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How can paroxysmal nocturnal dyspnea be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have tachycardia and dyspnea at night, which cause sleep disturbances.

Please help.

Answered by Dr. Rishu Sharma

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

High tachycardia and dyspnea at night are also known as paroxysmal nocturnal dyspnea, which can be indicators of cardiac disease. Basic cardiology tests should be done to rule out coronary artery disease, congestive heart failure, or arrhythmia.

A 2D echocardiogram and treadmill test can help assess ischemia and left ventricular ejection fraction. 24-hour Holter monitoring can be performed to evaluate the nature of any abnormal heartbeats or arrhythmia.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 15, 2017
Reviewed At May 4, 2026

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

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