Category: Hjärta och kardiologi

Yrsel när du reser dig kan bero på att blodtrycket sjunker, men det finns också andra orsaker. Ett återkommande mönster behöver bedömas, särskilt om du svimmar, faller eller nyligen ändrat läkemedel. Ett enstaka lågt blodtryck säger inte allt om orsaken.

Vad menas med ortostatiskt blodtrycksfall?

Det innebär att blodtrycket faller när du går över till stående. Vården kan jämföra blodtryck och puls i olika kroppslägen. Därför kan en vanlig sittande mätning missa det som händer just när du reser dig.

Beskriv om det svartnar för ögonen, snurrar eller känns som att du ska svimma. Anteckna hur snabbt det börjar och om det går över när du sätter dig. Orden hjälper vården att välja undersökning; de ställer inte diagnosen på egen hand.

En säker symtomlogg

Framkalla inte svimning för att få ett mätvärde

Anteckna	Fråga att besvara
Situation	Från säng, stol eller efter att ha stått länge?
Tid	Direkt vid uppresning eller först senare?
Förlopp	Hur länge pågår det och vad hjälper?
Risk och förändringar	Fall, svimning, feber, vätskeförlust eller ny läkemedelsdos?

Vad kan du göra medan du väntar på råd?

Sätt eller lägg dig om du känner att du ska svimma. Res dig stegvis och se till att du har stöd, särskilt på natten. Försök inte göra stående blodtryckstest ensam om du riskerar att falla.

Drick tillräckligt, men följ eventuell ordinerad vätskerestriktion. Börja inte med stora mängder salt eller vätska som generell behandling. Råden behöver passa även om du har hjärt- eller njursjukdom.

Gå igenom läkemedlen med vården

Vissa läkemedel kan bidra till blodtrycksfall. Ta med en fullständig lista och berätta om dosändringar. Sänk eller hoppa inte över blodtrycksmedicin på egen hand. Be om en plan för eventuell justering och hur både symtom och blodtryck ska följas.

När behöver du söka hjälp snabbt?

Kontakta vårdcentralen vid återkommande besvär, fall eller svimning. Ring 1177 vid plötslig kraftig yrsel eller svimningskänsla. Ring 112 vid yrsel med bröstsmärta, svår andnöd, talsvårigheter eller ensidig svaghet, eller om någon förblir medvetslös. Anta inte att sådana symtom bara är lågt blodtryck.

Källor och vidare läsning

• 1177: Lågt blodtryck
• Janusinfo: Ompröva behandling med läkemedel som kan orsaka ortostatism
• 1177: Yrsel

Källor och länkar kontrollerade 22 oktober 2026. Redaktion: Hagakliniken. Generell information; individuell bedömning kan skilja sig.

Dizziness on standing can result from a blood pressure drop, but other causes are possible. Recurrent episodes need assessment, particularly after fainting, falls or a medicine change. One low reading does not explain the whole problem.

What is orthostatic hypotension?

It means blood pressure falls on moving to a standing position. Healthcare staff can compare blood pressure and pulse in different positions. A routine seated measurement may therefore miss what happens when you stand.

Describe whether your vision darkens, the room spins or you feel about to faint. Record how quickly it starts and whether sitting helps. These details guide assessment; they do not establish a diagnosis by themselves.

A safe symptom record

Do not provoke fainting to obtain a measurement

Record	Question to answer
Situation	From bed, a chair or after standing for a long time?
Timing	Immediately on rising or later?
Course	How long does it last and what helps?
Risk and changes	Falls, fainting, fever, fluid loss or a new medicine dose?

What can you do while seeking advice?

Sit or lie down if you feel about to faint. Rise in stages and use support, particularly at night. Do not perform a standing blood pressure test alone if you could fall.

Drink adequately, while following any prescribed fluid restriction. Large increases in salt or fluid are not suitable general treatment. Advice must also fit any heart or kidney condition.

Review medicines with healthcare staff

Some medicines can contribute to blood pressure drops. Bring a complete list and explain dose changes. Do not reduce or skip blood pressure medicine yourself. Ask for a plan for any adjustment and how symptoms and readings will be followed.

