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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations Upon Waking Up?

I have chest palpitations when I wake up. I have had an ecg and an echocardiogram and everything is fine according to my family doctor. I have had a cough occasionally that has hung on. I also am experiencing some sinus infection which is new to me. I had pneumonia when I was 13. Any suggestions?
Mon, 22 Aug 2016
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General & Family Physician,  's  Response
Common causes of heart palpitations include: strong emotional responses, such as stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. This is not related to past medical history of pneumonia. You have not mentioned your current age.
Advice
1.     Amoxicillin 500 mg every 8 hours per oral for 7 days
2.     Alprazolam 0.25 mg per oral at bed time for one month
3.     Do gargle with slight warm salt water five times daily
4.     Avoid dust, smoking, alcohol, and coffee
5.     Avoid strenuous physical activity and mental stress
6.     Investigation - Holter monitor for 24 hours, Hb%
Thanks
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What Causes Heart Palpitations Upon Waking Up?

Common causes of heart palpitations include: strong emotional responses, such as stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. This is not related to past medical history of pneumonia. You have not mentioned your current age. Advice 1. Amoxicillin 500 mg every 8 hours per oral for 7 days 2. Alprazolam 0.25 mg per oral at bed time for one month 3. Do gargle with slight warm salt water five times daily 4. Avoid dust, smoking, alcohol, and coffee 5. Avoid strenuous physical activity and mental stress 6. Investigation - Holter monitor for 24 hours, Hb% Thanks