Frequent panic and shortness of breath in bed at night may be caused by coronary artery disease myocardial ischemia, but also may be caused by the patient’s own heart failure in the lying position to increase the volume of returned blood, and may also be caused by nocturnal arrhythmia episodes. To clarify the diagnosis, you need to go to the cardiology department to improve the laboratory tests.
1. Coronary artery disease patients with myocardial ischemia, lying down at night, the increase in the volume of returned blood increases the heart to do work, resulting in lying angina attack, which can cause panic, chest tightness, shortness of breath. Treatment is mainly the application of anti-platelet aggregation, lipid-lowering plaque stabilization, and improvement of coronary blood supply, such as aspirin, pitavastatin, and isosorbide nitrate. If the vascular lesions are more serious, intracoronary stent implantation is needed.
2. Patients with heart failure, especially those with left heart failure or total heart failure, will experience panic, chest tightness, and dyspnea when lying down, which will increase the burden on the heart and cause pulmonary edema, and will be relieved after sitting up. Usually, we should insist on the application of drugs for the treatment of heart failure, pay attention to the control of water and sodium intake, and sleep at night, you can choose the semi-recumbent position or double lower limbs down to reduce the amount of return blood.
3. Nighttime frequent episodes of panic and shortness of breath, there may be arrhythmia, such as atrial fibrillation or paroxysmal supraventricular tachycardia episodes, in order to clarify the diagnosis, can be dynamic electrocardiography. For arrhythmia, drugs can be applied to prevent or reduce the attack, such as the application of amiodarone, metoprolol, etc. If the symptoms are more serious and the effect of drug treatment is poor, radiofrequency ablation surgery can be chosen.
If there is any discomfort, you should consult a doctor in time and follow the doctor’s instructions.