When to get help in Sweden

Contact a vårdcentral, a primary care centre, for recurrent symptoms, falls or fainting. Call 1177 for sudden severe dizziness or feeling about to faint. Call 112 for dizziness with chest pain, severe breathlessness, speech difficulty or one-sided weakness, or if someone remains unconscious. Do not assume these symptoms are simply low blood pressure.

Sources and further reading

• 1177: Lågt blodtryck (in Swedish)
• Janusinfo: Ompröva behandling med läkemedel som kan orsaka ortostatism (in Swedish)
• 1177: Yrsel (in Swedish)

Sources and links checked on 22 October 2026. Editorial team: Hagakliniken. General information; individual assessment may differ.

Muskelvärk under statinbehandling behöver bedömas, men beror inte alltid på läkemedlet. Statiner används för att sänka blodfetter och minska hjärt–kärlrisk när det är motiverat. Målet är att hitta en behandling som både fungerar och går att tolerera.

Börja med tidsförloppet

Skriv när läkemedlet startades eller dosen ändrades, när värken kom och var den sitter. Berätta om ny träning, en infektion och andra nya läkemedel. Det hjälper läkaren att bedöma möjliga förklaringar och interaktioner.

Vissa antibiotika, svampmedel och andra preparat kan påverka statinbehandling. Ta med även receptfria läkemedel och naturläkemedel. Be apotek eller förskrivare kontrollera just din kombination.

En symtomlogg som går att följa upp

Ta med till läkemedelsgenomgången

Anteckna	Beskriv konkret
Start	Datum för ny statin eller ändrad dos.
Besvär	Värk, svaghet eller båda? Vilka muskler?
Funktion	Har trappor, promenader eller att resa sig blivit svårare?
Sammanhang	Träning, feber, andra läkemedel och eventuella tidigare liknande besvär.

Behöver alla kontrollera CK?

Nej. CK är ett blodprov som kan bli aktuellt vid muskelsymtom, särskilt om de är uttalade eller långvariga. Det tas inte rutinmässigt hos alla som använder statiner. Även fysisk belastning kan påverka CK, så provet behöver också tolkas i sitt sammanhang.

Vad kan läkaren ändra?

Efter bedömning kan läkaren överväga till exempel dosjustering, byte av statin eller annan blodfettssänkande behandling. Ibland används ett planerat uppehåll med uppföljning för att undersöka sambandet. Gör inte egna upprepade stopp och återstarter; be om en plan med datum och kontaktväg.

• Vad är målet med min behandling?
• Vilka andra orsaker till värken behöver bedömas?
• Hur ska en eventuell ändring utvärderas?

När behövs snabb hjälp?

Kontakta vården skyndsamt vid kraftig muskelvärk eller tydlig muskelsvaghet, särskilt med feber, mörk urin eller påverkat allmäntillstånd. En allvarlig muskelskada är sällsynt men behöver snabb bedömning. Vänta inte till nästa rutinprov. Ring 1177 för råd om vårdnivån och kontakta förskrivaren vid lindrigare kvarstående besvär.

Källor och vidare läsning

• 1177: Läkemedel vid höga halter av blodfetter
• 1177 för vårdpersonal: Hyperlipidemi
• NHS England: Statin intolerance pathway
• NHS: Atorvastatin, serious side effects

Källor och länkar kontrollerade 22 oktober 2026. Redaktion: Hagakliniken. Generell information; individuell bedömning kan skilja sig.

Muscle pain during statin treatment needs assessment, but is not always caused by the medicine. Statins lower blood lipids and reduce cardiovascular risk when appropriately prescribed. The aim is an effective treatment you can also tolerate.

Start with the timeline

Record when treatment began or the dose changed, when pain appeared and where it occurs. Mention new exercise, an infection and other new medicines. These details help your clinician assess possible causes and interactions.

Some antibiotics, antifungal medicines and other products interact with statins. Include non-prescription medicines and herbal products in your list. Ask the pharmacy or prescriber to check your actual combination.

