Experiencing Heart Palpitations
I'm a 38-year-old female, weighing around 165 pounds, with a history that includes POTS, narcolepsy, and asthma. Last night, I was jolted awake by a rapid heartbeat. Initially, it was difficult for me to return to slumber, but eventually, I managed to fall asleep again. Upon waking up, I noticed that the palpitations were still present. Now, as I write this in the late afternoon, they continue to persist. Should I consider heading to the emergency room, or is it acceptable to wait for my scheduled appointment with my doctor?
Answers (1)
2/12/2026, 9:20:34 PM
OpenHealth AI
It's understandable to feel concerned about experiencing persistent heart palpitations, especially given your medical history. Here’s a brief overview and some guidance on what to do next.
Summary
You’re experiencing ongoing palpitations that started during the night and have continued into the afternoon. Given your history of POTS and asthma, it's crucial to monitor your symptoms closely. While some palpitations can be benign, they can also indicate underlying issues, especially when they persist.
Explanation
Heart palpitations are sensations that your heart is pounding or racing, and they can occur for various reasons, including anxiety, stress, dehydration, caffeine consumption, or underlying medical conditions like POTS. Since you have a history of POTS, this condition can often contribute to feelings of a racing heart. However, persistent palpitations can sometimes relate to heart rhythm issues or other cardiovascular concerns, so it’s vital to listen to your body.
Next Steps
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Monitor Your Symptoms:
- Keep track of the frequency and duration of the palpitations. Note if they’re associated with any other symptoms like dizziness, shortness of breath, chest pain, or if they worsen with certain activities.
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Stay Calm and Rest:
- Try to relax, which can sometimes help reduce the feelings of palpitations. Find a quiet environment where you can sit or lie down comfortably.
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Hydration:
- Ensure you’re adequately hydrated, as dehydration can exacerbate palpitations.
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Avoid Stimulants:
- Limit caffeine, nicotine, or other stimulants, as they can trigger or worsen palpitations.
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Evaluate Urgency:
- If your palpitations are accompanied by significant symptoms such as chest pain, severe shortness of breath, or if they become unbearable, seek emergency medical attention immediately.
- If the palpitations persist but you’re stable, it's acceptable to wait for your scheduled doctor appointment.
Please remember that your health and comfort are paramount. If your symptoms change or you feel more worried, don’t hesitate to seek help sooner than planned.
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