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Dublin, CA
A 30-year-old female asked:

is it possible that i could be activating my pots through anxious nightmares where i am running away? this would explain why i am so tired the next morn. i don't think i have sleep apnea. i wake up in the middle of the night with heart racing.

3 doctor answers7 doctors weighed in
Dr. Georgia Latham
Family Medicine 35 years experience
Standing (upright): position is associated with tachycardia (increased heart rate) in POS and therefore cannot occur while laying down. However, a person with POTS could have a general tendency towards tachycardia. Vivid dreams can definitely increase heart rate and a can cause a person to not feel rested in the mornings. If baseline heart rate is high, taking a medication that reduces heart rate at bedtime may help
Dr. Alon Seifan
Neurology 13 years experience
Possibly: POTS is related to migraines. Migraines are worsened by stress. So it makes sense that stressful dreams could worsen migraines and also POTS. You might find relief with a medication called verapamil.
Dr. Lois Freisleben-Cook
Pediatrics 41 years experience
Just the opposite: is occurring. Your POTS is causing autonomic instability at night leading to the nightmares you are experiencing. This can be helped with the use of medication to buffer the instability of your autonomic nervous system. See your doctor about this.

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