A record for your medicine review

Describe symptoms in practical terms

Record	What to describe
Start	Date of a new statin or dose change.
Symptoms	Pain, weakness or both? Which muscles?
Function	Are stairs, walking or standing up more difficult?
Context	Exercise, fever, other medicines and previous similar symptoms.

Does everyone need a CK test?

No. CK is a blood test that may help assess muscle symptoms, especially when marked or persistent. Routine CK testing is not required for everyone taking a statin. Exercise can also influence CK, so the result needs context.

What might the prescriber change?

After assessment, options can include adjusting the dose, changing statin or considering another lipid-lowering treatment. A planned interruption with follow-up is sometimes used to investigate the relationship. Avoid repeated stops and restarts on your own; ask for dates and a contact route.

• What is the aim of my treatment?
• What other explanations for the pain need assessment?
• How will any treatment change be evaluated?

When to seek prompt help

Seek prompt clinical assessment for severe muscle pain or clear weakness, particularly with fever, dark urine or feeling generally unwell. Serious muscle injury is rare but needs quick assessment. Do not wait for routine blood testing. In Sweden call 1177 for advice about urgency, and contact your prescriber for milder persistent symptoms.

Sources and further reading

• 1177: Läkemedel vid höga halter av blodfetter (in Swedish)
• 1177 för vårdpersonal: Hyperlipidemi (in Swedish)
• NHS England: Statin intolerance pathway
• NHS: Atorvastatin, serious side effects

Sources and links checked on 22 October 2026. Editorial team: Hagakliniken. General information; individual assessment may differ.

Triglycerides are a type of blood fat. A raised result needs to be interpreted alongside other blood fats, sampling conditions and your overall health. The follow-up is not determined by one isolated number or by whether you feel symptoms.

High blood fats usually cause no noticeable symptoms. A clinician may assess both long-term cardiovascular risk and, for very high triglycerides, the risk of pancreatitis. Follow any prompt instructions from the service that ordered the test.

Before comparing your result with an online table

Check the unit, the laboratory’s reference information and whether you followed the sampling instructions. Swedish reports commonly use mmol/L, while some international websites use different units. A laboratory reference interval and an individual treatment target are not necessarily the same thing.

Food intake can affect triglycerides. Ask whether a fasting repeat is appropriate for your result; do not assume that every lipid test needs fasting. If a repeat is requested, follow the service’s instructions rather than changing medicines or making unusual short-term diet changes to obtain a different number.

What may contribute to a raised triglyceride result?

The assessment can include alcohol intake, metabolic health, diabetes control, thyroid or kidney disease, medicines and inherited factors. These are possible lines of investigation, not a list of conditions that can be diagnosed from the result.

Bring previous lipid results if you have them. A change over time may be useful, especially alongside information about treatment, illness or sampling conditions. Tell the clinician about supplements as well as prescribed medicines.

A follow-up worksheet for a raised result

Question	What to bring or clarify
Was the result expected?	Previous values, units and any recent illness or treatment change.
Does it need repeating?	When, whether to fast, and who will interpret the repeat.
What else affects the decision?	Other blood fats, blood pressure, diabetes, smoking and relevant family history.
What is the agreed next step?	A specific change or treatment plan, review date and contact for questions.

How are treatment decisions made?

Advice may include reducing alcohol, reviewing food and drink habits, physical activity and addressing an underlying medical cause. The appropriate emphasis depends on the individual. Ask for a manageable plan rather than trying several restrictive diets or supplements at once.

Medicines may be needed according to the lipid pattern, the degree of elevation and overall risk. LDL cholesterol, triglycerides and other measures answer related but different questions. Treatment is not simply a contest to make one value as low as possible.

Do not start high-dose supplements or stop a lipid-lowering medicine without discussing it. If treatment causes symptoms or seems difficult to maintain, contact the prescriber so the plan can be reviewed.

When is more urgent help needed?

