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Avatar universal

From 80bpm to 150+bpm in seconds just by standing up?

First post here. I'll try not to make it too long.  

Had some GI issues about 3 months ago (heartburn/pressure??) lots of burping and discomfort. That seems to have gone away now but since that issue I've had some weird heart rate issues and palpitations(physically feeling my heart thrashing around in my chest).

I don't really notice the chest "feelings" unless I'm over 130bpm.

My resting heart rate (besides an episode or two of 160+bpm laying down for some reason) is usually pretty normal. Depending on body position it ranges from 60-80 laying down, 70-90 sitting in a chair.

If I stand up though, it goes wild. I can go from 75 sitting to 150+bpm within 10 seconds and it doesn't really go back down. Bending/hunching forward while walking helps a little (down to 130ish). I get some discomfort and find myself needing to breathe deep/different. If i sit I'm back down to 80bpm within a few seconds and they're are some hard THUMPS and a flushing feeling in my guy/chest when it coming down then I'm fine.

I was in the ER due to the 160+ BPM laying down incident (pegged at 172bpm I think was my highest).both hands numb, extreme chest discomfort. I could not see my BP during the tests they ran then. The ER staff said my heart was beating "normal" just very fast. After laying down and staying under 100 for a bit my BP was 124/74.  It was 150/95ish sitting in a chair. They didn't mention anything besides barely low potassium. Two pills and a bag of water IV. Going back a few days later for a checkup showed 3.6 for potassium after the two horse pills and eating two bananas for 3 days. Blood sugar 90 9 hours after light breakfast. No other info given to me. No improvement in heart rate. They pretty much said I'm not going to die on the bed and to go home.


Been home now for a month or so trying to get an appointment with the county health facility.

I'm trying to get my records/etc from the ER/Hospital to have them when I can get an appointment. They took like 6 vials of blood, but would be curious as to what they actually tested for.  I plan to get a BP monitor as well.

I try to be as active as I can, however brief it may be. I drink 2+ liters of water a day. I try to keep a good amount of salt/potassium in me and take a multivitamin. Some days seem worse than others, still trying to figure out what makes the "better" days better though. Appetite decreased, swollen glands or something in my neck for awhile now, hot/cold swings.

Seems the only time I'm "ok" is laying down. Which I can't always do (18 month old little girl). Getting nervous about the start of school again as I have to take the oldest one to the bus stop and back twice a day (.3 mi walk) in the FL sun.
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Avatar universal
I'm so sorry you are dealing with this. I experience something very similar when standing and walking (new to me as well) but have you researched POTS or Supraventricular Tacchycardia (SVT) at all? SVT can hit at random and send your pulse high and keep it there, unrelated to what you are doing. It wouldn't be acting up all the time though, but may br worth talking to a cardiologist about.
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Avatar universal
DID YOU GET THIS FIXED!??. Im having the problome and its taken over my life. please contact me my name is Will camick. my email is ***@****.
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Willcamick at gmail *******
1807132 tn?1318743597
I honestly don't know.  Maybe search online to see if you can find info or ask your doctor.  I know that when you sit you are supposed to rest your arm on something if possible.  When standing that is hard to do so that leads me to believe you would leave it hanging but I am not educated on this so maybe try and look it up.  
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Avatar universal
So I got a BP monitor and it "seems" to be pretty "good" I think most of the time.

Usually runs between 100/80 or 115/75 with pulse varying from 70-90.

Tried taking it standing, somewhat hunched over the kitchen counter, and got 121/98 @126bpm (which is pretty good compared to the usual 150-160bpm on a bad day)

Is there a proper way to take your "standing BP"? Arms straight down or bent forward like shaking someone hands etc?
Helpful - 0
1807132 tn?1318743597
Beta blockers block some of the effects of the sympathetic nervous system, which increases the heart rate and raises blood pressure with stress and/or activity. Beta blockers lower blood pressure in part by decreasing the rate and force at which the heart pumps blood.  So theoretically if you have a low heart rate at times it can cause issues for a period of time until your heart and body have had time to adjust.  But your body would eventually adjust.  This said, I think for ecctopics the dose if very low but quite frankly my doctor highly recommended just learning to deal with them.  Why take meds if you don't really need them.  

