Cheyne–Stokes respiration?

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AnnieLA
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Cheyne–Stokes respiration?

Post by AnnieLA » Sun Aug 04, 2013 8:57 am

Image
Is that Cheyne–Stokes respiration?
I seem to be suffering mainly from that type of breathing. My breathing goes from normal to intense and then it stops.

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Pugsy
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Re: Cheyne–Stokes respiration?

Post by Pugsy » Sun Aug 04, 2013 9:05 am

Your events don't look typical for CSR
This is what CSR looks like
Image

Just how many with the pattern, that you show above, are you seeing each night? Is your machine flagging it as Periodic Breathing?
Any of them look like the example I show?

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AnnieLA
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Re: Cheyne–Stokes respiration?

Post by AnnieLA » Sun Aug 04, 2013 9:24 am

Here's another example:
Image
It's happening every 10 to 20 minutes. They are mostly flagged as Clear Airway Apnea events.

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Todzo
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Re: Cheyne–Stokes respiration?

Post by Todzo » Sun Aug 04, 2013 9:53 am

AnnieLA wrote:Here's another example:
Image
It's happening every 10 to 20 minutes. They are mostly flagged as Clear Airway Apnea events.
I think something is bothering you. External noise? Mites? Heat?

I have noticed that my breathing stability is affected by hot weather (but I do not know were you live). It is just getting past the really hot time of year where I live. Last year I thought my breathing stability at this time of year was due to weight loss. This year, well, I have not lost that much additional weight so I guess that is not it.

As the diagram provided by another here testifies CSR is a time of very high breathing followed by none - again and agian. Yours have patterns that look like what I would expect if I were turning over in bed out of frustration. Indeed, recording the audio/video for the night might yeild some very good clues.

May we find good sleep!

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Re: Cheyne–Stokes respiration?

Post by -SWS » Sun Aug 04, 2013 10:25 am

AnnieLA wrote:Image
Is that Cheyne–Stokes respiration?
I seem to be suffering mainly from that type of breathing. My breathing goes from normal to intense and then it stops.
How much periodic breathing (PB) does your data reflect?

JDS74
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Re: Cheyne–Stokes respiration?

Post by JDS74 » Sun Aug 04, 2013 10:37 am

Does this look like Cheyne-Stokes?

I've gotten only a couple this long. Mostly they last only a minute of two.

Image

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Re: Cheyne–Stokes respiration?

Post by xdman911 » Sun Aug 04, 2013 11:10 am

Image

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Re: Cheyne–Stokes respiration?

Post by xdman911 » Sun Aug 04, 2013 11:24 am

JDS74 wrote:Does this look like Cheyne-Stokes?

I've gotten only a couple this long. Mostly they last only a minute of two.

Image

Looks like the chart I posted. Maybe someone with more experience interpreting these charts will chime in.

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JohnBFisher
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Re: Cheyne–Stokes respiration?

Post by JohnBFisher » Sun Aug 04, 2013 11:49 am

I'm certainly not an expert, but a couple things do jump out at me.

First, you note that it does not happen all the time. Rather, "It's happening every 10 to 20 minutes." That is, once every 10 to 20 minutes you get an event that looks like the following:

Image

That is, we have normal breathing leaking into this and normal breathing leading out of the event. Those are the areas highlighted with the green. The area under the red highlighting is what concerns you.

To me, it seems much more likely this is due to a slight arousal once every 10 to 20 minutes. This arousal would cause a sleep state transition. You might even barely awaken during the arousal. You might even re-position yourself in bed. This would possibly lead to one or two central apneas as your breathing shifts in and out of the sleep driven mechanism.

If you are not feeling rested in the morning, I would definitely discuss it with your sleep doctor. You might need to find what is causing the arousals and tackle that problem.

But that's just my inexpert guess. If you are very concerned about it, do talk with your doctor about it.

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Re: Cheyne–Stokes respiration?

Post by JohnBFisher » Sun Aug 04, 2013 11:52 am

JDS74 wrote:Does this look like Cheyne-Stokes? ... I've gotten only a couple this long. Mostly they last only a minute of two ...

Image
Yes. It does. But as I understand it, true Cheyne-Stokes respiration occurs all the time, not just a minute or two. Certainly you should talk with your doctor about it. But unless it's more than occasional, I doubt your doctor would worry about it. But it's always good to check, isn't it?

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Re: Cheyne–Stokes respiration?

Post by JohnBFisher » Sun Aug 04, 2013 11:57 am

xdman911 wrote:... Image of different respiration ...
Thanks! I had not seen the different types of respiration. Due to my neurological problems Ataxic Respiration is what I have. It's nice to be able to put a label to it. My breathing tends to be very irregular. Thanks for sharing that tidbit!

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AnnieLA
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Re: Cheyne–Stokes respiration?

Post by AnnieLA » Sun Aug 04, 2013 3:37 pm

Thank you all for your help! I do change sleep position every 10 to 20 minutes. So the arousal being the cause of the change in breathing patterns makes sense. I suspect upper airway resistance (from my nose/sinus cavities). But the CPAP has not been very effective. Maybe surgery will help.

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