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People have heart attacks during nightmares fairly often. Although it’s oftne a chicken/egg sort of question as to the cause... did they have the MI from the nightmare, or did their heart problems invade their dreams? (Like needing to pee in a dream, or being cold, etc,) If people didn’t have MIs & various arrhythmias whilst sleeping we wouldn’t need pacemakers & internal defibs that run 24/7, but could use far less invasive devices during waking hours only. The same sleep paralysis that keeps us from acting out our dream also usually slows internal systems, but if a heart is in difficulty? Even mild elevation can be too much strain. Similarly, people have heart attacks just sitting around not doing anything, much less it thumping away during a bad dream. If you’ve got a dodgy heart? &/or have survived your first MI (always the most lethal, most people don’t)... follow your cardiologists instructions to the letter. AND let them know if you’re moderating your daytime activity per instruction, but are prone to nightmares that elevate your HR well above what he/she wants you at. You may not be looking at a pacemaker, there are a lot of different med options out there, but it’s very important info for them to have.Is it possible that nightmares like getting shot while sleeping can cause heart attack reactions during sleep ?
Conversely? People also have panic attacks & anxiety attacks from nightmares fairly often.