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Treatment for heart beat rate - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I wanted to run something by you. A year ago I had an episode of tachy heart was at 140-160 for about 15 minutes. I had a full cadio workup (stress, echo, event monitor, carotid scan) that all came out normal besides rare PAC’s at peak exercise and PAC’s day to day.
For the past 6 months I have been waking up in the middle of the night and upon standing, about 20-30 seconds post standing my heart rate will jump to 120-135 and my heartbeat will be forceful, then it will seem to try to slow down, then speed up again. This cycle repeats itself for about a minute or two. I feel anxious when this happens.
I do not get this when I get up to work in the morning, or after taking a nap, it only seems to happen between 11-3 am.
Is this something a test could miss, or should I be concerned. On the event all they said they found was normal sinus tachy, and nothing else alarming, but these episodes feel odd.
I am 33, M, 160 lb with no family history of any heart disease.
Doctor :   Hi
User :   Hello
User :   ok great
Doctor :   There are physiological variation in heart beats
User :   ok
Doctor :   when you stand up heart beat increases
Doctor :   especially when you wake from sleep with some fear it will definitely increases
User :   so you think this might be anxiety driven increase?
User :   the odd things is it only happens about 30 seconds post standing only at night
User :   for instance last night it lasted about a minute and through me into a panic
User :   but I am not always panicky
User :   hello?
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