Family Medicine Questions Cardiologist

Rising heart rate?

When I am in a seated position my heart rate continues to rise. If I lay down or go for a walk, I can stop the rise in heart rate and even get it to go back to a lower level especially by lying down. Is this a pinched nerve issue or what can be making my heart labor and my heart rate rise continually in that position?

Male | 55 years old
Complaint duration: Six months
Medications: No medications
Conditions: Used to be an epileptic

3 Answers

You need a thorough history and physical. An Echo,holter, lab work need to be done. You may have autonomic nervous issues.
Sounds like you may have a syndrome called POTS, or postural orthostatic tachycardia syndrome. This is usually benign and self limiting. If there are no other symptoms, then nothing needs to be done. If you have dizziness or anxiety, a low dose beta blocker drug may help. You can also undergo a tilt table test for more answers. Bottom line is, if you're worried and this continues, you need to see a doctor for evaluation.
From your description, it could very well be dehydration and fluid depletion needs to check your blood pressure lying, sitting, and standing The drop of blood pressure along with the increase in the heart rate makes the diagnosis.