Bradycardia In The Morning?

[MaryJo]

Dear Everyone,

Does anyone get episodes of bradycardia in the morning? I have just had a holter done and I am going down to 38bpm at this time. I also get SVT and sinus tachycardia as well as the POTS, but I don't understand how the bradycardia fits in with all this.

Thanks.

Luv,

MJ

[pat57]

If you have NCS ,Bradycardia can happen as a response to the tachy.

[Sunfish]

i've always had varying degrees of brady - sometimes more so than others, but never a non-issue. this has been throughout years wherein my diagnosis has evolved from NCS to NCS + POTS to Autonomic Failure....and a few other assorted terms in between.

all in all the classification/ diagnosis system for dysautonomias is imperfect & ever-evolving...not just per my opinion but that of several of the top autonomic docs that i've seen &/or talked with over the years. so in more cases than many realize, people don't "just" have one set of signs/ symptoms that fit exclusively into one diagnostic box.

when you say "morning" do you mean after you're awake or while you're still asleep? i often get HRs in the 40s while sleeping (which has lead to a LOT of nurses waking me up to check up me during hospitalizations when i'm being monitored). if you are awake when it's happening does it correspond with symptoms? how long did the drop last for? was it sudden (i.e. HR was 60, then 30, then back to 60) or gradual (it had been in 40s & gradually moved down into then out of the 30s). are you on a beta blocker of any sort? if so, short or long acting?

the brady can be part & parcel with dyautonomia. or could be a separate, less-related cardiac issue. and it may or may not require intervention. the 30s are pretty low though so i'd definitely follow up with the doc who ordered the monitor for you. i was hospitalized once in 2001 for sustained brady in the 30s & i felt pretty horrible, but it was there for several days, not just intermittantly, which is obviously a bit different.

i hope you're able to talk with your doc to get more info re: what the brady may or may not mean for you more specifically. in the meantime realize that you're definitely not the only one.

melissa

[Tessa]

I have noticed heart rate changes in the mornings too. Sometimes tachy others brady...

It seems to be worse when I have been awakened in a sudden (for instance, by the alarm clock).

Sometimes I feel a slight chest discomfort too or precordial pain. I feel lightheaded and move slowly, because I cannot think properly...

After this I have breakfast and take my beta blocker and a few minutes later, it is over and I am feeling fine.

Tessa

[Ernie]

Hi,

I have bradycardia during the day and overnight when I sleep.

[flop]

When I last had a holter monitor it picked up bradycardias in the 30s overnight when I was asleep, and slightly more worrying whilst I was awake and working on the computer.

If I am awake and feeling wobbly because of a bradycardia I usually stand up which makes me tachycardic then everything tends to settle down when I sit back down.

Hope you're feeling better soon,

Flop