Does Sinus Bradycardia During Sleep Indicate Heart Diseases?
Can it be coming from the esophagus and causing the heart to slow?
GERD may be causing your symptoms...
Detailed Answer:
Hi XXXX!
I read your query very carefully.
As long as recent cardiac examinations were normal (even the recorded 200 PAC, 15 single unifocal PVC and sinus bradycardia during sleep are to be considered normal) you shouldn't worry about cardiac issues.
What you are experiencing early in the morning is normal due to high adrenaline secretion on the early hours of the morning, which may be the cause of PAC and PVC.
Different people feel the palpitations in different way, my opinion is that what you feel is PVCs and compensatory pause that follow them which you experienced as alump on your throat. You shouldn't worry about that.
There are to many causes of palpitations (PAC and PVC). GERD (gastro esophageal reflux disease) may be causing your symptoms, because stomach and esophagus are in close contact with heart and any gastrointestinal distension (from hyperacidity, indigestion etc.) may cause palpitations. I recommend to take antacids to see if this relieve your symptoms.
This is why I strongly suggest contacting a gastroenterologist to exclude GERD or other gastrointestinal problems.
Hope this will be of help!
Wish you health!
Dr. Shehu
Sometimes I will be standing up and my heart rate when I check it is at 60-65 when I have this feeling. Is that normal for my heart rate to be around 65 standing?
What you are experiencing isn't dangerous even if it's caused by GERD.
Detailed Answer:
Hi back,
What you are experiencing isn't dangerous even if it's caused by GERD. It only bother you and increase your anxiety and concerns but as long as cardiac exams were normal there isn't any life risk to you.
Also It's normal for HR to be at 65 bpm when standing and you shouldn't worry about that. My advice is to stay relaxed and to contact a gastroenterologist to exclude GERD.
Wish you health!
Dr. Shehu
Following answer to your queries...
Detailed Answer:
Hi again back XXXXXXX
Yes it's normal after each premature cardiac beats is followed by a compensatory pause and by strong beats which are experienced as heart starting to race. you shouldn't worry about that.
Moreover keep in mind that every day activities and stress (work overload) may increase the frequency and intensity of palpitations. I recommend taking chamomile and valeriana tea to relax and to avoid caffeinated drinks.
Wish you health!
Dr. Shehu