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Suggest Remedy For Severe Heart Palpitations
Question: Several months ago- I started noticing that almost every morning when I awake - it feels like my heart is racing very fast-when I touch my pulse- it seems fast too- this last for about 5-10 min then subsides- I had stopped notifying it for several weeks - but then started up again- I have been tested & don't have Sleep Apnea-
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that your transient fast heart beating in the morning doesn't denote any dangerous cardiovascular conditions.
The fact your Holter monitoring and cardiac stress test have resulted normal excluded possible cardiac arrhythmia.
(1) From the other side, you should know that there exists a higher level of cortisol and circulating catecholamines (well-known substances that promote heart rat increase) during the early hours of the morning.
This may explain why you perceive tachycardia after you wake up in the morning.
(2) Another explanation may be some kind of orthostatic intolerance, manifested with relative orthostatic hypotension and tachycardia when you stand up from the sitting or laying position in the morning.
A decrease of more than 20 mmHg in systolic blood pressure value after standing upright form the laying position may confirm such a suspicion.
If enough suspicions are raised, then a Head Up Tilt table test should be done to confirm the diagnosis.
(3) Coming to this point, I would recommend performing some lab tests like:
- complete blood count (to rule out possible anemia),
- thyroid function test (for possible dysfunction),
- blood electrolytes level,
- blood fasting glucose,
- renal function tests, etc
You need to discuss with your attending physician about the above mentioned options.
Hope to have been helpful to you!
Feel free to ask me in case of further uncertainties.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that your transient fast heart beating in the morning doesn't denote any dangerous cardiovascular conditions.
The fact your Holter monitoring and cardiac stress test have resulted normal excluded possible cardiac arrhythmia.
(1) From the other side, you should know that there exists a higher level of cortisol and circulating catecholamines (well-known substances that promote heart rat increase) during the early hours of the morning.
This may explain why you perceive tachycardia after you wake up in the morning.
(2) Another explanation may be some kind of orthostatic intolerance, manifested with relative orthostatic hypotension and tachycardia when you stand up from the sitting or laying position in the morning.
A decrease of more than 20 mmHg in systolic blood pressure value after standing upright form the laying position may confirm such a suspicion.
If enough suspicions are raised, then a Head Up Tilt table test should be done to confirm the diagnosis.
(3) Coming to this point, I would recommend performing some lab tests like:
- complete blood count (to rule out possible anemia),
- thyroid function test (for possible dysfunction),
- blood electrolytes level,
- blood fasting glucose,
- renal function tests, etc
You need to discuss with your attending physician about the above mentioned options.
Hope to have been helpful to you!
Feel free to ask me in case of further uncertainties.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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