Struggling with Palpitations and Sleep Issues: A Heart Health Concern

Palpitations and inability to sleep?

The heart has a problem with mitral valve prolapse.
Over the past year or two, I have experienced occasional feelings of weakness in my heart, and at times, a sudden sensation of rapid and forceful heartbeat.
After a consultation, I was diagnosed with arrhythmia caused by anemia.
An electrocardiogram showed no issues, so I was prescribed iron supplements, but my condition has not improved.
Just before falling asleep at night, I always feel a rapid and strong heartbeat, as if the bed is shaking and my whole body is trembling, making it impossible to fall asleep.
This issue has been troubling me for a long time and has severely affected my sleep quality and mental state.
I really want to improve this situation.
Thank you!

Jessi, 20~29 year old female. Ask Date: 2017/10/26

Dr. He Dongjin reply Cardiology

Hello Jessi, it is recommended to follow up at the cardiology outpatient clinic and consider using some autonomic nervous system medications or heart rate control medications.
Don't worry, Changhua Hospital cares about you.

Reply Date: 2017/10/26

More Info

Struggling with palpitations and sleep issues can be quite distressing, especially when compounded by underlying heart conditions such as mitral valve prolapse and anemia. Your experience of feeling your heart racing or pounding, particularly at night, is not uncommon among individuals with similar health concerns. It’s essential to understand the interplay between your heart health, psychological factors, and lifestyle choices, as these can significantly impact your overall well-being.

Mitral valve prolapse (MVP) is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to palpitations and feelings of anxiety. While MVP is often benign, it can sometimes be associated with arrhythmias, which may explain the irregular heartbeats you’ve experienced. Additionally, your diagnosis of anemia can exacerbate feelings of fatigue and weakness, potentially leading to increased heart rate as your body attempts to compensate for lower oxygen levels in the blood.

The sensation of your heart racing or pounding, especially when trying to sleep, can be linked to several factors. Stress and anxiety are significant contributors to palpitations, and they can create a vicious cycle where the fear of experiencing palpitations leads to heightened anxiety, further exacerbating the issue. This is particularly relevant if you have a history of panic attacks or anxiety disorders, as these conditions can manifest physically in the form of heart palpitations.

Furthermore, lifestyle factors such as irregular sleep patterns, caffeine intake, and lack of physical activity can also play a role in your symptoms. Given your military background and the demands of shift work, your body may be struggling to maintain a regular circadian rhythm, which is crucial for good sleep quality. Sleep deprivation can lead to increased stress levels and exacerbate feelings of anxiety, which in turn can lead to more pronounced palpitations.

To address your concerns, consider the following recommendations:
1. Consult a Cardiologist: Since you have a history of heart issues, it’s essential to continue monitoring your heart health. A thorough evaluation, including an echocardiogram and possibly a Holter monitor, can help assess your heart's function and rhythm more comprehensively.

2. Manage Anemia: If you’re taking iron supplements but not seeing improvement, discuss this with your healthcare provider. They may want to investigate further to determine the underlying cause of your anemia and adjust your treatment plan accordingly.

3. Stress Management Techniques: Incorporate relaxation techniques such as deep breathing exercises, meditation, or yoga into your daily routine. These practices can help reduce anxiety and improve your ability to manage stress, potentially alleviating some of your palpitations.

4. Sleep Hygiene: Establish a consistent sleep routine by going to bed and waking up at the same time each day. Create a calming bedtime environment, limit screen time before bed, and avoid caffeine and heavy meals in the evening.

5. Physical Activity: Regular exercise can improve cardiovascular health and help reduce anxiety. Aim for at least 30 minutes of moderate exercise most days of the week, but be sure to consult your doctor before starting any new exercise regimen, especially given your heart condition.

6. Psychological Support: If anxiety continues to be a significant issue, consider seeking support from a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing anxiety and panic symptoms.

In summary, while your heart condition and anemia may contribute to your symptoms, psychological factors and lifestyle choices also play a crucial role. By addressing these areas holistically, you can work towards improving your sleep quality and overall health. Remember, it’s important to communicate openly with your healthcare providers about your symptoms and concerns to develop a comprehensive management plan tailored to your needs.

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