Wake up at night suddenly accelerated heart rate can be divided into physiological, pathological, physiological can be relieved after rest; tachyarrhythmia need to choose metoprolol, verapamil and other drugs; myocardial ischemia can be used to alleviate the symptoms of the acute phase of nitroglycerin, stable phase of taking aspirin and other medications; sleep apnea syndrome can be taken to the side sleeping position or respiratory machine-assisted ventilation.
1. Physiological: if you have nightmares during sleep, it may lead to emotional tension, excitement or shock, which will activate the sympathetic nerves, and may lead to increased heart rate and sweating, etc., which can be relieved after rest.
2. Pathologic:
(1) Tachyarrhythmia: the patient has paroxysmal atrial fibrillation, paroxysmal atrial flutter and other underlying diseases, and it is induced by dreaming and temperature change at night, etc. It is necessary to combine with electrocardiogram to clarify the type, and choose the medication such as metoprolol, verapamil, and amiodarone to treat it.
(2) Myocardial ischemia: during sleep, vagus nerve excitation and slow blood flow promote thrombosis, resulting in myocardial ischemia aggravated, patients may wake up due to chest tightness and chest pain and other discomforts, accompanied by compensatory heart rate increase, nitroglycerin, quick-acting heart pills, etc. can be taken to alleviate the symptoms, and in the stable period, aspirin and statin drugs are needed.
(3) sleep apnea syndrome: patients with obesity or respiratory diseases, sleep apnea caused by hypoxia, resulting in chest tightness, panic symptoms, and even suffocated to wake up, can be taken to the side sleeping position or respiratory machine-assisted ventilation, the serious cases can be considered for surgical treatment.
If the patient wakes up at night sleep suddenly rapid heartbeat, it is recommended to go to the hospital in time to find out the cause, active treatment, drugs need to be taken under the guidance of a physician.