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  • why does waking up hurt me so much?

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    Old 10-23-2006, 10:46 AM   #1
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    Unhappy why does waking up hurt me so much?

    hello, i am 18 years old and have mitral valve prolapse (congenital). i am worried i may have an abnormal q/t interval. the doctors in iowa i can afford to see are, unfortunately, incompetent (one doctor even confused gerd with pericardial infection; i was under the impression i was going to die). so, i thought i would get opinions here to help talk to a more...educated doctor. (i would like to see a cardiologist, but my family has very, very little money this year--and our insurance is iffy about covering specialists.)
    here is the problem: up until i was about 16, i never had a problem getting up in the morning. i woke up to a very noisy alarm clock, with its radio turned most of the way up, with no problems. however, for the last year or so, waking up has been very uncomfortable and frightening. i can no longer use my alarm clock, and must wake up to a very gentle ringtone on my cell in the morning. i sometimes have my mother quietly tell me to wake up for doctor appointments. even these things are painful. what happens is, as soon as i hear the noise (however quiet or gentle) i must gasp for breath because my heart pounds out of control, beating several times each second. this lasts, to a milder extent, for about an hour. sometimes waking up causes my pulse to plummet, and i have a very weak heartbeat followed by three or so hard, irregular pounds and then a more average heartbeat. this also lasts for quite a while. i am in the process of getting a job, and next year i will be going to a university, so waking up early is very important (i have moderate insomnia as well). i have a healthy vegan diet, i'm at a healthy weight (5'6"/ approx. 115lb) and i eat a "normal" amount of food regularly. i am on no stimulant medications or antipsychotics with sedative effect. i am very confused and terrified about what is going on with my heart. can anyone here relate or give advice?

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    Old 10-25-2006, 07:04 PM   #2
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    Re: why does waking up hurt me so much?

    does anyone have ideas or advice?

    Old 10-26-2006, 12:57 PM   #3
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    Re: why does waking up hurt me so much?


    What evidence do you have there may be an abnormal g-t interval. Did you have an EKG? If you did post the results.

    Just based on information provided doesn't rule out other conditions i.e. electrolyte deficiency, thyroidism, anxiety, or combination there of, hearing, pulsating vessel close to the ear drum, etc.

    Yes, an abnormal Q-T interval can be a dx for certain tachy arrhythmias. An appropriate evaluation to determine if the Q-T interval is too long is to correct the Q-T to Q-Tc (dividing sq. root of R-R interval into Q-T). This would be an assessment of the Q-T interval that is independant of heart rate (an abnormally fast HR can unfavorabley and incorrectly bias the result). Normal Q-Tc intervals are less than 0.44 secs. Even if there is an abnormal reading on an EKG, it would take further tests to substantiate any definitive opinion.

    Old 10-26-2006, 04:22 PM   #4
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    Re: why does waking up hurt me so much?

    Until you can see a doctor that can help you, try elevating the head of your bed (extra pillows DO NOT do the same job). If you are on a heart medication that you take in the morning, it could be that your med is not giving you 24 hour coverage. Or it could be sleep apnea. What every the cause, elevating the head of your bed could help....

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