What is a normal heart rate? Everyone wants to know what is normal, especially when it comes to heart health. Basic questions that are often asked or searched on the internet include:
- How do I determine a heart rate?
- What is a normal heart rate or pulse rate?
- What is a normal resting heart rate?
- What is a normal exercising heart rate?
These questions are easily answered and can provide reassuring information to those worried about their heart health.
When it comes to the beating of your heart cardiologists take note of two major parts, the rhythm and the rate. There are three different rhythms of a heartbeat, 1) regular, 2) regularly irregular, or 3) irregularly irregular (e.g. atrial fibrillation). By far the most common rhythm of the heart is a regular rhythm, which is usually sinus rhythm (i.e. the normal pacemaker system of the heart) in the vast majority of people. The remainder of this post will assume your heart is in sinus rhythm and will discuss heart rate.
How Do I Determine Heart Rate?
- Take your pulse on the inside of your wrist on the thumb side or on the side of your neck next to your larynx (i.e. voice box or Adam’s apple).
- Use the tips of your first two fingers (index and middle fingers) to press lightly over the blood vessels on your wrist or neck.
- Count your pulse for the number of beats in 60 seconds (1 minute) or count your pulse for the number of beats in 10 seconds and multiply by 6 to find your beats per minute.
What is a Normal or Resting Heart Rate?
There are three general ways to classify heart rate, 1) normal, 2) fast and 3) slow.
- A resting heart rate is normal between 60-100 beats per minute.
- A resting heart rate is fast (i.e. tachycardic) at greater than 100 beats per minute.
- A resting heart rate is slow (i.e. bradycardic) at less than 60 beats per minute. (Read our article Low Heart Rate)
A resting heart rate predicts longevity and cardiovascular disease, and current evidence suggests that it is also an important marker of outcome in cardiovascular disease, including heart failure. A normal heart rate is generally stated to be between 60-100 beats per minute at rest (sitting, relaxing, etc.). However, recent studies (here and here) have suggested that an ideal resting heart rate is between 50-70 beats per minute. It is well-known that the average resting heart rate for well-trained athletes is between 40-60 beats per minute! A heart rate can change dramatically while sleeping or with daily activity and exercise. Usually, a heart rate will be slower during sleep, faster during daily activities or with exercise, and recover quickly back to a resting rate after exercise. This means your heart has appropriate heart rate variability and recovery, which is associated with good heart health. Your resting heart rate can also be used to estimate how much energy your body uses, or your basal metabolic rate.
What is a Normal Exercising Heart Rate?
To determine what a normal exercising heart rate is, you first need to determine your age-predicted maximal heart rate. Here is the generalized equation for predicting maximal heart rate (HRmax) in healthy adults:
HRmax = 208 – (0.7 x age)
For example, a 20-year-old person, the age-predicted maximal heart rate would be 194 beats per minute and for a 65-year-old person, the age-predicted maximal heart rate would be 163 beats per minute. A simplified age-predicted maximal heart rate equation (i.e. 220 – age) is commonly used, but it overestimates maximal heart rate in young adults and increasingly underestimates the maximal heart rate in older adults.
Being physically active is important to prevent cardiovascular disease, the #1 cause of death in the world. The American Heart Association (AHA) recommends the following for physical activity:
- At least 30 minutes of moderate-intensity aerobic activity at least five days per week for a total of 150 minutes OR at least 25 minutes of high-intensity aerobic activity at least three days per week for a total of 75 minutes. For example, a moderate-intensity walk should translate to 100 steps per minute or 3,000 steps in 30 minutes.
- Moderate- to high-intensity muscle-strengthening activity at least two days per week for additional health benefits.
So, what defines “moderate-intensity” or “high-intensity” exercise with regards to heart rate? Once you have determined your maximal heart rate, then we can determine what your exercising heart rate should be based on the intensity of exercise.
- Generally, during exercise, you want your heart rate to be at 50-90% of your maximal heart rate. This range should be considered your general target heart rate during exercise.
- The target heart rate during moderate-intensity exercise is 50-70% of your maximal heart rate.
- The target heart rate during high-intensity exercise is 70-90% of your maximal heart rate.
- The target heart rate during a cardiac stress test to evaluate for cardiovascular disease is 85% of your maximal heart rate. This is supported by the AHA and the American College of Cardiology (ACC), as well as additional scientific studies defining the optimum upper heart rate limit during exercise.
Remember, exercise can include (but is not limited to) walking, jogging, running, swimming, biking, climbing stairs, high-intensity interval training (HIIT), or playing sports – whatever activity you find the most interesting or enjoyable.
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A resting heart rate is a very basic, but incredibly important predictor of cardiovascular disease and death in the general population. It is now recognized that positive modification of high-risk health profiles with strict diet and exercise programs can lower risk and is associated with improvement of resting heart rate, heart rate variability, and heart rate recovery. Take control of your health!
I am 74 years old.my doctor told me to lose weight because my cholesterol was 280,so I joined the gym. When I am on the treadmill what should my heart rate be? I also walk and use some of the ab equipment . I also take meds for tachycardia,which controls it.
Your predicted maximal heart rate is 156 beats per minute. While you are on the treadmill, moderate-intensity aerobic activity would probably be most appropriate. Moderate-intensity aerobic activity would put you in the range for 50-70% of your maximal heart rate, which would be 78-109 beats per minute in your case. So, a heart rate of 94 should be your goal while on the treadmill and this would allow you to go a little above and a little below that rate and still stay within your target heart rate range. You should aim for at least 30 minutes of moderate-intensity aerobic activity at least five days per week. Thank you very much for your question!
Hi sir i’m prasanthu 21 years old my heart rate is 105bpm. this normal or not? what is normal heart rate how maintain my heart rate please tell me exact answer…. by prasanthu
Thank you very much for your question, this is a very common question that I get. There is some variability with regards to a normal resting heart rate, but it usually falls between 60-100 beats per minute, your heart rate falls just outside of the normal upper range. I would expect that for your age, your resting heart rate should be lower. I would recommend an exercise program (recommendations are included in the body of this post) to improve your cardiovascular fitness and a dietary program to achieve your estimated ideal body weight or a BMI between 18-25, if that applies to you. If you have any symptoms from your tachycardia or exercise intolerance, then it may be a good idea to be evaluated by a physician.
Hello I am 27 years old 268lbs not very active at all. My resting heart rate is as low as 52. It’s as if I know when it’s low because I start to feel weird, dizzy and shaky. Is this normal or something I should look into ?
That happened to my father in law and it turns out he needed a pace maker. Check it out!go to a doctor.
My pulse goes from 45 bpm back to74 bpm .it will stay at 74 for hrs then for 15 mins it will go back to 45.is that life threatening.
If you feel fine (asymptomatic), then it is unlikely to be life threatening. However, you should have an ECG or Holter monitor to record the bradycardia episodes to be sure there are not any heart blocks that could be worrisome.
I am 61 years old and go to jazzercise 5 days a week. I wear a fit bit watch and I have noticed my resting heart rate during the day is 53 bpm and my moving heart rate is either 59 or 60. If i need to walk really fast it is 70. When I am doing jazzercise my heart rate will go up to 125-135 then drop back down to about six 5 to 10 minutes after i have finished a cardio work out. Do these figures mean i have a good healthy heart.
Yes, your heart rate variability and heart rate recovery are good. I would continue what you are doing.
I have a question I’m pretty active i do CrossFit, I have a resting heart rate of 49 bpm average it stops as low as 38 base off a Fitbit tracker now I know how the software can be wrong. I’ve felt really run down I am battling an infection. For 30 pretty active should I be concerned?
It would be reasonable to have an ECG completed, just to make sure you are in a sinus rhythm. If you are in a sinus rhythm, then you should be reassured and continue to monitor your heart rate as your infection gets better.
Hi sir..im githu 31years old female housewife my heart rate is 105 to 110bpm after take beta blocker medicine its back to normal 75 to 90 this normal or not?my ecg and blood test is normal. how to maintain my heart rate to normal rate without taking medicine becouse I’m worried I’m just young take medication. Pls reply thank you
I would suggest trying improvements in your diet and exercise. All adults should consume a healthy plant-based or Mediterranean-like diet high in vegetables, fruits, nuts, whole grains, lean vegetable or animal protein (preferably fish), and vegetable fiber. Adults should engage in at least 150 minutes/week of moderate-intensity or 75 minutes/week of vigorous-intensity physical activity including resistance exercise.
hi my heart rate when im doing something like walking doing chores is 60 to’69 bpm sometimes 80 and 140 when zumba walking at home but when im siiting or lying in my bed my resting heart beat is down to 48 49 sometimes 50 is that ok? and im active everyday doing chores and wlaking in everymorning doing 8k walkinh im 33 is that ok
Yes, what you are describing can be a normal resting heart rate and heart rate variability during the day – especially since you are asymptomatic.
Hello
I have a resting heart rate of 49bpm. 48yrs 295pds. Pressure runs 117/64 – 129/89 not active. My question is this normal rhythm?
It most likely is, but the only way to know for sure would be to obtain an ECG at your physicians office.
Hello
I’m a 31 year old female, 170cm and 74kg. Pre lockdown I was exercising about 3-4 times a week and my resting heart rate would average around 60-70, be around 130-150 when doing CrossFit and about 160-170 when running. At work it would be about 60-80 as I just do a desk job. I think this is all ok given my age etc.
Generally I’m fit and well but have had issues with anxiety which I managed to overcome mostly by regular exercise and keeping busy. Then Covid hit and I couldn’t do those things so i started to get very aware of my health and keeping tabs on my heart rate. I noticed that when just sitting around watching tv it would sit at around 70-80 and sometimes for no apparent reason go over 100 for a little while. When walking around the house, cooking or doing the dishes it would persistently stay over 100, about 110-120 but usually drop down to 70 when sitting down again. It stays around 80 when eating. During light walks it can averages about 120-130 but can spike to 140-160 briefly. Whilst driving it’s usually 80-90.
I started to get increasingly worried, one day it was 90-100 for a whole afternoon whilst I just sat still so went to a&e. They did a chest X-ray, ecg and blood test which all came back fine and they said it was anxiety related but gave me beta blockers to calm it down. I’ve been using them (very small dose of 1.25mg and some days half that) which seems to work for baseline resting heart rate (down to 55-60) but it can still elevate to over 100 with basic tasks like brushing my teeth or go up to 80-90 just typing away at computer and usually always over 100 when standing. When lying down it can go as low as 40-50 which makes me feel very dizzy, I also feel very tired and get frequent headaches. When out for walks it’s still about 120 average. When off them, resting heart rate elevates to about 70-80 and simple activities like walking upstairs can get it to over 120. Today I was meditating and my heart rate was over a 100 so took a beta blocker which dropped it down. My garmin says my stress levels increase when off them (that’s heart rate variation) which is making me stress even more. Is this normal? I don’t want to be taking beta blockers if I don’t need to be, plus I feel so tired when I take them and out of breath. Blood pressure has been a little elevated, usually about 125/82-85 but sometimes in the normal range too both on and off beta blockers. Thank you!
hi
I am 64 years old my resting heart rate is 59Bpm in the morning and during the day it goes up to around 65 and then at around 8 pm it goes down to around 55 .I am 5′-5″ and weight 158 pounds and just 1/2 hour walking every day.
Is this resting rate of 55 in the afternoon normal ?
Yes, that can be normal for you – especially if you are asymptomatic.
Hello, 48 year old female with hypothyroidism and my heart rate fluctuates often, is lower 50’s acceptable for resting heart rate?? It does this periodically and it scares me! I’m usually within normal range all day including sleeping, is this normal or something I should be concerned about? Please help me I’m scared
Yes, that can be normal for you. I would also confirm that your hypothyroidism is being optimally managed.
I am 49 and my levels keep dropping what’s causing this thank you
It is difficult to say, it would be reasonable to discuss this with your primary care physician.
Hi, my name is Gladys,26 years of age,I don’t really understand what’s going with my body, I do always feel nervous and having chest pain in all of a sudden,like when I have things in my mind, my shoulder got stiffed and upper back is stiff and painful, my finger toes next to the smallest one suddenly got numbness and I always got tired so quick, I hope you could give me any ideas about this.thankyou
I am not sure, that all sounds very strange, but what you are describing does not appear to be coming from your heart. You should discuss further with your primary care physician.
Hey doc, my heart rate ranges from 50-160. During the day I am either driving, walking or resting at home. Is this normal for a 19 year old male?
Yes, that can be normal heart rate variability during the day for a 19 year old.
Hi, all heart guides relate to either resting or exercising rates but what about normal daily activities ie house chores? Could these be classed as moderate exercise? I am 52, 5’10” and 75kg. I have borderline ejection fraction (49%) and I take a beta blocker not for blood pressure but to reduce heart rate. This keeps resting heart rate around 75bpm but if I get up and move from room to room or I am say at sink doing dishes my heart rate can be 115/120 – is that normal? Once or twice on a slow walk my heart peeked for a minute or too at 177bpm before returning to 120s which freaked me out a little (I did have a cold at the time). We spend most of our day between rest and exercise so what would be the normal range here? Thank you.
What you are describing would be mild exertion. It is difficult to say what that normal heart rate range for mild exertion would be – and it would also depend on the person as well as their age. What you are describing could be normal for you, although the heart rate to 177 bpm during a slow walk would be abnormal.
I’m 17 , you see since December my heart rate will go high for no reason then my blood pressure will go higher or lower. These past month from Jan until now everything time I feel this heart fire my heart rate will go either high to 120 or 13o or 140 or low 54 or 45 or 35 , when it’s low it bring more heart fire feeling of pain. Then when my chest burns my heart rate goes up and sometimes I feel dizzy. I start to notice as well when ever I do exercise my heart rate goes 140 or 155 or 160 or higher even tho these exercise were a normal thing to do. Often I will be helping my mum in small things and my heart rate will go up.sometimes I will just walk from home to school and itgoes 132 evening I’m not pushing myself. Specially these heart aches and chest fire really do hurt even tho its for 1 to 3 min
It is difficult to determine what could be going on in your specific situation. I would recommend discussing your symptoms and observations with your primary care physician.
Hi sometimes my heart rate is 119 without doing exercise is it normal
Your heart rate can transiently increase for various different reasons. However, if your heart rate remained >100 bpm for >24 hours then that would most likely be abnormal.
I am a 40 year old male. This happens to me also I do have some anxiety my heart rate is normally good at night it gets in the high 50’s to low 60’s. I exercise and try to eat healthy. But let’s say when I see someone that I don’t want to see get scared etc my heart rate will go from normal to 120-140 which gets me worked up and scared. It doesn’t stay like that long just until I calm down. I had a lot of test done on my heart a couple years ago everything turned out fine with very minor plaque in my arteries. I guess I’m just looking for a little reassurance. Thank you…..
hello sir, i am 28 before 3 months my resting heart rate was 90-98 and i used the bata blockers inderal for few days then my blood pressure up to 160 i took Dio plus 5/75 after a few days my blood pressure is too low range of 90/60 and my pulse rate also decreased 56to 65 in resting and 100-120 during excercise. now the blood pressure is remain 90/60 to 120/80 i checked it 2 or 3 times in the day..my all reports are normal ecg ,echo,thioride , cholestrol ,rfts, but i faced some dizziness weakness ..should i worry for my pulse rate and the blood pressure ???
Hi sir, I’m a 39 year old female. Recently started a new job from a long break due to the Covid restrictions and moving. Notice that while at the new job my bpm is between 100-130 while at the office training and at home it’s between 70-90. Also noticed that my anxiety is steady while there
Yes, anxiety can increase your heart rate. Your heart rate at home is reassuring.
Hello one time I tried to commit suicide and my heart rate was 28 beats a min. Is that in itself life threatening?
A low heart rate, by itself, is not life threatening. A low heart rate becomes dangerous if it leads to a critically low blood pressure that is unable to supply or perfuse vital organs, a so-called unstable bradycardia. A low heart rate can also be dangerous if it is caused by an intrinsic conduction system abnormality that could spontaneously or unpredictably become unstable, thus leading to a critically low blood pressure. So, the etiology of the low heart rate and it’s effect on blood pressure determines if it’s life threatening.
My heart rate when sitting is usually around 58 and when sleeping 54. And when I walked 69 to 70 when excercising it reach up to 9
8 to 115….Is this normal
Yes, that can be normal for you.
hi my heart rate when im doing something like walking doing chores is 60 to’69 bpm sometimes 80 and 140 when zumba walking at home but when im siiting or lying in my bed my resting heart beat is down to 48 49 sometimes 50 is that ok? and im active everyday doing chores
Hello im 25 year old male 5’11 about 170ish pounds not too long ago i felt like passing out was lightheaded dizzy numb fingers weak ankles and ended up going to er they did some blood and urine test and told me i was fine. Later on that week same thing and got same tests done plus an ekg or something like that and it all came back fine too. Doctor said it was probably just me with anxiety. I got a new job where theres alot of vapor and the same symptoms show up i feel like sitting but i pulled through i felt nausea but never puked or fainted. Symptoms lasted for some time. Also really gassy feel like i gotta burp or fart and a chest pain but idk if its because of the gas.at the er they told me my blood pressure was a bit high but not to really worry cuz of my age but its around 130/80 to 140/90 and probably cuz of the anxiety. But been checking myself at store and still same but also noticed my heart rate can get low 50-60 even 49 especially when i lay down at night or wake up. Which freaked me out. I saw regular was 60 and down to 40 for great athletes. I worked at a job that was hard labor 8 hours usually monday – saturday had to use my arms constant and use muscle but usually on a platform with not much leg movement so i dont know if that counts and my diet is not the best either. So just wondering if all that looks good if its just anxiety or what else?
I would not worry too much about your heart rate. It sounds like you have been evaluated by physicians, and you are young, so your heart rate can be a little low. Your blood pressure is a little high for your age. I would recommend checking your blood pressure every morning and night, if your systolic blood pressure (top number) remains >140 mm Hg, then you should take that information to your doctor. During your episodes you could also check your blood pressure and heart rate, that would be helpful to know as well.
You might check your blood sugar. I have found that it can make you feel nauseated and faint. Feels your heart is working hard and fast. My sugar has dropped as low as 29 and yes that put me in hosp and on a heart monitor.
Some times I check it and it’s high 387 and then at times really low. Not 29 anylonger but around 40.
So just try that. See how it goes.
Hope you feel better!
Kelli
I had a Holter Monitor on for 2 weeks and it was determined that I had Mobitz II. My heart rate while asleep dropped to 22 bpm from 44 bpm in a matter of a few minutes. What would that make my MET score at age 19? Also, is that considered to be an ejection fraction of less than 30%? Thanks.
I am sorry, but I do not fully understand your questions. Unfortunately, you cannot determine METs (i.e. metabolic equivalents) or ejection fraction from a Holter Monitor.
I have experienced these symptoms when working with fumes as well. I also will get a “fume hangover” headache that lasts for a while afterwards. It’s your body’s way of telling you the toxic fumes are not good for you, and it’s having trouble processing them. My mom has MCS (multiple chemical sensitivity) and her blood pressure goes way up when she is exposed to any sort of fumes. I would be concerned about continual exposure at work, and honestly would suggest finding a career with no toxic fumes. I hope this helps!
Hlo doc
my age is 21 and i am male
My resting heart rate is 56 or 54. Is it good and when i am standing my heart rate is 90 bpm
Increasing your heart rate from 55 bpm to 90 bpm would be considered an abnormal heart rate response to standing. I would make sure that you are staying well hydrated and consider a mild-to-moderate exercise program with resistance training.
Not sure if you still have this issue. But try watching your sodium intake and excersising. I had high blood pressure for awhile and did this and within a month my numbers are great. However my heart rate is lower end. Between 50-66. Normally below 60 tho. Never really payed any attention until I tried eating healthier and exersizing twice a week. I do walk at least 3 miles a day at my job. So maybe a combination of both and losing weight and eating healthier my heart loves it?!
dear sir,
i am 33yrs old man, some days my heart rate is between 80 and 95, and almost days is below 60-55. some times heart rate raise from 58 to 140 suddenly and come back to 60 again, please advise me about my problem, i did several medical check up.. but i don’t get any proper solution .
dear sir,
i am 33yrs old man, some days my heart rate is between 80 and 95, and almost days is below 60-55. some times heart rate raise from 58 to 140 suddenly and come back to 60 again, please advise me about my problem, i did several medical check up.. but i don’t get any proper solution .
Hi Docter my name is Hemanth and recently 4 months back I hospitalised for 2 major heart blockage with cad 2 stents and I am just 33 years and I was smoking a lot now Docter told me continue axcer 90 mg,rozavel 40 mg,tigatel 20mg,prolomet 25xl, and afternoon ecosprin 75mg for a year is tat must to continue the tablets and now I am active I’ll complete more then 10000 steps per day and now I want to be healthy for my family sake so please recommend me a how to be healthy for my good heart and vessels and I want to know how this blockage came to me from my family heridity or due to smoke and I was also not having my food on time now I want to leave my nonscared life so your motivational words and hints to help
You can follow the 10 Lifestyle Habits of Super Heart Healthy People: https://myheart.net/articles/10-lifestyle-habits-of-super-heart-healthy-people. Hopefully, you will find this information helpful moving forward. Thank you very much for your question!
dear sir,
i am 33yrs old man, some days my heart rate is between 80 and 95, and almost days is below 60-55. some times heart rate raise from 58 to 140 suddenly and come back to 60 again, please advise me about my problem, i did several medical check up.. but i don’t get any proper solution . i take concor5mg (betablocker) around 4 yrs and stopped last year , my blood pressure is 130/85.
A 24- or 48-hour Holter monitor may be helpful to determine your heart rate and rhythm during these episodes. You should discuss with your physician. Thank you very much for your question!
My age is 19 and my heart beat is 72 bpm at resting times is this normal ? How can I reduce my bpm
Yes, that is a normal resting heart rate, but you are never too young to focus on diet and exercise. All adults should consume a healthy plant-based or Mediterranean-like diet high in vegetables, fruits, nuts, whole grains, lean vegetable or animal protein (preferably fish), and vegetable fiber, which has been shown to lower the risk of all-cause mortality compared to control or standard diet. All adults should engage in at least 150 minutes/week of moderate-intensity or 75 minutes/week of vigorous-intensity physical activity including resistance exercise.
My heart rate is 45 bpm what does that mean
It can mean different things for different people, based on age, overall fitness, and symptoms. I am guessing you are young and asymptomatic, so a low heart rate could be normal for you.
Hello doctor,
I’m 33 male, my resting pulses rate is 84per minute.
I could see my heart beating on my chest and it’s so visible on my nible. It’s beating so fast. Is it normal?
Yes, it can be normal to see a heart beat through your chest. 84 bpm is not fast, that is within the range of a normal heart rate.
Hi I’m 20 , I do smoke a vape because I quit smoking cigarettes during the day my heart rate changes from 96 to 100 to 114 sometimes even 132 if I’m walking around a store or just at my house but when I wake up in the morning it’s usually 64 to 88 resting but I am anemic should I be concerned?
That is an exaggerated heart rate response to minimal exertion. It could be due to your anemia, which should be regularly followed by your physician. I would also recommend a structured mild-to-moderate exercise program.
I have a 11 year old daughter, after a 800m bike ride what should be the heart rate??????
I would contact your daughter’s pediatrician for the answer to that question.
I’m a 20 y/o female, my resting heart rate fluctuates from 55-75. I’ve had numerous work ups with my gp and cardiologist and nobody finds anything wrong. Is this normal? Should I push for more testing? I go through periods of time where my resting heart rate will be 54-64 when lying down/sitting for days. Is this okay?
Yes, what you are describing can be normal. In addition, if you have been evaluated by your primary care physician and cardiologist with a normal work-up then that is even more reassuring.
hi,
I am 19 years old i was suffering from gastric problems before 1 month after that i felt that my heart beat is more than normal
when i checked it was 100-110 my doctor prescribed me inderal 40g(Propranolol) half tab morning and evening a totat of 40mg a day
and clonazepam 0.25 every night. My ecg report and chest x ray was normal with 84 bpm heart rate doctor said me it is bcuz i m getting anxietic. i took that for 20 days then my doctor said me to stop it.
i stopped taking those medicines but i m getting 70-80 resting heart rate something 90-100 while resting. thats why i reduced my dosage to 20mg inderal every night i m still facing 80-90 bpm without any other problem
i don’t even fell dizzy or something is this normal and how will i stop my Propranolol dosages
Yes, that can be normal. I would discuss with your physician about the propranolol dosages and how they would like you to proceed.
