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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi Doc, I have been waking up out of my

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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2189 Questions

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Posted on Fri, 4 Jan 2019 in Hypertension and Heart Disease
Question: Hi Doc,
I have been waking up out of my sleep the last 6 months right before deep sleep with a pounding heart and goes away after 2 minutes of waking up. I notice since i have been on the valsartan my resting heart rate is between 50-60 beats and sleep 50-55 beats. I have had houlter monitors, ecocardio gram and may ekg's and blood work and all is normal. Could the valasartan becausing this issue? and if so how long would it take before my heart rate goes back to normal. I have been having insomnia due to this issue.

Please help!
doctor
Answered by Dr. Bhanu Partap 1 hour later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After going through the medical details provided by you I can understand your concern and I would like to tell you that valsartan is not the cause for this in your case.

Most likely it seems to be due to some night terrors or some anxiety issue. I would like to suggest you start follow ring healthy lifestyle routine which includes daily morning walk for at least 45 minutes for five days a week, healthy eating habits, avoid consuming too much of coffee, stop smoking, and try to make a daily routine to go to bed on a fixed time.

Also if you Can start practising yoga or meditation for few minutes daily that will be really helpful for you.

Follow this routine strictly for a month or so and even after that if your symptoms doesn’t subside then I would like to suggest you to take the help of a psychiatrist.

Hope to have been helpful

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Bhanu Partap 33 minutes later
I might agree.
What about the low heart rate in the evenings and while sleeping 50-60 beats?
doctor
Answered by Dr. Bhanu Partap 14 minutes later
Brief Answer:
Hello again

Detailed Answer:
During sleep heart rate can go as low as up to 30-35 bpm but that’s totally normal.

And during rest a heart rate of 50 to 60 is normal. A lower heart rate along with symptoms like giddiness, sense of fainting or feeling of blackouts is a matter of concern. If there are no symptoms then there is nothing to worry.

However if the rate is going even below 50 while you are awake then the dose of medicine needs to be reduced.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Remy Koshy
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