Managing Rapid Heartbeat After Omicron: Tips for Recovery at Home - Pulmonology

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Omicron-induced tachycardia?


I am a confirmed COVID-19 patient, and it has been about ten days since my diagnosis.
When I lie down and relax, my heart rate is around 60-80 beats per minute, but when I get up to drink water or sit, my heart rate spikes to about 120, then gradually decreases.
If I remain seated, it stays between 80-100.
I had a chest X-ray and blood tests done when I was diagnosed, but the doctor did not provide much feedback.
I reported my symptoms to the physician, who prescribed me Concor 1.25, but the symptoms returned after I stopped taking it.
My neck feels swollen, and I can sense that my body is still fighting against Omicron.
When lying down, I can feel a pressure in my head.
So, should I continue to lie down to relieve the strain on my heart? Do you have any recommendations? I am still in isolation and unable to see a pulmonologist.

Kun, 20~29 year old female. Ask Date: 2022/05/08

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, your condition may be a post-viral syndrome resulting from a coronavirus infection.
Currently, some hospitals have established integrated outpatient clinics for COVID-19.
It is recommended that you seek medical consultation.
Thank you.

Reply Date: 2022/05/08

More Info


Managing rapid heartbeat after an Omicron infection can be challenging, especially when you are still in isolation and unable to visit a specialist. Your symptoms, including a resting heart rate of 60-80 beats per minute that spikes to 120 when you stand or sit, suggest that your body is experiencing a form of post-viral dysautonomia, which can occur after infections like COVID-19. This condition can lead to an imbalance in the autonomic nervous system, affecting heart rate and blood pressure regulation.

Here are some tips for managing your symptoms at home:
1. Rest and Relaxation: Since you find that lying down helps alleviate your symptoms, continue to prioritize rest. Avoid sudden movements or standing for prolonged periods, as these can exacerbate your heart rate fluctuations. When you need to get up, do so slowly to allow your body to adjust.

2. Hydration: Staying well-hydrated is crucial. Dehydration can lead to increased heart rates and exacerbate feelings of dizziness or lightheadedness. Drink plenty of fluids, preferably water, and consider electrolyte solutions if you feel particularly fatigued or weak.

3. Breathing Exercises: Incorporate deep breathing exercises into your routine. This can help calm your nervous system and may assist in lowering your heart rate. Try inhaling deeply through your nose for a count of four, holding for a count of four, and exhaling slowly through your mouth for a count of six.

4. Monitor Your Symptoms: Keep a log of your heart rate, symptoms, and any activities that seem to trigger your rapid heartbeat. This information can be valuable for your healthcare provider when you are able to see them.

5. Medication Management: You mentioned being prescribed Concor (bisoprolol), a beta-blocker that can help manage heart rate. If you find that stopping the medication leads to a return of symptoms, consult your healthcare provider about the possibility of resuming it or adjusting the dosage. It’s essential to communicate any side effects or concerns you have regarding your medications.

6. Avoid Stimulants: Limit your intake of caffeine and other stimulants, as these can increase heart rate and anxiety levels. Instead, focus on calming herbal teas or decaffeinated beverages.

7. Gentle Movement: If you feel up to it, consider gentle stretching or yoga. These activities can promote relaxation and improve circulation without putting too much strain on your body.

8. Seek Support: If your symptoms persist or worsen, consider reaching out to a telehealth service or a COVID-19 recovery clinic. Many hospitals have established programs specifically for patients recovering from COVID-19, which can provide tailored advice and support.

9. Mindfulness and Stress Reduction: Engage in mindfulness practices such as meditation or guided imagery. Stress can exacerbate heart rate issues, so finding ways to relax your mind can be beneficial.

10. Nutrition: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Proper nutrition can support your immune system and overall recovery.

In conclusion, while it’s understandable to feel concerned about your symptoms, many individuals experience similar issues following a COVID-19 infection. Your body is still recovering, and it may take time for your heart rate to stabilize. Continue to monitor your symptoms, prioritize rest, and maintain open communication with your healthcare provider for the best outcomes. If you experience severe symptoms, such as chest pain or difficulty breathing, seek emergency medical attention.

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