I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

Understanding Your Symptoms

• Feeling your heartbeat in the neck or head can occur due to increased awareness, especially when lying down. Your normal ECG and echo are reassuring, and sinus tachycardia is a common finding indicating a faster heart rate.

Possible Causes to Consider

• Benign causes include heightened pulse awareness, anxiety, or positional effects. Less common causes might require further evaluation.

Next Steps for Evaluation

• Monitor symptoms and keep a diary. Follow up with a cardiologist or primary care physician. Consider additional tests like Holter monitoring if symptoms persist.

Lifestyle and Symptom Management

• Practice stress reduction techniques and avoid stimulants like caffeine. Experiment with sleeping positions to reduce the sensation.

When to Seek Immediate Medical Attention

• Seek urgent care if you experience chest pain, dizziness, or fainting.

Summary and Reassurance

• With normal heart tests and no other symptoms, serious issues are less likely. Maintain open communication with your healthcare provider for ongoing concerns.