Guest guest Posted October 21, 2007 Report Share Posted October 21, 2007 Hi, new Pt (female, around 50) with insomnia coming on Tuesday - problem is she has bouts of bradycardia (recent onset, months), been hospitalised once because of it. GP won't give her sleeping tabs for fear of lowering HR even further - so now I'm a bit terrified as to what to do with her... I guess that any herb that is sedative, has to act in some way or another via the ANS, which then may affect HR...?! Or?? Pt thinks bradycardia may be linked to periods, and has been on mini-pill for last 5, 6 weeks I think (no change so far). Definitely she's had a very stressful yr. This information is just from chatting socially, will know more on tuesday, but would appreciate any thoughts or ideas before that! Many thanks Sabine Sabine Hiller BSc(Hons) MIIMH MNIMH Medical Herbalist Knockrooskey Westport Co.Mayo Tel. 098-35909 herbalist@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2007 Report Share Posted October 23, 2007 Hi, am resending my query below - with some additions: Her HR is usually 72 bpm before rising and 80-90 with minor activity (moving, talking). She has been having bouts of ectopic beats and lowered HR the last day or 2 - when I took her pulse it was 56 bpm with 6-7 beats missed per 30sec. Bradycardia is usually triggered by ectopic beats (she called it an 'ectopic bigeminal beat' - i can't find this as a combination anywhere? Couldn't feel any premature beats either.) and has gone as low as 32, usually though 45-46 bpm. Associated with chest tightness. ECG, Echo, Holter supposedly all NAD. Thyroid fct normal. Stress and anxiety are huge factors, and she tends to be looking after everybody bar herself, can't set boundaries, is constantly worrying, over-alert, uses high activity/adrenaline levels to drown out potential feelings of dread, depression and low confidence. Menopausal - heavier periods, no flushes, wakeful sleep. It looks as if the bradycardia is secondary to high sympathetic tone, i.e. I'd love to use Valerian, Lavandula etc, but am concerned at possibly lowering HR further. Am considering giving her drop doses of Verbena or Scutellaria, but would love some feed back, thoughts on this case first. Can give more info, if needed. Many thanks in advance! Sabine Insomnia and bradycardia > Hi, > new Pt (female, around 50) with insomnia coming on Tuesday - problem is she has bouts of bradycardia (recent onset, months), been hospitalised once because of it. GP won't give her sleeping tabs for fear of lowering HR even further - so now I'm a bit terrified as to what to do with her... > > I guess that any herb that is sedative, has to act in some way or another via the ANS, which then may affect HR...?! Or?? > > Pt thinks bradycardia may be linked to periods, and has been on mini-pill for last 5, 6 weeks I think (no change so far). Definitely she's had a very stressful yr. This information is just from chatting socially, will know more on tuesday, but would appreciate any thoughts or ideas before that! > > Many thanks > Sabine > Quote Link to comment Share on other sites More sharing options...
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