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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard And Fast Beating Heart?

Dr. when I go to bed my heart begins to beat hard and fast, especially when I try to sleep on my side. I usually take 500 mg. of metformin and Ambien CR when I can, just before I retire. I cannot sleep. Last night I only slept about 15 or 20 minutes because I didn t have any Ambien CR. When could be the cause?
Mon, 4 May 2015
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Psychiatrist,  's  Response
Hi,welcome to Healthcare magic.
Thanks for posting your question on this forum.
I understand your query and concern.
You probably seem to have orthostatic hypotension.This can be due to autonomic nervous system dysfunction.This condition needs review of your body electrolytes and a 24 hour holter monitoring.Maintain adequate hydration with 4 liters of water each day.Drugs like fludrocortisone will help to control your symptoms.I advise you to have a baseline ECG and 2 dimensional echo on the follow up to have a recent quick review of your cardiac functional reserve.
Consult an expert cardiologist for further expert management.
Post your further queries if any.
Thank you.
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What Causes Hard And Fast Beating Heart?

Hi,welcome to Healthcare magic. Thanks for posting your question on this forum. I understand your query and concern. You probably seem to have orthostatic hypotension.This can be due to autonomic nervous system dysfunction.This condition needs review of your body electrolytes and a 24 hour holter monitoring.Maintain adequate hydration with 4 liters of water each day.Drugs like fludrocortisone will help to control your symptoms.I advise you to have a baseline ECG and 2 dimensional echo on the follow up to have a recent quick review of your cardiac functional reserve. Consult an expert cardiologist for further expert management. Post your further queries if any. Thank you.