Unusual night - any ideas?

gschamel · Post by **gschamel** » Fri Sep 23, 2011 7:53 pm

Had a good night followed by this in the early AM. ResScan scored multiple OSA followed by centrals. Any thoughts?

George

mars · Post by **mars** » Sat Sep 24, 2011 10:13 am

Pugsy · Post by **Pugsy** » Sat Sep 24, 2011 10:44 am

I saw the post. Most unusual and I had no thoughts except when no rational explanation..Aliens messing with us again.

If this is an extreme rarity..without seeing all the other entire reports to get an overall idea what might be going on, I can't offer anything other than I don't know and sometimes stuff happens we don't have answers to.

It's obviously a short time span that looks suspiciously like CSR from the flow. What it means? I have no clue.
One would need the whole night report along with other whole night report to sort through to try to come up with an answer. Is there a history of centrals? What was the overall AHI for this night? How many centrals this night total?
Stuff like that. Simply not enough information from the 1 hour event segment and the short flow segment. Except maybe... Ugly, ugly..

Mary Z · Post by **Mary Z** » Sat Sep 24, 2011 10:50 am

Keep us posted. I have no idea what it means, but would be interested if it turns out to be an isolated, or rare night.

JohnBFisher · Post by **JohnBFisher** » Sat Sep 24, 2011 10:59 am

gschamel wrote:... Had a good night followed by this in the early AM. ResScan scored multiple OSA followed by centrals. Any thoughts? ...

George, if this becomes a frequent pattern, then definitely go see your doctor. Though to my layman's eyes, the breathing pattern appears to be Cheyne-Stokes Respiration, I simply am not qualified to say one way or another. However, if you have other signs of cardiovascular problems (high blood pressure, tightness in the chest, troubles walking up stairs, etc), then PLEASE see a doctor as soon as possible. But if this is a one time occurance, then in your shoes, if I had no other signs of cardiovascular issues I would just keep an eye on it.

Hope that helps.

gschamel · Post by **gschamel** » Sat Sep 24, 2011 4:31 pm

Pugsy wrote:I saw the post. Most unusual and I had no thoughts except when no rational explanation..Aliens messing with us again.

If this is an extreme rarity..without seeing all the other entire reports to get an overall idea what might be going on, I can't offer anything other than I don't know and sometimes stuff happens we don't have answers to.

It's obviously a short time span that looks suspiciously like CSR from the flow. What it means? I have no clue.
One would need the whole night report along with other whole night report to sort through to try to come up with an answer. Is there a history of centrals? What was the overall AHI for this night? How many centrals this night total?
Stuff like that. Simply not enough information from the 1 hour event segment and the short flow segment. Except maybe... Ugly, ugly..

Thanks for the response. Here is the full night and the first part is much more typical of what I've been experiencing. Overall AHI was 5 and centrals were 2.9 per hour.

The pattern reminded me also of CSR and I have experienced just one other sequence like this one on the 14th. Of course I've been only been on APAP since August 9th.

And here is the night just prior:

much more typical.

gschamel · Post by **gschamel** » Sat Sep 24, 2011 4:38 pm

JohnBFisher wrote:
gschamel wrote:... Had a good night followed by this in the early AM. ResScan scored multiple OSA followed by centrals. Any thoughts? ...
George, if this becomes a frequent pattern, then definitely go see your doctor. Though to my layman's eyes, the breathing pattern appears to be Cheyne-Stokes Respiration, I simply am not qualified to say one way or another. However, if you have other signs of cardiovascular problems (high blood pressure, tightness in the chest, troubles walking up stairs, etc), then PLEASE see a doctor as soon as possible. But if this is a one time occurance, then in your shoes, if I had no other signs of cardiovascular issues I would just keep an eye on it.

Hope that helps.

Well I've had this pattern twice now in two weeks but not prior to that.

I had a full stress test two years ago and got a clean bill of health then. My BP has been pre-HT for a while ~130's / 70's. just a couple of weeks ago it was running 119/72 but then I apparently developed a sinus infection and it jumped back up probably due to the problems sleeping caused by the restricted airflow thru my sinus cavities. I also currently have some asthma-like bronchial irritation which the doc thinks is also caused by the sinus issue.

Keeping an eye on it is definitely the action plan...

Thanks for the discussion.

George

Pugsy · Post by **Pugsy** » Sat Sep 24, 2011 5:15 pm

Is it possible that this hour so close to your wake up time was a period of being in a semi awake state?
Tossing and turning and such?
Was the other episode at about the same time? About same hour of duration?

If it happens again try to think back during the night to any possible sleep disruptions. Any changes in routine? Stuff like that which might explain this happening.

Mr Bill · Post by **Mr Bill** » Sat Sep 24, 2011 10:56 pm

How much MSG had you had during dinner? The one time I ate a late dinner of Tai Food at a local restaurant, I had periodic breathing for the first 23% of the night.

gschamel · Post by **gschamel** » Sun Sep 25, 2011 9:50 am

Pugsy wrote:Is it possible that this hour so close to your wake up time was a period of being in a semi awake state?
Tossing and turning and such?
Was the other episode at about the same time? About same hour of duration?

If it happens again try to think back during the night to any possible sleep disruptions. Any changes in routine? Stuff like that which might explain this happening.

It is very likely due to light sleep since they have happened within about 90 minutes of my normal alarm.

gschamel · Post by **gschamel** » Sun Sep 25, 2011 9:51 am

Mr Bill wrote:How much MSG had you had during dinner? The one time I ate a late dinner of Tai Food at a local restaurant, I had periodic breathing for the first 23% of the night.

Probably not a factor - all home cooking those days

Pugsy · Post by **Pugsy** » Sun Sep 25, 2011 1:12 pm

gschamel wrote:It is very likely due to light sleep since they have happened within about 90 minutes of my normal alarm.

Since a very random occurrence and so close to wake up time. It could be that you were stirring in a semi awake state. Maybe restless, maybe some tossing and turning. It is common to hold hour breath at these times. The machine doesn't have any way to determine whether awake or not. It just reports what it senses. It calls them like it sees them and might not get it right if you were partially awake.

Since so rare and not occurring in great numbers every night or even regularly short term each night, I would just make a mental note of it and not be overly concerned at this point. If you see it happen again try to remember if you might have woke up a little around that time. Kinda hard to do..we have arousals from sleep but don't always remember them. This is why the PSG study with sleep electrodes are used to diagnose. The tech can see at a glance with the EEG if awake or partial awake and toss out anything going on during that time period.

Unusual night - any ideas?

Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?

Re: Unusual night - any ideas?