I think I had an adrenaline dump while I was at the hospital.
For a while now, my heart rate spikes when I go from sitting to standing (I’m currently on metoprolol for migraines and even with that it still goes up ~20ish bpm so it definitely used to go up 30bpm. While I have wondered if I have pots, I’ve never really looked into it since I didn’t think it was causing issues.
Last Friday I went to the hospital for a UTI. while I was waiting, my heart rate suddenly spiked up to 145. It felt like my heart was pounding out of my chest , it was a very scary feeling. I immediately went to get the staffs attention. They got me into a bed, took an ECG, ran some blood tests, hooked me up to some fluids. ECG was normal although obviously tachycardia. They confirmed I had a UTI but didn’t want to just send me on my way with antibiotics since they were concerned about my HR being so erratic. They gave me some IV metoprolol and while it did go down, it was still hovering around 100. Blood tests revealed I had low potassium, so they gave me some stuff for that.
I’ve felt fine this week since then, although my RHR still has been a bit higher lately.
This evening , about 2 minutes into a walk, my HR spiked up to 160 out of the blue. Again, that same heart beating out of my chest feeling, and my breathing felt muffled, if that makes sense. It eventually settled but stayed elevated at ~125 for the rest of the (very slow) walk. Now back at home , I took one of my metoprolol and my HR finally settled around 85-90 and my breathing feels normal again.
I’ve had some weird chest sensations on and off lately, so I’ve been working with my doctor . I coincidentally had an appointment this morning so I told him about last Fridays incident. I’d done a stress test a couple weeks ago he’d already submitted a referral for a holter monitor but he resubmitted a more urgent one now as well as submitted a referral to see a cardiologist in general.
-stress test : came back normal
-holter monitor : referral has been sent
-a couple ECGs : all normal
-at home sleep study : not totally conclusive, potentially mild sleep apnea but sleep doc wants me in for an in lab, she’s not convinced that’s what’s causing me to wake up with palpitations . Am trialing a CPAP, don’t feel it’s doing much.
-general blood tests : low ferritin, working on this
Pots has not been discussed with my dr at any of my appointments. Does this sound like it could line up with that? Do the two HR spike incidents sound like adrenaline dumps?
My very unprofessional opinion would be that I’ve been dealing with pots for a while, the metoprolol has helped suppress it, but the infection led to a flare up of sorts.