Anyways it really sounds like a big part of your issue may be stomach related.  Keep working on that and see if it helps as well try to learn to not fear the extra beats.  They really are just extra heart beats and nothing more.  They feel worse than they actually are and if your heart is healthy there is only a very very remote likelihood it would through your heart into a dangerous rhythm.  So try to not fret and just work on finding and eliminating your triggers.
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Avatar universal
Just curoius, do beta blockers affect the heart "at all times"? There a plenty of times my resting heart rate is perfect, if not lower than normal (50's)

The stomach issue was bloating/pressure/heartburn related. Ive gone 32 years being able to eat/drink just about anything with no real issues. Then my stomach was on the fritz, for weeks. I started taking Prevacid 24hr OTC and my stomach was NOTICABLY better, but i was getting dizzier on standing an thats when the heart stuff either started or I just became more aware of it. I noticed a strong abdominal pulse sometimes as well when laying on my back during and after taking it, comes and goes.

The stomach, while better, still isnt perfect. I have alot of pressure. I seem to get into burping/belching fits a few times daily. Burping makes it feel better and doesnt seem to have a massive effect on heart rate that I can tell anyways FWIW

And no caffiene for a weeks now, since I noticed these problems it was the first thing to go.
Helpful - 0
1807132 tn?1318743597
Considering that the heart rate is a normal beat as opposed to a fast irregular beat a rate on standing and moving around of 170 is probably not a big concern for the doctors.  It is only when it gets into the 200s and even most so the 300s that they become concerned.  That said, something is obviously triggering it but it may not be related to the heart so much as being caused by some factor outside the heart.  There are some conditions like POTS that can cause this but considering this seemed to have coincided with some stomach issues I kind of wonder if your vagus nerve was irritated and has just not had a chance to heal.  Do you still have stomach issues?  I would manage any issues there and watch what you eat especially watching to not over eat.  Avoid caffeine and if you can quit smoke try to do so.  These are all things that can impact your heart.  If you can get some cardio in it may help your heart function better.  If all else fails and you just can't seem to function well you may want to try the beta blocker.  From what I understand the dose they would give you would be pretty low.  But try some of the lifestyle changes first and see if it helps.  Take care.  I hope you feel better soon.
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Avatar universal
Yes mine are normally worse in the morning also bc when your asleep at night your laying flat and when you get up in the moring and stand the gravity force is making your heart beat faster but in a few minutes it should go down. When I get in the shower mine will go up to 150 and that's to high and I was a very athletic person in high school ran track so there's no way I'm out of shape that bad I'm 6'2 And weigh 150 pounds
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Avatar universal
Hmm. I'm in my early 30's...5'11" 175lbs. Not an athlete by any means but in half decent shape. No alcohol or drugs. I do smoke though.


I'd be worried about beta blockers in my case as my resting heart rate is "good" 99% of the time. 71bpm as I type this (phone,couch). It can get into the upper 50's laying down real tired/relaxed. Who knows how low while I'm actually sleeping, although I'm not 100% sure how BB's work.

I've read a lot about blood volume/pressure/changing positions but it's somewhat unclear. When I get that monitor I want to see what it reads when laying vs sitting vs standing and just what the heck is goin on when I'm at 140+bpm. Kinda makes me nervous not knowing, for all I know it's going beserk when I stand (high). My father has high BP.

My "symptoms" usually are worst in the morning FWIW.



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Avatar universal
I was going through the same thing I had a ep study done Monday thy could not fine anything at all just said I was out of shape I'm only 22 I don't think being out of shape would cause this I think we both need to be on a beta blocker
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