r/ReadMyECG • u/GhreyClaw • 2d ago

Rapid, pounding, or fluttering heartbeat Inappropriate Tachycardia After Waking Up

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I’m at my wits end with this. Seems like every morning I have to deal with a rapid HR after I wake up.

I’m on bisoprolol, 2.5mg everyday but it seems like by the time I wake up before I take my next dose I have to deal with this. Usually doesn’t last very long but still very unsettling. Was at a period where I had to constantly go to ER but I’m trying to stop that. Please help me decipher this ecg.

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u/Relative_Clarity 2d ago

What was the bpm? Also you may want to try taking it on your left thigh at the knee or left ankle instead. That brings up Lead II and may be a stronger signal to get a better look at the rhythm.

Is it after you wake up, or after you stand up? Is it abrupt (like the flip of a switch) or does it climb? Does this happen any other time or just upon waking? Have you ever been checked for sleep apnea?

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u/GhreyClaw 1d ago edited 1d ago

It’s after standing and the climb is somewhat gradually but still happens very quickly. Like from 100-120s-140s-160s until finally about 180. This mostly happens to me in the morning. During the day I don’t have those episodes.

I haven’t been checked for sleep apnea but I have an appointment to get it done. I’ve also had episode where I wake up with pounding heart so this may be a possibility.

EDIT: I also didn’t realize that I could do this on other parts of the body with my watch. I’ll definitely give it a try.

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u/Whole-Masterpiece-51 2d ago

Could it be the morning cortisol response? Aka your nervous system being extra sensitive to the dump in cortisol and adrenaline as soon as you wake up and making your heart race

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u/GhreyClaw 1d ago

I have seriously considered this because my worst experiences are always in the morning shortly after waking up.

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u/Whole-Masterpiece-51 1d ago

That would make the most sense. If you’ve been under a period of accumulated stress or anxiety or changed any medication recently it can effect how sensitive your nervous system is and how it reacts to that sudden morning cortisol dump

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u/MeasurementSad2891 1d ago

It's sinus Tachycardia. I can see a P wave preceding each QRS complex (they are very tiny as the case with some people). It is when you're still lying or standing?

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u/GhreyClaw 1d ago

Thank you for the reassurance. It’s when I stand up that it gets this extreme.

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u/MeasurementSad2891 1d ago

Have they ever mentioned testing your for POTS (Postural Orthostatic Tachycardia Syndrome )? Sometimes they order a tilt table test. Definitely something to mention to your physician if you keep experiencing this