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Cluster Central apneas when falling asleep
#1
Cluster Central apneas when falling asleep
I'm curious about these CAs I have when I am falling asleep.  I've reviewed the topics on the forum and haven't found much.  Perhaps you can enlighten me.  I normally will have a few Centrals during the night, but not many.....3 or 4.  I will also have a few when I am waking up and I do remember a post where these were considered "junk" data.....something like that.  When I am trying to fall asleep, and in that twilight mode, I can feel myself stop breathing and that wakes me....sometimes it's a bit panicky.  That happened last night and you can see on my chart, where I put my mask back on, I am going to fall asleep, and I have these clusters of Central Apnea.  I'm always interested in your insight.  The board moderators have helped me a great deal in transitioning to sleep apnea therapy, and I am overall doing well.  Thank you in advance


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#2
RE: Cluster Central apneas when falling asleep
Central apnea events at sleep onset transition is not unusual, and it seems to clear up over time. There is not much we can do therapeutically to treat it. During this transition from wakfulness to sleep, the respiratory system goes from a mostly conscious voluntary activity to the autonomic respiratory response that relies mainly on CO2 levels to pace respiration. This transition is not always seamless, and some clusters of CA can occur. In your case it clears up pretty quickly and normal respiration prevails through the night.

You can search for Transitional Sleep Apnea and a site call ScarySymptoms has a very simple discussion of it.
Sleeprider
Apnea Board Moderator
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: Cluster Central apneas when falling asleep
Many thanks Sleeprider!  I'll check out those suggested sites.
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#4
RE: Cluster Central apneas when falling asleep
White oak - I have the same issue as you.  Kicking my butt right now.  How are you dealing with if?
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#5
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RE: Cluster Central apneas when falling asleep
It’s usually a positional....chin tucking problem.  I make sure that I use a good pillow with neck support. I also fall asleep on my back and am cognizant to keep my head tilted back as I fall asleep.  I use a nasal mask and tape my mouth. A full face mask pulls my head forward and I always have lots of cluster Apneas when using a full face mask. I have had mixed results when using a soft collar neck support and I generally don’t use it. I have come to accept that on some nights I will have cluster events.  Just the way it is, but overall , in the long term, my numbers are good, I feel good, and I don’t worry about it.  
These last comments are in regard to cluster obstructive apnea events.  I do have cluster Central apnea events at the onset of sleep regularly, but as Sleeprider commented, this is a transitory phase that often happens as the autonomic system takes over your breathing during sleep. The events don’t last long.  
Hope this helps. Good luck, and get some sleep.
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#6
RE: Cluster Central apneas when falling asleep
May I ask what causes it? Can anxiety be the cause?




(02-03-2021, 12:58 PM)Sleeprider Wrote: Central apnea events at sleep onset transition is not unusual, and it seems to clear up over time. There is not much we can do therapeutically to treat it.  During this transition from wakfulness to sleep, the respiratory system goes from a mostly conscious voluntary activity to the autonomic respiratory response that relies mainly on CO2 levels to pace respiration.  This transition is not always seamless, and some clusters of CA can occur.  In your case it clears up pretty quickly and normal respiration prevails through the night.

You can search for Transitional Sleep Apnea and a site call ScarySymptoms has a very simple discussion of it.

May I ask what causes it?

Interestingly, if I obsessively focus on my breathing, I have it every single time I try to fall asleep nowadays. Eventually, my body gives it up and I fall asleep.

But when I somehow manage to ignore it completely, it goes away. Can anxiety be the triggering cause?
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#7
RE: Cluster Central apneas when falling asleep
I know this is an old thread but I’d also like to know if anxiety or pa if disorder and increase CA events
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#8
RE: Cluster Central apneas when falling asleep
If it is clusters of events during a transition in or out of sleep, it can be called SWJ meaning sleep wake junk. Causation would then be linked back to stutters in the breath control during handoff between waking and sleeping. Waking breath is also much more erratic than sleeping.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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