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446896 tn?1237806342

Tachycardia in the morning...So frustrating!

I am so sick of either waking up with a fast heart rate or getting a bout of tachycardia sometime during the morning.  I mean, this is supposed to be the most relaxed portion of the day, yet my heart is so "irritable" in the morning.  This morning I thought I was ok, then I started getting the "old feeling" in my chest and when I checked it was 91, then 93, then I got all worked up and it shot as high as 146.  I got it back down, like I always do, but...ugh...I'm just so tired of even dealing with the whole problem.  No doctors can help me because they say that my heart is normal, it is just anxiety that makes it fast.  Whatever....I'm really sick of this (can you tell? hehe)  

So...who's with me?  Who has a fast heart rate in the morning and who is sick of it? It always helps to know that I'mnot alone, at the very least...(sigh)...
26 Responses
612551 tn?1450025775
Looks like I'm the first to respond to your pole.

Given I do not suffer from the problem I responded because I am a candidate.  I suffer from AFib, full-time, and am currently using only "rate control" and anticoagulant.

My HR right now is between the mid 70s and 80s, as I said AFib.  I take 100 mg of Metoprolol in the morning.  Without the beta blocker I'd likely be running about 130 and up/down variations. Again, because of AFib.

I do not find the high HR a problem, but the inefficiency, I believe due to AFib, of my heart does make me tire easily when I am physically active.  Walking and biking are not the joy they used to be..and forget any more running.

Hope this isn't too far off topic, and my sympathy to your frustration...try to focus on something you enjoy or that challenges you mind, that may help...as should exercise while engaging in mental distractions...sometimes I just day-dream, sometimes I try to solve math/algebra problems in my head while walking or biking...hope I don't crash : >)
701984 tn?1236618218
I have the problem.

I will wake up and my heart will be beating at 150 bpm or higher.

It is hard to fall asleep and easy to wake up, because I usually have palpitations and other symptoms.

782988 tn?1242689585
Sometimes my heart rate goes up-mostly at nnight when trying to sleep. Can someone please tell me what the difference between PVCs PACs and tachycardia is because I don't get it. My heart jumps and skips and squeezes, pulls and they all feel different sometimes. During the night I will have irregular heartbeat that drives me nuts.
446896 tn?1237806342
Hello again..

Tachycardia simply means that your heart is beating over 100bpm (fast).  Sometimes this is appropriate...sometimes not.  PVCs and PACs I think describe the flip flops and extra beat sensations you feel.  Hope this helps some.
701984 tn?1236618218
PVC's are skipped beats that are ventricular in origin, and PAC's are skipped beats that are atrial in nature, above the ventricles.

As far as I know, and someone correct me if I am wrong, but I think the only way to tell which ones you are having is by EKG. I have PVC's and it's obvious on the EKG, but I have had many PVC's that the EKG was not able to record, due to the fact that they were very short in duration.
446896 tn?1237806342
I see at least 4 people responded to my poll that this having a fast HR when waking up happens to them frequently.  For those who suffer with this, what are some of the reasons that you have been told about why this happens?  Also, does anyone else experience it?  

I had another bad bout of it this morning, and I am just desperate to find some answers as to why exactly this might be happening to me (for over a year now!)
687614 tn?1244201579
  Hi, I have responded to your poll.  If it weren't for the 50 mg of Metoprolol that I take at 10:00 pm at bedtime, I would surely wake up constantly with SVT (Supraventricular  Tachycardia) whereby my heart rate jumps instantly to 160-170 bpm for no reason at all.  I suffer from sinus tachycardia  with 120 bpm or so in the morning...I am usually quick to get to my Metoprolol of which I take 25 mg in the morning.  Once the initial morning tachy goes away I do much better as the day goes on toward evening I end up in the 40's and 50's bpm, but still got to take the meds. because without it I am sure to wake up all night with it and then comes the yucky morning again.
  I wish I knew why too.  I ask my cardiologist and he said that 1.) My heart seems to be sensitive to the extra shot of adrenaline that is needed to wake the body up and to get started with my day.... it's the same thing with BP mine skyrockets when I rise out of bed. 2.) anxiety about facing another day of unmet tasks and demands put on me due to family, work and etc.  Once I am home and settled down around 5:00 pm and after, I am fine.  What ever the reason I hate it!  And I hate being stuck on the meds. that make me so tired.  And then my BP and P drop through the floor in the evening making evening hard to function... then I take my meds. and can't get out of bed at night... but at least I can get some sleep and move in the morning!
687614 tn?1244201579
PVC's and PAC's do show up on a holter or loop/event monitor.  I have worn both myself.  I suffer from PAC's (premature atrail contractions).  I think only once I had a a PVC (premature Ventricular contractions.)  You are correct in their origins in the heart.  I hope this helps a bit.

Oh yes, to Autumnx1003.  Napping can do the same thing to me.  Cardiologist had no answer for that one!!!
701984 tn?1236618218
yes, you're right.

it can show up on the other devices, but I think that's the only real way to tell.

Plus, a loop recorder and Holter monitor are kind of like EKG's, in that they have leads on them and show rhythm, heart rate, and everything else the EKG does.
Avatar universal
If your heart is healthy, a mild increase in the rate is not likely to hurt in any way. You said it went up to 90. Now that's not high. But you get upset and up it goes to 146! The reason for that it you're feeding it anxiety. I know how that sounds. I'm not blaming you, but merely letting you know that you can keep your heart rate lower until it goes back to its normal rate by not letting your anxiety feed off itself. When you become anxious, it's like adding coal or a log to a fire. If you keep adding fuel (anxiety) you're heart rate will keep going up. Trust me; I've been through this myself for many years and slowly I learned not to add anxiety to my palpitations. You start by telling yourself that there is nothing wrong with your heart, it's just the same old anxiety thing, and maybe make yourself a cup of tea, watch some T.V. or listen to quiet music. But you must keep repeating the same mantra "there's nothing wrong with my heart. I'm all right," until you believe it. It takes time, but it works. Ask yourself why it doesn't beat that way when you're asleep. Could it be because you're not focused on it?

                                                           The very best, Awlight10
Avatar universal
Just this morning i woke up with rapid heart rate and i too reached for my meds and my anti anxiety med.  Don't know what tripped the trigger this time but before the day is out i am pretty sure i'll figure out what started it all. It is a scary icky feeling to greet the beginning of your day with but it happens. As i type this it's still pitty pattying along, i wish it would slow down. Hope you get yours under control. I know i struggle with mine at times Good Luck. and if you find a way to get it to mellow out let  me know
Avatar universal
I will wake up in the middle of the night with those palpitations.  Two things have helped
me.  First of all I was diagnosed with hypothyroidism and given synthroid.  That seemed
to lower the incidences quite a lot.  Also if I do wake up with them, I get up, walk around
a little, sit down and breath deeply.  In seconds to a couple of minutes the rate begins
to slow down and before I know it, everything is normal again.  Don't know why this
happens especially while I am sleeping, but there you go.
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