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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pulse To Go Down During Sleep?

I am a 34 yrs old woman w/2 children. I have high blood pressure. I went to t ER on t 20th. They admitted me fo 24hrs. because t attending caught my pulse going from 66bpm to 197bpm in a matter of seconds. This comes in waves, meaning that I will b fine for 10-15mins,and then BOOM! Pulse goes close or above 200bpm. It hurts so bad! This is all while lying down w/no stimulation. The doc took me off my clonadine,lisinopril,and amlodipine to metoprinil ER once a day. Now my pulse goes down to the 40 s. I went to t ER cuz t doc said to come back if my pulse went below 60. The nurse and doc were so rude n dismissive, they gave me info on stress reaction n booted me out! Nobody on t niteshift (it was 3am) believed anything I said. I do have panic disorder, but this was like nothing I ever felt b4. I am afraid to sleep because my pulse goes so low I forget to breathe and sit straight up to take a deep breath. I ve never had sleep apnea but that is the only medical way to describe it. Please help me, because the ER docs don t care as long as they can get u outta there! I have nursing experience but cannot diagnose myself...frustrated and helpless in CA.
Fri, 10 Oct 2014
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Neurologist 's  Response
If your pulse goes down to the 40s I think you should stop, or at least reduce metoprinil. A visit to a general practitioner or cardiologist soon or later is recommended though, since I don't have your EKG or performed a physical exam.
I don't know how medical system is organized in your country and not that I want to defend the medical staff if they were really rude, but why don't you take counsel from your general practitioner during the daytime. ER doctors can't be expected to take care of every case and do follow-up visits, if it's not an emergency at times it's hard for a tired, overworked doctor to have patience at 3AM.
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What Causes Pulse To Go Down During Sleep?

If your pulse goes down to the 40s I think you should stop, or at least reduce metoprinil. A visit to a general practitioner or cardiologist soon or later is recommended though, since I don t have your EKG or performed a physical exam. I don t know how medical system is organized in your country and not that I want to defend the medical staff if they were really rude, but why don t you take counsel from your general practitioner during the daytime. ER doctors can t be expected to take care of every case and do follow-up visits, if it s not an emergency at times it s hard for a tired, overworked doctor to have patience at 3AM.