Hello. Just want to ask if it is normal that my heart rate is 110 while im standing or sometimes just doing something. And why im having palpitation while sleeping? Thank you!
A heart rate of >100 bpm with just standing or minimal activity could be abnormal. If you are also having palpitations while sleeping, it would not be unreasonable to have a 48-hour Holter monitor completed to make sure that your heart rhythm is normal (i.e. sinus rhythm) during your episodes of tachycardia and palpitations.
I’m 31 y/o female. I have mitral valve prolapse and take 25mg atenolol every morning. I suffer with servre anxiety and panic disorder. My heart normal at rest ( just laying around watching a movie) is around 60’or 70’. Today I go in to get seen for allergies and sinuses, gave me a steroid shot about 9:30am around 12pm I started having a panic attack and my heart rate stayed in the 90’s. I’m laying down now and I feel like it’s still a tad fast in the 90’s. What should I do?
A normal resting heart rate can be between 60-100 bpm, so you are within the normal range. It is possible that the steroid injection has transiently increased your heart rate, but that should resolve in 24-48 hours.
I’m 41 years old and I recently quit smoking 6 months ago after smoking for about 20 years. I got a Fitbit and sometimes if freaks me out. My resting heart rate had dropped to the lowest 40. I don’t really exercise, but at work I do walk a lot… Sometimes, my step counter says around 10,000-12,500 steps. When walking around, my heart rate goes to around 130 bpm. I start getting anxiety, and I start to panic. I do play softball and have for years. Sometimes 4-5 times a week. Sometimes even 2-3 games in one night. Is this normal?
What you are describing can be normal at rest and with exertion, especially since it sounds like you are asymptomatic. However, if you are concerned, discussing with your physician would be reasonable.
I am 33 y/O male.my heart rate bet 55-65 .but suddenly it became 100 after sudden activity.and some time at sleep it goes down 54/ min and I feel some time discomfort in chest.I done ecg and eco but it is normal.1 yr before I suffering from colitis. Pls give me suggestions suggestions
What you are describing can be normal for you, and the normal ECG and echocardiogram are reassuring. You should consider a structured exercise program, at least 150 minutes/week of moderate-intensity or 75 minutes/week of vigorous-intensity physical activity including resistance exercise.
48 man hart rear of 35 jumps up to 134 it of up an down at rast
I am not exactly sure what your question is, but it sounds like you are asking about a heart rate variability between 35-134 bpm. This can be normal, especially with exercise, but if this is at rest then you could be experiencing a supraventricular tachycardia (SVT). If you are symptomatic or the SVT remains sustained, then you should be evaluated by a physician.
Hi I’m 44 yrs old and just had a baby 2 months ago. Before pregnancy my pulse stayed in the 70’s during the end of pregnancy my blood pressure and pulse got high my pulse would stay over 100 and during delivery got up to 147bpm now that I’m 2 months postpartum my blood pressure is back to normal but my pulse is low for me in the low 60’s and high 50’s just wondering what tournament intake is on the low pulse now? Just afraid maybe the pregnancy wore my heart out. But I feel fine. Just curious! Ty!
Yes, all those changes to your blood pressure and heart rate can be normal. Pregnancy definitely did not wear your heart out, so no need to worry. Thank you for your question!
Hello sir, i am 26 year old man with 56 resting heart rate (while lying on bed)
And i am bit over weight BMI 30
During ecg my pulse was 89 due to nervousness and cardiologist said my ecg was normal
So 56 resting heart rate is this normal
Yes, a resting heart rate of 56 bpm can be normal for you. I would recommend a diet and weight-loss program to achieve a BMI <25.
I am 77 years of age and jog 6 days per week for 5.3 kilometres and have done so for many years,recently my heart rate has registered 194 198 per minute on many occasions a bit scary.
Any advice would be appreciated.
Those heart rates would be very high for you. Were your heart rates confirmed manually or recorded from a fitness device? Fitness devices can be inaccurate and manually checking your heart rate when there is concern is recommended.
Hi, I’m Mischa 27 of age. I just did an ECG lately because a doctor advice me to do so. My heart beat is normal and my resting heart beat is 67bpm. The doctor also adviced me to see a cardiologist since i’m from a family with a strong heart problems. I’m experiencing a chest pain often lately but I don’t experience any shortness of breath. Specially when i’m stress or being emotinal and i’m also experiencing a feeling like my heart is being strangled and I also palpitate alot. Even at rest or if im just sitting I will suddenly feel chest pains. Any suggestions? Thanks!
It would be uncommon for a 27 year old female to have obstructive coronary artery disease, but evaluation by a cardiologist would be reasonable. A 24- or 48-hour Holter monitor may be recommended to evaluate your palpitations.
Hi doc ,i m 25 year old male .My heart rate was 100-120 all the time.then my cardio doc did ECG,ECHO AND HOLTER MONITORING AND BLOOD TEST.all were normal and no blockage , ejection facrion 65% ,and sinus rythm too. then in blood report,it was found my rate is high because of hyperthyroidism. i started taking meds to low hyperthyroidism and now its around 70-86 while resting. It increases to 90-95 when i am tensed or horny. Is it normal?
Is it normal to get high rate of 100 while playing games ? Because after that it comes back to 78. Is it normal? And i started walking and i walk at rate of 100-120 for 45 mins daily. Is walking rate normal? When i do something my rate is 90-95.is it normal??
Yes, all that can be normal. I would just be sure that your thyroid levels are continuing to be optimized.
Hi
I am a 70 Y O male my pulse rate as tested today was 32.
5 years ago in a german test it was also tested at 32. Surprise was expressed that someone of my age would have such a low pulse rate. I was asked if i was an athlete. I am not. But usually I walk every day and havent even owned a vehicle for the last 12 years.
But over the last 18 months of pandemic to remain mostly housebound with a lot less walking.
I had a bad influenza abou 2 to 3 months ago vut did not need treatment. It took maybe 3 weeks to recover main symptoms a futher 2 months feeling energy poor. I have no reason to beleve this was asymptomatic Covid 19 but I gave never been tested. But I did not walk outside my house for the 3 months. So no walking daily. I am definitely no athlete.
I am back to walking most days about 2 kms.but Its not rigid and its not training.
My question is ..
Is a 32 pulse always a good thing at age 70 or could it be bad
My BMI is good. Overall I am doing well for my age I feel.
Could there be some negative side to this 32 pulse?
Not necessarily, although it is low. I would assume your physician obtained an ECG and it was a sinus rhythm? If so, and you are feeling well and able to exert yourself, then I would just continue to monitor.
Hi sir my average heart rate is 67 taken on a whole day. Is it ? .l m an athlete who runs or Jog daily for 25mints
Yes, that resting heart rate is within normal range.
Hi I’m 51/ 5’4 / 185 lbs my lifestyle has been sedentary these past 4 years and have experienced some health issues as a result. I started walking 1 mile each morning doctors orders and I purchased an exercise bike and eating healthier. My goal is to lose weight and be heart healthy. What should my exercise heart rate be? Thank you
Your exercise heart rate should be between 120-135 bpm.
I have just turned 20 years old and my resting heart beat is 138 beats per minute , I have also noticed that my heart beat has been increasingly felt irregular for a while such as the sudden pounding feeling in my chest when I’m sitting down relaxing. Is this something to worry about ?
It is not normal to have a resting heart rate of 138 bpm. You should discuss this further with your physician.
Sir I’m 33 and my resting heart rate is around 100..when I lays down on left side my heart beats more 5_ 9 points more..I have done eco which is normal.my height is 5:6 but weight is 80 kgs what to do now
Diet and exercise improvements moving forward should improve your resting heart rate. I would suggest starting a mild-to-moderate exercise routine and weight loss to a BMI <25.
I’m a 50 year old male. 350lbs 6ft 3. I have a RHR of between 49-63 as determined by an Apple Watch, this has been consistent for at least 2 years of data I have. I’ve lost 100 lbs over the last few years and am asymptomatic as far as I know. I’ve had a ECG which was normal in the past. My HR rises and falls with exercise, walking HR averages 109-116bpm and cycling/rowing it’s around 130-140bpm. Am I normal? It should I see a Doctor?
I am 77. Wt:55kg. Ht: 5’4″.male.
My resting heart rate: 54 to 58.
Using med: metoprolol 25mg,
Rosuvastatin:10mg, and clopigrel:75; asthalin inhaler 200 mcg.
Moderate exercise regularly. At present I follow lchf diet with intermittent fasting 16/8. But lack of sleep. Dementia started.
Thank you for your comment, sounds like you are doing OK.
Hi, I’ve notice that ocassionally at night before going to sleep my heart rate per minute is 60 below. But in the morning it goes back to normal ranges between 60 to 100.
It can be normal to have a lower heart rate when you sleep (even into the 30s, 40s, and 50s).
Hi I’ve noticed that recently my resting heart rate has dropped as low as 54bpm during the day and even 44 bpm at night when I’m sleeping is this something I should worry about. I am 20 years old but I am over weight but I’ve been on a diet recently and have included a lot of exercise into my diet.
A low resting heart rate can be normal in young people. If you are asymptomatic and able to exercise, then the low heart rate is likely normal for you and you should continue your diet and exercise routine.
Hi I’m 30 female, I have the exact same thing when I’m resting in bed before sleep my heart rate can drop down to 50s and 49 when sleeping and goes up and down however when I’m awake it is between the standard 60-100
Unless I’m exerting myself.
That can be normal for you, especially since you are young and likely physically fit.
Hello I’m El, I’m 25 years of age my heart rate resting is quite normal it is 70/80 at the most but when I exercise which includes fast walking/running it reaches 130/150 is this normal?
Yes, that can be normal for you.
Hello, I’m 23, my resting heart rate is 55-60, I’m moderately active, sometimes I get weird pain in chest, I don’t know if it’s anxiety, should I be worried?
The heart rates you are describing can be normal for you. Any additional chest pain or anxiety should be discussed with your physician.
I am a 53 years old…. i have this watch that can monitor a heart rate……53 bpm atthe time of 6am and then at 530 pm 136 bpm….. in the morning around 8am i do treadmill every other day for 40 mins and 10 mins for lite weight lifting for my arms….. and also i do havemy maintenance medicine for my hypertension and diabetes is this a normal bpm rate?
136 bpm is a high resting heart rate, everything else looks OK. I would confirm with a manual measurement of your heart rate as the wearable sensors can be inaccurate.
Hello doctor I’m 24 years old, 5’1 102lbs and my resting heart rate goes down to 44bpm and I do have a first degree heart block, heart palpitations and severe dizziness lightheadedness and chest pain throughout nearly every day, and always conscious of my heart beating, I’m very nervous as to what this means for me I’m a mom of 2 and semi active
It is not normal to have palpitations, severe dizziness/lightheadedness, and chest pain every day. It is also difficult to say what could be causing it, I would suggest discussing this further with your physician to determine next steps for evaluation.
I am a 28 year old woman, I am morbidly obese at 344 lbs although I have lost almost 100 lbs at this point. I have been having heart palpitations every day although have been told by an ER doctor that it is anxiety. I am waiting for a referral to a cardiologist to go through. I take 20 mg of propranolol every day as my old resting heart rate was over 100. My resting heart rate now tends to fluctuate between 70-85 while just laying in bed and goes up and down every few seconds.. I had an episode of SVT on Thanksgiving to where it was 170, this measurement was taken by paramedics. Then two days ago my Fitbit said my heart rate was 125 and I was just lying down. It went back down quickly but still freaked me out. The resting rate is based on a Fitbit tracker as well. Could I be suffering from arrhythmia?
Yes, from what you are describing, it could be an SVT. Your cardiologist should be able to evaluate further.
Hey doc,
I’m 31 year old male at 200lbs, a few months ago I was 245 but had what the dr called an anxiety attack. I had gone to the ER for this anxiety attack because I thought I was dying having a heart attack. Ekg came back normal chest X-ray said I was within normal limits and unremarkable bony thorax. This is why I lost the weight because I was worried about having heart disease. Ever since then I’ve been trying to figure out what is wrong with me I’ve been dizzy on and off and my eye dr says I have normal tension glaucoma. Also I had a zio patch done which came up with rare PACs and rare PVCs. Could stress be the culprit or could there be an underlying reason why I’m getting these palpitations, I also stopped eating meat. They also said my sleep bpm is 35? Is that normal?
I am not sure why you are having the feeling of palpitations, your Zio patch suggests that you are not having any significant abnormal heart beats. A low sleep heart rate can be normal, especially in young people.
I have the exact same symptons like you. Did you ever find out what was wrong?
Hi My Name Is Dianna I Have Tachycardia My Heart Rate At Rest Is 160bpm l also get very lightheaded and dizziness along with it I’m prescribed Metoprolol For my fast heart rate is their any other factors that can cause my heart rate to be so high while at rest
It is not normal to have a heart rate of 160 bpm at rest. You will need an ECG of the tachycardia to determine the underlying rhythm, which is unlikely to be a sinus rhythm, and let those results determine the next step in evaluation. Also, basic laboratory evaluation would be recommended including checking your thyroid levels.
Hi, I’m 51 year old male 5 10 and 12 stone, my resting heart rate is always between 56 – 60 is this ok?
Yes, that can be normal for you, especially since you are asymptomatic.
Dr Jason. I have a question. My sitting down during the day rhr is between 70-80 sometimes. When I lay down its 55-65. And when im standing or just walking around the house its between 80-110. I’m an athlete that runs 2 miles 5 times a week and have already had ekg. Echo. To make sure my heart is okay. But sometimes just from standing not doing much activity at all my hr will go up to 105-115 and stay there for as long as I’m standing. (Could be hours) when I check my wife’s shes only at like 70-80 from doing similar tasks. Is it normal when standing or doing very light walking to be between 105-115 if I’m in pretty good shape. (6ft tall 210lbs)
Yes, that can be normal for you, just make sure you are staying well-hydrated. Also, the fact that you can exercise and run several times a week is reassuring.
Hasnain Noshahi says
September 23, 2021 at 9:48 am
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hello sir,I am 28 year old After taking beta blockers my resting pulse rate is 55-61 and blood pressure remain 90/50 to 100/60 should i worry about bradycardia?all the health test are normal ecg,echo,thioriod ,cholestrol etc all the normal..
That heart rate could be normal for you, especially with the normal tests. However, I am not sure why a 28 year old would be on a beta-blocker.
hello sir,I am 28 year old After taking beta blockers my resting pulse rate is 55-61 and blood pressure remain 90/50 to 100/60 should i worry about bradycardia?all the health test are normal ecg,echo,thioriod ,cholestrol etc all the normal..
I’m 25 I’m 138ib my sys is 220 my dia is 110 and pul per min is 106 is that normal?
No, that is not normal. With a systolic blood pressure >140 mm Hg, you should see you physician about treatment for hypertension (i.e. high blood pressure). You can read more about hypertension here: https://myheart.net/articles/uncontrolled-hypertension-including-hypertension-emergencies/
At the moment I’m am sick with a cold not Covid, but when I walk from my sitting room to the stairs my heart is racing, so I’m wondering what causes this to happen as I be active enough I’m 68years of age doctor think it’s down to the virus, but when my pcr test came back negative it made me wonder why
Yes, acute illnesses (viral or bacterial) can cause an increase in your resting heart rate. Your heart rate should improve back to your baseline as the illness improves.
Hi i am in the military and my resting heart rate is from 90s to 120s sometimes 130s.. i have issues running bc it gets too fast and was wondering what i should do or if it was normal.
It could be abnormal to have a resting heart rate of 120-130bpm. This would likely need to be confirmed with a heart monitor to determine if you are in a sinus (i.e normal) or non-sinus (i.e. abnormal) heart rhythm. I would recommend you discuss this further with your physician.
Hai sir, my age is 40 but my resting heart rate is 96 bpm my bp is 120/80, what kind of exercises do I take and which food is better for heart and does my heart rate good or bad?
That is a high resting heart rate for your age. I would recommend a moderate exercise program with resistance training and a whole food plant-based diet.
DR MY HEARTS GOING UP TO 115 110 BACK TO 90 AND 81..IF IM JUST STANDING..WALKING SLOW ROUND HOUSE WILL IT GO ABOVE 100?? 😏😣
It is hard to say. A recent or previous coronavirus infection can cause elevated heart rates. Also, postural orthostatic tachycardia syndrome (POTS), which you can read more about here: https://myheart.net/pots-syndrome/. If your symptoms continue, you can discuss more with your doctor.
I’m 31 years old lately I been loosing alot my oxygen an it’s taked a while to catch my breath i so been checking my sys mmHg it’s come out as=160-175
DIA mmHg=106-108
Pulse=95-99 it’s this normal
No, that is not a normal blood pressure. I would recommend discussing your findings with a healthcare provider for further work-up and management.
I am a 28 year old white female, roughly between 4 & 5 months pregnant with my 4th child. Previous pregnancy was twins done thru C-section, first pregnancy was regular birth. No miscarriages. Possibly pregnant in my tubes because I’d filled out the necessary paperwork B4 c section for my twins in June 2017 to make sure I’d never be able to have anymore kids again after them. But here I am, pregnant. Point of me sharing that is because I’m told there are a lot of dangers should it be a tubal pregnancy. I jus walked a mile on a TreadClimber in 18 minutes and 26 second my heart rate was 159, machine said I burned 98 cal. I’m not as active as I should be, but I’m not sloppy. I’m 5’5″ & usually weigh between 145 to 150. I’m not flabby like the BMI would suggest by saying I’m over weight. So given my age, weigh, & circumstances, is the heat rate ok? When id first started it was high in the 160s but I’d focused on slower paces & put my hands back on to check it & it would go back down to 160 something. The entire 18 mins I’d slow & recheck my heart rate. @ the main end I tried hurrying to get the mile before the 20 min. Mark so I hadn’t gt the chance to slow my myself to lower the heart rate again. But I wasn’t really out of breathe, not was m to heart beating too fast/hard. Honestly it felt good so is that safe for me or am I pushing my luck?
Yes, what you are describing can be normal for you. A reasonable exercise heart rate would be around 160-170 bpm in your case without pregnancy. Probably discussing with your OB/GYN about heart rate parameters while pregnant would be reasonable.
Hi. I’m a 51 woman with allergies and asthma. I use 2 maintenance meds and a rescue inhaler. I just checked my BPM; it was 95. Is that borderline cardio vascular disease?
No, heart rate is not equivalent to cardiovascular disease. A normal heart rate can be 60-100 bpm, so you are within the normal range. Also, some inhalers and especially rescue inhalers are temporarily increase your heart rate.
Im 27 years old, i got a 120-144 heart beat, i work at plant, but i got those heart beat during lunch break and before to go home.
Yes, that would be a faster than normal heart rate especially at rest. It would be reasonable to have a 24- to 48-hour Holter monitor to capture and evaluate your fast heart rates.
Hello doctor, I am Ayo and am 33yrs I recently noticed that my heart rate was between 85 – 104 and I have palpitation when I wake up in the morning alone. I did an ECG but the ECG result is normal. What do you think is wrong?
It is hard to say. Your heart rate is within the normal range and you say that your ECG was normal. If you continue to have frequent palpitations, then you can discuss with your physician if a 24- or 48-hour Holter monitor might be helpful for evaluation.
Dear doctor ,,,my age 35 and weight 112 Kg,, my normal heart beat 70 to 90, but when I eat hot or eat much calories items my heart beat on 90 to 110, I have gastro problem, pl advice
I cannot fully explain why your heart rate increases with eating, but for some people that can be normal.
DR MY HEART RATES GOING IP TO 110 109 WHEN STANDING..IVE JUST BEEN WALKING SLOW ROUND HOYSE…FEEL LIL DIZZY. SHOULD I WORRY?? CALL EMS OUT??
Hey I’m Antoinette I also have heart problems too I take medicine for taquicardia to and some time my blood pressure is 130/87 heart can be 100 can you tell why
It is difficult to say. I would discuss with your physician to inquire if further evaluation or monitoring would be needed.
Hi, I’m Bright. It began a few years ago, I would get light headedness once in a while and it would go away. Sometime Nov last year I found lots of blood in my stool. This only happened once then few weeks later I started having palpitations and light headedness. After diagnosis it turned out I had esophageal and stomach ulcers, I took calcium blockers and beta blockers for the palpitations but none was effective in stopping it. The palpitations stopped 2 days after taking Omeprazole. The thing is ever since ave been very concious of my heart rate, that’s when I notice my RHR is around 48 – 70, 48ish very early in the morning while still in bed. When I was younger I do alot of intense exercise like weight lifting and I’m still very active. The light headedness and palpitations are gone, the doctor suspects I was anaemic due to the bleeding ulcer but my HRH is still in the low range even though I don’t feel funny or dizzy at all.
Yes, it can be normal to have a resting heart rate ~40-60 bpm and be asymptomatic. It is generally a good indicator of cardiorespiratory fitness.
My heart rate is 120 I just wanted to know could that indicate problems yes I smoke cannabis so could that be a factor in me having a high resting heart rate when high
A resting heart rate >100 bpm, in your case 120 bpm, can be abnormal. It would be reasonable to discuss with your physician and obtain an ECG.
I will be 80 in April. I’m a white female who weighs 148 pounds. I believe I have had resting heart rate around 90 for many years. I just took my blood pressure and it was 123/72 with a heart rate of 89. My last visit at my general practitioner showed a resting heart rate of 103 (one test only). He prescribed 25mg of metoprolol three times a day. I do not want to take a beta blocker. What should I do?
If your heart is in a sinus (i.e. normal) rhythm, then there is no need necessarily to be on a beta-blocker.
My resting heart rate(when laying down in bed) is between 50 to 60.
When I work like cooking it’s between 60 to 65.When I do light exercise it’s between 75 to 81.
I am 30 yrs old.Is this normal?
Yes, that can be normal.
Hi doctor I have pots syndrome. My heart usually races or stays resting at late 60’s-100 laying down but tonight I realized my heart is staying around 56-68. Is it normal for your heart to be in the 50’s range like this laying down at night?
Thank you
Hi i have started working out running 5 to 6 kms 5 days a week. I have some anxiety which plays with my heart rate. I am 41 years old and find my resting heart rate jumps around from being 55-62 some weeks and then 66-73 for a few days. What causes changes in resting heart rate? Can over worked muscles increase resting rate? I have had ecg, holter monitor, echo and they came back fine. If something was wrong with arteries or the heart they would appear on these tests?
It is hard to say what caused your changes in heart rate, but those ranges are within the normal range. Any issues with your coronary arteries would not necessarily be detected with the ECG, Holter, or echocardiogram.
Hey doctor I just turned thirty and have a Fitbit most of the time my resting heartbeat is 74-78 when excercings not full throttle but about eighty percent I get to 183. Is the average or something else please
That exercise heart rate is a little high for your age, but still within the upper limits of what can be considered normal for you.
I’ve been on clonazepam for 10+ years, take 4 mg daily. I am now down to.5 mg and having trouble getting off it totally, having severe withdrawals. IE; severe leg cramps, can’t sleep. I quit taking it for 36 hrs and had a SVT, recorded it on my bp cuff. In a restful state my pulse was 147. The dr said it could go to 200 bf being a SVT. I moved to a different state and the drs say I can no longer take that for my “confirmed “ SVTs. I’ve been on beta blockers before and since I have hypothyroidism my vitals stay low which makes my body LOW. I was switched for health reasons. The therapist keeps telling me it’s due to depression, and has given me buspirone, escitalopran, and mirtazapine. I’m a heathy 63 ur old woman, weigh 115 lbs. very energetic and have my depression problems now in tack. The only meds I take other than clonazepam is thyroid medication. What else can I take or due, get to control these? I’ve had them since 1990 which they only lasted a few minutes, the last one, without clonazepam lasted 3hrs! I don’t feel I’m taken seriously
Beta-blockers should be OK in the setting of hypothyroidism. If you have confirmed SVT episodes and symptomatic, then an SVT ablation would be reasonable in your case.
I have a question I got the correct shot the 22nd of last month and Having a lot of issues with my heart rate going up-and-down I was having like a shock sensation for a long time Hospital put me on a better blocker But now when I’m at rest it goes to 54 sometimes 50 but when I stand up it goes to a 100 when I’m walking around Is that normal can you tell me please all my tests have been coming back normal I wore a heart monitor for 3 days when I was having the sensation in my body I’m not having that sensation no more so it’s not the same as when I had the monitor on I don’t know where to go from here
If your tests have been coming back normal, that is reassuring. While on a beta-blocker, your resting heart rate can be a little lower than normal.
