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Regarding pulse rate
I feel sometimes my pulse rate increase in sleep once i found this as soon as I wake up it completely Stop bwhat is this that time pulse rate was 130 i don't have sleep apnea
Answers (32)
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Sudden increase in pulse during sleep that settles on waking is usually due to night-time sympathetic surge, vivid dreams, anxiety, reflux, dehydration, caffeine intake, or transient rhythm changes. A heart rate of ~130 can occur briefly during REM sleep or arousal.
Next Steps
What helps:
• Avoid caffeine, smoking, heavy meals before sleep
• Stay hydrated
• Manage stress and maintain regular sleep schedule
• Avoid late-night screen use
Health Tips
Consult a doctor if:
• episodes become frequent or prolonged
• associated chest pain, dizziness, breathlessness, or fainting
• pulse remains high after waking
A resting ECG and Holter monitoring can be done if symptoms persist for reassurance.
Answered
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Hi dear,
Let's talk about sleep
We have two phases in sleep REM AND NREM.It is in the REM phase ,where increase heart rate is observed .
So,it is normal to have tachycardia during sleep.
Now secondly, look for other symptoms like sweating,chestpain,backache ,dizziness,nausea,vomitting,any past history of sudden cardiac death in family, any past history of death in family due to cardiac issue .
Next Steps
go for ECG, CBC,TFT,lipid profile,blood pressure, waist circumference,FBG
Health Tips
have a nice day
Answered
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Please share your height and weight and detailed history.
Do you have difficulty in walking or climbing stairs
Please do CBC ,LFT,KFT and 12 lead ECG
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A pulse of 130 bpm during sleep that stops immediately on waking is most commonly:
Next Steps
⚠ Seek evaluation urgently if you have:
• Chest pain
• Breathlessness
• Fainting
• Dizziness with it
• Family history of sudden cardiac death
• Irregular pulse (not just fast, but erratic)
If episodes are:
• Increasing in frequency
• Lasting >5–10 minutes
• Occurring during daytime
Then proper cardiac evaluation is needed.
Health Tips
Step 1: Document Properly
Next time it happens:
• Check pulse manually
• See if rhythm feels regular or irregular
• Note duration
If possible:
• Wear a smartwatch with ECG feature
• Or get a 24-hour Holter monitor
⸻
Step 2: Basic Evaluation
I recommend:
• ECG
• Thyroid function test
• Hemoglobin
• Electrolytes
(Especially if you are prone to anxiety or stress)
⸻
Step 3: Reduce Triggers
• Avoid caffeine after 4 pm
• Avoid heavy late-night meals
• Stay hydrated
• Maintain sleep hygiene
• Reduce screen exposure before bed
⸻
A heart rate of 130 that stops immediately when awake strongly suggests a transient supraventricular episode or autonomic surge, not structural heart disease — especially if you are otherwise healthy.
However, repeated episodes require rhythm documentation.
If this happens again, we should evaluate it properly with ECG or Holter monitoring. If you’d like, you can share your age, any known thyroid issues, BP, anxiety symptoms, or recent stress — that will help narrow it down precisely.
Answered
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Dear Patient,
Occasional rapid heartbeat (pulse 130) during sleep that resolves on waking is often related to transient episodes of stress, anxiety, or autonomic fluctuations. Since you do not have sleep apnea and the episode stops on waking, it is usually benign, but should be monitored.
What you should do
- Keep a daily log of any episodes including time, duration, and associated symptoms
- Practice relaxation techniques before sleep such as deep breathing or meditation
- Avoid caffeine, alcohol, and heavy meals close to bedtime
- Maintain regular sleep schedule and adequate hydration
Medicines
- Usually no medication is needed unless episodes are frequent, symptomatic, or linked to underlying heart issues
consult me
- Persistent or repeated episodes during sleep
- Chest pain, dizziness, fainting, or shortness of breath
- Known heart disease or high blood pressure
For further guidance and personalized treatment you may consult me on Practo anytime.
Answered
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Hello.
Your heart rate increases in sleep, means your sleep quality is not good, might be under some mental stress, might be taking caffeine/ alcohol/ smoking before sleeping, might be some thyroid problem,
Next Steps
1) work on your mental stress if any. Don't overthink or stress much , specially when you are going to bed, do meditation, or read books, music , whatever you like, talk to your favourite people to relieve your stress if any. 2) Stop taking too much tea/ coffee/ nicotine/ alcohol, specially before bed. 3) Get your ecg done , thyroid tests done.
Health Tips
Get your ecg and thyroid tests done, show it to nearby doctor.
Answered
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Potential Causes: A rapid heart rate upon waking can be triggered by various factors, including anxiety, stress, hormonal changes, dehydration, caffeine consumption, or an underlying arrhythmia.
Next Steps: I will recommend keeping a log of these episodes or using a wearable device to monitor your heart rate to provide accurate data for evaluation.
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Normal pulse rate range for healthy individuals is 60-100.
Next Steps
If you become conscious then the Pulse rises and if u become calm it reduces
Health Tips
If constantly above 100 then get the Thyroid profile done.
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