The requesting service should explain the urgency of a markedly raised result. Severe or persistent upper abdominal pain, especially with vomiting or feeling very ill, needs prompt medical assessment. Call 112 if you are seriously unwell or have life-threatening symptoms. Do not assume an abdominal symptom is caused by triglycerides without assessment.

Follow-up in Sweden

Contact the service that requested the blood test, or a vårdcentral if you need ongoing assessment. A private blood-test purchase should include a clear route for interpretation. Ask whether repeat testing, the medical review and continuing treatment are included in the quoted cost.

Common questions

Can a meal affect the result?

Yes. Sampling instructions matter, but the clinician decides whether a repeat or fasting sample would help in your case.

Will I feel when the value improves?

Usually not. Follow-up blood tests and the agreed clinical review are used to assess the response.

Sources and further reading

• 1177: Höga halter av blodfetter (in Swedish)
• 1177 för vårdpersonal: Hyperlipidemi (in Swedish)
• 1177: Läkemedel vid höga halter av blodfetter (in Swedish)

Sources and links checked on 22 October 2026. Editorial team: Hagakliniken. This is general information and does not replace an individual medical assessment.

Coffee, energy drinks and alcohol can trigger or make palpitations more noticeable in some people. Reactions differ, and symptoms after a drink do not identify the heart rhythm or establish that the drink is the only cause.

Call 112 in Sweden for palpitations with chest pain, severe breathlessness or fainting. Intense symptoms that persist need prompt medical assessment even if they began after caffeine or alcohol.

What to record after coffee or an energy drink

Start with what the heart felt like: occasional extra beats, a steady fast rhythm or an irregular rhythm. Note when it started, approximately how long it lasted and whether you were resting or active. Keep the drink information alongside the symptoms, rather than using it as a diagnosis.

A “cup” is not a consistent dose. Size and caffeine content vary, and tea, energy drinks, supplements and some medicines may contribute to the same day’s intake. Bring product names and approximate amounts if available. There is no personal safe threshold that this article can calculate from the number of cups you drink.

Alcohol and a racing heart the next day

Describe symptoms the following morning as well as those while drinking. Include sleep disruption and other symptoms in the account. Recurrent palpitations should not automatically be dismissed as a hangover. A clinician may need to assess the rhythm and consider other explanations.

If you regularly drink heavily or develop shaking, sweating and marked anxiety when you stop, contact healthcare for help planning a change. Severe alcohol withdrawal can be dangerous. Confusion or seizures require emergency help. A self-directed “test week” is not a suitable substitute for support when withdrawal is a concern.

A trigger diary that does not provoke symptoms

Bring a pattern to discuss, not a home challenge test

Observation	Useful detail
Drink or product	Name, approximate amount and time; include supplements.
Episode	Start, duration, regular or irregular feeling, other symptoms.
Other circumstances	Sleep, nicotine, activity and changes in prescribed or non-prescription products.
Follow-up question	What pattern needs assessment, and would recording the rhythm help?

Do not deliberately drink more of a suspected trigger to obtain a clearer answer. If symptoms improve after a change, that is useful information, but it still does not establish the rhythm. Do not stop a prescribed medicine to make the diary easier to interpret.

When is an appointment appropriate?

Arrange an assessment for recurrent palpitations, a clear change in familiar symptoms or symptoms that affect daily life. Mention known heart disease when making contact. In Sweden, a vårdcentral is a usual starting point; 1177 can advise on where and how quickly to seek care.

The assessment may involve an examination and an ECG. Longer monitoring is considered according to the pattern and frequency of episodes. Ask what would make the clinician choose a monitor and what you should do if an episode happens while waiting.

Questions worth asking

• Does the description suggest that the rhythm needs to be recorded?
• Could any medicine or supplement contribute, and who should review it?
• Which symptoms mean that I should seek urgent help?
• When should I return if symptoms continue despite changing a suspected trigger?

Common questions

Is decaffeinated coffee a guarantee against palpitations?

No. Continuing symptoms need a broader assessment than simply changing drinks.

Does everyone with palpitations after coffee need a Holter monitor?

No. Testing depends on the symptoms, examination and episode pattern. A diary helps the discussion but does not replace clinical judgement.