Hi there I’m 28 year old my heart rate is usually 64-68 bpm resting, but its raised between 74-80bpm resting, I am full of the cold right now, blocked nose and bad sinuses could this be the reason?
Yes, being sick can increase your resting heart rate.
I am a 27 year old mom of 3. I recently birthed my 3rd baby 5 months ago. I have a history of POTS but it had resolved. I began having problems with my HR and thought it was recurring POTS until I was diagnosed with postpartum thyroiditis. I was hyperthyroid. Well that phase passed and was not suppose to come back. (I don’t have antibodies) I am suppose to go hypo which typically causes a low heart rate. I have been waiting for this to occur for the past 3 weeks since my levels normalized. I have had a completely normal heart rate variability. Well the past 3 days I have noticed some palpitations and some heart pounding more. My hr is between 60-90 resting and when I get out of bed, it goes up to 115, and that’s without walking around, just standing in one place. It’s uncomfortable and resolves throughout the day. I am scheduled to check my blood levels again and also scheduled for an angiography for some chest pain I have every once in a while. I suffer from anxiety as well. Hypothetically If I am not hyperthyroid again and if my angiography is normal , Could this be due to stress and anxiety only? Or could be considered normal? I want to start excercise to undo any effects that stress has done to my heart from thyroid and stress of anxiety but I’m afraid to start. I just want to do brisk walking on my treadmill, is this risky? Thanks.
Those area all good questions. I would wait until your procedures and follow-up visits are completed before pursuing any exercise program. However, if everything comes back normal then that would be very reassuring and starting a mild-to-moderate exercise program with resistance training could improve your resting heart rate and the way you feel during the day.
Hi im a 24 year old male I have a question when I sit down or lay down when I’m watching tv my heart rate is on the 50’s and when I stand up it goes back to normal I feel dizzy every day I already saw a cardiologist and I did a echocardiogram and he gave me a heart monitor and he said my heart is fine what should I do I get scared when I feel dizzy
Hi im a 24 year old male I have a question when I sit down or lay down when I’m watching tv my heart rate is on the 50’s and when I stand up it goes back to normal I feel dizzy every day I already saw a cardiologist and I did a echocardiogram and he gave me a heart monitor and he said my heart is fine what should I do I get scared when I feel dizzy
Hi
Its been 3-4 days , i have been feeling anxiety a lot.
My heart beat is varying from 75-95bpm.
Is that fine, i am just 30 but i feel scared when i get anxiety.
Thanks
Hii I am prachi I am 20 years old and my heart rate 89/min nd from some headache is too mch my doc says ur heartbeat is fast in normal time what should I do
A heart rate of 60-100 beats per minute is indeed normal. There may be something else that your physician is concerned about and would discuss the specific concern at your next doctor’s visit. Thank you for your question!
I am 19 and sometimes my resting heart rate while asleep and just laying down will get into the 40s. Is this normal ? I have started working out some
Yes, especially given your age, that can be normal for you.
So I wear my Apple Watch to sleep and I saw where all in one minute it went from 60s to 39 and then back up to like 60s all in that one minute. My normal sleeping heart rate is is 50s-60s and a lot of times 40s but I never knew it had gotten down to 39. I saw it had done that 2 times before with my Apple Watch while I was asleep. Is that bad ?
Wearable devices are not always correct, especially when the episodes in question are very brief. As long as you are in a normal sinus rhythm during the day, then the low heart rates at night can be normal for you.
Doctor my heart beat is normal at rest like 69 to 84 bpm, when I get up to grab something I’m home goes from 109-115bpm, if I clean do laundry not light duty goes from 120,130,150 maybe even 160
Sleeping 50-42bpm
When I’m out shower it’s like 120 130
That is a significant rise in heart rate due to only a mild amount of exertion. I would suggest trying to improve your diet (try a whole-food plant-based diet) and starting a mild-to-moderate exercise program with resistance training, hopefully this will improve your overall cardiorespiratory fitness.
I am 58 female, my resting heart rate is 84-92, when showering or just walking around the house, my heart rate gets between 106-120, but goes down after an hour usually. Sometimes it takes a couple of hours to go back to normal. My ekg and blood test were normal. This worries me, what should I do.
This could be normal for you, however, I would suggest improving your diet to a whole-food, plant-based diet and starting a mild-to-moderate exercise program with resistance training. These two changes will improve your cardiorespiratory fitness and resting heart rate.
Hi im a 24 year old male I have a question when I sit down or lay down when I watch tv my heart goes down to the 50’s and when I get up my heart rate goes up I have anxiety I just want to know if anxiety affects the heart and if I’m at risk of having a heart attack or a cardiac arrest from anxiety ??
What you are describing can be normal, and the normal evaluation by your cardiologist is very reassuring. Yes, anxiety can affect the heart, but it is very rare/highly unlikely to have a heart attack or cardiac arrest from anxiety.
Doctor my heart beat is normal at rest like 69 to 84 bpm, when I get up And walk to grab something goes from 109-115bpm,If I’m asleep and get up to give my baby a bottle it goes 109-120 if I clean do laundry, get out shower vacuum, goes from 120,130,150 maybe even 160
Sleeping 50-42 I just got a watch so it’s making me nervous seeing those numbers I did also just get over covid, ekg is normal
Also, what you are describing has been seen after COVID-19. It should hopefully improve over the coming weeks to few months.
I am 59 am having syncope episodes. I have complicated migraines that are intractable. I have been known to have bradycardia, but in the past few months have had very rapid Heart rate and high blood pressure at times. Your thoughts
You should probably see your physician and speak with them. It is possible that you are having a tachyarrhythmia (i.e. fast heart rate) that could be causing your syncope. In your case, a temporary heart monitoring device to assess your heart rhythm and rate would be reasonable. You can read more about that here: https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/. Your blood pressure should be monitored and if it remains high (systolic blood pressure >140 mm Hg), then it should be treated with lifestyle modifications or medications if lifestyle modifications are not effective.
Try taking a Magnesium supplement first it may do the trick ?
Hello so I’m 19, and resting heart rate is 71, but when laying down it’s at 60-71? But one time I caught it in the 59 but dropped back in the 60’s… not sure if it’s my anxiety causing it.. because I have Fitbit and back then my heart rate was at steady rate and now when I keep looking at my Fitbit and neverous in high 80’s. ( I work out 5/7 days )
A resting heart rate can vary between 60-100 bpm, so this can be normal. The heart rate variation that you are noticing can be normal variation during the day. Thank you very much for your question!
Hi I’m 23 and I go through periods of training all the time then I can go weeks with out training. I’m not the fittest I have been in the past but I’m still fairly fit. My resting heart rate is around 55. Is this normal? Do I have to be worried. I have experienced chest discomfort before but I did have a period of taking cocaine every other weekend but quite a lot of it! I never feel chest discomfort whilst I’m training and I have had tests and everything seemed to be fine. Am I being paranoid or is that resting heart rate not normal?
Yes, that resting heart rate can be normal for you especially if you are asymptomatic.
Hello! I am 29, female, about 100 pounds. Was more active under age of 18 but have been fairly sedentary for a decade now. Started being consistent in exercising on August 10th. 8/19 I awoke from a nap with a swollen neck I believe it could be my thyroid. Had a scary night 8/22 I woke up about 2am and felt right side of thyroid was swollen, I started to sweat profusely and felt very faint and my anxiety was through the roof. My temp dropped as low as 96.4, bp was 98/54, and my heart rate kept fluctuating up and down constantly as low as 54 and as high as 90. I have been experiencing heart rate of about 57 while at rest and if I get up and move around it rises to about 90-112. Wondering if all these symptoms could be due to my thyroid? Thank you for your time!
Yes, it is quite possible. I would recommend discussing with your primary care physician for a further evaluation.
Thank you Dr. Guichard! Will discuss with my doctor on Friday over the phone. Hopefully I can get tests done soon. 🙂
Doc,
I’m 28 years old and recently my resting heart rate has dropped. I lift 6 days a week for about an hour and half because high bp runs in my family. Currently on medication for it. I’ve noticed that even after eating a high protein meal with a complex carb my heart rate will still be between 66-72bpm.
That is within the normal limits for heart rate.
I am 28 years old and have always had a lower than normal heart rate at about 53-55 bpm. For the past 6 months I have been working out regularly by lifting weights and running. My heart rate now is 49 bpm. Is this normal? I feel fine except that I am tired and ready for bed early in the evening – but that could be from working full time and having a 2 and 4 year old… 🙂
Yes, it can be very normal for young athletic people to have heart rates in the 40-60 range at rest. Check your heart rate while you exercise and if you are able to attain a heart rate >100, then your chronotropic reserve (i.e. your ability to increase your heart rate with exercise) is intact and you should be fine. Working full time while exercising and caring for two kids will definitely wear anyone out!
y father had recent heart attack and using storvas 40 mg but his his LDL and triglyceroids seem to be increasing just near the border. So which medicines would better reduce his cholesterol levels.
He should discuss with his physician about increasing his atorvastatin to 80mg everyday. Additionally, he should try aggressive lifestyle measures to reduce his LDL and TGs. If these changes are not enough, then ezetimibe could be considered. Thank you very much for your question!
Hi am mayra a 31 yr old female i recently have been working out and keeping healthier and doing things during the day and have a 4 and 6 yr old girls so am Pretty busy all day and my pulse is 56-60bpm am in amlodophine a very low dose. Im Worried is that normal
I would not be worried about your heart rate, especially since you are able to work-out and keep up with your two young kids. Lower heart rates can be normal in younger and healthier people, and a heart rate of 56-60 bpm is just right at the lower limits of normal.
Hi Dr Guichard.
I am a 33yr old female
Weighing 119lbs 5ft 6in
My resting heart rate is anywhere from 80-92
I know that is within “normal” range but I keep reading things that say anything above 80 is unhealthy or poor
I went to the ER with some concerns recently and my bl was 102/88
Should I be concerned?
I typically eat healthy and try to workout mostly walks and weights what else could I possibly do to improve my heart health?
It seems like you are doing everything right, your BMI is very good, you eat well, and you exercise. Your blood pressure is also very good. I would not let a single number (resting heart rate) bother you, especially since it is within a normal range.
I am 37 and I’ve had bradycardia for the last 15 years (resting average was around 50 sleeping was around 40). For the past 6-8 months my resting went up to the 60s and 70s (sleeping 50s and 60s). For a few months it would go up and down and now it’s just staying higher. I’ve had labs done, holter monitor, echo, thyroid labs, etc. and it’s all normal. My thyroid is diseased (based on ultrasound) and with minimal activity (even just showering) my pulse hits 130s. While sitting it often hits 110-120 a few days a week out of nowhere. I don’t smoke, drink or use drugs and don’t drink caffeine. My blood pressure is fine. Doctors and cardiologist said it’s within normal range on my tests so won’t do further testing. I don’t know why my resting went from bradycardia to 60s and 70s. I also don’t know why I keep having random episodes of tachycardia. I have gone to ER during those times and they say normal sinus rhythm. Only other thing to add is I am worried about POTS, thyroid, and I take toprol ER now (tried propranolol previously) to try and lower my pulse but it doesn’t help. I also deal with exercise intolerance and shortness of breath (O2 is fine). Do you have any advice or recommendations?
Yeah, that is a tough one. The normal work-up and evaluation is reassuring, and the fast heart rates appear to be just sinus tachycardia based on your recent ER evaluation. I am not sure what further recommendations to make, however a mild-to-moderate exercise program with resistance training and a whole food plant-based diet can improve the symptoms of POTS.
I am 25 Year old Working Man in a Company As Finance Officer.Sir my resting heart rate always lies between in 55-65 bpm when i wake up but after getting ready for my office and for the rest of the day it always lies between 80-100bpm. In my whole day I Usually sit in my chair doing office work on computer , for a little i walk during my office times but i feels my heart rate is over 90, due to this i have a panic disorder and when i become scared that why it is above 90 ,my heart rate suddenly jumps over 100 due to fear,, i dont know what is this but i always think about my heart rate now & some time due to panic by bp also jump to 130/90,. In normal conditions my blood pressure always remains 120/90. My doctor puts me on atenolol for this, but when i take it for long duration i feel dizzy & my blood pressure also goes low & by taking it i dont feel very well As like my heart is pumping low…so i dont know what to do sir..please give me some advice
It is possible that you have inappropriate sinus tachycardia: https://myheart.net/articles/inappropriate-sinus-tachycardia/. You should discuss your symptoms with your physician. I would suggest an exercise regimen as a way to improve your cardiovascular fitness and most likely lower your resting heart rate. You can find exercise recommendations above in this post, or here: https://myheart.net/articles/10-lifestyle-habits-of-super-heart-healthy-people/. Thank you very much for your question!
Good info, thanks.
What would be a good heart rate at rest for a 76 year old male? 5’9′ 210 pounds and in pretty fair shape with type 2 diabetes?
A good resting heart rate for you would be 60-80 beats per minute. Thank you very much for your question!
Hi I’m 38 female, my resting heart rate is between 78-82, now, during the day my rate is always above 100, when I’m on couch watching TV it stays between 82-94, it rarely gets below 79 when I’m asleep at night, I think it’s normal?
Yes, that heart rate can be normal for you (a heart rate between 60-100 bpm is normal) – but maybe not ideal. I will say that, in general, your heart rate is on the higher-side of normal for a female of your age. If possible, starting a structured mild-to-moderate regular exercise routine would be beneficial to improve your overall cardiorespiratory fitness and achieve a lower resting heart rate. Improved dietary changes along with weight loss can also improve markers of overall cardiorespiratory fitness.
Hi i am a 55 year old white male 150 lbs… i do have mild emphysema from 44 years of smoking and working hard on quiting.. My question is i use a pulse ox and usually when im sitting around like now on the computer my pulse reads anywhere from 60 to 88 bpm, o2 between 92% and 97% but when i get up and walk say to the kitchen it goes up to between 95 and 115 but comes back down when sitting.. is this is a sign of heart failure?
U sound like ur in good shape..not bad heart
Hi i am a 55 year old white male 150 lbs… i do have mild emphysema from 44 years of smoking and working hard on quiting.. My question is i use a pulse ox and usually when im sitting around like now on the computer my pulse reads anywhere from 60 to 88 bpm, o2 between 92% and 97% but when i get up and walk say to the kitchen it goes up to between 95 and 115 but comes back down when sitting.. is this is a sign of heart failure?
Reply
A heart rate increase with exertion is normal and, in your case, may also be due to hypoxia while ambulating due to your underlying COPD. The fact that your heart rate returns to baseline means you have appropriate heart rate recovery. However, an increase in heart rate with such mild exertion is somewhat concerning. This shows that your cardiorespiratory fitness is quite poor. You should talk to your doctor about cardiopulmonary rehab and ways to improve your overall fitness. The heart rate changes you are currently experiencing are not necessarily concerning for heart failure. Thank you very much for your question!
Hello. I am Chris, 43 y/o, exercising regularly (3-4x run + 2 swim per week). My HR at rest is around 43. I have a wrist based HR and it sometimes goes > 205 when I run (not extremely hard… usually when I run uphill in the mountains). If I follow the “industry standard” max heart rate for my age, I should never get anywhere near 200.
Should I get it checked out? And if so where should I go?
PS: I feel fine when I reach this level though
Thank you
Chris
Hey Chris, thank you for your question! Your resting heart rate at 43 bpm is excellent and is likely related to your optimal physical conditioning. Your predicted maximal heart rate is 178 bpm, so an HR >205 would definitely be abnormal. You should know that HR monitors, especially the wrist-type, can be erroneous and I would manually check your HR to confirm the results. My guess is that the wrist HR monitor is probably wrong, especially since you feel fine, with an HR of >205 would probably wouldn’t feel normal. However, if you confirm that high of a heart rate with manual checking then you probably need to be evaluated by a physician. You could have an underlying arrhythmia that needs addressing. Your primary care physician would the place to start, who might then refer you to a cardiologist. You would likely be given a heart monitor to professionally monitor your heart during the day and with exercise, which would allow for further investigation of rapid heart rates. You can read more about those here: https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist.
My heart rate is 93. but i am suffering n chest pain from last 1 month. I feel very scary. I checked by a MD doctor. He said , I am suffering from fibromyalgia.
I would have to defer any decisions to the physician that evaluated you, but if you are unhappy with their evaluation, you can always get a second opinion.
I’m 37 yo female, 5ft5, 130 lbs.I work out every other day. My routine includes 20 min of strength training and 15 min of HIIT training on the treadmill at 3 speed for a min and 7 for 30 seconds. I have been doing this workout for about a year now. My concern is my resting heart rate is 93 bpm which it has been for years. (Note: I don’t smoke or drink caffeine) My doctor says that this is high for my age and is concerned because my exercise regimen should have made my resting heart rate decrease but it has not. All of my labs are normal except I am prediabetic.
I am going for a stress test and echo this week. Has anyone else experienced this and what was your outcome?
Yes, I would also expect your resting heart rate to be a little lower given your age and exercise routine – however, between 60-100 beats per minute is normal. I would assume you have had an ECG that was interpreted by a physician and was normal. A stress test and echo may be appropriate, would suggest an exercise stress test (treadmill or bicycle), to observe your heart rate and rhythm response to exercise.
Hello,
I’m a 25 year old male, my resting heart rate is usually around 80-85, I noticed that when I am walking around during the day or at work my heart rate can go up to between 90-110bpm. When I sit down again for prolonged periods my heart rate returns to 80-85. However, I have noticed that on occasion when I go from a supine position to a standing position, my heart rate can shoot up to 130-140bpm for around 30 seconds before coming down to around 100bpm. I am relatively fit and active but suffer a great deal with health anxiety. Are my symptoms normal?
Yes, what you are describing can be normal for you.
How did your stress test and echo go?
My HR became high as it turns out from a thyroid problem (Graves’ disease)- treatable with meds…
Yes, hyperthyroidism can be a cause of an elevated heart rate and can be easily diagnosed by a simple blood test. If all your labs were normal, I would have assumed they tested for hyperthyroidism, but maybe not and you should check with your physician to be sure.
Im 23 years old i noticed when im sleeping my heart rate is around 46 to 58 beats per minute. I notice this when i went to the e.r not so long ago . Is it normal. I really don exercise that much. Im 210 pounds .5.6 hieght.
Sometimes my restibg heart rate when im laying down is 54 to 65 beats per min
I dont use drugs . I usally just drink sometimes.i suffer from anxiety here n there and this has me a lil worried.
I went to the e.r and pressure is good. All test where good. I went for acid reflux . But i notice this while i was thrre.i had a few palpitations during thr past month but no other systoms. And this has happem when i been fully awake .is it normal for rate to drop like that. I only have high cholesterol its around 210 total
try taking some magnesium supplements. effervescent kind. take the 100% rdi for a couple of days. and log your palpitation progress afterwards. definitely start exercising, and changing your dietary habbits.
Thank you for responding to my previous question… one other thing i would like to ask you is…… i notice my 02sat from my finger pulse ox registers between 94% and 97% most of the day and sometimes 98%.. when i am lying down and almost asleep i check it and it is between 91% and 95% until i cough or take a deep breathe which then it goes back up to between 96% and 98%.. i was diagnose in my doctors office with irbb when he did a quick ekg… Also i get pac’s and pvc’s once in a while. my heart rate sometimes drops to between 40 and 59 bpm when im resting in bed then i wake up in the morning and its 60 to 80 bpm while still in bed waking up . when i get up and walk to the kitchen and start doing a few things it climbs to between 100 and 130 only in the morning right after i get out of bed… it does goes back down within an hour if i sit down … i do not take any kinds of meds.. but i do have alot of anxiety about my health… could this be due to my mild emphysema? could i possibly have ling cancer even though i had 3 chest xrays and 3 different urgent care centers and 1 ct scan 4 months ago that only showed mild upper lung emphysema? could i be having pulmonary hypertension or heart isssue.
This is likely due to your underlying COPD. However, you should be evaluated for sleep apnea which could be causing your SatO2 to be low when you are sleeping. With that many imaging studies completed, you are probably low risk for lung cancer. Mild COPD is unlikely to cause pulmonary hypertension, but with a right bundle branch block, PACs, and PVCs getting an echocardiogram would not be unreasonable. Thank you very much for your questions!
I am a healthy athletic 46 y.o. male that has recently started tracking my heart rate at night. I have found that a dozen or so times throughout the night my heart rate goes from 40 bpm to 70 or higher. Is this considered normal or should ones heart rate stay within a few bpm throughout the night? Thanks for your time.
Yes, that kind of variability during the night can be normal. This variation likely tracks with your stages of sleep throughout the night. Thank you very much for your question!
I’m a 31 year-old female. According to my FitBit, my resting heart rate is usually between 63 and 67 (the latter when I’m stressed out during exams). While I slept this morning, the FitBit tracked my heart rate at a 47, which is the lowest I’ve ever seen it; 50 was the lowest before then, a month ago. I usually see sleeping heart rate between 54 – 62. I walk 2-3 miles almost every day, intensity varying but never over 120 bpm. I haven’t done cardio in years because I’ve been sick for a while. I was wondering if it dropping to 47 while sleeping was anything to worry about. I did have some breathing issues last night while I walked but I thought it was the acid reflux and cold weather. Before then, the lowest sleeping rate I’ve had in weeks has been 54, a week or two ago.
Other info: they diagnosed me with malnourishment a year ago due to a restricted diet (food intolerances), so I have low iron (though borderline anemic), low calcium (at a 9 out of 10), and they just figured out my pancytopenia might be caused by my low folate level.
Yes, a heart rate of 47 while you sleep can be completely normal. 47 is very close to your baseline of 54-62, and likely just represents some mild nightly variation. Sounds like you are getting your nutritional deficiencies addressed, which will be a good thing. Thank you for your question!
I have been diagnosed with Hashimoto and graves around August of this year, so far I’m only taking half of the 5 mg of Methimazole once a day. In the beginning when I didn’t know I had those two diseases, I had a running heart that went up to 178 that how I was diagnosed after so many times going to ER with a resting pulse of 120, and told it was anxiety, which I knew wasn’t. Anyway after being on this 1/2 of Methimazole I wasn’t sure if the 102 pulse I got today while standing up could be a sign of the graves trying to kick in again since I’m on such a small dose of medicine, or could have been something else that kicked my pulse up like that for a few minutes then went down to the 90s while standing. Any comment Sir? Thank you.
It’s difficult to say, but it’s likely just your normal heart rate variation, and should continue to improve (meaning, a lower heart rate) as you continue taking your medications. I would recommend continued close follow-up with your endocrinologist.
Hi I am 29 years my heart beat resting is 102 and on stress is 147 is it normal or what thanks
There is variability with a normal resting heart rate, but it normally falls between 60-100 beats per minute, your heart rate falls just outside of the normal upper range. I would expect that for your age, your resting heart rate should be lower. I would continue to monitor your heart rate before you sleep and when you wake up, and monitor for any potential heart symptoms throughout the day. I would also recommend an exercise program to improve your cardiovascular fitness and a dietary program to achieve your estimated ideal body weight or a BMI between 18-25, if that applies to you. If you have any symptoms or exercise intolerance, then it may be a good idea to be evaluated by a physician. Thank you very much for your question!
Check your potassium and magnesium. Intracellular. It’s low …
yes
Hi,
I am a 23 year old male, I run about 15KM everyday with a heart rate around 157BPM sometimes lower sometimes higher, I’ve been excersizng for years now. I’ve noticed recently that when I wake up checking my heart rate straight away it would be around 44-47BPM. Then throughout the rest of the day when I find my self resting or laying down not doing anything stressful my heart rate sits anywhere between 70-90BPM, this is while resting and sitting and won’t go down again till I wake up and check the next morning, is this normal with my training regime?
And also once while resting I felt my heart beat harder in my chest, then out of nowhere it started speeding up from 100 to 140 to 150 all while still lying down, this occurred along with pins and needles in hands and feet. According to the doctor who did an ecg and checked things like blood and so on, it may just have been a panic attack, I didn’t feel very panicky at all and would have had no reason to panic at that moment as I was t even stressed, just wanted to know if this was normal as well.
Thank you so much for your advice in advance 🙂
To answer your first question, yes, that can be normal. It is normal to have that kind of heart rate variability during the day, even with excellent physical conditioning. With regards to your second question, it is difficult to say what was going on during your tachycardia episode. It sounds like an episode of a supraventricular tachycardia (SVT), but could be a number of different things. If the tachycardia episodes increase in frequency or duration, then an evaluation by a physician could be considered. SVTs are not life-threatening and there are very good treatment options, most of the options are curative, for patients who are symptomatic with their SVT. Thank you very much for your question!
