Central Sleep apnea??? anyone???

Bf516
on 8/9/12 7:28 am
Has anyone been diagnosed with central sleep apnea???

This diagnosis has postponed my surgery date :(


If you have been diagnosed, was you able to get the sleeve? has the central sleep apnea went away with weight loss?



I'm upset that I was just diagnosed w/this & now fearing a new diagnosis :(

HELP!!
thunderhand
on 8/9/12 7:54 am - mississauga, Canada
VSG on 06/11/12
 no idea what central  is,, but i have sleep apnea,,, went for study and using cpap 
for a year before surgery.. had vsg ,, they asked me to bring it to hospital and use it after surg in the hospital.
Bf516
on 8/9/12 8:12 am
Central sleep apnea is the lack of nerve control for sleep.
Ex: The nerves aren't sending pulses correctly to breath at a normal rhythm.
mimij
on 8/9/12 12:26 pm - McDonough, GA
VSG on 10/03/12
Weight is not a factor in central apnea. It is affected by impulses, or lack thereof, in your brain. Please ask your pulmonologist or sleep study physician to explain. Obstructive sleep apnea can be influenced by weight but even then, you cannot make a blanket statement about that. Some people with obstructive sleep apnea or central apnea or a combination of the two are stick thin.
Don't be upset. Talk with your doctor and ask questions until you understand. I have OSA but not central apnea. I know many people who do have it. A good forum to visit is cpaptalk.com.
There are many supportive and knowledgable apnea patients who can answer your questions. Best wishes to you.

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Bf516
on 8/9/12 8:16 pm
 Ty :)
hwag5149
on 8/9/12 12:36 pm
I was on a CPAP for a few years and it wasn't working as well as it should have and they said that the extreme and constant pressure of the CPAP can cause central apnea (which they tested me for). I had a really high pressure. They ended up giving me a BiPap machine instead of CPAP.

HW 380.8+  SW- 371.4  CW- 234.4  GW- 200 

 

Bf516
on 8/9/12 8:17 pm
 The biosphere they tried me on kept waking me up, so annoying!!!

Any relief or lessen with weight loss, for you?
hwag5149
on 8/10/12 10:02 am
I believe it has greatly lessened with WL but it's still here. I've slept about 10 nights without the BiPap and I definitely wasn't waking up choking like I was before I had the machine. I've had mine for about 5 years though and I NEVER used to sleep without it.

HW 380.8+  SW- 371.4  CW- 234.4  GW- 200 

 

happyteacher
on 8/9/12 3:09 pm
I worked in a sleep lab for more than a decade before teaching...

Central sleep apnea is essentially like holding your breath while you are sleeping.  There is no effort to breath, meaning no effort in the rib cage area where they had a monitor on you.  This is distinctly different from obstructive sleep apena.  In that instance, there is effort in the attempt to breath (movement in the rib cage) but the throat is closed down due to lack of muscle tone.  For the obstructive patients, they wake up, regain the muscle tone, breath, fall back asleep, repeat.  These patients typically are overweight, but not always.  

Central apnea is far less common.  It makes me wonder if you had hypopneas or mixed apneas.  Typically I would have only seen central apnea in stroke patients, although again please do not view that as a hard and fast rule.  

The surgery likely is postponed because cpaps are not terribly useful in treating central apnea, unless techonolgy has changed since I was in the lab... that is possible given I have been out of the field for over 10 years now.   If they do another cpap study to titrate you for cpap, see if you can get them to give you a bipap.  That one offers one pressure for inhaling and a different pressure for exhaling.  Hwag is a classic case of a the pressure causing centrals... I would see that if the pressure was too high or in limited cases in patients who do not tolerate cpap well, but can tolerate bipap.  

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Bf516
on 8/9/12 8:20 pm
 I have had a stroke many yrs ago & doc says that's what contributed to my CSA.
However, I do have mixed SA.

In you experience, any relief or lessen in weight loss?
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