Free CPAP Advice and Sleep Apnea Treatment Help Board • View topic - Periodic Breathing?
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mike1975
Unread post  Post subject: Periodic Breathing?  |  Posted: Wed Mar 25, 2020 8:03 am

Joined: Wed Mar 25, 2020 6:12 am
Posts: 1

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I have been using my Respironics Dreamstation APAP for about 6 months now.
I noticed that on many nights but not all nights, that I register PB (Periodic Breathing) in the range of 1-3%.
On some nights I register 0%.
I have attached 4 PB episodes from last night.
I was wondering if these are something I need to be concerned about and bring back to my sleep doctor?
Or are these part of normal sleep?


Attachments:
File comment: PB#4
Screen Shot 2020-03-25 at 11.00.26 AM.png
Screen Shot 2020-03-25 at 11.00.26 AM.png [ 196.06 KiB | Viewed 52 times ]
File comment: PB#3
Screen Shot 2020-03-25 at 11.00.17 AM.png
Screen Shot 2020-03-25 at 11.00.17 AM.png [ 184.42 KiB | Viewed 52 times ]
File comment: PB#2
Screen Shot 2020-03-25 at 11.00.08 AM.png
Screen Shot 2020-03-25 at 11.00.08 AM.png [ 184.4 KiB | Viewed 52 times ]
File comment: PB#1
Screen Shot 2020-03-25 at 10.59.22 AM.png
Screen Shot 2020-03-25 at 10.59.22 AM.png [ 166.4 KiB | Viewed 52 times ]
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Pugsy
Unread post  Post subject: Re: Periodic Breathing?  |  Posted: Wed Mar 25, 2020 11:28 am
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 1589
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirSense 10 AutoSet for Her
Humidifier: ResMed AirSense 10
Pressure Setting: Depends on the machine as I actually have more than one

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Periodic Breathing by definition is a waxing and waning of the air flow that lasts for at least 2 minutes.
It's not necessarily a cause for alarm unless it looks like CSR Cheyne Stokes Respiration which is a very specific pattern to the breathing and even then a person needs to have a very large amount of it going on along with a lot of central apneas being flagged within that breathing before doctors become alarmed.

Not all flagged periodic breathing is Cheyne Stokes Respiration breathing.
The pattern for CSR looks like this

Image

or these from the software most of us use

Image

Image

I think that you can easily see that your flagged PB looks nothing at all like CSR and CSR is really all that people stand up and really look at when there is a lot of it.
I call what you are seeing as plain ordinary PB...I see it myself sometimes like you are seeing it somethings. It really means nothing. Often I know that sometimes I am even awake when mine gets flagged.

Here's one of mine.
Image

Finally 1 to 3 % really isn't a large amount and even if it were really CSR it doesn't necessarily mean a cause for alarm. If it really bugs you then by all means ask your doctor about it but I am betting he won't be concerned at all.


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