Sources and further reading

• 1177: Hjärtklappning (in Swedish)
• 1177: Alkoholberoende (in Swedish)
• Läkemedelsboken: Icke-farmakologisk behandling vid arytmier (in Swedish)

Sources and links checked on 22 October 2026. Editorial team: Hagakliniken. This is general information and does not replace an individual medical assessment.

Waking with a pounding or racing heart has several possible explanations. Stress, stimulants, sleep-related breathing problems and an intermittent heart rhythm disturbance can produce similar sensations. The fact that an episode happens at night does not establish its cause.

In Sweden, call 112 if palpitations occur with chest pain, severe difficulty breathing or fainting. Persistent, intense palpitations also need prompt assessment. Do not wait for a routine online appointment when you feel seriously unwell.

Describe the rhythm, not just the feeling

“My heart was pounding” can mean a forceful but steady beat, a rapid regular rhythm, or irregular beats and pauses. Describe whether the episode started suddenly, how long it lasted and whether it stopped abruptly. These details help a clinician decide which questions and tests are useful.

If you otherwise feel well, a brief pulse check at your wrist can help you describe the episode. Record whether it feels regular and its approximate rate if you can measure it comfortably. Avoid repeatedly checking throughout the night. A watch alert or a pulse number is information to discuss, rather than a diagnosis.

What might explain nighttime palpitations?

• Waking and stress: your body may feel activated after an awakening. Anxiety may also follow a frightening episode, so its presence does not settle the cause.
• Caffeine, alcohol or nicotine: the timing and amount may be relevant. A suspected trigger does not rule out a rhythm problem.
• Sleep apnoea: mention loud snoring, witnessed breathing pauses and daytime sleepiness. Palpitations alone cannot diagnose sleep apnoea.
• A rhythm disturbance or another medical problem: the assessment may include medicines, heart history and selected blood tests where the symptoms suggest a reason.

A short night diary to bring to your appointment

Use one row per episode. You do not need to collect perfect data before seeking help, and recording an episode must never delay urgent care.

Useful observations, without trying to diagnose yourself

Record	Example or prompt
Time and duration	When did you wake, and approximately when did it settle?
Rhythm and onset	Steady racing, irregular beats or isolated thumps? Sudden or gradual?
Other symptoms	Chest discomfort, breathlessness, dizziness or fainting?
Context	Evening drinks, a new medicine, snoring or a witnessed breathing pause?

For example, “02:15, steady fast pulse for about five minutes, no chest pain, wine earlier in the evening” describes a sequence. It does not prove that the wine caused it. Keep observations separate from conclusions when you discuss the diary.

What can an ECG show?

A standard ECG records a short period of heart activity. An intermittent problem may not be present during the appointment, so a normal recording does not necessarily explain a previous episode. Depending on the pattern, a clinician may consider longer monitoring. A sleep-apnoea investigation measures breathing during sleep and answers a different question.

Ask what the proposed test could change, whether you need to record symptoms while using it, and how you will receive the result. A single investigation does not answer every possible cause of palpitations.

Where to seek help in Sweden

Contact a vårdcentral, a primary care centre, for recurrent or changing episodes. Describe any known heart disease and provide your medicine list. Call 1177 for advice about the appropriate level of care if you are unsure. Ask your chosen provider whether an in-person examination or monitoring is available and what any private fees cover.

Common questions

Does waking with palpitations mean I have anxiety?

No. Anxiety is one possibility, but the timing alone cannot distinguish it from other causes. Recurrent symptoms deserve an assessment.

Should I stop a heart medicine if I suspect it is involved?

Do not change prescribed treatment on your own. Tell the prescriber what happened and seek urgent help if the symptoms are severe.

Sources and further reading

• 1177: Hjärtklappning (in Swedish)
• Läkemedelsboken: Hjärtrytmrubbningar – bakgrund (in Swedish)
• 1177: Obstruktiv sömnapné (in Swedish)

Sources and links checked on 22 October 2026. Editorial team: Hagakliniken. This is general information and does not replace an individual medical assessment.