Heartburn in the morning

If a patient has panic after getting up in the morning, it may be due to an attack of myocardial ischemia or due to high blood pressure after rising in the morning. Because 6-10 a.m. is the highest blood pressure time of the day, if the blood pressure is higher at this time, it can induce myocardial ischemia and trigger uncomfortable symptoms such as panic, palpitations, chest tightness and chest pain. During the onset of uncomfortable symptoms, patients are advised to measure their heart rate and blood pressure first. If the blood pressure is not low and the heart rate is fast, oral bisoprolol or metoprolol can be taken to improve myocardial ischemia and improve the symptoms of panic and palpitations. If hypertension does exist and antihypertensive drugs are to be taken, patients are advised to go to the hospital, preferably for ambulatory blood pressure monitoring, which helps to assess the overall blood pressure of the patient for 24 hours and adjust the oral regimen of antihypertensive drugs in time to prevent the phenomenon of morning hypertension and improve the symptoms of panic.