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What Causes Feeling Like Chest Going To Explode With Hypertension History?
I am a physician and have not been able to get a straight answer on thses symptoms myself. I will wake up from a nightmare where my chest feels like it is going to explode. I normally have a fast heart rate in the low 90's. When I wake up I am in the 60's and by 30 seconds am back to a normal rate and the chest pain abates. I have no history other than HTN and have had these symtoms over a decade. I have been on anti-hypertensives for about 4-5 years so it is not the medication.
Wed, 30 Sep 2015
Hello!
Thank you for asking on HCM!
I read your question carefully and understand your concern.
Your symptoms seem to be related to nightmares and anxiety. This is a common sleeping disorder, associated with autonomic nervous system activity.
Have you measured your blood pressure during these episodes?
I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests :
- complete blood count
- fasting glucose
- thyroid hormone levels (thyroid dysfunction could explain some of your symptoms)
- kidney and liver function tests
- blood electrolytes, etc.
An ambulatory 24-48 hour monitoring would be necessary to exclude a possible cardiac arrhythmia.
Hope to have been of help!
Best wishes,
Dr. Iliri
Thank you for asking on HCM!
I read your question carefully and understand your concern.
Your symptoms seem to be related to nightmares and anxiety. This is a common sleeping disorder, associated with autonomic nervous system activity.
Have you measured your blood pressure during these episodes?
I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests :
- complete blood count
- fasting glucose
- thyroid hormone levels (thyroid dysfunction could explain some of your symptoms)
- kidney and liver function tests
- blood electrolytes, etc.
An ambulatory 24-48 hour monitoring would be necessary to exclude a possible cardiac arrhythmia.
Hope to have been of help!
Best wishes,
Dr. Iliri
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