Re: Re: PA, Spiro and racing heart at night

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depends on if blood was drawn to get an accurate K. We have guidelines in our files.No fist clenching for example, immediate separation of red cells etc.CE Grim MDOn Mar 4, 2010, at 11:54 AM, em5704 wrote:My K, when last measured (Dec 09) was 4.3. Has been running between 4.3 and 4.5 for the past 18 mos. when measured in blood tests. Lab normal is 3.5-5.0. What do you mean by saying that it's most likely "low K in body and heart", if my labs indicate the K is fine? I am having surgery next month with general anesthesia and am concerned about effects of this and my PA -- now I'm really nervous.> > > I saw two posts today on here from people who mention issues with a > > racing heart at night - one person mentioned racing heart when they > > turn over in their sleep.> >> > I've been having this issue as well. I wake up most mornings, and > > sometimes at night out of a dead sleep, with my pulse racing so fast > > it's as if a motor is running inside me. A couple of times I thought > > we were having an earthquake but then realized the shaking I felt > > was coming internally. Often, when I turn over onto my left side, > > I'll get the rapid pulse and heartbeat when I'm asleep (half-asleep, > > whatever).> >> > I'm on 50 mg of spiro daily, which I have to incresse to 100 in hot > > weather. I am also perimenopausal, and I know that a lot of women on > > the menopause forums (who do not have PA) talk about having this > > racing pulse/palpitation/internal shaking thing going on at night.> >> > Does Dr Grim or anyone have any thoughts on this -- is this a > > symptom of PA, a side effect of spiro, a sign of inadequate or too > > much spiro? Or is this simply a perimenopausal thing related to > > hormones (estrogen, which I know is invoved in a delicate balnce > > with adrenalin)?? I have asked the GYN before, but she looked at me > > like I was from another planet. (And I refuse to believe that a GYN > > has never encountered another perimenopausal woman asking about it. > > It's all over the menopause forums.)> >> > Anyway, thoughts? Em> >> >> >>