SleepyHead cyclic respiratory amplitude. What is it?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
So Sincere
Posts: 38
Joined: Tue Oct 06, 2015 3:52 am

SleepyHead cyclic respiratory amplitude. What is it?

Post by So Sincere » Fri Oct 16, 2015 8:12 am

I've been using SleepyHead for about a week now and eagerly review the graphs every morning. I was hoping someone could explain something to me regarding my breathing. I think it's normal and everybody does it, but I'm not used to looking at my respiration in such detail, so it's new to me.

It is a cyclic fluctuation in respiratory amplitude with a period of from 30 to 60 seconds. Looking at the Flow Rate graph, I see inhalations and exhalations of about 17bpm, but I also see a longer, smooth cycling of amplitude. Sometimes, there is no perceptible cycling, and the respirations appear uniform. I see stretches of cyclic amplitude and then stretches of no variation--it flips back and forth between the two modes on the order of 30 minutes to an hour. What is this? I don't see any correlation to the other graphs, e.g., therapy pressure, so I think it has an organic cause.

_________________
Mask: Nuance & Nuance Pro Nasal Pillow CPAP Mask with Gel Nasal Pillows
Additional Comments: PR System One 60 Series BiPAP autoSV Advanced

User avatar
Jay Aitchsee
Posts: 2936
Joined: Sun May 22, 2011 12:47 pm
Location: Southwest Florida

Re: SleepyHead cyclic respiratory amplitude. What is it?

Post by Jay Aitchsee » Sat Oct 17, 2015 8:34 am

So Sincere wrote:I've been using SleepyHead for about a week now and eagerly review the graphs every morning. I was hoping someone could explain something to me regarding my breathing. I think it's normal and everybody does it, but I'm not used to looking at my respiration in such detail, so it's new to me.

It is a cyclic fluctuation in respiratory amplitude with a period of from 30 to 60 seconds. Looking at the Flow Rate graph, I see inhalations and exhalations of about 17bpm, but I also see a longer, smooth cycling of amplitude. Sometimes, there is no perceptible cycling, and the respirations appear uniform. I see stretches of cyclic amplitude and then stretches of no variation--it flips back and forth between the two modes on the order of 30 minutes to an hour. What is this? I don't see any correlation to the other graphs, e.g., therapy pressure, so I think it has an organic cause.
That's a very good question, Sincere. Taken to the extremes with amplitudes falling to near zero or zero with greater persistence, these episodes could be deemed Periodic Breathing or Cheyne-Stokes respiration. Here's one thread that discusses: viewtopic/t50482/Periodic-Breathing.html . There are many more.

In your case, my guess is this is a normal variation in breathing most likely accompanying changes in sleep stage. I emphasize this is a guess. Many people, myself included, seem to experience these fluctuations in respiration during their normal sleep, but I'm not sure the cause has been identified.

Why not post a snip of one your typical SleepyHead graphs so that one of the experts here might have a look and comment?

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: S9 Auto, P10 mask, P=7.0, EPR3, ResScan 5.3, SleepyHead V1.B2, Windows 10, ZEO, CMS50F, Infrared Video

So Sincere
Posts: 38
Joined: Tue Oct 06, 2015 3:52 am

Re: SleepyHead cyclic respiratory amplitude. What is it?

Post by So Sincere » Fri Oct 23, 2015 7:41 am

Jay Aitchsee wrote:Taken to the extremes with amplitudes falling to near zero or zero with greater persistence, these episodes could be deemed Periodic Breathing or Cheyne-Stokes respiration. Here's one thread that discusses: viewtopic/t50482/Periodic-Breathing.html .
Thanks for the link. Even at the least amplitude, I'm not hypopneic so don't think it's PB, per se. Other than degree, though, that looks like what I'm experiencing, especially the PB graph in the second response in that thread.
Jay Aitchsee wrote:In your case, my guess is this is a normal variation in breathing most likely accompanying changes in sleep stage.
Yeah, I bet that's what it is. I wish there was some way to correlate it with my sleep. I guess I'd need a home EEG monitor. MEASURE ALL THE THINGS!!!

_________________
Mask: Nuance & Nuance Pro Nasal Pillow CPAP Mask with Gel Nasal Pillows
Additional Comments: PR System One 60 Series BiPAP autoSV Advanced

User avatar
Jay Aitchsee
Posts: 2936
Joined: Sun May 22, 2011 12:47 pm
Location: Southwest Florida

Re: SleepyHead cyclic respiratory amplitude. What is it?

Post by Jay Aitchsee » Fri Oct 23, 2015 10:44 am

So Sincere wrote:Yeah, I bet that's what it is. I wish there was some way to correlate it with my sleep. I guess I'd need a home EEG monitor. MEASURE ALL THE THINGS!!!
Well, you can keep an eye out for a Zeo Bedside monitor. Even though Zeo has been OOB for several years, there are still a few of us using them. Though it has shortcomings, Zeo is probably still the best sleep stage monitor available - using an EEG sensor rather than actigraphy.

Follow the links in my signature for more info viewtopic.php?f=1&t=101917&p=965774#p953171

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: S9 Auto, P10 mask, P=7.0, EPR3, ResScan 5.3, SleepyHead V1.B2, Windows 10, ZEO, CMS50F, Infrared Video