Heart rate with wide fluctuations

@briarrose
I would wait until you have the holter monitor results. For me I would not trust watches, etc. They can really give wide ranges of pulse rates. I sometimes use the pulse monitors on treadmills and bikes to see drastice pulse rates.

I would think if you are a deep sleeper with a lot of dreams your pulse could go up and down but not the drastic numbers you posted.

You did not list your age. A 180 pulse rate if you are a senior citizen could be an issue. But you are seeing a cardiologist so you are taking care of yourself.

You mention insomnia. Have you addressed the cause. Have you been tested for sleep apnea? If you have sleep apnea you could have drasitc swings in BP and HR as not getting oxygen you need.

I take medications that bring my HR down into 30s at rest. I have a ICD/Pacemaker that pulses my heart to 70 bpm. I have it at 70 bpm as we found this was the best at rest rate to limit the number of PVCs I was getting at lower pulse rates.

Maybe you can post the results of your holter monitor test. I have had about a dozen of them over the years as EP is always trying to find the areas of where my PVCs are coming from.

First, thanks so much for your input.
I am 70 years old...my recent weight loss (43 pounds) coincided with the monitoring of my HR and sleep numbers. I lost weight the old-fashion way, no drugs and it took at least a year.
All my medications have not been decreased as of yet and I am on a laundry list of heart & B/P medications.
Yes, I did have a sleep apnea test and I do not have it.
I take a sleeping pill, trazadone 100 mg. nightly. It's not the greatest but according to my app I am sleeping usually around 7 hours per night. And I do have a history of "occasional" PVCs.
No Afib. I am interested in seeing the results of my weekly cardiac monitoring. The night after removal my app showed a rate of 40-143! But during the week it was monitoring my ranges were 38-163.
Will keep you posted once I get the results.
Take care!

@briarrose
I was taking trazadone for awhile when I had flair up of PTSD anxitety/panic disorder. I take medication for that and been pretty much not an issue in my lift until are really serious incident.

When I was taking trazadone I mentioned to my psychiatrist medication specialist that was having some really vivid dreams that I could remember and would really get into when dreaming.

She said that trazadone increases serrotin and thus the more vivid and deep dreams. Asked who prescribed your trazadone if your pulse rate could be responding to very deep and intense dreams. Don't know not a medical or medication professional but could not hurt to asked if could be a cause.

I had a dizzy spell and heart palpitations. I previously had a triple by-pass surgery, so my cardiologist had me wear a Holter monitor for 2 weeks. My heart rate ranged from 39 to 184 during sleep and during the day. There were Afib and VT readings also. He did a heart cath to confirm no new blockages. Therefore he recommended I see an Electrophysiologist doctor. The EP doctor is going to do an EP Study in 3 weeks to test the electrical impulses in my heart. During the EP Study he will determine if ablation or an ICD is needed. I am 71 with heart and cardiovascular problems in the past 3 family generations. You should wait for the results from your monitor to see if the rhythms in your heart are abnormal. Research Electrophysiolgy Study, ablation, and ICD’s so you are prepared to discuss this if needed.