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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Increase In The Heart Rate Even While Standing?

hi , i am 30 , if i stand up a bit too fast or something similar i can fell my heart pumping in my chest and change rythmn and people get little pains in their body and because of the heart changing rate and i can feel the pressure i get worried also about little pains in left arm when i get them but this might be my sleeping position but still i get worried about the heart thing if its A F atrial fib or something similar , ive been taking a low dose aspirin just in case and am making doctors appointment tommorow , i do not drink but smoke sometimes and am overweight but not obese im 6 foot and around 15 -16 stone i think , i am going to radically change lifestyle and diet and exercise , but am hoping you could share your insights and perhaps help calm me down a little as when i think about it i get stressed and panic a little , thanks , p.s im on a low dose of medication for previous opiate misuse ,but havent used any class A substances for years
Tue, 23 Jun 2015
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Cardiologist,  's  Response
Most of the times with all what you describe might just be plain increase in heart rate which is physiological, and you may perceive it more because of associated anxiety. Just relax during such episode, curtail your mind and it goes away mostly it is anxiety related. Now if the clinical suspicion is strong then get a 24 hour holter if the symptoms are everyday. A important note here is if you take more than prescribed dosage of your meds, there may be transient increase in heart rate and hence plz don't do the same.
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What Causes Increase In The Heart Rate Even While Standing?

Most of the times with all what you describe might just be plain increase in heart rate which is physiological, and you may perceive it more because of associated anxiety. Just relax during such episode, curtail your mind and it goes away mostly it is anxiety related. Now if the clinical suspicion is strong then get a 24 hour holter if the symptoms are everyday. A important note here is if you take more than prescribed dosage of your meds, there may be transient increase in heart rate and hence plz don t do the same.