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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal Heart Beats While Sleeping?

Sometimes I have bigeminy for hours or days. I have been diagnosed with thyroiditis and subacute hyperthyroidism, but have no other indicators of heart disease. I am a 61 year old male. My concern is mainly with sleeping, as the bigeminy is very distracting when I am lying quietly in bed. I take beta-blockers (atenolol) and use lorazepam to get to sleep at night. I am also on terazosin originally for high blood pressure and now for BPH. I have had lifelong high blood pressure and I have polycystic kidney disease. Currently all kidney readings are within the high normal range. I also take beclovent for asthma prevention. I exercise regularly (about 5 hours a week of tennis and other short workouts).
Mon, 6 Apr 2015
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Cardiologist 's  Response
Hello! Thank you for asking on HCM! Regarding you concern I would explain that in your situation there are some elements that may trigger those abnormal ectpic beats.
(1) Thyroiditis with acute hyperthyroidism, or even susequent hypothyroidism may trigger arrhythmia, mainly supraventricular (extrasystolic arrhythmia, atrial fibrillation or flutter, etc). This is because of excessive sensitization of the tissues from catecholamines.
(2) Your pulmonary problems are a very favourable environment to exacerbate arrhythmia. A compromised functional lung status with its derived complications id frequently associated with cardiac ectopic beats.
(3) Kidney disease and High BP, my lead to LV myocardial hypertrophy, and predispose to arrhythmia.
(4) Ischemic heart disease may be another explanation. though there are not clinical signs to confirm that. Because you have coronary risk factors (like high BP, kidney disease, eventual dyslipidemia, etc) you should pay attention even on that direction.

Hope to have been helpful to you. Greetings!
Dr. Iliri
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What Causes Abnormal Heart Beats While Sleeping?

Hello! Thank you for asking on HCM! Regarding you concern I would explain that in your situation there are some elements that may trigger those abnormal ectpic beats. (1) Thyroiditis with acute hyperthyroidism, or even susequent hypothyroidism may trigger arrhythmia, mainly supraventricular (extrasystolic arrhythmia, atrial fibrillation or flutter, etc). This is because of excessive sensitization of the tissues from catecholamines. (2) Your pulmonary problems are a very favourable environment to exacerbate arrhythmia. A compromised functional lung status with its derived complications id frequently associated with cardiac ectopic beats. (3) Kidney disease and High BP, my lead to LV myocardial hypertrophy, and predispose to arrhythmia. (4) Ischemic heart disease may be another explanation. though there are not clinical signs to confirm that. Because you have coronary risk factors (like high BP, kidney disease, eventual dyslipidemia, etc) you should pay attention even on that direction. Hope to have been helpful to you. Greetings! Dr. Iliri