HomeAnswersCardiologyatrial fibrillationWhy do I wake up with a pounding heart?

I sometimes wake up at night with a pounding heart. Is it AFib?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 14, 2018
Reviewed AtFebruary 16, 2024

Patient's Query

Hello doctor,

My friend recently told me that she found out she had AFib and had to stop drinking hard liquor as it is a trigger. Listening to her I wondered if I was having the same issue. At night I sometimes wake up with a pounding heart. I always chalked it up to scary dreams as the heart-pounding is just like I get when I have a big scare. Currently, I am taking Citalopram 20 mg.

Hello,

Welcome to icliniq.com.

Yes, it is possible to have AFib (atrial fibrillation), but truly speaking symptoms may be very similar. However, during AFib one would be having a high heart rate, with irregular heartbeats and usually associated with shortness of breath, dizziness or chest pain. It is usually abrupt in onset and offset. So, you should check your BP and pulse rate during the episode. If you have a smartwatch to keep track of the rate or may use mobile-based rhythm monitor. Also, another option is Holter monitoring.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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