Hi,
My husband is 44, doesn’t have time for exercise of any kind at all. His resting heart beat is usually around 60 bpm. His problem is having extreme fatigue with no obvious reason all of a sudden during the day. When it happens he has to sleep. I checked his heartbeat when he is having one of those moment . It was 42 bpm. As I said he is not doing any exercise, not at all. But I wonder why his heartbeat is all of a sudden becomes 42 when he is having extreme low energy. I am not sure if he is having low energy because of low heartbeat or heart beat is going down because of the fatigue. I guess my question is does low heartbeat indicate that there is something wrong in heart?
It can be normal to have a heart rate of 40 bpm during sleep, however, in most cases, it is abnormal to have a heart rate of 40 bpm during the day with activity. My guess is that the low heart rate is causing him to feel tired and fatigued. I think it would be worthwhile to schedule an appointment with a physician for an evaluation (history and physical, ECG, basic laboratory work, thyroid function tests, etc.). A couple of reasonable tests to further evaluate his heart rate would be a Holter monitor (you can read more about that test here: https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/) and an exercise (e.g. treadmill or bicycle) stress test. These tests would provide more information about his daily heart rate and rhythm, chronotropic competence (i.e. heart rate response during the day and with exertion), and exercise capacity/tolerance. All of this information would hopefully shed some light on these symptomatic bradycardia episodes. Thank you very much for your question!
Hi,My name is Aleks I am 43 years old,I am 6′ high by 230 pounds,allready 2 mounts I am running 4 times per week 5 miles for hour,My heart rate droped from 70-80 bpm on 50-60 bpm,I am taking medication for high blood pressure is my heart rate is too low.Thank you
No, your heart rate is not too low. It sounds like your heart rate has dropped due to your increased physical conditioning, and probably losing some body weight as well. A low heart rate will be of concern only if you are having symptoms (e.g. tired, weak, dizzy, etc.). If you feel fine, then your reduced heart rate is likely due to the positive and beneficial neurohormonal changes from your exercise routine. Thank you very much for your question!
Dear Doctor,
What is the difference between the minimum heart rate and the average resting heart rate? I have a wrist exercise band with a HR monitor. It tells me that my minimum heart rate is between 38 – 53 and my average resting HR is 48-63. I am 48 year old male, 167 cm, 60 kgs.
Thanks,
M
I am not sure how your wrist exercise band determines your heart rate parameters. When we monitor someone’s heart rate, we look at the minimum heart rate (bpm), average heart rate (bpm), maximum heart rate (bpm), tachycardia (>100 bpm) burden (%), bradycardia (<60 bpm) burden (%), ventricular beats (%), supraventricular beats (%), as well as heart rate variability during the day and circadian heart rate pattern. Your minimum heart rate is the lowest rate (single number) of your heart beat and your average heart rate is the average (single number) of your heart beat, not sure why you have a range for each one. Having a range of heart rates seems to be confusing. Thank you for your question!
Dear Doctor
I am 35 years old suffering from anxity and hypertension. Currently I am under medication. I have habit checking heart rate through my mobile app. Most of the time it would be between 60 to 100.
I do brick walk for 45 minutes and 5 days in a week for past 3 months. Now I observed some time during night before sleep and morning just after sleep my heart rate falling between 53 to 58.
Is this something wrong? Please advise
Yes, it is normal for your heart rate to fall at night while you sleep and still remain low until you wake up. Your heart rate will then increase during the day and with activity. This would be considered normal heart rate variability, which can also be somewhat exaggerated in young people (less than 40 years of age).
Thank you doctor
I checked my heart rate at rest and it’s 32 bmp is that heart attack level. I had a mild heart attack last yr.and My heart rate is always fast at rest constantly it never goes below 89
I checked my heart rate at rest and it’s 32 bmp is that heart attack level. I had a mild heart attack last yr.and My heart rate is always fast at rest constantly it never goes below 89 I am 45 yrs Old
There is technically no heart rate that is “heart attack level,” but I understand what you are trying to say, a heart rate that is dangerously too high or too low. In your case, a low heart rate would be concerning if it is causing symptoms. Otherwise, low heart rates can be well tolerated. Sometimes heart rate machines will report a low heart rate, but it is actually not low, one cause could be frequent PVCs. Premature ventricular contractions (PVCs) cause this phenomenon, and you can read more about them here: https://myheart.net/articles/pvc-heart-beats-are-they-dangerous/. These can be easily detected at your next doctor’s appointment with an ECG. I would suggest monitoring your heart rate manually, and recording it periodically throughout the day, this information will be helpful for your physician.
One issue I have had is when my heart or whatever is the problem feels in a strange mood, it takes me a very long term to get my heart rate down if I have been walking or exercising. Like on 19th October I had been exercising for an hour and a half and my heart rate was 113, and jumped to 127 the following afternoon and didn’t return to normal until 23 hours later. It was between 95 and 127 when I was in bed all that time.
Yet when I went ten pin bowling on 7th November it was 69 five minutes after I had finished. I was walking on Tuesday and it was normal, on Wednesday it was 103 and took an hour and a half to return to normal levels.
My heart rate has been unstable since early October with palpitations on and off, dizzy spells on and off, flutters in the chest on and off, a wobbly heart rate, an erratic and unpredictable heart rate. I am fine some days and others I am not. I get sharp stabbing pains in the center of my chest, my heart area and a warm burning feel in the center of my chest. I have gone over 100 bpm since 19th October on 26th October with 103 and 108, on 12th November with 113, 119 and 122, on 30th November with 103 and 3rd December with 112.
Thank you very much for sharing your current health concerns. I would recommend discussing your symptom and heart rate logs with your physician. Further investigation and data gathering may be required.
Hi I am Narendra a nd my age is 42. In resting position at night my pulse rate is 77 rpm and during day time (working time) my pulse rate becomes 110-125. is this normal?
Yes, that can be normal heart rate variability. However, if you have a sedentary job, a heart rate of 110-120 while working is a little higher than would be expected. If you have a mild-to-moderately active job, then a heart rate of 110-120 while working would be somewhat expected. It all depends upon how much activity you are experiencing throughout you work day.
I am 38 years old, general good health but a bit out of shape and overweight ( working on it!) I do have anxiety and take Zoloft, also battle anemia…my resting heart rate is around 60bpm…I do see a spike up to around 115bpm as I’m walking around work at a school (sometimes brisk walking and sometimes not) but still goes up… but does recover quickly….seeing numbers between 60’s up to 120….normal?
Yes, this is very normal for someone your age and can be somewhat exaggerated in someone with anemia. Your heart rate recovery (i.e. the time it takes for your heart to get back to baseline after exertion) appears to be good as well, from what you are describing, so that is reassuring.
I am a 57 year old male with a rhr in the 50 to 60 range
I am trying to train for a half marathon.
In the past when my hr got above 172 I would slow down
During my last half my hr got up to 180 to 185 and I slowed down to avoid any problems.
The calculation formula gave me a value of 168 which seems good.
What is the problem with going up to 175 to 180 during a race?
What max and 85% rates would you recommend…
The age-predicted maximal heart rate would be 168 bpm and for a 57-year-old person, I would recommend not going above 151 bpm during your exercise sessions. A heart rate of 185 for a 57-year-old is very fast and unlikely to be driven by the sinus node, was this detected manually or with a heart rate monitor? I would recommend checking your pulse manually because heart rate monitors can sometimes be erroneous.
I’m 67 years old ,when I run 3 miles in 30 minutes my heart rate ( using monitor on treadmill ) will go as high as 181BPM during last 7 minutes . The max calculations for someone my age really scare me . After I finish and rest for 5 minutes I’m ready to shop ,ect. ….note ..I do suck a lot of air near the end but no leg cramps or dizzy effects have been running this four times a year and usually run 2.75 miles in 30 Min. weekly with no effect . Do not want to damage heart tissue but really enjoy this test ? ….Please Reply …THKS
The first question would be how are you measuring your heart rate? Heart rate monitors are notoriously inaccurate, you would have to double check your heart rate measurements manually over a minute to get a true reading. But yes, a heart rate of 181 bpm is higher than your predicted maximal heart rate of 161 bpm, which is why I am skeptical of the measurement. In any case, you should limit your heart rate to no more than 90% of your predicted maximum, which for you would be 145 bpm. This is a safe zone for high-intensity exercise given your age. Congratulations for your exercise accomplishments!
I am a 29 year old, inactive, female. My resting heart rate has been average of 58, dipping as low as 52, the past week. I just got a Fitbit to track it, so I don’t know if this is normal for me or new. When I stand up and walk quickly, my heart rate jumps to 110-115. I’ve been sleeping a lot more lately as well. Do you think this is cause for concern? Some research has led me to believe a possibility of hypothyroidism- thoughts?
Thank you!
Your heart rates at rest and with exertion can be normal. It is normal to have an increase in heart rate when standing, and moving around will certainly do it as well. I would not be overly concerned about hypothyroidism, unless you are having additional symptoms suggestive of hypothyroidism. However, hypothyroidism is very easy to test for and would discuss with your physician.
Hello Doc,
First of all thank you for answering so many questions, i am 34, male, 68 kgs. Lately, i have been feeling dizzy sometimes with my resting heart rate between 80-98 bpm while i am sitting and working on my laptop. When i wake up from sleep it is around 60-70 bpm. I have started jogging everyday since past few days, however i have a constant feeling that something is wrong with my heart, what is the reason that i am having this feeling, is it because of the dizziness ?
I am not sure, those types of feelings are very non-specific so it is difficult to say for sure what could be going on. If it continues, then you can discuss your symptoms with your physician.
Hi – I’m a 27 year old female, I haven’t exercised for a while but over the past 2 weeks I have started couch to 5k and I’m doing around 40 minutes of exercise per day. I am also taking 40mg propanalol a day for anxiety. I have notice over the past few days that whilst resting, my heart rate occasionally dips between 50-60 (usually around 56) is this normal? Should I consider not taking the propanalol?! Thank you
Hello ,sorry to bother.
I’ll make this very simple and fast because I know you’re busy.
I’m 21 year old female. 5’4 &175lbs. Yes, overweight but working on that.
My heart rate at rest or relaxing with fall into the 50’s even low 50’s. But when active and moving around is within the normal range and sometimes above 100 when very active.
I do not workout nor am I an athlete. Sometimes very randomly I will have a heart palpitation. Not everyday or even every other day , just randomly.
I do sometimes feel tired, weak and SOB. I do have an apt with a cardiologist but was just wondering your thoughts? Very scared since I’m only 21:/
Yes, having sinus bradycardia (i.e. a low heart rate) can be completely normal in young people especially at rest and while sleeping. It sounds like with mild activity your heart rate increases appropriately, an appropriate moderate exercise heart rate for you would be in the 130-140 bpm range. I am not sure what to think about your palpitations, they are not very frequent or long-lasting and you don’t seem to be too symptomatic from them. Based on the information you have provided, an ECG would be appropriate as an initial starting point. Your cardiologist may also order an echocardiogram (https://myheart.net/articles/echocardiography/) and/or a Holter monitor (https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/) for further evaluation if they feel that it might be necessary after talking to you in person.
Hello doc, I came up on this and I think the advice is really good..I am 42 and I always notice that I have a heart rate of 53 to 55bpm…recently I changed dr and my ekg shows the same thing. He had me wore a monitor over night but they called and said everything looks fine…I have 2 questions is there a monitor you wd recommend that I cd use to track my hr when sleeping and what shd be my target hr when I am exercising…thanks for the free tips…great job
There are lots of heart rate trackers out there. Fitbit has a good selection, and of course, the Apple Watch is very versatile. Your target exercise heart rate should be in the 120-130 bpm range.
Doctor I have mital valve prolapse with mild/trivial MR . Ejection fraction is 70% . Taking medication for high bp. Age is 23 I am working professional. I want to enjoy my life sir.Is is fine for next 30+ years. I am doing yoga and jogging on a regular basis. My resting heart rate is around 55-62 at night and 66-82 during day time.My height is 178 cm and weight is 72kg My heart recovery rate is around 35 bpm after 2 min of exercise. Please suggest so that i have a bright and healthy future.
I would not worry at this point in time. Your MVP with resultant MR appears trivial-to-mild, which is good. It may remain that way for the rest of your life, or in some cases, it progresses. You will need follow-up with a cardiologist every 1-2 years, and your follow-up may become more frequent if the MR eventually worsens. You can follow these 10 lifestyle habits that will keep you healthy and living longer: https://myheart.net/articles/10-lifestyle-habits-of-super-heart-healthy-people/.
Doctor, I have been feeling bad most of the time. My SYS/DIA is fluctuating more each and everyday and night. My pulse is 121, my hand are sweaty plus I can hear my pulse in my head. I have been to the ER and they say that I am fine according to lab work. My primary doctor agrees with the ER. But I feel awful, scared and very concerned. What do you advise Sir?
A resting heart rate of 121 bpm is definitely not normal. This can be due to a number of things from inappropriate sinus tachycardia (https://myheart.net/articles/inappropriate-sinus-tachycardia/) or other heart rhythm issues to simply just anxiety or depression. In either case, a proper work-up and evaluation are very reasonable. If you can speak with your current physician or seek a second opinion.
James, I’m responding to a post you did 5-6 years ago! Your post seems like anxiety (I’m having anxiety now) I thought if you replied it might help me with mine. Thanks for listening after all this time and I’m wondering if you’re still there? Charles
Hi Dr.
Im a 29 YO male that weighs 190. Dont really exercise other than chasing a 1 year old =) 2016 has been quite the roller coaster year for me personally. Its started with the birth of our 1st child in January! Then took a “negative” turn in February when we were at his DR’s office and my heart starting pounding and I started to sweat. Afterwards I went to a 365 day DR and they did an EKG (came back normal) and said I suffer from Anxiety. I went through several episodes of the “heart racing and pounding”, maybe 5 in 4 months. It kind of calmed down, but then I started to develop the feeling of a single heart beat that just “drops” and then everything is good. I had several panic attacks and ended up in the ER on my birthday weekend, everything was fine on their machines, again just anxiety. I went on anxiety medicine and I guess you could say the “heart dropping sensation” has gotten better. It is extremely rare at this point…But now there are days where I get a little dizzy and light headed. Sometimes with the dizzy spells, I feel hot. I don’t actually sweat but just feel hot. According to my Fitbit, my resting heart beat is anywhere from 55-62. While working behind my desk (as I type this) my heart rate is 57. If I walk to get some water or go to the bathroom it will rise to 75-85ish. If I take laps around the outside of our building, I can get it up to 100-110, but then declines when I “slow down” and rest.
Ive had EKG’s, stress test, 1 24hr Holter and a calcium scan. Everything came back “normal” to the DR’s eyes. My Holter did show like 600 superventricular events, no pauses greater than 1 second, etc. I guess these results were ok and normal.
But more so now is the dizzy and lightheadedness feeling. (not at the time, but does happen) Any help would be greatly appreciated.
It sounds like the abnormal heart beats you were feeling were probably premature atrial contractions (PACs), as evidenced by the ~600 supraventricular events on your 24-hour Holter. Now that your palpitations are better, it is tough to provide an etiology for the dizziness and lightheadedness. My best guess is that it could be due to a new medication that you were recently started on. I would speak with your physician and start there first.
Thank you, are the PAC’s anything to worry about?
I’ve been on this anxiety medicine for 3-4 months now, but the dizziness just started about 1 month ago. Could it still be the meds? (That’s the only med I take)…
I plan on going to my PCP soon
No, PACs are nothing to worry about. PACs can give you the feeling of palpitations, or skipped beats, but they are benign. It could still be the medications causing your dizziness. Now that your palpitations are better, maybe you could decrease or stop your anxiety medications? All of this would definitely be something to discuss with your PCP. Your PCP will likely ask what your heart rate and blood pressure are during your dizziness and lightheadedness episodes, so I would have that information with you at your clinic visit.
Doc my blood pressure is sometimes is 90 over 60 and heart rate is in 40 s look weak out of my eyes can this be fixed with meds or does it have to be a pacemaker I am 56 yr old male got a little bit of heart faluire can still run a mile with np
Both your blood pressure and heart rate are a little low, but that can be normal for some people. If you are feeling weak, then it may be reasonable to reduce your blood pressure medications (if you are on any) to achieve a systolic blood pressure of 90-120 mm Hg. With regards to your low heart rate, a 24-hour Holter monitor would assess your heart rate variability during the day and with exertion. Additionally, a graded exercise test (GXT) could be performed to assess your chronotropic competence (i.e. ability of the heart to increase its rate commensurate with increased activity or demand). If you are found to have chronotropic incompetence or worrisome heart conduction system blocks, without the use of any medications that are known to slow your heart rate (beta-blockers, calcium channel blockers, etc.), then a pacemaker may be reasonable if you are having symptoms. However, broadly speaking, if you can run a mile with no problems then you are probably OK from a blood pressure and heart rate standpoint.
I’m a 41 yr old female, have been getting chest pains, dizziness, feeling like I’m going to pass out, heart palps/ skipped beats for over 5 months now.. docs have performed; ECG, echo, exercise stress test and blood work. All have come back that my heart is normal. My heart rate was sitting at around 64 BPM now it sits around 50BPM.
I find that to not be normal at all and I’m still getting chest pains.
At night when I’m relaxing and watching tv my heart rate drops to between 42-49. Sleeping rate is about 45-48.
A resting heart rate can be in the 50-60 bpm range and still be normal, additionally, a heart rate in the 40s while you sleep can be normal as well (especially in younger people). A normal exercise stress test is reassuring, likely means that your blood pressure and heart rate are acceptable during exertion. A plain exercise stress test without a myocardial perfusion imaging assessment, has lower sensitivity and specificity for detecting obstructive coronary artery disease. Your physicians probably ordered the tests appropriately and are satisfied with your results (i.e. comfortable not pursuing further testing at this time). Given that you are still having chest pain, a coronary computed-tomography angiography (CCTA) is not unreasonable in low-risk patients. Given that you are still having palpitations with dizziness and lightheadedness, a 24-hour Holter monitor (https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/) or a 30-day event monitor would be reasonable.
I am a healthy 37 yr female. Recently in the last couple of months, I started having palpitations and flops in my heart. My heart rate fluctuates between 36-143. This is at any given time. Lately with the flops and palpitations my heart rate has gone up as high as 157, one reading was 215, but I think that had to be an error. My resting heart rate typically is 110-136, that’s my norm. I also have low B/P, usually 120/80. I do not have anxiety, or any health issues. I bought a heart monitor about a month and 1/2 ago because of the palpitations. I can feel the flop, and that is when it records the low number like 46, or 63. Then it goes back up to 136, 143. I have noticed that lately this is happening more frequent and can last a couple of hours. My thinking was maybe because I am more aware of it now. (This is so embarrassing, I am in the medical field and I do not want to look stupid going to one of my colleagues, but I am getting concerned).
Thank you very much for your question, and I understand how this might be concerning to you. It is difficult to say exactly what your palpitations might be from, but premature atrial contractions (PACs) or premature ventricular contractions (PVCs) would be most likely. Also, some sort of supraventricular tachycardia (SVT) could also be possible. I would recommend if you are having palpitation episodes reliably everyday that a 24-hour Holter monitor (https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/) would be reasonable. If the palpitations are not happening everyday, then a 30-day event monitor would be reasonable. Determining the source and burden of your palpitations would be a good idea if they are bothering you and increasing in frequency.
I am an active 45 yr old male. I really enjoy high intensity workouts. I have been running usually 3 days a week over the last 6 years. The last 10 months I have been doing 5 or 6 days a week. My resting heart rate is usually between 55 and 65 but gets into the upper 40s when I sleep. This all looks good to me. My real question is my running. I run 35-50 minutes depending on the days workout. Usually during the runs my hear rate is averaging in the 150-160s and peaks in the 180s(not long on the highest as I push hard at the end). I have been doing this a long time and worked my way up to it. Am I endangering myself or have i just improved my maximal? I was not always able to do this and im not in pain when i finish and I recover quickly. Back under 100 minutes after my cooldown and into the 70s within an hour.
All of that sounds good to me as well. However, you should probably keep your target heart rate during high-intensity exercise to only 90% of your age-predicted maximal heart rate. Sustained heart rates above 90% of your age-predicted maximal heart rate for long periods of time are likely not healthy, especially if this is done frequently (i.e. multiple times a month). This would be considered the extreme side of exercise, which is not beneficial, and may actually be harmful.
Hi
I’m 46-year-old female. I used to run as exercise but now only (brisk) walk around 2 hours 5-6 days a week. My heart beat ranges 37-42 at rest. I have never measured it when exercising. My blood pressure is usually in the low range (100-110 top and 6.5-7.00 bottom).
I feel at best when I have been exercising for a while, after which point I don’t seem to get tired. However, find it very hard to ‘start off’; I feel as though my legs weight me down, they feel extremely heavy. Is it normal to feel so weak to start with and yet can exercise for long at very good pace without getting tired (I could go on for hours if I had the time!).
Thanks in anticipation for your reply.
Have a nice start of 2017!.
Yes, you can feel a little sluggish when first starting to exercise. There is definitely a warm-up required, even for mild-to-moderate exercise. That fact that you can persist after warming up is a good thing. I would recommend to keep up the good work and it will benefit you greatly in the long term!
Hello, Dr. Guichard. I hope you will be able to read and answer my comment.
I am an 18 year old female and I was diagnosed with tachycardia about 3 weeks ago. All the blood and urine tests I have taken were perfectly fine so the cause of my tachycardia is not hyperthyroidism, anemia or anything similar.
My BMI is 26.1 so I am a little overweight and I am also physically inactive most of the time. My resting heart rate is usually around 95 bpm most of the day but when I am tired or sleeping it drops below 70 bpm. While walking slowly around the house it rises to 120 bpm and when I take shower it goes as high as 150 bpm. When I walk fast it is also high, around 160 bpm. When this happens I notice palpitations and shortness of breath and I feel dizzy and light-headed often. I also have low energy and feel fatigued even if I slept enough time.
I have to wait to see my cardiologist for at least two weeks and I am concerned about my symptoms so it is not easy to wait that long and I would be relieved if you could answer my questions:
What could be the cause of this?
Is it because I am overweight?
What conditions cause the symptoms that I have mentioned?
It is really amazing how dedicate you are and how many people you have helped by answering all this questions for such a long time. Truly admirable.
Thank you, doctor!
It is difficult to say with certainty what could be causing your elevated heart rate and symptoms, I doubt that it is your weight alone so I would not worry about that. The first thing to think about would be a supraventricular tachycardia (SVT, https://myheart.net/articles/fast-heart-rate-symptoms-causes-treatments/), but that would need further testing which your cardiologist will be able to handle. Otherwise, even though you are young, improving your diet and starting a mild-to-moderate structured exercise program with resistance training would be advisable for your long term health. Nothing you are describing is necessarily dangerous, so waiting two weeks for your cardiology appointment is reasonable.
Hi Doc, im 35 male, 251lbs down from 296lbs.in September 2016 I went to my doctor cause of chest pain and left arm pain. He did ekg and blood work and chest X-rays. Everything came back normal. I did have high blood pressure which I have had for along time. He put me on meds for blood pressure. Amlodipine and losartan. Still had pain so he ordered a nuclear stress test. The test came back normal. Still having the chest pain and arm pain. I bought a charge 2 fitbit and noticed that while I am sleeping my heart rate can drop to 40bpm. But during the day it will be between 60 and 100 depending on what I am doing. With excercise I can get it over 130bpm. So my question is 40bpm seem low for sleeping and if all this is normal why the chest and arm pain? I am also on xanax for anxiety. Thank you!
It can be normal to have a heart rate in the 40’s bpm while sleeping, but your heart rate during sleep and your heart rate variability during the day does not explain your chest pain. With regards to your chest pain, the current negative work-up and normal nuclear stress test are reassuring. However, I don’t know why you are still having chest pain. It is difficult to assess your chest pain fully based on the information you have provided, but if you are still concerned you can discuss further with your physician or obtain a second opinion if you are able. Also, congratulations on your weight loss, you are doing a great thing to improve your overall health and longevity.
