I am having a difficult time dealing with anxiety relating to a "flutter" that I am having investigated for the twentieth time in 25 years. I don't get it during the day (so how can it be an arrhythmia?) only when starting to fall asleep and, for the past month the anxiety has been so extreme that I have been unable (except for a few times when i did NOT use the machine) to sleep more than 3 hours a day on the CPAP. Last night, for the first time i slept about 7 hours -- because i was sleeping on Seroquel (Quotiapine).
There are two parts to this: the "flutter" that starts when i drop off to sleep; and a palpable arrhythmia that appears to start when I am sleeping, and which I can feel in my left chest when i wake up. I don't get either of them when I am awake and walking around, etc.
I am filled with anxiety because I do not know whether I should be using the Respironics CPAP machine and CPAP mode; or the AutoSet in APAP mode. I was using pressures of 12.5 for most of 12 years on the Respironics, until I bought the new APAP machine in 2020, which I was using on AutoSet.
The "flutter" (not the "arrhythmia") was always mostly there; but it started getting "noisier" and stronger after I did some heavy work on a floor and the varnishing (without using enough masking and/or ventilation, probably) last September/October.
I am currently finding it difficult to put the mask on and continue therapy, because I wake up with the "flutter" (never diagnosed until now) and to stop focusing on it. Meaning: it's really difficult to get to sleep on either machine. I am wondering how much of my "flutter" and PACS/PVCs (or whatever they are) is actually driven by anxiety.
During the day, even on little sleep, I am totally functional and can drive around town or long distance (70 miles) usually without microsleeps (not always -- only if I have at least 4 hours sleep). But the "flutter" is making me insanely anxious.
Has anyone here had the same experience? How do you deal with the anxiety?
I finally managed to contact my sleep therapist who said I should STOP using the CPAP for a couple of days until my anxiety is cured. My family doctor sent me to the psychiatrist who didn't know what to do with me. He asked me what I wanted and I said "can you help me deal with the anxiety/lack of sleep" so he prescribed Seroquel/Quotiapine.
I am not short of breath, have no chest pain and i pray that nothing of any severity shows up on my recent Holters, Echo, or Treadmill.
Once again, i ask, does anyone here have a similar experience and, can you tell me how you deal with the anxiety and a potential arrhythmia? I constantly have intrusive thoughts about death and heart attack/failure, wheelchairs, oxygen bottles, and so many "prognoses" from evil spirits taunting me, that it's very difficult to ignore. In fact, i have been pacing the floor at 3 - 6 am for most of the past month.
NOTE: all of this (except the PVCs/PACs) has happened to me before (even between 2006-2008 in the UK, where I had no CPAP or medication) at least four times and can be correlated with chronic stress, exposure to mold or environmental toxins (I am severely allergic) or, in the recent case, the construction work (huge amounts of floor dust; and Polyurethane without much masking/ventilation).
Machines
AirSense Autoset 10 For Her (3 years+)
Respironics System One (12 years)