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What Causes Sleep Disorders In A Person Suffering From Angina Pectoris?
Question: Have had angina for many years with medication. The medication was changed in the summer and I feel better than ever, don't even use nitro anymore. However , a holter monitor for 24 hours revealed that my heart will stop occasionally while sleeping. I feel nothing when this happens and my heart rate at rest during the day is usually around 84. Any suggestions on the sleep problem? Thank you.
Brief Answer:
I would like to review your uploaded Holter results.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is normal to have a low heart rate during sleep. It can reach even 30 bpm frequency.
These changes are related to the physiological predomination of the parasympathetic nervous system during the night.
You should know that the sinusal pauses up to 2-2.5 sec are normal, when the the sinus rhythm is the only rhythm detectable on the Holter recordings and there is not any presence of atrio-ventricular and sino-atrial conductance abnormalities.
If these pauses are detected only during sleep, and not during the day, there is nothing to worry about.
But if these changes occur even during the day, it would raise suspicions of possible Synus Syndrome caused by cardiac ischemia.
Anyway, a more rational opinion would be possible if I could directly review your Holter recordings.
Please, could you upload them for a review?
Hope to have been helpful!
I am at your disposal for further questions, whenever you need!
Greetings!
Dr. Iliri
I would like to review your uploaded Holter results.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is normal to have a low heart rate during sleep. It can reach even 30 bpm frequency.
These changes are related to the physiological predomination of the parasympathetic nervous system during the night.
You should know that the sinusal pauses up to 2-2.5 sec are normal, when the the sinus rhythm is the only rhythm detectable on the Holter recordings and there is not any presence of atrio-ventricular and sino-atrial conductance abnormalities.
If these pauses are detected only during sleep, and not during the day, there is nothing to worry about.
But if these changes occur even during the day, it would raise suspicions of possible Synus Syndrome caused by cardiac ischemia.
Anyway, a more rational opinion would be possible if I could directly review your Holter recordings.
Please, could you upload them for a review?
Hope to have been helpful!
I am at your disposal for further questions, whenever you need!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. Sharka,
Sorry, I do not have a copy of the results but was told by my cardiologist that the longest pause was about 4 seconds. There are no pauses during the day. I am seeing him next week.
Regards,
xxxxx
Sorry, I do not have a copy of the results but was told by my cardiologist that the longest pause was about 4 seconds. There are no pauses during the day. I am seeing him next week.
Regards,
xxxxx
Brief Answer:
You can wait calmly your doctor appointment.
Detailed Answer:
Hello again XXXXXXX
As I said you before, sinus pauses during deep sleeping are considered normal.
You have to relax, as nothing serious will happen during those few seconds periods(2-2.5-more than 3 sec).
I would be better to review those ECG recordings, anyway you can wait calmly your doctor appointment, because no any adverse cardiac disorders seems to be responsible for this clinical scenario.
Hope to have been helpful!
Best wishes,
Dr. Iliri
You can wait calmly your doctor appointment.
Detailed Answer:
Hello again XXXXXXX
As I said you before, sinus pauses during deep sleeping are considered normal.
You have to relax, as nothing serious will happen during those few seconds periods(2-2.5-more than 3 sec).
I would be better to review those ECG recordings, anyway you can wait calmly your doctor appointment, because no any adverse cardiac disorders seems to be responsible for this clinical scenario.
Hope to have been helpful!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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