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Cheyne-Stokes
I was initially dx'd with both obstructive and central sleep apnea over four years ago, then re-diagnosed w/same again about a year or two later. Each time, they have identified Cheyne Stokes breathing, but no heart problems, apart from a silent heart attack that shows up on my EKG from many years ago and none since. Nearly a year ago, my pulmonologist strongly recommended a complete cardiac and neurological workup to determine the cause of the Cheyne Stokes. Neither has been done. I wondered if anyone else has the Cheyne-Stokes in their apnea dx and what treatment or response your treating professionals have had? Any idea what causes it to be a part of sleep apnea?
Views: 60
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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Treatments can very with this type of apnea. Bpap ST or ASV are the most used types of treatments in cases like yours. Consult with your docs about the complete work up. The sooner the better as this will only get worse if not treated.
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Permalink Reply by Cheryl K Moralez on
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So reading more on the asv discussion, I realize why I have never heard of it! One of the postings there also talks about still waking up at night and their body, like mine, wanting to sleep all the time. Is this part of what you are referring to when you suggest that it will only get worse? Should I be looking at this more as a failure of the CPAP + O2 concentrator response? They did try out a Bi-PAP at the last test, but said that they got better numbers/results just staying with the CPAP.
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Hmmm.... There is always a cause for central apnea. Typically the source stems from nerological or cardivascular beginnings. it is very important that you allow your docs to find the source of the problem. If not the source will worsen and sleepiness will be the least of your problems.
Without being able to see your numbers or medical history I can't say whether or not CPAP has failed you. Doing so would not be fair to you or your medical team. i have seen CPAP eliminate centrals many times. More often than not Bpap ST will do the trick when CPAP fails. Bpap ST is BPAP with breathing support. Think of it as a partial ventilator. It more or less pushes you to breathe on your own. When both of these options fail ASV therapy is normally the last resort. I say this because there are really no other options after ASV. It is important that you do everything you can to eliminate the problem while you still have options. Don't wait get the work up your doc wanted.
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