I’ll try to make this brief. 4 months ago I had a baby, before baby heart rate was always in the 70’s, at rest. After baby my heartrate resting will go down to mid 50’s very rarely high 40’s. Sleeping down to 39 lowes it’s ever been. I do have sleep apnea. Does go up when walking to exertion to 120 or so its not always low. I had a Holter monitor and it showed normal but this is really bothering me. Doctor scheduled me a consult with cardiologist i think to put my mind at ease but doesn’t seem concerned about it with the normal holter. He did note possible sick sinus syndrome, kinda freaking out a bit. Is it normal after baby to have heartrate go down so much? I have 2 other kiddos and never had this happen before.
It is hard to say if this is “normal” after pregnancy, everyone’s body reacts and changes differently. I will say that heart rate changes can be seen during and after pregnancy, but should normalize in the weeks or months after delivery. Nothing about your heart rate while sleeping or heart rate variability during the day sounds grossly abnormal, and the normal 24-hour Holter monitor is reassuring. However, I agree with you, the mention of sick sinus syndrome (SSS) is a somewhat concerning statement. I would definitely follow-up with a specialist (e.g. a general cardiologist or electrophysiologist) for a second opinion on that matter, but from what you are describing, it does not sound like SSS.
Hi am a 39 male and my right arm has a small pain in it when to the doctor and they ran test and said everything was good but I also stay tired you have any thing that I can try I had a flu shot about a month ago could that be it
It is possible that it could be due to the flu shot, but a month is a long time to continue to have right arm pain. Aspirin and/or Tylenol are good initial medications to use for mild pain control.
Hi Doc, I’m 37 male. Currently on medication for high blood pressure. I did my stress test 6 months back and everything was great. Recently 15 days back, I had a panic attack and my resting heart rate was 120. Went to ER. They did all blood work, X-ray, ecg, urine test, D dimer, troponin I, and everything was normal. When I checked whether I need another stress test, the doc said it’s not required. He also recommended to few anxiety treatment resources. My HR during sleep is 54. HR when I wake up is 72 and 69 when I go back to sleep. And I exercise 30 mins everyday with 10 mins of jogging at HR of 165. I feel absolutely normal and my BP is also in control now. However, this is my concern – during day, I keep checking my HR almost like a hypochondriac and my Resting heart rate is 95 during day. After eating its 105 and 105 while standing. Is this due to my anxiety issue or do I still need another stress test?
If you had a normal stress test 6 months ago, that is reassuring. Usually stress tests are not repeated in less than 12 months. Your heart rate parameters look to be OK, but I would recommend expressing your concerns with your physician.
I am 38 yr old f on paxil 10mg. Have had two ecg bradycardia at 52bpm and 55bpm. Normal electrical readings . Triponin bloods normal. I brinks walk for maybe 1-2hr daily heart rate max 160bpm. Sleepi no rate is 46bpm and little breathless in day and tired had baby. Is this normal ?
Yes, what you are describing can be normal for you especially with the reassuring ECG.
I am 79 and my resting hear rate is down to 32-34 bpm at rest at night. BP 121/58-60 I feel this rate is very dangerous. However when I eat and take supplements daily my heart rate climbs to 55 bpm.
Wouldn’t this slow heart rate lead to damaged organs? My heart doctor doesn’t seem concerned.
Bradycardia would be concerning if you are symptomatic, usually with a low blood pressure but not always. As long as your blood pressure is normal then there should not be any danger to your organs. Heart rates into the 30’s is quite low. A graded exercise test (GXT) could be done to test your chronotropic competence. If your heart rate does not increase appropriately to the level of exercise, then further evaluation of your low heart rate may be indicated. If you are concerned, I would share your concerns with your cardiologist at your next visit.
Hi doctor,
Lately I have been worried about my heart and experiencing a lot of anxiety. I’m 32 and recently lost over 140lbs. Naturally my heart rate and blood pressure have gone downhill. My resting heart rate laying down or usually in the more 60s, sitting high 70s, and my standing is what is weird. Some days I’ll just be standing and is 120 and others its like 88. When it’s really fast it scares me pretty good, but it only happens when I’m standing. If I lay down it goes right back down. At my doctor’s office they checked and my blood pressure doesn’t really change. What could be going on.
Also is a blood pressure of 110 over 68 too low
Thank you very much for your question, and congratulations on losing so much weight, you should be very proud of yourself! When you lose weight and begin to approach your ideal body weight, your blood pressure and heart rate will decrease. The lowering of your blood pressure and heart rate is a good thing, it means that the autonomic tone and adrenergic activity in your body is improving. This is what produces some of the beneficial effects of improved diet, exercise, and weight loss. Standing produces a compensatory increase in heart rate without a decrease, or a very little decrease, in blood pressure. Your heart rate parameters appear relatively normal for your age, at this time. Also, your blood pressure is just about ideal for your age (systolic blood pressure 100-120 mm Hg and diastolic blood pressure 70-80 mm Hg).
hi , I am a 31 yr old Indian male weighing 73 kgs and 168 cm . My resting heatbeat rate is 85 to 93 bpm . I dont exercise much . My blood pressure is 125/83 . Is there any to worry . How can I bring my heart beat and pressure back to normal ?
You should not worry, your resting heart rate and blood pressure are normal. However, a resting heart rate of <80 beats/min would be better for you (https://www.ncbi.nlm.nih.gov/pubmed/26598376 and https://www.ncbi.nlm.nih.gov/pubmed/27551034). I would recommend improving your diet and exercising regularly. Both of these lifestyle modifications will keep your blood pressure normal and lower your resting heart rate.
Hello, I am a 57 year old female. I exercise daily and have for past 25+ years. I have had a fit bit for 3 years from this PST Christmas. I have taken right under 20 million steps and 7,500 miles. My resting heart rate is usually 54-57. Is this healthy? Thanks Katherine
Yes, that can be acceptable. The average resting heart rate for heavy exercisers can be 40-60 beats per minute range. Given that your exercise capacity is very good, I would assume your chronotropic competence is also very good, thus you have no need to worry.
Hey Doc, I’m 51 female I have been very light headed when I first wake up in the morning. I found out today that my heart rate was 50 when resting. Could this be the reason I’m light headed right away in the morning.
That is a good question, but difficult to answer without more information. Usually, a low blood pressure would cause those symptoms. A heart rate of 50 bpm could cause your blood pressure to decrease, but you need to verify that. I would recommend monitoring your heart rate and blood pressure intermittently throughout the day (e.g. morning, noon, and night). You can present this information to your physician if you remain concerned.
hi.. i am a 23 years old female. i have been feeling pain in my chest on the left side and upper back and my resting heart rate is 80-84 bpm since the past one month.is it something to be woried about? thanks
Hi.. i am a 23 yrs old female.. i have been feeling pain in my chest (on the left side and centre) and my upper back between my shoulder blades since 1 month. my resting heart beat is 80-84 bpm. is it something to worry about.. thanks
Your resting heart rate is normal. However, if you are worried about your symptoms, I would discuss your concerns with your physician.
Hi I am a 32yr old male and have been diagnosed with intermittent AF which I have suffered for last 6/7 years. I have been prescribed a beta blocker type of medication, however I have started to notice that my resting hr rate regularly drops below 60bpm a lot of the time. I have read up on this and I am not an athlete but I am not in bad in the fitness area either. I also sometimes feel like I am short of breath a lot even when resting. Any advice?
Thank you very much for your question. You are very young to have atrial fibrillation (AFib). I assume you had a thorough work-up at the time of your diagnosis to make sure there were no reversible causes for your AFib? It sounds like you are in a normal rhythm (i.e. sinus rhythm) most of the time, and you are taking beta-blockers to keep your heart in normal rhythm. As I am sure you are aware beta-blockers lower your heart rate, that is indeed one of their mechanisms of action, so I am not surprised that your resting heart rate is lower than normal. A low heart rate can make you feel tired, weak, and fatigued – especially when it is caused by heart rate lowering medications or intrinsic conduction system abnormalities. So, yes, it is possible that some of your symptoms are due to the beta-blocker medication. There are other medications that can be used to keep your heart in a normal rhythm, but not alter your heart rate as much as beta-blockers. Some of the common antiarrhythmic drugs (AADs) used for AFib include flecainide, propafenone, sotalol, and dofetilide. Rarely in healthy or young people we use amiodarone, which is usually reserved for patients with structural heart disease, cardiac ischemia, or heart failure. I would recommend seeing a cardiac electrophysiologist to discuss your diagnosis, symptoms, and management strategy.
MY BLOOD PRESSURE IS 160 OVER 70 OR 180 OVER 80 IS THIS OK I AM OBP MEDICINE MY PULSE RATE IS LOW AT NIT 40 AND IN THE 60 AT DAY DR TOOK ME OFF OF MY CLONIDINE WHICH WAS 02 AND DROPPED IT TO 01 MY OTHER MED WAS ADLATE SLOW RELEASE BP WAS FINE, UNTILL HE LOWERED MY CLONIDINE IHAVE BRADYCARDIA AND HE PUT ME ON BLOOD THINNER AND A HEARTMED TO REGURLATE MY HEART SHOULD I GO BACK ON MY 02 CLONIDINE SO BP WOULD BE OK
Your blood pressure is elevated and should be treated more aggressively. I would discuss with your physician a reasonable medication strategy for controlling your blood pressure.
I’m 20. I have a BP of 80/60 and my heart rate is 94bpm. Is it normal?
Your resting blood pressure is a little low and your resting heart rate is a little high for your age. In a 20-year-old, I would expect a slightly low blood pressure (100-120/70-80 mm Hg) and slightly low heart rate (60-80 bpm). However, if you feel fine and asymptomatic, then those measurements are your normal. People can have slightly different baseline blood pressures and heart rates, mostly based on your age, height/weight, and fitness level. It’s never too early to develop good dietary and exercise habits if you haven’t already.
I’m 17 and have an average resting heart rate of about 87-91. Is that normal?
Yes, that can be normal.
Hi Dr,
I am 41 years old. I used to have high blood pressure and high blood sugar (my weight that time was 91 Kg and I am 6 feet). Because I was in the boarder, My doctor gave six months to get back to normal w/o medication. I used to be a pro-athlete.I used to do 30-60 minutes cardio every day last summer. My new schedule is 30 minutes cardio, three times per week. I am on a portion control meal system as well. Now my blood sugar level is 5.3-5.9, blood pressure level is 127/87 – 135/95 (my new weight is 86 kg).
I got a fitbit during the holiday (Dec 25- 30, 2016). my resting heart rate during holiday time was 59- 65 bpm. After the holiday resting heart went up to 70-85. during the work out, it goes up to 150-160 and quickly comes down to high 70s. I was hoping to keep my resting rate below 70. Some times, while I am at the bed, it goes down to low 60s. It does not go down to 60s during the work hours. most of the time I am sitting in front of the computer. I am not taking any medication. Should I be concerned? Appreciate your input. Thanks in advance.
I don’t think you should be concerned. As you get beck into your exercise routine after the holidays, I’m sure your resting heart rate will get down to where it was before. A good resting heart rate for you would be 60-80 bpm, you may fluctuate in that range, but that would be acceptable.
I have panic Attacks regularily and my heart rate while resting is 89-93 is that bad?
No, that is not bad, a normal resting heart rate is indeed between 60-100 so you are within the normal range. However, a resting heart rate between 60-80 beats/min is probably a more ideal range for a resting heart rate. Most effective ways to lower your resting heart rate is achieving your ideal body weight, improving your diet, avoiding tobacco, and exercising more.
I am 41 years old. I have resting hear rate of 75 bpm. Should I be concerned? Thanks.
No, you should not be concerned. Normal resting heart rate is 60-100 beats/min, more ideal is 60-80 beats/min, so you are in the ideal range.
Hello I am a 43 year old female and last evening I went to the doctors because a few days prior I had a sharp stabbing pain in my left breast/rib area, it took my breath and I had to lean over a grocery cart ( I was at the store) then the next day my left arm felt like someone punched me and I had a heaviness from my left ear to my rib so that is what prompted me to go to the doctor, they did a ekg and said it didn’t change much from my last one which was almost 2 years ago, my BP average is 167/95 many times higher and my resting heart rate is 110 ( that is the only thing that changed) My doctor did put me on BP medicine & he sent me for a chest X-ray and blood work this morning. (No results yet) But my doctor acted like it was all fine and that I would probably find anything since everything was fine 2 years ago. So I’m confused, many people are telling me to get a second opinion or see a heart doctor. I also have other symptoms like exhaustion, need to take a deep breath often, had blacken vision one time in my left eye. I was wondering what your thought is on all of this should I get a second opinion?
It sounds like you have a few complex complaints, a second opinion is never a bad thing if you feel unsatisfied with your health care. Your hypertension needs to be treated. You likely need a thorough work-up for your fatigue, shortness of breath, and chest pain.
49 years old male.
While sleeping my heart rate ranges fro 47 to 56 as measured with an Apple Watch. There are spikes during my sleep where my heart rate goes up to 110. These spike last about 10 minutes, occurring about three times during sleep.
Is this normal?
Wrist heart rate monitors can sometimes be inaccurate regarding both the rate and duration of any bradycardia or tachycardia episodes. If you are concerned, you can discuss this with your physician, but it is difficult to fully rely on the information gathered from wrist heart rate monitors.
37 old female
Hi my blood pressure is 12/86 and my rest heart beating rate is 104 is that normal ?
Technically, a resting heart rate of 104 beats/min is outside the range of normal. Everyone can be different and this could be normal for you, but more than likely the high resting heart rate could be a reflection of poor cardiorespiratory fitness, abnormal endocrine function, or an inappropriate sinus tachycardia.
Hello I am a 22 year old female and my resting heart rate is normally around 130-140 when I check it manually but when I check it with a pulse ox it is still around that range but it jumps around to versions number and always have a discomfort in my chest and can feel my heart beating fast with me doing nothing Should I be concerned ?
A constant heart rate of 130-140 is abnormally high, especially for a 22 year old. If you are having discomfort and feelings of a fast heart rate, that is also not normal. I would be concerned for a supraventricular tachycardia (SVT). I would recommend seeing your physician to discuss your symptoms and get an ECG. This may require further evaluation and testing, possibly a referral to a electrophysiologist cardiologist.
When going to the doctor 3 years ago he was shocked to find I had a 33 pulse. He had me do a full cardio evaluation and the cardiologist concluded there is absolutely nothing wrong with my heart – “your heart will long outlast your body”. I run a lot of marathons and low pulses are common in my family.
Recently I started to use a Garmin Watch and it correctly has shown for the past 4 weeks my rpm has been 34. What has surprised me is that it is not unusual to record some 28’s and 27’s. Yes, I am in great running shape, but I am no pro athlete. My question is when is a 27 too low..If I am not symptomatic (tired, fainting) then high 20’s are ok ?
My reflex answer would be “yes,” especially since you recently had a full cardiovascular work-up and are currently asymptomatic. Heart rates in the mid-to-upper 20’s is quite low, even for conditioned athletes, so I understand your concern. Ultimately, you have to ask yourself what we can do for very low heart rates? There is really only 2 major things, 1) stop any medications that could be artificially lowering your heart rate (which I assume some physician has addressed already) and 2) implant a pacemaker. Pacemakers are only used if you are truly having symptoms from a low heart rate (which may or may not involve further testing) or severe intrinsic conduction system disease (which is usually diagnosed by a cardiologist). You don’t seem to meet either of those conditions, so I would just continue monitoring your heart rate and continue follow-up with your physician.
Hello,
I am a 36 year young female (153 lbs 5’1″.) I am not very active but my resting heart rate is between 42-49. My husband thinks I need to go to the doctor but I am not sure. I am also always cold (if it is less than 90F, I have a jacket on.) Should I waste my time and go to the doctor?
Yes, I think it would be worthwhile to make an appointment to see your physician. The most obvious issue to worry about would be hypothyroidism, and this is very easy to test for and very easy to treat, so it would be worthwhile to rule that medical condition out. Further evaluation and work-up would be at the discretion of your physician.
Hi Dr I’m 28 Year old male some time my heart beat rate 53.58 is that normal or not? Thank you
hi Dr I’m 28 year old my heart beat some time 53.58 is that normal or not? Thank you
hi Dr I’m 28 year old my heart beat some time 53.58 is that normal or not? Thank you
Yes, that can be normal, especially in younger individuals.
My resting heart rate 54 to 58.my age 34.its normal?
Yes, that can be normal for you.
Hello sir
My name is Rick, and I need to know what would be the best way to get rid of long time acid refluxed at which causes my heart burn ? At which also drives me nuts !
Thanks
This is a good question, although outside the topic of this article. Any longstanding acid reflux should be discussed with your physician, as there could be underlying issues causing the acid reflux. Some of these issues can be easily preventable and some can be serious, so it’s best to get an initial evaluation by your physician.
Hello,
I have a fitness tracker that tracks my heart rate overnight and I have noticed that my heart rate is very unstable during the night and is regularly over 100bpm last night it spiked to 131bpm at the highest point. My heart rate is also unstable during the day, but according to the tracker averages around 70bpm resting heart rate.
Is this nightly heart rate normal?
Thanks
Fitness trackers are not the most accurate heart rate monitors, they do a good job for what they are, but are not the gold standard. You can discuss your concerns and potential symptoms with your physician. Maybe a 24-hour Holter monitor would be appropriate. You can read more about that here: https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/.
I have just had my blood test back saying bloods are fine .interestingly your digoxin level is very low and sub therapeutic, you are on very low dose 62.5 micrograms so I suggest stop taking as its not having any effect .I under stand that this drug alters your heart rate .mine being 50/55 beats a minute ,if I stop taking this pill will this increase my heart rate to much as I had a quad heart by pass 3 years ago
Many thanks Mr b.king
If your digoxin level is low or subtherapeutic (i.e. not doing anything to you or for you), then discontinuing the digoxin will likely have no effect on your heart rate.
In the past 2 months my resting heart rate has gone from 80-90 while asleep. But lately I have been frequently having a heart rate of 90-110 while sleeping. I have lupus, sleep apnea and few other joint related illnesses. I am a 41 yr old female.
Should I be worried and seek a physician.
Yes, a heart rate of 90-110 while sleeping is a little high. I would make sure that your sleep apnea is appropriately treated, as well as, improve your diet and exercise if able.
Hi sir
I am akash 31year old, and I am suffering from diabetes last 12 years. from last two days i observed at sleeping time in the night suddenly my heartbeat are going high is this serious for me now I just check my hbpm is 84(1:00am india).
A heart rate of 84 bpm is within the normal range for your age.
Hi Dr Guichard,
I am 39 years old female who recently went to the hospital feeling like my heart would explode. At resting rate was 175 – 185 bpm. with blood pressure of 90/55. My Dr say I have nothing wrong except anxiety. Can that be true? Before then my normal heart rate would be 110. I always feel exhausted. Any suggestions to help me lower the heart beat to something close to normal, pleeeasseee? Should I look for a second opinion or is this normal
A resting heart rate of 175-185 bpm is abnormal. It sounds like you were possibly in a supraventricular tachycardia (SVT). I would suggest a second opinion from a general cardiologist or an electrophysiologist. A heart rate and rhythm monitoring device may be needed for further evaluation, which could include a 24-hour Holter monitor or a 30-day event monitor, depending on how often you are having your episodes. I would definitely get this issue further evaluated.
I am a 74 years old man. All my adult life my resting heart rate was below 55. The last 10 years it hovered 44 to 48 BPM. Three months ago, I carried a Holter Monitor for 48 hours and it reported a sinus rhythm with low 32 BPM at 2:37 AM apparently while asleep. The average HR was 46 BPM and the max. reported was 105 BPM (most probably while I was at the gym).
Echo done five months ago was normal. Stress Test performed two months ago was also normal, reaching 114 BPM after 13.25 minutes of treadmill exercise.
How is my overall health? My blood pressure is elevated (145/70) and I do take a 20 mg of Lisinopril. Otherwise, I have no other ailment that I know of. Surely, I need to shed 20 lbs and I am working on that.
What is my problem? Well, of late ( the last 8 months) I have been complaining of dizziness and or loss of balance while walking for 15 minutes or more. Now the subject of getting a pacemaker is getting front seat. And I am saying: Are we sure the pacemaker will quell the imbalance and dizziness? Most definitely, the cardiologist I am seeing was confounded by
my performance (actually my heart’s performance) in the stress test. But, then again, the 3.2 BPM hear rate of the Holter Monitor is sounding the bells.
WHAT DO YOU THINK?
Your Holter monitor, echocardiogram, and treadmill stress test are all very reassuring and you are doing very well for 74 years old. I would not be worried about a heart rate of 32 bpm in the middle of the night while you are sleeping. Your treadmill stress test shows that you have good chronotropic and cardiorespiratory reserve (i.e. heart rate of 114 bpm and 13:25 minutes on the treadmill). I would suggest checking your blood pressure and heart rate during your episodes, as well as, making sure you don’t have intrinsic conduction system disease on a ECG (your cardiologist should be able to evaluate that). Without knowing this information I would be reluctant, at this point, to attribute your episodes to a low heart rate that would require a pacemaker.
Hi,
I’m a 58 year old male, and former sub 3 hour marathoner — I was high mileage runner for about 27 years until my knees & hips started to wear down & I gave it up at age 54. At my last physical my doctor had me get an echocardiogram because he suspected LVH (from EKG)
Echo shows cardiomegaly, slight thickening of the ventricle & a sigmoid septum…. high normal ejection fraction, and mild valve regurgitation …. Everything else normal except occasional isolated systolic hypertension. Resting pulse is 55; Aerobic capacity still good & runs about 126bpm at 10.0 METs. My question is, how does one distinguish physiologic heart remodeling (after 27 years of long distance running) from pathologic changes (from aging)?
That is a very good question. Exercise-induced remodeling of the left and right ventricle depends on the type of exercise. Endurance training increases left ventricular (LV) internal dimensions with little change in LV wall thickness, whereas strength training increases LV wall thickness with little effect on LV cavity dimensions. To answer your question, an “athlete’s heart” will usually reverse in 4-6 weeks after deconditioning – certainly by 3-6 months. It is hypothesized that long-term (i.e. lifelong) sustained excessive endurance exercise (e.g. chronic training for and competing in extreme endurance events such as marathons, ultramarathons, ironman distance triathlons, and very long distance bicycle races) may be deleterious in some individuals (https://www.ncbi.nlm.nih.gov/pubmed/23197444), so your previous exercise history could be of some concern. So, the changes you are seeing on your echocardiogram are not likely due to physiologic heart remodeling from your previous exercise – but it also doesn’t mean that your heart is abnormal either. If I had to guess, I would say that the changes you are seeing are due to aging (e.g. sigmoid septum) and hypertension (e.g. LV hypertrophy or slight thickening of the ventricle). You should be mindful of your systolic blood pressure and make sure it remains <130 mm Hg, due to the presence of the LV hypertrophy.
I am 48 years old and overweight. I am on a diet and have lost 12 pounds. My sitting heart rate is usually around 95-105. Is this normal?
A resting heart rate of 95-105 bpm, is a little high. However, your resting heart rate should decrease to <100 bpm with improved diet, exercise, and weight loss.
58 year old female, running for four years, BP 110/65, good cholesterol, weight 128 pounds. Resting HR ~58 (Resting HR was about 75 prior to running for exercise) When I run, not at maximum pace, but at a relatively hard pace, my heart often gets between 150-180 bpm. No problems, other than a little out of breath. No fainting, no vomiting. Have seen it over 200 in a race, with no major symptoms, just really out of breath. Always comes down pretty quick. Years ago I was diagnosed with Accelerated AV Conduction. Could that be why I have the high rate when I run? I’ve tried to keep it in the appropriate range for my age, but can’t run more than a few seconds and it goes up past 130s.
Yes, with accelerated atrioventricular (AV) conduction (AAVC; short PR interval) you can have paroxysmal episodes of tachycardia. In that case, it is considered Lown-Ganong-Levine syndrome (LGLS). A short PR interval in the absence of paroxysmal episodes of tachycardia is usually just a benign ECG finding. If you are concerned about your heart rate or symptoms, an electrophysiologist would probably be the best to evaluate your situation.
Hello,
I am a 29-year-old female diagnosed with Fibromyalgia. When I first started physical therapy school, I was not very active, but my HR was generally around 60 bpm and BP was ~110/70 even during stressful practical exams.
Since then I have become significantly more active (with Fibromyalgia pain/fatigue being somewhat of a limiting factor), but my HR while sleeping is in the upper 70s, and during the day fluctuates between 100-130 bpm. When doing cardio, my HR tends to stay the same (in that 100-130 range) and even seems to decrease a little sometimes. I can often feel my pulse in my chest and sometimes in my head during the day, and have recently been having dizzy spells. Yesterday I was feeling particularly dizzy and nauseous; HR was 140 and BP was around 140/90, and my boss said I had gone completely white. All of this concerns me, but I went to the MD who basically told me not to worry so much and to try Xanax (which makes me way too sleepy to be able to work). Am I just overreacting, or should I seek a second opinion? Thanks!
