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Heart palpitations and blood pressure issues in the morning when getting up.

I have been suffering from fluctuating cardiovascular problems for two years. Two years ago, I constantly had the issue that my circulation wanted to give up, mainly at night (!), later followed by phases where my pulse was constantly elevated, until a year ago when I had supraventricular tachycardia and have had it at regular intervals since then.
To keep my pulse, which now immediately jumps up with every little thing and unfortunately stays there, in the "green range," I take 1.25 Bisoprolol (or something similar) in the morning and evening each, to stabilize the tachycardia and heart palpitations, and additionally Tromcardin (2 tabs).

Now, for almost 2 months, despite taking beta blockers, I have an unpleasantly elevated pulse and slightly elevated blood pressure (135/85) when I wake up in the morning, which leads me to not being able to stay on my feet for long, but to sit down whenever possible in the first hour until it gets better.
It is now also happening at night, when I need to go to the bathroom - so that after relieving myself (with a pulse of 140) I fall into bed and feel extremely nauseous. After that, I usually get a supraventricular tachycardia - so to speak, as a grand finale before I fall asleep exhausted. This phase actually started shortly before I had a severe bronchitis.
My heart has been thoroughly examined several times (ECG, ECHO, 24-hour ECG - most recently in June 2012).

Now my question - could all of this be related? What could this be? What can I do to permanently stabilize my circulation and blood pressure? Do I need to worry about a heart inflammation?

I am 36 years old, female, with PCOS, slightly overweight, but on a low-carb diet for 6 months, quit smoking 2 months ago, 1.70 cm - 76 kg - insulin resistance present.

Dr. med. Kathrin Hamann

Hello,

A viral cause of supraventricular tachycardia is quite possible. This should be further investigated by a cardiologist to confirm the suspicion of a Coxsackie infection of the heart muscle.

There are also other types of viruses that could be associated with a flu-like infection affecting the heart and could be responsible for the symptoms.

If there are also nocturnal tachycardias, an examination in a sleep laboratory should be conducted, as obstructive sleep apnea is also a possibility.

Please have this evaluated by a pulmonologist or an ENT doctor and continue the investigation in a sleep laboratory.

Based on your description, I suspect that the medication may not be optimized yet and further investigation is urgently needed.

Do you have any questions about this? I am happy to help.

All the best and a speedy recovery.

Kind regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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