Lying in bed, my heart is pounding—can't fall asleep.

May 26, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Lying in bed and experiencing a pounding heartbeat that makes it difficult to sleep may be caused by factors such as diet, iron-deficiency anemia, or arrhythmia. Symptoms can be improved through general treatments and medications. Maintaining healthy lifestyle habits, eating a balanced diet, exercising appropriately, and reducing mental stress can also help alleviate symptoms.

Lying in bed and experiencing a pounding heartbeat that makes it difficult to fall asleep may be caused by factors such as diet, iron deficiency anemia, or arrhythmia. Symptoms can be improved through general treatments, medications, and other methods. Specific analyses are as follows:

1. Dietary factors

Drinking excessive coffee or strong tea before bedtime can easily increase cortical excitability, affecting both sleep and the cardiovascular system. It is advisable to avoid consuming stimulating beverages before sleeping at night.

2. Iron deficiency anemia

In iron deficiency anemia, reduced quantity or quality of red blood cells leads to insufficient oxygen supply, causing the heart to contract more forcefully and resulting in symptoms such as increased heart rate. Patients may take medications such as ferrous gluconate syrup or compound trivitamin ferrous oral solution under medical guidance to improve symptoms.

3. Arrhythmia

Arrhythmia causes abnormal cardiac rhythms, leading to abnormally fast or slow heartbeats, which can disrupt sleep. Patients may use medications such as nitroglycerin tablets or compound danshen dripping pills under medical supervision for treatment.

Besides the above-mentioned causes, high blood pressure, heart failure, or myocardial infarction could also be potential reasons. Maintaining healthy lifestyle habits, balanced diet, appropriate exercise, and reducing mental stress can also help alleviate symptoms.

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