Cheyne-Stokes percentage, via Oscar

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
haperlman
Posts: 4
Joined: Fri Mar 03, 2023 7:54 am

Cheyne-Stokes percentage, via Oscar

Post by haperlman » Fri Mar 03, 2023 8:05 am

Sorry, but brand new here.
Start with a single question.... per Oscar I have about 13% Cheyne-Stokes on an average night sleep. I researched but can't find if that number is significant. I mean, what is the percentage for a normal person without apnea? Or do all people with apnea have this percent. Or is 13% actually higher than it should be? What is a "high" Cheyne-Stokes percent? As an addendum, almost all my apneas are "central", last night at 14/hour, thanks

_________________
Machine: AirSense 11 Autoset
Mask: AirFit™ N30i Nasal CPAP Mask with Headgear Starter Pack
Additional Comments: Using chin strap and even mouth tape to try to stop air leakage through lips.

User avatar
Julie
Posts: 19908
Joined: Tue Feb 28, 2006 12:58 pm

Re: Cheyne-Stokes percentage, via Oscar

Post by Julie » Fri Mar 03, 2023 10:17 am

Can you please post Oscar results here (see Stickies top of pg) with graphs etc as requested (but no calendar plse) so we can see what's going on - but do them on Imgur.com and leave a link in this thread (the forum attachmt space is full). We'll see what's what and advise here. But it's likely they're not 'real' Cheyne Stokes, but 'clear airway's (other name for centrals) and unless there are lots throughout the night, don't worry about them - it's normal "Sleep-wake junk" as we call it, usually just as you go to sleep and just prior to waking.

User avatar
Miss Emerita
Posts: 3442
Joined: Sun Nov 04, 2018 8:07 pm

Re: Cheyne-Stokes percentage, via Oscar

Post by Miss Emerita » Fri Mar 03, 2023 10:49 am

Welcome! As Julie says, it'd be helpful to have more information, via a screenshot of an Oscar chart. If you can't post it here directly, you can use a hosting service like Imgur and provide a link.

Also, could you let us know what kind of machine you have and what your settings are? If you put your machine and mask information in your profile, it'll be right there whenever you post.

An index of 14 for central apnea is not normal. Do you know the breakdown of event-types from your sleep study? The basic breakdown would be into obstructive apnea, central apnea, and hypopnea.

The times flagged as "Cheynes-Stokes" may simply be periodic breathing. C-S breathing is a sub-category of periodic breathing. To figure out whether your periodic breathing is actually C-S breathing, it'd be helpful to get a zoomed in shot of your flow rate over an interval of about 15 minutes. Pick an interval in the green area that has a lot of CA flags.
Oscar software is available at https://www.sleepfiles.com/OSCAR/

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Cheyne-Stokes percentage, via Oscar

Post by palerider » Fri Mar 03, 2023 7:15 pm

haperlman wrote:
Fri Mar 03, 2023 8:05 am
Sorry, but brand new here.
Start with a single question.... per Oscar I have about 13% Cheyne-Stokes on an average night sleep. I researched but can't find if that number is significant.
Probably not.
haperlman wrote:
Fri Mar 03, 2023 8:05 am
mean, what is the percentage for a normal person without apnea?
zero.
haperlman wrote:
Fri Mar 03, 2023 8:05 am
Or do all people with apnea have this percent.
No
haperlman wrote:
Fri Mar 03, 2023 8:05 am
Or is 13% actually higher than it should be?
Yes, if it's legit, which it's almost certainly not.
haperlman wrote:
Fri Mar 03, 2023 8:05 am
What is a "high" Cheyne-Stokes percent?
much more than that.
haperlman wrote:
Fri Mar 03, 2023 8:05 am
As an addendum, almost all my apneas are "central", last night at 14/hour, thanks
Probably caused by extra ventilation caused by pressure relief.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

User avatar
ejbpesca
Posts: 214
Joined: Tue Dec 10, 2013 12:09 pm
Location: Alabama

Re: Cheyne-Stokes percentage, via Oscar

Post by ejbpesca » Sun Mar 05, 2023 10:41 am

For the first time in 15 years, that I'm aware, Cheyne Stokes events appeared on an OSCAR report. That night I also was wakened by the mask fluttering on my face several times. I wonder if that fluttering action caused OSCAR to indicate the CS events.

_________________
MachineMask

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Cheyne-Stokes percentage, via Oscar

Post by palerider » Sun Mar 05, 2023 2:49 pm

ejbpesca wrote:
Sun Mar 05, 2023 10:41 am
For the first time in 15 years, that I'm aware, Cheyne Stokes events appeared on an OSCAR report. That night I also was wakened by the mask fluttering on my face several times. I wonder if that fluttering action caused OSCAR to indicate the CS events.
CSR is a slow process, happening over a period of a number of breaths, with no breathing for a bit in between each waxing and waning.

Resmed is too eager to flag things as CSR when they're not really CSR.

But, no, mask 'fluttering' would not cause the periodic breathing that might be flagged.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.