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+--- Thread: Starting CPAP - Central Apneas - Treatment emergent or Cheyne-Stokes? (/Thread-Starting-CPAP-Central-Apneas-Treatment-emergent-or-Cheyne-Stokes)
Starting CPAP - Central Apneas - Treatment emergent or Cheyne-Stokes? - darthalby - 01-15-2025
Hello! This is my first post here so go easy on me.
Typical story here. Early 30s, 6' and 200lbs. Always been a snorer, but last few years started to develop more of the OSA symptoms. Finally did a test through lofta since sleep medicine in my area was moving too slowly through insurance. Test came back with moderate apnea at 15.9. Test showed 0 central apnea, but I am not sure if the Lofta Watch PAT even tracks those properly?
Anway, got my CPAP and the first few nights have been:
AHI, Obstructive, Open Airway/Central, Hypopnea
2.9 - 0.10, 2.20, 0.5
1.37 - 0.00, 1.2, 0.17
4.24 - 0.15, 3.36, 0.73
2.35 - 0.17, 1.68, 0.5
2.37 - 0.12, 2.12, 0.12
1.82 - 0.0, 1.36, 0.45
I feel very fortunate that the start of my therapy has gone really well, better than I could imagine. Genuinely, life changing for me overnight. The only concern i have really is the open airway/central apnea events. I have read this can be common when starting treatment, but some of the patterns in my breathing look like CSR? I have settled on keeping ramp on auto, and turning off EPR which seems to help.
This one was last night:
[attachment=74219]
This one was my second night, just a weird grouping. This was as I was falling asleep I think? Or at least near the start. This is the only time I've seen a cluster like this:
[attachment=74220]
One other I found interesting:
[attachment=74221]
RE: Starting CPAP - Central Apneas - Treatment emergent or Cheyne-Stokes? - darthalby - 01-15-2025
Someone pointed out to me I can share everything with SleepHQ if that is more helpful:
sleephq.com/public/teams/share_links/9c6149b0-1ebd-4e56-b3ff-1f65ecd14d77
RE: Starting CPAP - Central Apneas - Treatment emergent or Cheyne-Stokes? - ChadBSr - 01-15-2025
Some good news first, this isn't chayne Stokes. Did you have an centrals on your sleep study?