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Disclosure I Am A Nurse, Every Night, Right As I
Question: disclosure i am a nurse, every night, right as i am about to fall asleep i seem to get afib, i know its not tachycardia because i have been wearing my apple watch with heart monitor when i sleep . So this is what happens, i lay down as i am about to drift off...bam afib....aflutter? my heart just pounding softly vibrating my body, i wake up and it stops, look at my heart rate and its normal. This happens every night at least 2 times a night. I have worn a holter monitor 6 months ago, and had an echo, the holter monitor was normal, the echo showed mild regurgitation? what could be causing this, what should i do about it.
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that considering your description of your situation, I would recommend performing a new prolonged ECG Holter monitoring (48 hours or longer) in order to possibly 'catch' those episodes.
I don't think that the mild regugitation is the main cause underlying cardiac arrhythmia, as this finding usually has no clinical significance in otherwise healthy persons.
Another test to consider would be a cardiac MRI, which helps examine better the cardiac structure and function and determine the possible cause underlying cardiac arrhythmia.
Other tests I would recommend would be :
- thyroid hormone levels
- complete blood count for anemia
- blood electrolytes for possible imbalance.
In case cardiac arrhythmia is detected, starting an anti-arrhythmic drug may be necessary.
Another issue to consider as your symptoms are triggered by lying down is possible acid reflux. For this reason, I recommend avoiding large meals during lunch and trying an antiacid at lunch. If this helps improve your situation, performing a fibrogastroscopy would be needed in order to investigate for possible acid reflux or hiatal hernia.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
My opinion as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that considering your description of your situation, I would recommend performing a new prolonged ECG Holter monitoring (48 hours or longer) in order to possibly 'catch' those episodes.
I don't think that the mild regugitation is the main cause underlying cardiac arrhythmia, as this finding usually has no clinical significance in otherwise healthy persons.
Another test to consider would be a cardiac MRI, which helps examine better the cardiac structure and function and determine the possible cause underlying cardiac arrhythmia.
Other tests I would recommend would be :
- thyroid hormone levels
- complete blood count for anemia
- blood electrolytes for possible imbalance.
In case cardiac arrhythmia is detected, starting an anti-arrhythmic drug may be necessary.
Another issue to consider as your symptoms are triggered by lying down is possible acid reflux. For this reason, I recommend avoiding large meals during lunch and trying an antiacid at lunch. If this helps improve your situation, performing a fibrogastroscopy would be needed in order to investigate for possible acid reflux or hiatal hernia.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i did upload my echo and holter reports also
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
First let me apologise for the delay, because of a busy night shift at the hospital!
I passed carefully through your reports and would explain that your cardiac ultrasound is not concerning about anything serious.
As I explained above, mild regurgitation has no clinical significance and it is not related to the arrhythmia that you are experiencing.
Regarding the ECG application uploaded, I would explain that it is not atrial fibrillation, but sinus tachycardia.
I would just recommend checking thyroid hormone levels for possible thyroid gland dysfunction and try taking omeprazole coupled with the above mentioned tips, in order to investigate on possible acid reflux .
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Please let me know about everything!
Wishing all the best,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Hello again!
First let me apologise for the delay, because of a busy night shift at the hospital!
I passed carefully through your reports and would explain that your cardiac ultrasound is not concerning about anything serious.
As I explained above, mild regurgitation has no clinical significance and it is not related to the arrhythmia that you are experiencing.
Regarding the ECG application uploaded, I would explain that it is not atrial fibrillation, but sinus tachycardia.
I would just recommend checking thyroid hormone levels for possible thyroid gland dysfunction and try taking omeprazole coupled with the above mentioned tips, in order to investigate on possible acid reflux .
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Please let me know about everything!
Wishing all the best,
Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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