Based on just this information, it is difficult to determine if there is anything to worry about. If your physician (or you) believe this is due to anxiety, I agree with you that Xanax (alprazolam) is not a good choice, but low-dose Klonopin (clonazepam) is a reasonable long acting benzodiazepine. Remember, you can always seek a second opinion if you are not satisfied with your physician’s evaluation and plan.
Hello. I am a 21 year old female college athlete (4″10, 103lbs). I exercise (weight lifting, cardio, etc.) at least 15 hours a week every week and have been doing so consistently for about year. I don’t know for how long, but for at least the past three years I have realized my resting/sleeping heart rate averages around 86bpm, and I have a hard time doing rigorous cardio or endurance exercise. The lowest I have ever recorded my heart rate to be was 80, one time. My heart rate spikes easily with exercise– I have recorded it at 184bpm after jogging 1/4mi. at 5.5 mph. on a treadmill. Even just walking short distances or up one flight of stairs my heart rate will most of the time exceed 100bpm. It feels like it is beating very hard unless I’m resting. My primary physician found my concerns to be of merit, and I have had an ECG and a 2D echocardiogram and basic PFTs performed. However, my physician reports no abnormalities except for some slight evidence of air trapping on my PFT. I’ll be going in for asthma diagnosis tests later but I’m concerned that the problem could still be my heart. Is this normal for a competitive athlete? Should I request stress tests or other imaging?
To answer your question, this is not the typical resting heart rate or heart rate response to exercise for a competitive athlete. However, it is within normal limits for the average population. One aspect of your situation that could confound a “normal” heart rate for you, is your smaller stature (4’10”, 103lbs). To be honest, I’m not sure how a small stature would effect heart rate – and, if it does, by how much. An example would be the resting heart rate of a mouse (480-600 beats per minute) versus an elephant (30 beats per minute), this is an over simplification, but you get the idea. The first thing is to determine if you are in sinus rhythm (i.e. the normal rhythm of the heart) or an abnormal rhythm, which can be evaluated by resting ECG or graded exercise testing (GXT). A GXT may be helpful if you are only having the tachycardia with exercise. A 24-48 hour Holter monitor (https://myheart.net/articles/holter-monitors-explained-by-a-cardiologist/) may also be helpful to evaluate your heart rate variability during the day, as well as correlate your heart rate with any symptoms. The second thing is to determine that you don’t have a medical reason for an elevated heart rate, e.g. thyroid issues, anemia/nutritional deficiency (especially since you are female), medications, caffeine, chocolate, underlying infection (not likely), fear/anxiety/stress, etc. The echocardiogram was very reasonable and I’m glad for you that it was normal. You are very low-risk for coronary artery disease, so I do not think cardiac stress testing would be of any value. Additional imaging could include cardiac computed tomography angiography (CCTA), to look for anomalous coronary arteries, but your symptoms do not suggest concern for that particular issue. Once everything has been evaluated and ruled-out, then diagnoses like inappropriate sinus tachycardia (https://myheart.net/articles/inappropriate-sinus-tachycardia/) could be given consideration.
My 55 year old husband is suffering with a very low irregular pulse rate of between 35 – 44 bears per minute. He saw his doctor earlier this week and after an ecg was prescribed a very low dose beta blocker. He collapsed yesterday evening after feeling faint as his pulse rate plummeted but he refused an ambulance. This morning his pulse rate was at 32. He says it’s just the tablets taking effect and has still gone to work. Should he be in hospital for more tests?
A slow, irregular pulse can only be a few things (e.g. atrial fibrillation with a slow ventricular response, certain types of heart conduction system blocks, or frequent PVCs). Most of these conditions can be determined via ECG. Based on what you are describing and the prescription of a beta-blocker, I am assuming he was having frequent PVCs. Frequent PVCs, in the short term, are usually not dangerous. However, given his heart rate and fainting episodes, this is somewhat concerning. It would be reasonable to be re-evaluated either in an outpatient clinic, urgent care clinic, or emergency room to make sure there is nothing more dangerous or concerning with regards to his heart rate and rhythm.
Hi, I’m female aged 39 with Fibromyalgia that I’ve had for 19 years. I’ve just started to do some exercise at the gym ( first time in over 10 years! ) As soon as I start to exercise my hr goes up to 130 and stays there for quite a while. Resting hr is normally between 80 and 90. Is it normal to go so high so quick?
Yes, it can be when you are deconditioned and just starting to exercise. Your heart rate variability and resting heart rate should improve as your exercise tolerance and duration improves. Congratulations on your exercise program, keep it up!
Hello. 56, I am currently living with intermittent afib (every 3 to 4 months I have an episode that lasts under 24 hours, 15 years). I also discovered I had total occlusion of my RCA, I have made some major life changes like eating only veggies and fruits, eliminating salt, coffee etc. Normal echo 60% , x ray and normal blood gas, but i do have atherosclerosis. I walk 10,000-15, 000 steps a day, However I have noticed something strange is happening when I get up and go to the sink my heart rate will jump from a resting of 60-65 to 95-100 bpm, when i stand with little movement it will go back down). However during my walks at normal speed my heart rate will stay at between 90-110 (and on occasion will jump up to 130) until about 15 minutes then it will suddenly drop to 50. If I continue to walk it will return to normal again. No dizziness,. If i didn’t look at my oxi meter I wouldn’t have noticed. Also i was advised to go on warfin however i have ulcerative colitis. What med would you recommend.
If a physician recommended warfarin for your non-valvular AFib, then I assume your CHA2DS2-VASc Score was high enough to support that recommendation. In that case, even with ulcerative colitis, Eliquis would be a reasonable anticoagulant for you.
Hello my age is 65 .. i had heart block in 2014 and then had to put three rings in my heart ..nowadays my pulse rate is 52-53/min .. is it okay for me or i should take some treatment or what do you suggest me ? Thanks in advance 🙂
Update I went for another eco and my injection fraction went up to 77. The cardiologist check blood flow etc and told me that my heart was good. Possibly due to my exercise and diet changes. I read that high was not good. Also read that it could be hypertrophic cardiomyopathy. I also read this is common symptom as you get older. Should I be concern?
I was admitted to icu after a 24 hr heart monitor due to heart rate dropping to 18 during sleep. It was determined to be sinus pauses caused by digoxin toxicity. I was 26 at the time. It was determined that I no longer needed those medications as heart function had improved since I had a valve repair. Now, 20 years later as I am having valve issues again, I wonder if this medication will be off the table for me if needed. Are there other medications that are comparable that will not drop heart rate? How important is this? I have forgotten to mention this to my cardiologist every time I see him.
I am a 30 year old female with random spinning feelings throughout the day. My resting heart rate is getting as low as 51 on most days. Never going over 59. I try to ignore the “number” but it’s hard when I have these horrible symptoms. I’ve seen a cardiologist on more than one occasion and I’ve done very test they’ve asked me to do. They tell me that I don’t have pauses over 2 seconds long so they aren’t worried. I feel like my heart will get so low in my sleep that it will stop. What are the odds? This is causing me all kinds of anxiety.
It is highly unlikely that your heart rate will get so low at night that it will eventually stop, the natural rate and rhythm of your heart does not work that way. If you have undergone appropriate testing (e.g. 24-hour Holter monitor, graded exercise test (GXT), basic blood work, etc.) under the guidance of a cardiologist, and everything was normal, then you should be reassured at this point that your heart rate and rhythm are not an issue.
hi sir I m 29yr old but my problem is blood pressure 130/90mmhg what should I do for this I feel dizzy and lethargy
A blood pressure of 130/90 mm Hg usually does not cause dizziness or lethargy. If you continue to have symptoms, I would recommend you see your physician.
Hello.
I´m a 43 year old female 168 cm and 67 kg. I have been very tired last 4 years and I recently bought a garmin watch and it shows that my average resting heart rate is around 40, (38-43).
Should I go to the doctor?
Thanks, Ragga.
I forgot to say that I am not well trained, I maybe go once a week on the bicycle around 20 km.
Fitness trackers used to measure heart rate are not very accurate (https://consumer.healthday.com/fitness-information-14/misc-health-news-265/fitbits-other-trackers-may-be-unfit-to-measure-heart-rate-720442.html). I would recommend measuring your heart rate manually to confirm that your heart rate may indeed be low. If your heart rate is low, and you remained concerned, then it would be appropriate to discuss your symptoms and findings with your physician.
Hello Dr. Guichard, my name is Katie and I am 50 years old. I am being tested next month for POTS. I’m going for a tilt table test. This morning I simply made changed my sheets on my bed and I went from 105 to 120 in seconds with a bp of 138/87. Just by doing a simple everyday task, of course I was lightheaded and heavy armed and short of breath. Ive had too many EKG’s and X- Rays and heart monitor halter and blood work, ect. In and out of the ER and Dr’s. Til finally I have a Cardiologist looking into things. It wont be a while til I go for this POTS test, and my question is even though my heart is healthy, how is this healthy to go everyday like this for my heart? How much is enough before there is something other than POTS? This has been going on for at least two years that I can remember. I also have Fibromyalgia. I’m so confused. I dont really understand what is a resting heart rate is and the difference in a simple house hold chore raising my heart rate in seconds high. I dont get any of this. I know I could save my questions for next month with my cardiologist but I dont feel there is any harm in asking my questions earlier with you. Thank you, Katie
You can review our excellent information on Postural Orthostatic Tachycardia Syndrome (POTS), here: https://myheart.net/pots-syndrome/. There are certain criteria to meet for the diagnosis of POTS. Transient elevations in heart rate from sinus rhythm will not affect a structurally normal heart. Waiting until meeting with your cardiologist should not put you at risk, especially since it seems that you have had previous evaluations in the recent past. In the meantime, I would recommend a structured exercise program. Exercise has been shown to improve symptoms and improve your heart rate response to exertion.
I am a 27 yr old male who used to run 5-10+ miles a day. I ran a 12k in 54 minutes, so I was in really good shape then with a resting heart rate around 40bpm. I stopped running and working out over the last 2+ years and my resting heart rate was in the 60s for a while. I have been running daily (2-5 miles) at a slower pace than before, but still under nine minute miles. I wear a fitbit that says my resting heart rate has been about 46-48 for a few weeks now. Is it normal to have my heart rate go back down again because I’m running again. I also play basketball 3-5 nights a week and lost 30ish pounds since I started exercising again about 4 months ago. I’ve had heart tests done before just because of my low heart rate and haven’t had anything show up. I just hate seeing my heart rate in the 40’s. When I check my pulse myself it’s in the low 50’s most of the time.
Yes, it is normal for your resting heart rate to decrease because you are exercising again. It sounds like you are feeling fine and able to tolerate a high-level of exercise, so I would not worry about a low resting heart rate – especially since you are young (in your 20s). Additionally, Fitbits and other trackers may be unfit to measure heart rate as these devices were as much as 34 beats off per minute during certain exercises one recent study has found.
Hi doc I’m 22 years old, it is ok to have blood pressure 140/90
That is slightly high for someone your age, ideally a systolic blood pressure of <125 mm Hg would be normal for your age. If your blood pressure continues to remain around 140/90, then I would discuss with your physician.
Today morning after taking a normal shower and about to go to work, my heart beat peaked to 141 bpm (reading from my Garmin Vivosmart HR) i was very worried since this is my first time to get this high, last time i have a high bpm was 117 last November and my BP was 170/115
My doctor has prescribed my Amlodipine Besylate (Norvasc) 5mg and Bisoprolol Hemifumarate (Concor Cor 1.25mg).
Please advise. Thanks
Heart rate trackers may be unreliable to measure heart rate as these devices were as much as 34 beats off per minute during certain exercises one recent study has found. If you are particularly concerned about an especially high or low heart rate, it would be best to confirm the heart rate with a manual heart rate check as described above in the post. Additionally, checking your blood pressure would also be helpful. If there are still concerns about a high/low heart rate or high/low blood pressure, then contacting your physician would be reasonable.
Thanks Dr. Guichard,
I’ve met my Doctor recently and checked my BP and HR, he found it okay. Maybe i’m not suited with Concor Cor. I was prescribed before with Atenolol (Tenormin) for the same case but he changed because of i have some complaint against it like trouble in sleeping, i feel bloated all the time, shortness of breath even in a short distance walk and mild depression.
Please advise.
It is possible that you are intolerant of beta-blockers. Shortness of breath, dyspnea on exertion, and mild depression can be side effects of beta-blockers. In that case, there are other medications that can be tried. I would discuss your symptoms with your physician and see if switching to a different class of medication would be right for you.
Thanks again Dr. Guichard.
If in case i am intolerant to beta-blockers. What are the alternatives with regards to my case?
For high blood pressure, the first line medications are 1) angiotensin-converting-enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) or 2) dihydropyridine calcium channel blockers (i.e. amlodipine (Norvasc) or felodipine (Plendil) or nifedipine (Procardia)) or 3) diuretics (i.e. chlorthalidone or hydrochlorothiazide). Those classes of medications can be tried before beta-blockers for high blood pressure.
Dear Dr. Guichard,
Last week, my doctor has change my beta blocker from Concor Cor (bisoprolol) to Inderal (Propranolol) he told me that this could be the last alternative brand he can think of. But it’s now about a week since i started Inderal, and seems nothing has changed, im still having more than 150 bpm while taking a shower only. Even in light movement my HR will strike up to 140 bpm and even im taking beta blocker paired with Amlodipine Besylate (Norvasc) 5mg daily, im still having 150/100 on some occasion. I’m very confused now.
It is possible that you could have inappropriate sinus tachycardia (https://myheart.net/articles/inappropriate-sinus-tachycardia/), but this is a diagnosis of exclusion (i.e. you have to rule out everything else first). There are many other medications that can be used for high blood pressure including, ACE inhibitors (ACEIs) or angiotensin receptor blockers (ARBs), calcium channel blockers, thiazide-type diuretics, mineralocorticoid antagonists, beta-blockers, and hydralazine. Adding medications to control your blood pressure should not be a problem, but your high heart rates with minimal exertion is a little more difficult to manage. I would still recommend improving your diet, weight loss, and a structured exercise program.
Hello, 30 yr old male here and my latest HR reading was a 54, with 109/75. I’m 5’6 (173cm) and 150 lbs (68kg). I do the equivalent of 10 burpees twice a day, 3 times a week. I’m otherwise literally sedentary. I stay home and I’m mostly in bed all day. Is this unusual? Do I need to see a doctor?
Hello, I’m a 30 yr old male and my latest HR reading was a 54, with 109/75. I’m 5’6 (173cm) and 150 lbs (68kg). I do the equivalent of 10 burpees twice a day, 3 times a week. I’m otherwise literally sedentary. I stay home and I’m mostly in bed all day. Is this unusual? Do I need to see a doctor?
**Apologies if this is a double post**
No, for a 30 year old a heart rate of 54 and a blood pressure of 109/75 is not unusual. What is unusual is staying at home and mostly in bed all day, even though you get some mild exercise during the week. If you suffer with anxiety or depression as the reason for staying home and in bed all day, seeing a physician or talking with someone might be of great benefit for you.
If I may inquire further. My impression was that for my current lifestyle (ongoing multiple years, I am indeed dealing with depression) I am a bit surprised its that low. Data online suggests my HR is that of a really fit person. But my general understanding leads me to think I could probably do with more exercise in my life. I realize without more context or hands-on, ‘diagnosis’ would be difficult but any ideas that might explain those numbers?
Thank you
Cardiorespiratory fitness is way more complicated than just a heart rate. A simple heart rate measurement cannot fully evaluate or grade a fitness level. A resting heart rate is just a surrogate marker that we can use for some cardiovascular endpoints in generally healthy people. For example, your heart rate could be low because of hypothyroidism, which could also explain your depression. So, many different things can effect your heart rate all the way from normal variations in physiology to underlying medical conditions and prescription medications.
I recently had a heart attack and had 3 stems placed in….I’m only 32 years old….was wondering some days my pulse would be near 120 just sitting and then some days it would be normal…is this something I should be worried about….I do have meds but I take them in the morning and these pulse jumps only happen towards nite time
You can ask your physician if it would be reasonable to take some of your medications at night, or be prescribed long-acting versions of your medications (if indicated). You should also ask your physician about cardiopulmonary rehabilitation programs, as this would likely be of great benefit for you.
My heart rate is 136 and the hospital said it is too high. I was also told i have pneumonia and my white cells are extremely high too where they want to do further testing for leukemia. Once I heard that i left the hospital against the doctors wishes. Should I be concerned?
Yes, you should be concerned. You should find a physician or hospital that you trust and get reevaluated as soon as possible.
Hello Dr Guichard
I am 27 years old 6’4 268lbs not in great shape at all. The only medication I take is omeprazole. Over the last year I have been having papitations, minor chest pain And serious heartburn which was causing me serious anxiety. I have been to the cardiologist countless times and I have had a EKG, Stress test and 24HR holter monitor. All tests were fine but for the last few months I’ve have had a very low heart rate. It have been between 48-55 just as I’m sitting doing nothing. It also raises and drops tremendously when I stand then sit down in just a few seconds. When I stand up I feel very dizzy/lightheaded as if I’m going to faint. Usually I can tell when it’s low because I start to feel dizzy, lightheaded and shaky then all of a sudden get become nervous and I get the palpitations. It’s been driving me insane sir. It doesn’t help that I check my HR all the time with my Fitbit. Is this normal or should I be worried ? Is this anxiety or heart problems ?
Thanks Doc
Your work-up so far (i.e. ECG, stress test, and 24-hour Holter monitor) is reassuring that it is not your heart. Have you considered starting a weight loss and exercise program? I think you would benefit greatly from weight loss and some mild-to-moderate exercise.
Yes I am and definitely need to thank you. I am scheduled to have a echocardiogram done as well as an event monitor for 1 week. I have high blood pressure along with family history involving heart related issues. It’s a nuisance feeling dizzy every time I stand up or move my head. It feels as if my head is full of pressure along with headaches. So dr it’s normal to feel lightheaded, tired and shaky with such a low heart rate ? Can weight have such a big impact on the way I’ve been feeling ?
Everyone responds differently to low heart rates. For example, Lance Armstrong has resting heart rates in the 40s and feels normal. But a heart rate of 40 in someone else could cause someone to feel weak, tired, lightheaded, and dizzy. If your heart rate increases appropriately with exertion (which your stress test should have evaluated) and you do not have intrinsic conduction system disease (which your ECG should have evaluated), then your low heart rate at rest could be normal for you. Your symptoms could also represent inner ear issues, and that should be evaluated as well. And, yes, excess weight can have a big impact on the way you feel.
Thank you I just saw my cardiologist. He didn’t give me an exact diagnosis. He just told me my event monitor recorded a rare supraventricular ectopic heart rate of 151. I told him I do have panic attacks associated with anxiety. He also stated that my heart rate tends to rise high quickly then drop very low quickly when I’m relaxed. He doesn’t want to put a pace maker on me because he says my heart is fine “structurally” and there’s too many complications also I’m too young at 27 years old. He then stated that he wants me to start training my heart to beat faster by using the treadmill more with less intensity. He wants me to keep my heart rate to 125. I do get very dizzy and light headed every time I lay down sit up and stand. Throughout the day my bp is usually low 92 over 55. But when I stand it raises high then i become very dizzy with chest pains under my left breast and under the middle of my chest. I just finished jogging slowly up and down my stairs in my home for 30 minutes. I noticed in just a matter of a few minutes my heart rate increased to 155. No symptoms followed until I decided to sit down. Once I sat down my heart rate decreased to 92 in a matter of seconds to mintues. Then followed were the dizziness, lightheadedness, chest pain and bloated pain. I truly want to become fit but I become nervous or feel terrible when I try to. I feel as if there’s something wrong with me but no one i have seen has given me the answer yet. Sometimes my arms and muscles ache when I press them or press on my chest and sometimes I cant point out the pain. Do you think I’m fine or could I be at risk of a heart attack, disesease or stroke ?. I truly need your great professional opinion.
Your symptoms are difficult to explain. Dizziness, lightheadedness, and muscle pain after you exercise are not classic symptoms associated with heart disease or stroke. You should continue your moderate exercise program to improve your cardiopulmonary fitness and mental health. I would also recommend a whole-food, plant-based diet to optimize your weight and overall well-being. I think you will find that as your exercise tolerance improves, and you clean-up your diet, you will feel much better and your heart rate variability will improve.
Hello Dr,
What a wonderful thing you are doing by reassuring/answering all these questions – thank you.
I’m a 32 year old male who started having the odd SVE, thus I saw a cardiologist who confirmed 35 isolated benign supraventricular ectopic beats.
He performed:
Echo
24 hour blood pressure and Holter which returned as normal.
My GP performed:
Blood work – all nornal
My SVE’s have been increasing revelry so I went back for another checkup which revealed the same results as last time.
My question is, I’ve noticed that my heart rate (as per my Apple Watch) will sometimes dip to 48, 50, 53 when at rest during the day. These appear as single readings I.E. I only have two or so readings at these rates. The rest are normal.
Are this dips normal? I don’t have any symptoms and my heart rate is in nornal upon standing, moving and exercising.
Thank you
Thank you very much for your kind words. Yes, these dips can be normal at rest (especially in younger people). Your previous work-up is reassuring, additionally, you are asymptomatic and your heart rate appears to respond appropriately to exertion/exercise.
Hi Dr Guichard,
Let me echo your excellent services as well. And thank your for that
I am 74 + years old (25 lbs over) with a history of Bradycardia the lat year having imbalance issues after 15 minutes of walking. As a result, the last year I went through a battery of tests (EKG, Echo, treadmill, Holter Monitor, hearing and vertigo tests and Neurology tests (EMG).
ALL THE TESTS came marginally okay. In other words, nothing no test result stood out to raise AHA’s. Of course, my heart rate is alarmingly low, going as low as low as 32 at 3:00 am in the 48 hrs Holter-Monitor study.
My cardiologist softly pushes for the pacemaker (he is afraid of a sudden low low heat rate) , but my primary doctor feels that I am a healthy guy for my age and that if I were to lose the 25 lbs and do a lot of exercise, I would get out without a pacemaker.
What is my position? Obviously, I want to exit without any implants. But if it would correct my current imbalance problems it would be worthwhile having it. However, my fear is that I might end up having an implanted foreign object in my body AND STILL HAVE MY CURRENT IMBALANCE. That’s why I leaning on primary doctor’s advice, which is essentially, DON’T TINKER WITH THE OLD BODY IF YOU DON’T HAVE TO.
What say thee?
Imbalance issues are usually not a classic symptom of bradycardia. If your cardiologist was reassured by the normal ECG, Holter monitor, and exercise stress test, then I would likely not pursue a pacemaker. I would also make sure that you are not taking any medications that could lower your heart rate, hopefully that has been reviewed already. Physical therapy or occupational therapy might be able to help with your imbalance issues. However, if you ever develop lightheadedness, dizziness, exercise intolerance, or syncope then you should probably be reevaluated. Thank you very much for your question and kind words!
Hi doc, I’m a 40 year old female. I’ve been feeling tired lately, but my job is draining at times, I work my body as well as my brain, my brain more so though. Anyway I checked my bp ( I have a bp machine) because I felt like it was going to be low or high and it’s low. I am on bp pills by my physician though, but my heart rate seems low to me. Anywhere from 50-56 bpm. I’m just wondering if that’s normal? I’m worried about the low numbers.
A heart rate of 50-60 bpm can be normal for you, but it is on the lower side. There are blood pressure medications that can also lower your heart rate, you can make sure that you are not on those type of medications because, in addition to lowering your heart rate, they can sometimes make you feel fatigued and drained. It is possible that with diet and exercise you can lower your blood pressure, and maybe not need blood pressure medications anymore. These are all things that you should discuss with your physician.
Hi, I’m a 26 yo girl, 5 ft 7, 120-125 lbs. My heart rate is 84-88 bpm when I first wake up. If I stand it’s between 100-110 even if I stay still. Its about 100 when I sit. Is this ok? Also I noticed that right after I took a really hot steamy shower today, my bpm was 188. It dropped fast when I got out of the steam,tho. My bpm jumps quickly from about 100 to 146 if I do about 15 jumping jacks but falls back down fast. I feel fine, but these high numbers sound scary. Are they ok?
