Morning Heart Palpitations: Causes and Concerns

Regarding the discomfort in the heart upon waking up?

Doctor, this issue has been making me a bit anxious.
Recently, I've been experiencing a slight increase in my heart rate and a feeling of panic right when I wake up in the morning.
I immediately do deep breathing, which helps calm me down.
I had some tests done a while ago, and everything was normal.
I would like to ask the doctor if there is any problem with this.
Am I just too anxious? Thank you very much!

Zhe, 30~39 year old female. Ask Date: 2019/09/07

Dr. He Dongjin reply Cardiology

Hello, this is a normal reaction; you are just paying too much attention to it, which makes it more noticeable.
Being too anxious can also contribute to this.
Don't worry, Changhua Hospital cares about you.

Reply Date: 2019/09/07

More Info

Morning heart palpitations can be a concerning experience, especially when they occur right after waking up. It's understandable that you feel anxious about this symptom, but it's important to recognize that there are various factors that can contribute to this sensation.
Firstly, it's worth noting that heart palpitations are often benign and can be triggered by a variety of non-cardiac factors. Common causes include anxiety, stress, caffeine intake, dehydration, and even certain medications. When you wake up, your body transitions from a state of rest to activity, which can lead to a temporary increase in heart rate. This is a normal physiological response as your body prepares for the day ahead.

In your case, since you mentioned that you have undergone tests recently and everything came back normal, it is likely that your palpitations are not indicative of a serious heart condition. The fact that deep breathing helps alleviate your symptoms further supports the idea that anxiety or stress may be playing a role. Anxiety can lead to heightened awareness of bodily sensations, making you more attuned to your heart rate and potentially causing you to feel more anxious about it.

It's also important to consider your lifestyle factors. If you have been experiencing increased stress or changes in your routine, this could contribute to your symptoms. Additionally, if you consume caffeine or other stimulants, these can exacerbate palpitations.
If you find that your palpitations persist or worsen, or if you experience additional symptoms such as chest pain, shortness of breath, or dizziness, it would be prudent to consult a healthcare professional for further evaluation. They may recommend additional tests, such as an electrocardiogram (ECG), to rule out any underlying cardiac issues.

In summary, while morning heart palpitations can be alarming, they are often benign and related to anxiety or lifestyle factors. Practicing relaxation techniques, maintaining a healthy lifestyle, and monitoring your symptoms can help manage your concerns. If your symptoms persist or you have any doubts, seeking medical advice is always a good step to ensure your peace of mind and health.

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