Possible reasons from chest pain from CPAP?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Todayistomorrow
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Joined: Fri Jul 05, 2013 2:13 pm

Possible reasons from chest pain from CPAP?

Post by Todayistomorrow » Fri Jul 05, 2013 2:37 pm

I just started on CPAP. It's been pretty frustrating so far which I understand is the norm for getting started. The first few nights I was unable to use it for long periods because of how painful the full face mask was. I switched to the Swift FX nasal pillows and found that more comfortable and have used it for 5+ hr past two nights.

Last night I experienced pretty severe chest(heart) pain. I'm known to be a worrier ever since my car accident so try not to overreact to stuff like this and just took my mask off. An hr later I woke up and the pain was gone so I put the mask back on and had no further problems the rest of the night(I was more tired than usual this morning).

I called my CPAP provider, and they said I should call my Dr. or go to the ER. I've done a search of my symptoms and I know other people have experienced chest discomfort when starting out with CPAP. Anyone have any idea why my CPAP machine would cause chest pain? Maybe it has to do with humidity and am somehow getting fluid in my lungs?

I have an auto Phillips Respironics system one machine and the pressure is set at 6-12. If I get pain again tonight, then I'll stop and go to Urgent Care Clinic since it's the weekend. I'm just not sure if this a reason I should stop treatment or push through and see if it resolves itself. Thanks for any input.

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jdm2857
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Re: Possible reasons from chest pain from CPAP?

Post by jdm2857 » Fri Jul 05, 2013 2:46 pm

Any severe chest pain should be checked out pronto.

I'm not sure if the Urgent Care clinic is the place to go.
I think I would chose the ER of the closest decent hospital,
if there's one within a reasonable distance.

And, if you have no contraindications, I'd pop a baby
aspirin (or even half of a regular one) just in case.
jeff

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DiverCTHunter
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Re: Possible reasons from chest pain from CPAP?

Post by DiverCTHunter » Fri Jul 05, 2013 3:38 pm

Try playing around with the A-Flex settings if the nurse at the Urgent Care says you're OK.

If the RT forgot to turn the A-Flex on, then you may just be feeling your diaphragm working harder to exhale. This should only cause mild chest pain, though. The one thing I don't like about the PRS is that the A-Flex algorithm only gives you 3 exhale patterns to chose from and you have to select them before turn on the therapy mode. From what I've heard from the S9 owners here, the EPR algorithm does a better job.
When in doubt, open the case. Remember: If you can't open it, you don't own it!

Prescribed APAP range - 6-10 cm/H2O, titrated at 8.
Current range - 9.0-11.5 cm/H2O - still searching for the magic "zero night" but averaging 2.2 AHI

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oak
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Re: Possible reasons from chest pain from CPAP?

Post by oak » Fri Jul 05, 2013 4:28 pm

your chest pain may not be related to CPAP at all. please consider going to the ER if this happens again, or get a cardiology consult.

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Mask: Swift™ FX For Her Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
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allen476
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Re: Possible reasons from chest pain from CPAP?

Post by allen476 » Fri Jul 05, 2013 5:14 pm

Chest pain can be a whole host of things from Atrial Fib to Indigestion to a Heart Attack.

First, most urgent care centers won't be able to do anything for you cardiac wise. I highly recommend going to the ER.

Check your symptoms yourself. Shortness of breath, radiating pain down the right arm, severe headache, irregular heartbeat, and palpitations along with chest pain need to be evaluated ASAP in the ER.

There can be chest pain when you first start CPAP. It is from your chest muscles not used to exhaling against the pressure. Many have this in the first week or two. I had it. It felt like an elephant sitting on my chest. It went away after 3 weeks though.

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John from Brookston
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Re: Possible reasons from chest pain from CPAP?

Post by John from Brookston » Sat Jul 06, 2013 12:21 pm

Take it from somebody who's recently found out for himself, if you have chest pains, get an aspirin and dial 911. Don't drive yourself to the ER, if something happens before you get there, there's nobody to ventilate and CPR you.

If they find nothing wrong with your heart, then the most likely explanation is that your chest wall muscles aren't used to having to push against pressure to exhale. They'll get used to it.
You'll also be able to nail blowing out all the birthday candles till you're about 110...

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Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Additional Comments: BiPAP, running 19/13, no ramp. No meds, have a True-Blue nasal mask, too, and a Quattro for stuffy-nose nights.
Big fat guy who's diabetic, on HRT, and now a heart attack survivor as well as having OSA (boy, I sure won the genetic rodeo, din't I?). Ham Radio operator and I have a black tomcat named "Bart" who looks like an old prize fighter.