The heart rate elevations with just standing and minimal activity are higher than you would expect for your age. I would recommend measuring your heart rate manually, to verify the elevated heart rates. If your heart rate is confirmed to be that high, then consulting with your primary care physician and obtaining some blood work to rule-out any endocrine disorders would be appropriate.
Hello Dr.,
Thanks for answering my questions. I actually got those heart rates manually. Do you think it would be ok for me to monitor myself for awhile before going to see a Dr.? I don’t have a PCP. To be honest, Drs. frighten me a little. I always try to eat healthy (vegetarian, no processed foods, etc.) and I walk a lot–trying to keep the Dr. away. Is it possible that im just not ready for running/jumping type exercise or a little out of shape? Or is this something I need to deal with right away?
I don’t think this issue urgent or emergent, but probably needs to be evaluated if it doesn’t improve. You can continue your improved diet and exercise routines, but I would suggest that if there is no improvement in 1-2 months or if you develop any other concerning symptoms then you should find and see a primary care physician.
Thank you!
Dr. Guichard,
First of all, I can’t believe you are still answering comments so long after the original post. Thank you for taking the time to counsel and reassure so many people for so long.
Some background- I’m a 31 year old female who weighs somewhere between 135-138 pounds. I eat a mostly pescatarian diet although I sometimes have trouble getting enough calories in each day (working on it). I do have anxiety with panic disorder which I am seeing a CBT for. I have been taking Xanax as needed (between 0mg on good days to 3mg on panic attack/high anxiety days with a average of 1.75 mg a day) but hope to come off it soon. I’m trying to start exercising more as due to anxiety I am mostly sedentary. My sleep schedule is inverted as it’s very hard for me to fall asleep at night, but easier once the sun starts to come up.
Recently I’ve had trouble staying asleep for more than two-three hours without waking up with left sided chest pain and a pounding heart. When I wake up in the morning my heart rate can quickly climb to the high 90s/110’s. I feel sick and nauseous and have to sit up in bed to deep breathe and calm down (if I stay laying down or try to go back to sleep it gets worse). Usually the chest pain lasts for a hour or two after waking and my resting heart rate will eventually settle into the a range in the high 70s-high 80s. If I get up during the day/get anxious my pulse usually goes up to 97-100+ and then slowly settles back into the 80s.
As the day goes on my RHR goes down to the mid to low 70s (still jumps up to the 90s of I get up/get stressed but quickly falls back to 70’s once seated again)
As it gets later my RHR will get down to anywhere from 55-69 it will raise slightly if I get up/get anxious but immediately will drop down to the low 60’s once I sit back down. Sometimes it barely budges from anxiety/exertion.
When it drops below 60 I sometimes feel strange, kind of disoriented or dizzy for a second.
When I lay down to sleep it can get as low as 53 and my chest can hurt and I can feel slightly sick.
I manage to fall asleep for a few hours but then something jolts me awake and I have to go through the whole process all over again (racing heart, localized chest pain, consistently high RHR that slowly subsides into a normal RHR and then falls rather low and stays there with mild chest pain and periodic feelings of disorientation)
My BP can fall anywhere from 86/58; 86:74; 90/70; 102/68 throughout the day. It never gets very high unless I’m at the doctors office (I have white coat syndrome) then it might hit a 120/80 range.
When my pulse is low and my body is low it freaks me out a bit. I don’t know if I’m waking up with a racing heart bc my pulse/blood pressure went to low in my sleep or the pulse pressure was too small.
The vast difference in the numbers in the first third of my day to the last third of my day confuse me.
I’m not in 55bpm shape. I can get winded climbing three flights of stairs and 30 minutes of walking is a workout for me. I’m always told my pulse is faint. I’m not dehydrated. my CBC is normal (if a little on the low end of normal for many things), metabolic panel good, every ekg I’ve ever gotten has been good, I had a stress test 1-2 years ago that was fine. Other than some severe lack of nutrition here and there from anxiety issues making it hard to eat and irregular/little sleep and anxiety I’m considered healthy.
Then again my doctors have never seen my systolic bp below 100 or my diastolic below 60 the way I have. They’ve also never seen my pulse below 80 as they never see me at night.
Sorry I realize this was a lot of information. Does anything jump out as unusual to you? I’m going out of my mind with anxiety over my inability to stay asleep/morning chest pain/high pulse mixed with my low nighttime RHR and my chronically below average BP.
It just seems like a lot of variance for one, extremely anxious person. I’m actually yo the point where I’m afraid to go to sleep because waking up is so miserable.
Any help would be appreciated. Thank you again for taking the time to do this.
Dr. Guichard,
First of all, I can’t believe you are still answering comments so long after the original post. Thank you for taking the time to counsel and reassure so many people for so long.
Some background- I’m a 31 year old female who weighs somewhere between 135-138 pounds. I eat a mostly pescatarian diet although I sometimes have trouble getting enough calories in each day (working on it). I do have anxiety with panic disorder which I am seeing a CBT for. I have been taking Xanax as needed (between 0mg on good days to 3mg on panic attack/high anxiety days with a average of 1.75 mg a day) but hope to come off it soon. I’m trying to start exercising more as due to anxiety I am mostly sedentary. My sleep schedule is inverted as it’s very hard for me to fall asleep at night, but easier once the sun starts to come up.
Recently I’ve had trouble staying asleep for more than two-three hours without waking up with left sided chest pain and a pounding heart. When I wake up in the morning my heart rate can quickly climb to the high 90s/110’s. I feel sick and nauseous and have to sit up in bed to deep breathe and calm down (if I stay laying down or try to go back to sleep it gets worse). Usually the chest pain lasts for a hour or two after waking and my resting heart rate will eventually settle into the a range in the high 70s-high 80s. If I get up during the day/get anxious my pulse usually goes up to 97-100+ and then slowly settles back into the 80s.
As the day goes on my RHR goes down to the mid to low 70s (still jumps up to the 90s of I get up/get stressed but quickly falls back to 70’s once seated again)
As it gets later my RHR will get down to anywhere from 55-69 it will raise slightly if I get up/get anxious but immediately will drop down to the low 60’s once I sit back down. Sometimes it barely budges from anxiety/exertion.
When it drops below 60 I sometimes feel strange, kind of disoriented or dizzy for a second.
When I lay down to sleep it can get as low as 53 and my chest can hurt and I can feel slightly sick.
I manage to fall asleep for a few hours but then something jolts me awake and I have to go through the whole process all over again (racing heart, localized chest pain, consistently high RHR that slowly subsides into a normal RHR and then falls rather low and stays there with mild chest pain and periodic feelings of disorientation)
My BP can fall anywhere from 86/58; 86:74; 90/70; 102/68 throughout the day. It never gets very high unless I’m at the doctors office (I have white coat syndrome) then it might hit a 120/80 range.
When my pulse is low and my bp is low it freaks me out a bit. I don’t know if I’m waking up with a racing heart bc my pulse/blood pressure went too low in my sleep or the pulse pressure was too small.
The vast difference in the numbers in the first third of my day to the last third of my day confuse me.
I’m not in 55bpm shape. I can get winded climbing three flights of stairs and 30 minutes of walking is a workout for me. I’m always told my pulse is faint. I’m not dehydrated. my CBC is normal (if a little on the low end of normal for many things), metabolic panel good, every ekg I’ve ever gotten has been good, I had a stress test 1-2 years ago that was fine. Other than some severe lack of nutrition here and there from anxiety issues making it hard to eat and irregular/little sleep and anxiety I’m considered healthy.
Then again my doctors have never seen my systolic bp below 100 or my diastolic below 60 the way I have. They’ve also never seen my pulse below 80 as they never see me at night.
Sorry I realize this was a lot of information. Does anything jump out as unusual to you? I’m going out of my mind with anxiety over my inability to stay asleep/morning chest pain/high pulse mixed with my low nighttime RHR and my chronically below average BP.
It just seems like a lot of variance for one, extremely anxious person. I’m actually to the point where I’m afraid to go to sleep because waking up is so miserable.
Any help would be appreciated. Thank you again for taking the time to do this.
I am a 52 year old woman. I’m 5.5ft and 16 stone. I do have regular palpitations. My Fitbit has recorded my sleep rate at around 64 bpm but it fluctuates. It has shown two episodes of 120 during the last two nights. One when I awoke and went to the loo but the other was during sleep. I am also recording my snoring wondering whether I have sleep apnea although I get none of the symptoms. I am getting some hot flashes and wondered whether this could increase my heart rate during these spikes but the reason I wanted to monitor my sleep more closely was because on waking I’m feeling a weird sensation in my body, a mild wobbling feeling that fades as I wake a few seconds or so. I have been checking my heart rate on waking with these sensations and the rate is around 70. I am starting a serious diet (I lost 5 stone before) and am working on my health and to improve my heart rate but is there anything that I should go to the Dr about in the meantime please?
I don’t think there is anything overly worrisome about your heart rates. I would continue with your diet and exercise plan. I hope you will see significant results. Thank you for your comments and questions!
Good evening. I’m a 20year old female. Currently training in a hospital. I only work like 6am-2pm. Yet my heart rate ranges from 100-115bpm. Even though I am not doing anything or do not feel tired. Is there any problem with my HE? Hoping for your response. Thanks a lot in advance.
There is not a problem. Many people can fall outside the normal range for various things, and that is their normal, especially if you feel fine and do not have any symptoms. However, your heart rate is a little on the high side especially given your young age. I would recommend a moderate exercise program and weight loss to a body mass index (BMI) of 18.5-25 for improvement in overall cardiovascular health – and this would likely lower your resting heart rate as well.
I’m 51 years old. I started doing low-impact aerobics a year ago following my annual physical. In the past year I’ve dropped 20 lbs and am currently 206 lbs standing at 6’1″ tall.
I consider myself stressed much of the time, and have high anxiety and panic attacks. I have become more hypochondriac due to all of this.
I was at my dr. today for my annual physical. My blood pressure was 120/70. My resting heartbeat was 66 bpm. I’ve never before had a heartbeat that low for an exam. Typically, in the low to mid 70s. About 5 years ago, my PCP at the time placed me on blood pressure medication with a beta blocker to slow my heart down since my heartbeat was into the 90s, possibly even higher.
I’m not athletic, by any means. For the past year I do about 30-40 minutes of low impact aerobics each day, occasionally taking a rest day. I’m just concerned that my bp and heartbeat per minute may be too low. Am I being too much of a hypochondriac?
Your blood pressure and heart rate are both within normal limits.
I am a 45 year old female with mild hypothyroidism which is well managed. I exercise regularly and am within a healthy weight range. Currently challenged with potential IBS.
My resting heart rate is typically mid to high 50s with Blood Pressure being around 100/70.
Lately, I started tracking my sleeping heart rate and found that it normally drops to around 40 and has on occasion dropped to 37. Should I be concerned?
Your sleeping heart rate can be – and usually is – lower than your resting heart rate. This is true for most people. From what you have described, I would not be concerned at this time. However, it would be important to confirm that your hypothyroidism is indeed well-controlled.
Dr.,
I have recently had gastric sleeve weight loss surgery. I’ve lost about 30 pounds. I’m down to 280lbs. I’ve noticed that my resting heart rate can get as low as the 50s while sitting, especially when I’m very relaxed. I’m worried it’s going to low while
I sleep, but I don’t have a definite number. I’ve noticed it down to 51 while lying down. Is this normal, and what keeps my heart rate from going too low while I sleep?
I forgot to mention that I take 1 mg Clonazepam and 30 mg Paroxetine for anxiety. Will that cause it to drop too low?
A resting heart rate into the 50s is not that uncommon, and if you feel fine, then there is nothing to worry about. Your heart rate probably does get a little lower while you sleep, and that is quite common as well, and should not worry you. Your heart has normal intrinsic mechanisms to keep it from getting too low while you sleep. Also, your medications for anxiety should not effect your heart rate to any significant degree.
Hi my name is Lella, I called the ambulance for my mother last night and when checking her heart rate they told me it was like she had just finished running on a treadmill it was 180 bpm she has a history of heart problems pretty sure it’s 2 blocked valves. Anyhow they wasn’t saying much when I was asking what they thought about how much danger she was in maybe because they could see the fear I had in my eyes but could you please tell me what your thoughts are towards how high her heart rate was going and what could happen if she ever experiences this again because it’s not the first. Thank you
If I had to guess, based on the information you have provided, it seems like your mother had atrial fibrillation (AFib) with a rapid ventricular rate (RVR). You can read more about that here: https://myheart.net/articles/afib-with-rvr-when-the-heart-races-out-of-control/
Thank you for your quick response. My mother was discharged this afternoon and while in there they didn’t know what was causing her heart rate to go so fast. They done all the tests and after going home 2hrs later she gets a call from the hospital (not happy with the hospital ATM) saying that they had a better look at all her scans and noticed that she has blood clots in her chest. Can’t believe they never checked everything thoroughly before discharging her.
I AM 85 YEARS OLD, TYPE 2 DIABETIC FOR 30 YEARS KEEPING MY A1C IN THE 6.2 RANGE BY TESTING SEVERAL TIMES DAILY . I HAVE BEEN EXERCISING WITH FAIRLY HEAVY WEIGHTS ( 130 TO 200 LBS) FOR MANY YEARS, ONE HOUR EACH SESSION.. I USE THE TREADMIL 15 MINUTES AT A SLOWER BUT INCREASING TO SLOW JOGING PACE. ON A DIFFERENT DAY I USE THE ROWING MACHNE FOR AT LEAST 30 MINUTES BUT i CAN DO 1 HOUR WITH LITTLE EFFORT. I TRY TO GET TO THE GYM DAILY BUT DUE TO BACK OPERATIONS, THREE OR FOUR TIMES WEEKLY IS MY USUAL ROUTINE. MY RESTING BLOOD PRESSURE IS USUALLY 125 TO 130 OVER 60 AND MY HEART RATE IS 52. MY BMI IS 31. DO YOU HAVE ANY SUGGESTIONS?
I would say that you are doing very well for yourself! The one thing you did not mention was your diet. A healthy dietary pattern is higher in vegetables, fruits, whole grains, low- or nonfat dairy, seafood, legumes, and nuts; moderate in alcohol (among adults); lower in red and processed meats; and low in sugar-sweetened foods and drinks and refined grains. And lastly, of course, avoiding all tobacco products – especially cigarette smoking.
Hello,am idris, am 20years old, my heart rate while relaxing is 63bpm,but while standing its goes to 80-83bpm,although am having anxiety,and when am scared it goes to 80-90bpm when relaxing,I want know if its normal,thanks
Hello, my name is idris, am 20 years old,my heart rate while relaxing is 66bpm, and when standing its 80-84bpm,although am having anxiety,and anytime I scared or worried alot my heart rate while relaxing goes 80-90bpm,I want to know this normal or not thanks
It can be normal for your heart rate to increase if you are stressed or have anxiety. It sounds like you are asymptomatic from these episodes, which is encouraging. If your anxiety continues to cause you problems, I would discuss your anxiety symptoms with your physician to see if any treatment could be provided either with medications or therapy.
I had a holter monitorio for 24 hours my doctor told me i needed a pacemaker since my hr drops to 35 bpm during sleep.
You do not need a pacemaker if your heart rate dropped to 35 bpm and you remained in sinus rhythm (i.e. sinus bradycardia) while you slept. However, if your heart rate dropped to 35 bpm because of a serious heart conduction system issue or block while you slept then a pacemaker may be indicated.
Intervals pr,qrs,qt within normal range…did not identified any av block with the 24 hour holter.
A permanent pacemaker should never be placed for asymptomatic sinus bradycardia while you are sleeping.
Dr.
They didáctica another 24 hr holter and am having a 33 bpm while asleep and ano evento of 160 bpm tachycardia. I apreciate your help
I would defer to the expertise of the cardiologist taking care of you. There are many factors that play a role in arrhythmias, including the rate and origin of the rhythm as well as your symptoms. The physicians involved in your case are best suited to handle those types of decisions.
Im 23 years old dont take meds only for acid reflux . When needed. Dont use drugs now. I have used drugs before . Have anxiEty sometimes while a anxiety attack my heart rate goes up to 125 is it normal . Latly i noticed my heart rate while sleeping is 46 to 57 beats per min i started to keep track of it when i went to the e.r for acid relux episode And 57 to 65 wile im resting .sitting etc. My pressure checks out good the e.r said i was ok. Only thing is i been told my total cholesterol is 219 which is kind of high. Im weight 210 im 5.6 inches. I been having trouble sleeping cus of this idk if its normal or not .
I had palpitation but when i been fully awake . But i was wondering if my heart rate are bad? I dont exercise that much .so i know my rate aint considered athlete rate .
In young people, it is common to have heart rates into the 40s-50s when you are sleeping. Your BMI is 34, you should strive with diet and exercise to obtain a BMI of 18.5-25. This would improve your cholesterol numbers and reduce your risk of future cardiovascular events.
Hi Dr. Guichard,
The past few weeks I have had chest pain and fast heart rate I’ve been to the doctors 3 times and a and e twice had two ECGs and blood test told everything is ok.
Now when I’m sitting down my heart rate is 74, but when lying down is 54-60 I’m now worried that my heart is too slow I’m also having palpations and dizziness, the doctors have told me the dizziness is from a middle ear infection. I was just wondering what you think.
Thank you
Daisy
From what you are describing and what you have had done, it sounds like everything is reassuring. It would not be unreasonable to have a 24- to 48-hour Holter monitor to evaluate your heart rate and rhythm.
Hi Dr. Guichard,
I’m 31 year old male, used to workout and play basketball a 3-4 times a week before corona virus shutdown. Still try to workout now from home the best I can. My resting heart rate on my fitbit is in the mid 40s and gets to high 30s while sleeping. I had EKG done for bradycardia and machine read it came back as sinus bradycardia, early repolarization, and voltage criteria for LVH. So my doctor ordered an echo and that came back normal with no evidence of thickening of the walls or anything and ejection fracture was 60%. He told me my heart was fine and maybe I’m worrying a little too much and stressing myself out. My question is even after the echo, is that enough testing or should I still be concerned of the low heart rate and what the EKG picked up?
Yes, that should be enough testing in your case. Asymptomatic sinus bradycardia is common and can happen in young people and athletes. Your ECG with early repolarization and voltage criteria for LVH, should have prompted an echocardiogram, which happened in your case. From what you are reporting, the echocardiogram was normal, so that is reassuring. Sometimes in young, thin people of black African descent (in general, not sure if that describes you in particular, this is for educational purposes only) those types of ECG changes can be observed (https://pubmed.ncbi.nlm.nih.gov/22094072/).
I’m a 60 year old woman with a resting heart rate of 60 in the a.m. before rising; however, it climbs to 89 by the end of the day. Is this unusual? I lost my husband 2 years and 1 month ago, and I wonder if this is at all related to my grief. I’ve trying my best to be physically fit and take care of myself in spite of my situation. I’m 5’4 and 137 lbs – trying to shape shift down to 128 lbs.
I am sorry to hear about your loss. Your reported heart rate variability during the day is normal. In most cases, your heart rate is lowest in the morning and will increase throughout the day. Thank you very much for your question!
Good Afternoon Dr. Guichard,
I am a 30 year old female with GAD and occasionally panic attacks. I was overweight and had high blood pressure (140/90) but have made some changes in lifestyle over the past year or so (i.e., losing weight, exercising more, yoga). I also just had my second child this past December and made sure to do everything in my power to have an extremely healthy pregnancy. It has resulted in my blood pressure lowering to an average 110/70, which I know is pretty ideal and with that my RHR has lowered from my old normal of 70s to the low 60s and sometimes mid 50s when I am sitting on the couch or even doing work at my computer. Because of my anxiety (I know I should stop this) I own a pulse oximeter and BP monitor and do check it more than I should and when I see low numbers like 55 RHR it gets me very anxious since the “textbook normal is 60-100”. Also God forbid I witness my spo2 fluctuate between 94-99 – you can imagine the freakshow, haha.
It does rise when I get up and do things and exercising it averages around 140… So should I put my freaking BP monitor down and throw out this Pulse Oximeter and enjoy “healthy” or is my RHR something to be concerned about?
P.S. I just started Escitalopram 5mg this week to get this anxiety back under control.
Checking your blood pressure and heart rate from time to time is never a bad thing. Currently, your blood pressure and heart rate are in great ranges and I would not worry about it. Thank you very much for your question!
Thank you so much for your reply. It just worries me when I see the HR get so low at night 46-54 but you’ve definitely reassured me. So nice of you to help so many people with these questions.
This Lexapro has taken me for quite a ride itself actually increasing my anxiety and panic attacks but Ive been told its the storm before the calm… haha. Have a great night.
Hi, my AVERAGE heart rate across a moderate exercise session (hour moderate cycling) is always around 160bpm. Is this unusually high for just moderate exercise? It’s way above the recommended training zones for aerobic exercise (eg this article’s own “50-70%”, but even exercising VERY lightly (ie barely putting any effort in) my rate is 120-130
(40 year old male, resting heart rate around 70bpm, max recorded heart rate this year 185bpm)
Your age-predicted maximal heart rate would be 180 bpm, and for you, 160 bpm is about 89% of your maximal heart rate. This would put you in the range of high-intensity exercise. However, studies have shown that fitness and heart rate trackers may be unfit to measure heart rate. These devices can be as much as 34 beats off per minute during certain exercises (https://www.ncbi.nlm.nih.gov/pubmed/28395305). So I would recommend manually checking your heart rate to confirm your actual heart rate. If you do indeed confirm that your heart rate is that high with mild-to-moderate exercise, then you should train to your heart rate, and hopefully over time your heart rate variability and recovery will get better as you improve your cardiorespiratory fitness. As a side note, I will say that a rare cause of excessively high heart rates with exercise can be caused by abnormal rhythms of your heart. Two of the important ones to think about are supraventricular tachycardias (SVTs) or outflow tract tachycardias (right ventricular outflow tract (RVOT) tachycardias being the most common). It may be worthwhile to have a graded exercise test (GXT) to evaluate your heart’s rhythm response to exercise.
Thank you very much for the thorough reply (and for replying at all). My heart rate measurement was by means of a chest worn heart rate monitor, so I believe should be accurate.
Those ?high? heart rates during exercise are consistent across last three years I’ve been using a monitor (and have used two different ones in that time, with same results), and based on roughly 3 rides of one hour per week (none during the winter period) – I consistently average 155-160bpm during moderate bike rides, varying between a min of 140 to a 170 max across a moderate ride (185 max only if pushing to my limit, not during a moderate ride)
I did have some heart monitoring done a few years back (ECG, 48hr monitor) due to occasional fluttering sensation. ECG was normal, 48hr monitor found some ectopic beats, and slightly fast heart rate – neither of which were thought to be a problem.
Would any of the above have any bearing on your advice? (I ask here purely as it has always SLIGHTLY concerned me, but don’t wanna waste an actual docs appointment just to ask “Is this normal”)
Thanks in advance 🙂
That is good information. I would still check your heart rate manually from time to time, just to make sure it correlates with your heart rate monitoring device. If you have had your heart rhythm evaluated with exercise, then you should be fine. I would train to your heart rate to avoid excessive heart rates for prolonged periods of time.
I’ve not had any evaluations under exercise, but thanks. You’re a star for taking time out to advise random strangers on the internet and helping put people’s minds at ease 🙂
My resting heart rate is 65 and the low during sleep hits 50. So the delta in awake-deep sleep is about 15. I am 49, so is this delta adequate for my age? Is a sleep test required?
Your current resting heart rate and sleeping heart rate can be normal for you. A sleep study would not be required for a low heart rate while you sleep, unless you have other appropriate indications for a sleep study. Thank you for your question!
Hi Doc , l cant believe you find the time to help all these folks with their questions and concerns…simply amazing and hero worthy!!! One question concerning max heart rate…riders of the Tour De France are hitting max heart rates of 190 and above , are they hurting their hearts and l guess two questions really if your an pro athlete or or are in good shape and exercise regularly can you exceed your max heart rate during exercise as long as you have no pain , discomfort ect. ? Thank you for all you do ! Tim
Thank you very much for your kind words! The discussion of too much exercise doing harm to your heart is a very hot topic right now. This is a very good article here: https://www.ncbi.nlm.nih.gov/pubmed/23197444. In it, the article states, “The take home message for most is to limit one’s vigorous exercise to 30–50 min/day. If one really wants to do a marathon or full-distance triathlon etc, it may be best to do just one or a few and then proceed to safer and healthier exercise patterns. Running too fast, too far, and for too many years may speed one’s progress towards the finish line of life.” Just like almost everything in life, moderation is the key, and the same should apply for exercise.
