, setting the stage for obstructive events. A simple experiment would be to buy a soft cervical collar to see whether that got rid of the clusters. Or if you use a fat pillow, or several pillows, you might try using just one fairly low and firm pillow.

[JamesKing7388]

James, I realize you didn't ask about this, but ....

Your AHI is somewhat on the high side for someone using PAP treatment. You might want to consider inching up your minimum pressure, going to 10 at first, staying with that for at least a few days, then 10.5, and so on, until you see your AHI staying pretty consistently below 2 (better still, below 1).

One other thought: there's a little bit of clustering in your chart, which makes me wonder whether you might be tucking your chin toward your chest during some parts of the night. If you are, that can constrict your airway a bit, setting the stage for obstructive events. A simple experiment would be to buy a soft cervical collar to see whether that got rid of the clusters. Or if you use a fat pillow, or several pillows, you might try using just one fairly low and firm pillow.

Yea i forgot about that lol. Normally i'm under 2.1 or so, sometimes in the 1's and under. The lowest i ever hit was like 0.4 AHI, but i been having problems with my mask staying fit and on. I think i may need to change it up some or something and i also do tuck my chin at night sometimes which i have heard also that could cause events.

[JamesKing7388]

Nothing to worry about.
Periodic Breathing is just a little waxing and waning of the air flow. We don't worry about it unless it's chocked full of central apneas and has a much different pattern than yours.
Cheyne Stokes Respiration is a form of periodic breathing but not the only form of PB.

Now if your PB looked like this and it had a bunch of CAs/centrals flagged in it...then we might worry depending on how much you had but even a small segment of CSR breathing that is random, rare and short lived doesn't mean anything is wrong with your heart.

So ignore it.

This is what real CSR looks like that makes us worry.

her is another close up shot of it and it says 2 mintues worth so is everything alright on this? lol sorry im a hypochondriac sometimes

[Pugsy]

Ignore the PB flagged stuff. No where near even remotely being CSR.
Looks like you barely made the 2 minute minimum duration anyway. Even if it was real CSR not nearly long enough to be a problem.

Quit worrying about that little data point. It means nothing.

From the looks of the flow rate I suspect you were awake or semi awake...right before the green stuff is an obvious segment of awake breathing. I bet you weren't even full asleep when the PB was flagged. Awake breathing is very irregular compared to asleep breathing but only asleep breathing counts. It's sleep apnea and not awake apnea.

Cross that off your list of things to worry about.

If I saw that on my report...I would chalk it up to being awake and probably not remembering it and shrug my shoulders and move on.

It does look like you are having some prolonged big leaks though...those warrant some concern.

[JamesKing7388]

Ignore the PB flagged stuff. No where near even remotely being CSR.
Looks like you barely made the 2 minute minimum duration anyway. Even if it was real CSR not nearly long enough to be a problem.

Quit worrying about that little data point. It means nothing.

From the looks of the flow rate I suspect you were awake or semi awake...right before the green stuff is an obvious segment of awake breathing. I bet you weren't even full asleep when the PB was flagged. Awake breathing is very irregular compared to asleep breathing but only asleep breathing counts. It's sleep apnea and not awake apnea.

Cross that off your list of things to worry about.

If I saw that on my report...I would chalk it up to being awake and probably not remembering it and shrug my shoulders and move on.

It does look like you are having some prolonged big leaks though...those warrant some concern.

lok okay i will cross that off the list then thank you lol. But yes i been having problems with my mask leaking but i am trying to get that problem fixed or just buy a new one