Hi doc,
I appreciate your work on this blog. I have a serious concern with regard to my blood pressure. I am 27 year old male. I smoke 6 to 8 cigarettes/day. My bp always read 110/85. 10 days ago, I had a strong coffee and in a matter of 90 mins, I had severe headache and my bp read 145/120 at the doctor’s clinic. I’m on medication with mild dose for hypertension. What could be the concern?
Thanks in advance.
You could be very sensitive to caffeine or other stimulants, I would recommend keeping caffeine (coffee, tea, energy drinks, etc.) to a minimum. If your blood pressure remains elevated, you might need some blood tests to look for secondary causes of high blood pressure. Your physician should know the important things to look and test for. You should completely stop smoking and take care of yourself with improved dietary and exercise habits. Thank you very much for your question!
Hey I’m 27 me resting heart rate in from 59 to 68 range some times when I get up my heart rate goes to 108-112 r if I’m fast clean can range around 100 in if I check it after a while standing it 88 idk if it pot r if its normal I feel fine I do get anxiety some times I just had a baby 7 weeks ago in have 4 other children I’m 110 pounds not overweight r anything
From what you are describing, those appear to be normal heart rates for you during rest and with mild exertion.
Hello Dr. Guichard,
I’m a 33 yr. old male with Hypertrophic Cardiomyopathy. I also have a history of Afib. 2 months ago I was diagnosed with IBS-C. I’m in a flare up st the moment and it’s hard to eat certain foods. I’m on a Fodmap diet to avoid bloating and discomfort. In the last 2 months I’ve lost a total of 30lbs. My weight for the last 2 years was 187. I’m now 160. I’m 5’11 and I go to the gym daily and do moderate exercise on a treadmill to make sure that my bowels are working properly and to get things circulating. Usually walking. I have not much energy to lift weights with all that’s been going on so I just avoid it at the moment and just walk.
Last month I went into afib. This time it was the worst I’ve experienced. It climbed to 180 so I went to the hospital. I believe lack of nutrients and being weak from not being able to eat much made my afib this time worse. My vagal nerve seems to be sensitive and usually is what sets it off. I’ve had a lot of anxiety because I have a history of Afib when I would be bloated and I would drink something it would immediately set me off. Now with having IBS I feel like I’m walking on thin ice constantly. I noticed my blood pressure lately has been lower than normal. I been checking it regularly and sometimes it’s low or about normal and ideal pressure.
My heart rate is around 49 tonight and I been doing some research to see if that’s very low for me. My feet or cold sometimes and my hands. I take metropolol tartrate 100mg 2x a day.
I’m trying to have my doctors get to the bottom of all this but I would love to hear your opinion and advice. I been reading your responses in this thread and they’re great.
Yes, very good questions. With hypertrophic cardiomyopathy (HCM) your heart rate needs to be a little lower than normal, which is why you are on metropolol tartrate 100mg BID, this is part of the management for HCM. Also, patients with hypertrophic cardiomyopathy and AFib, oral anticoagulation is indicated irrespective of CHA2DS2-VASc score. This should be discussed with your physician.
Hi, I am 40, weigh 235 and am far from athletic. I walk about 30 minutes a day, elliptical 30 as well and eat very healthy. My average resting heart is 39. I went to a cardiologist and got an EKG as well as the treadmill test and he said it is low but without symptoms I should not worry about it. I just find this very low and am concerned.
It sounds like you have had a good work-up with your cardiologist. If the ECG was normal and the graded exercise test (GXT) showed a normal heart rate response to exercise, then that information is reassuring. I would agree with your cardiologist at this point in time.
Trying to find a balance. I’ve been in and out the ER, to the cardiologist to my GP and here’s my question. I was taking 100 mg of Metoprolol XR for over 10 years. The reason I started taking it was because I was having PVCs. Over the years my blood pressure got higher. Two months ago after a crazy vacation, I started having PVC’s pretty badly after a bout of diarrhea. I ended up getting a halter monitor for two days, showing I was in deed having PVCs and racing heart. I then had an echocardiogram to make sure my heart is structurally okay. I do have a heart benign murmur I got when I was two with rheumatic fever. Other than that everything looked good. Other than my blood pressure getting pre hypertension numbers and some things higher, I was doing okay. Then…my heart rate dropped crazy low. So what was I doing differently??? I started taking 400mg Magnesium Taurate a day to help with the heart palpitations as I read a study how it can help with PVCs. My heart rate got down to 42 beats per minute. So my doctor cut my 100 mg a day of Metoprolol XR in half, 50 mg a day and he added 25mg hydrochlorothiazide for my blood pressure numbers. Things stayed pretty normal until the late evening when my heart rate would get ultra sensitive to movement and my resting was in the 80s, but when I moved it would shoot up really quickly to the hundreds. Now yesterday my doctor decided to put me on 50 mg metoprolol tartrate twice a day. Today after taking it, my pulse fell down into the 50’s and my blood pressure is hanging out around 110 over 70 ish. My question is, could the magnesium taurate causing my palse to be lower with the metoprolol? Or am I just still not on the right doesage to keep things normal. Is having a resting palse in the 50’s okay, as long as I don’t have dizzyness? I can’t seem to get a good balance with my numbers. One last thing…I did get on my treadmill and my pulse did get up into the high 80s low 90s. So my palse does rise with exercise.
It is possible that the magnesium could be affecting your heart rate, the only way to know would be to stop taking the magnesium. It is also possible that you are not on the right dose of metoprolol for you. Low heart rates can be normal, and as long as you are asymptomatic, then it is usually just fine. Making sure that you have a good heart rate response to exercise is reassuring. I think it will take a little time and adjustments to get your medication just right for you. Thank you very much for your questions!
Dear Sir,
I am posting this query for my father (75 year old) with the following details –
1.slightly ischemic heart (no surgeries were recommended).
2. On BP medicines for a period of about 15 years now.
3. Absolutely active (as compared to his age) and does all normal household as well as outdoor jobs (market/bank etc). Doesn’t play sports but is into lot of walking.
He has a pulse of around 40 per minute; however he doesn’t complain of any dizziness, fainting, clarity of thought problem, exhaustion/fatigue etc, which i see typically are symptoms of low heart rate.
Would you kindly advise is this is of any concern? If so, what needs to be done please?
Your expert advise is solicited please.
If he feels fine, then it is likely just sinus bradycardia. However, for completeness, he should at least have an ECG to confirm. It would not be unreasonable to obtain a 24-hour Holter to assess heart rate variability and/or a graded exercise test (GXT) to assess his heart rate response to exercise. Thank you very much for your question!
I’m 41 years old. My pulse rate is normally in the 55-57 range. I used to run and work out 5 days a week. Recently it has been moderate exercise 2-3 days a week and no running for year or more. I have started biking and after I stop I find that I am dizzy. Could this be due to my low pulse rate. Should I be concerned?
What is your heart rate and blood pressure during these episodes? It would be unlikely to be due to your heart rate, but additional information would be helpful.
After my bike ride yesterday which was about 30 minutes long my HR was 160. I checked it as soon as I stopped. Within 5 minutes it was coming down to the 120 range. I did not have an episode yesterday however. I made sure to eat a small snack before the ride and drink water during in case it was due to my blood sugar (my fasting glucose is usually around 75). I have not taken my BP during an episode.
You seem to have a good heart rate response to exercise and appropriate heart rate recovery. I doubt your symptoms are due to a low heart rate.
According to my garmin watch my average resting heart rate is 70bpm, however I get alerts for ‘abnormal heart rate’ whenever my rate goes above 110bpm whilst being inactive for minimum 10 minutes. I get 7-10 of these alerts(all whilst just sitting, generally for atleast an hour) ranging from 116-142bpm. Is that OK? I’m 38yo female, at 49kgs(164cms).
It is hard to say. Having intermittent tachycardia can be normal, sometimes associated with illnesses (especially COVID-19). If your episodes become symptomatic or longer than an hour at a time, then discussing with your physician would be reasonable to see if a further evaluation would be warranted.
Hello
I am 23 yrs old 5’11 160 pounds and have been experiencing heart palpitations during minimal tasks like walking up stairs and , tiresomeness and dizziness doing minimal task. But the palpations are not die to faster heart rate and I also don’t get any chest pains but i have been dealing with anxiety for 2 years without any medications. I went to the doctors and they told me it’s just anxiety but i feel weirder than my usual anxiety! Please should i be worried or move on because it feels like its all in my head but it goes away and comes back as soon as i walk up the stairs in my house.
A 24- or 48-hour Holter monitor would be easy to do in order to evaluate your current palpitations and symptoms. If your palpitations and symptoms only happen when you walk up stairs or exert yourself, then a graded exercise test (GXT) to evaluate your heart rate and rhythm during exercise would be helpful. If these tests are normal, then you should be reassured.
How are you able to manage your anxiety without medication for 2 year. Pleas do share
Recently I noticed my heart rate when would go to 100_102. When it does
I have trouble sleeping. During when I am working it stays in the 100. I have no shortness or any
problems other then fainting. I had the flu. My legs were hurting and heart rate was up when resting. When I was in bathroom I had diarrhea then I passed out. I noticed when I have trouble sleeping my heart rate is up.
It would be worthwhile to get an ECG to make sure that your tachycardia is sinus rhythm and not some other abnormal rhythm.
I am 26,
I’ve been diagnosed with POTS Dysautonomia (Postural Orthostatic Tachycardia Syndrome) due to lyme disease, so I can’t ever really tell what my normal resting heart rate is because it’s so unstable. It will sometimes go from 55 laying flat, to 110-120 standing up. My main question is about heart rate dips at night. I sleep in an elevated position because I am usually very disturbed when i look at my heart monitor the next morning. Heart rate typically stays in the 40’s while i’m asleep, but lately, it has been dipping momentarily to 37-39 bpm. This scares me. Should I inquire about a pacemaker? My cardiologist ran an echo’s/EKG’s that came out normal but he can’t explain these “dips”. Heart rate sometimes dips to late 40’s before I even fall asleep and my BP is typically always low.
If you remain in sinus rhythm without any heart blocks that could be identified by ECGs or Holter monitoring, then it would be unlikely that you would need a pacemaker. I would point you to our POTS section on this website (https://myheart.net/pots-syndrome/) for excellent information about POTS. Thank you very much for your question!
Im 26 138lbs my heart rate pingpongs around I measured it it came back as 50 less than 5 minuets later it was 65 when I was in the exact same spot and hadn’t moved between measurements. This morning it was 49. I do have another systemic issue gastroparesis and my blood pressure has always been on the low side of normal. Should I be concerned?
Low heart rates in younger people can be very normal. If you feel fine (asymptomatic), then you should be reassured, but a simple ECG would be enough to make sure you are in a normal (sinus) rhythm.
I’m 26 years old male, my heart beats faster when i take breath in and beats slower when i give breath out, is it normal or its a symptoms of any disease?
What you are experiencing is a normal phenomenon called sinus arrhythmia. Sinus arrhythmia is a normal physiological phenomenon, commonly seen in young people. The heart rate varies due to different stages of the respiratory cycle, inspiration will increase the heart rate. You can read more about it here: https://myheart.net/articles/sinus-arrhythmia-what-is-it/
Hi my name is Amber Im 31 and I recently wore a heart monitor for 48hrs due to panic disorder they’re findings were normal but they did say my HR while sleeping was 45bpm that really scared me because Im not in the best shape (far from a athlete) it also registered that during a panic attack my HR went up to 141bpm this has really stressed me even more also my lanic attacks usually happen straight out of sleep. Could it be something else like a heart condition and not panic. I asked for a referral to a cardiologist I have a appointment in a few weeks but any advice to ease my mind or should I be worried. (Note: no real health issues besides anxiety/panic)
From what you are describing, you should not be worried. Having low heart rates while you sleep can be normal. Keep your appointment with your cardiologist and it is possible they may want to pursue further testing, if needed.
If someone has a resting hr of 100, does that change her maximal hr and aerobic zones?
A friend has a normal resting hr of 100. After 30 minutes of aerobic exercise it goes down to 80-85. She’s 40 years of age, exercises daily, and has a bmi of 33. She takes various meds for a chronic illness (not directly related to either heart or lungs).
It is not normal to have a resting heart rate of 100 bpm, and with exercise, the heart rate goes to 80-85 bpm. A resting heart rate of >100 bpm deserves a thorough medical evaluation to be sure it is a sinus rhythm and that there are no reversible causes of the tachycardia. Your heart rate should always increase with exertion/exercise. Thank you very much for your question!
I’m 51, 175lbs with avery busy and active life. Recent blood tests show every test within normal range. I’ve gotten EKGs over the past couple years & there’s an abnormal result. I researched and found the abnormality means there could be an issue with left ventricular hypertrophy. BP isn’t too bad but it is always slightly elevated even when taking 100mg losartan daily. At rest 140/90 even with 100mg losartan. I can sometimes get my diastolic below 80 but it seems systolic is always near 140 give or take. So my BP is always slightly high and pulse is in the 65 range at the beginning of my day but goes down to low 40s when at rest and I’m now worried about the EKG. Doctors aren’t pursuing anything. Should I be concerned about any of these issues?
Left ventricular hypertrophy (LVH) on an ECG could mean a few things, but most likely represents uncontrolled blood pressure in your case. It would be advisable to control your blood pressure a little more aggressively, with a goal systolic blood pressure of <130 mm Hg or even <120 mm Hg. It would also be reasonable to obtain a transthoracic echocardiogram (TTE) to make sure there are not any other issues that need to be addressed. Thank you very much for your question!
Hello,
First I would like to thank you for your time answering everyone’s questions. I am a 46 year old woman going through perimenopause. I do smoke. I have heart palipations the week before my menstral cycle and heart rate goes up 10 to 15 pm.
My resting hr is 64 normally but during the day just getting up and walking can’t jump to 109. The week that its higher it can go as high as 125bmp. I went to the ER a couple months ago with palipations they said everything was fine. Is this normal?
Yes, that can be normal. However, if you continue to have concerns about palpitations then a 24- or 48-hour Holter monitor could be helpful to determine the etiology of the palpitations. Thank you for your kind words!
i am 24 yr older.acctually.i quite smocking before 6 month. i have chest pain in center .so i went cardiologist doctor he took ecg,echo,strees test then he told everything fine. but my resting heart rate 90 to 99 bpm
and also when i done steers test my heart rate increasing is Upto 178bpm.is it normal
That resting heart rate is within normal range, but a little higher than you would expect for someone your age. It sounds like you have had a thorough evaluation. Yes, your heart rate can get that high with exercise when you are young.
thank u sir
but some time i have chest pain what should i do and also in my echo test HR is 114 bpm so they are noted tachycardia. is it normal
It is a little higher than normal, but if your evaluation was normal then you should be reassured.
Hi sir,
I AM 23 year old, i quieting smoke before 6 month,i have chest pain in center.so i went cardiologist doctor they took ECG,echo,chest xray and stress test then doctor told everything is normal.but my heart rate is 90 to 99 bpm. and also when i done stress test my heart is increasing and also still some time i have chest pain.is it normal to my heart
I am 64 years old,my heartbeat rate at rest is in the range of 54 to 59,is it okay?I have problem of high blood pressure for which I am taking medicines prescribed by my physician.
Yes, that is likely acceptable for you. If some of your blood pressure medications are beta-blockers or calcium channel blockers, then you could change to different medications that may not affect your heart rate.
Hello im 25 year old male 5’11 about 170ish pounds not too long ago i felt like passing out was lightheaded dizzy numb fingers weak ankles and ended up going to er they did some blood and urine test and told me i was fine. Later on that week same thing and got same tests done plus an ekg or something like that and it all came back fine too. Doctor said it was probably just me with anxiety. I got a new job where theres alot of vapor and the same symptoms show up i feel like sitting but i pulled through i felt nausea but never puked or fainted. Symptoms lasted for some time. Also really gassy feel like i gotta burp or fart and a chest pain but idk if its because of the gas.at the er they told me my blood pressure was a bit high but not to really worry cuz of my age but its around 130/80 to 140/90 and probably cuz of the anxiety. But been checking myself at store and still same but also noticed my heart rate can get low 50-60 even 49 especially when i lay down at night or wake up. Which freaked me out. I saw regular was 60 and down to 40 for great athletes. I worked at a job that was hard labor 8 hours usually monday – saturday had to use my arms constant and use muscle but usually on a platform with not much leg movement so i dont know if that counts and my diet is not the best either. So just wondering if all that looks good if its just anxiety or what else?
Hi, I’m 18 yr old female, weighing 115-120 lbs. fairly inactive now however did many sports growing up, I have smoked for years though have cut down significantly and mainly only vape now, I also have high anxiety, I’ve been trying to sleep but I feel my heart racing and feel a little hard to breath ( not sure if feeling of lack of air flow is due to anxiety to something else going on) my resting heart rate is currently at 110 bpm, I have had a few tests on my heart and they have found I have “dual SA nodes” however my usual resting heart rate is between 80-96. I had muscle pain earlier in the day and took 2 Robax, and had a couple drinks later on, I’ve been laying in bed now for about 3 hours and have since felt my heart rate beating quite abruptly and had slight difficulty breathing, I downloaded 2 different heart rate apps, and both indicated my heart rate was at 110bpm is this something to be concerned about???
You probably have a paroxysmal supraventricular tachycardia (PSVT) and, in your case, most likely an atrioventricular nodal reentry tachycardia (AVNRT). The substrate for AVNRT is the presence of dual AV nodal pathways. This can be easily addressed and fixed permanently by an electrophysiologist.
62 sitting at computer just tested heart rate 37 i only eat raw food last 5 years , and last 24 dry fast . any comments 🙂
thats 24 Hours 🙂 dry fast ha ha sorry to alarm anyone 🙂
The heart rate of 37 is a little low while awake, I would verify that measurement with a manual check of your heart rate.
Hi,
I am Ravi I am 50 years old male. My BP was good till about a month back when I had a mild panic attack. Since that time I am not able to sleep properly. My BP shot upto 160/100 and pulse 120 but subsided. I have recovered form the attack. Two days back my doctor prescribed Atenolol 50 mg in the morning and zolepedim 5mg for nights sleep saying that I have slipped into prehypertension stage . My pulse rate this morning was 65 bpm. Throughout the day never as gone beyond 80 bpm. I walk about 6-7 KM daily. I commute everywhere on foot only. MY BP now is never more than 145/90 Is this a cause of worry. Please advice me
Atenolol is not the best blood pressure medication. Benazepril and amlodipine should be your first line medications, if you don’t have any reason to be on the other medications. Otherwise, continue exercising like you are doing.
Thank you so much . Are the BP and pulse ok? Should I stop atenolol. Please advice me.
You should discuss with your physician about stopping the Atenolol and starting a better medication for your hypertension.
Hello Sir
i Am 21 Year Old And My Heart Rate Is 90 To 96 At 126/76 Bp But When Bp Comes 135 Then Heart Rates Goes Up To 102 To 109 Is It Normal ?
Yes, it can be normal to have variations in your heart rate with changes in your blood pressure.
125 To 135 BP Is It Normal For Me ?
Recently I Checked My Bp And Found 131/83 And Pulse Rate 89
Yes, that can be normal for you.
I recently got an apple watch and it tracks heart rate. I am a night shift nurse. (26 year old female – 5’7″ 128lb) My resting heart rate is typically around 55-60 during the day. During night shift, usually around 0400-0500 I noticed my heart rate is in the 40’s. I see it as low as 42. (42-50 typically)**Also, I am asymptomatic. I am wide awake (working obviously). Does this has something to do with circadian rhythm? Is night shift work bad for heart heath?
I am not sure why your heart rate is lower while you are working, the circadian rhythm would be a plausible idea. With regards to your question about rotating night shift work, yes, there is an association with coronary heart disease. There was a good study among women who worked as registered nurses, very applicable to you, that showed a small increase in coronary heart disease risk (https://www.ncbi.nlm.nih.gov/pubmed/27115377). Thank you very much for your question!
Did Weakness Causes Heart Beat Fast ?
Did Weakness Causes Heart Beat Fast ?
No, weakness does not cause your heart rate to be fast.
Hello Sir
Age 21
I Have Strgl From Maleria Before 1 Month Doc Give Me Bed Rest But Now I Feel Fine And When I Am Trying To Go To The Market My Heart Beat Goes Up To 90-96 Aprox and Little Pain On My Left Hand
Ps – At Home i Feel Fine But Out Of Home I Feel Nrvs ! Is That Normal Or Something Else
Few Days Ago I Strgl From Maleria Doc Give Me Bed Rest Now I Feel Fine , But I Notice My Heart Beat Goes High Now A Days Its About 85-95 ! i feel Fine When I Am At Home But When i Am Trying To Go To The Market Or Chilling With Frnds I Feel Nrvs Then My Heart Rate Goes Up 90-96 N Little Pain In My Left Hand Now I Everytime Think About My Heart Beat 🙁
What you are describing is probably just fine, a normal heart rate is between 60-100 bpm. Your heart rate going from 85-95 bpm, then to 90-96 bpm, is likely just normal heart rate variation.
Hey doc you are doing grt
I wanna ask one thing that did improper sleep and anxiety Can Make heart beat fast ?
Yes, lack of sleep and anxiety can elevate your resting heart rate a little but it should not persistently increase your heart rate >100 bpm for long periods of time.
Age 21
During the day when i relax on bed my heart rate 85-90bpm And when i standing or walking it goes 90-96 and At The End Of The Day my Heart Rate Goes 70-78 is it normal ?
Yes, that can be normal. Your heart rates are within normal limits at rest and with mild activity.
My BP is 138-72 and heart beat is 58 is it ok?
Yes, that is OK. However, you will need to have your blood pressure monitored. I would suggest finding a primary care provider for regular monitoring.
Is it safe to take cordarone long term? Last 2 yrs i got a fib and was given 200mg per day and now reduced to 50mg alternate day. Now my HR is normally 60-65 bpm at rest. Sometimes go up to 80++ but down gradually to round about 60 within hours. Am taking Epixaban 5mg twice a day. BP is normally 130/80 and sometimes 140-150/80. Taking bisoprolol 5mg morning, amilodipine 5mg evening and valsartan 80mg 2 times. Stented already 8 years ago. %Hb A1c in October this year is 6. Taking Metformin Denk 500mg twice a day and Januvia 100mg once a day. Please evaluate my condition and advise me for healthy life.
We usually don’t keep people on amiodarone longterm, unless there is no choice. You can discuss with your cardiologist or electrophysiologist to see if a different medication might be better for you.
Hello! I just have a quick question for you. In general what does the average persons heart rate do while in the middle of the process of falling asleep? Im doing some research for a group project at my university and am having trouble finding the right answer. Im not looking for heart rate while asleep but right before someone falls asleep.
Any knowledge helps! Thanks!
That is a good question, and I am not sure of the answer. I would think that the heart rate would begin to lower. I would imagine that there is research on this topic as sleep medicine is a large medical field. You could try searching on PubMed: https://www.ncbi.nlm.nih.gov/pubmed/.
So I have a question I’m just like laying here in bed and my heart rate was going between 119-127 and for the past two years I haven’t been able to exercise very much because of back issues I’m healing from my most recent back surgery two months ago but my heart rate has always been on the higher end even when I was a well trained athlete before my injury and my doc was worried about it so they did an ekg and my rhythm was completley normal but it was just really fast I mean is this something I should be concerned about?
I’m 18 btw
An ECG showing a sinus (normal) rhythm is reassuring. That is a slightly higher resting heart rate for a younger person, but can be normal. Once you heal from your surgery and your pain is controlled, then you can reevaluate your heart rate. My suspicion is that is will get a little lower after you recover.
Well I’ll make sure to let you know once I’m fully recovered thank you for your time
Hi Doctor, I just bought a Fitbit that checks my heart rate and I’ve been watching it fluctuate between 90-95. I’m a 25 year old female and I weigh around 145 pounds. I don’t think this is normal? I took an ECG last year my doctor said it was fine. I feel my heart racing sometimes when my mind starts wondering I think it may be due to anxiety, not sure though.
A normal heart rate is between 60-100 bpm, so your heart rate is within normal range. I am assuming that the ECG you had last year showed a normal rhythm (i.e. sinus rhythm). I agree that for a 25 year old a resting heart rate of 90-95 bpm is a little higher than you would expect. I would suggest lifestyle changes (i.e. mild-to-moderate exercise 3-5 days per week and improving your diet) to improve your overall cardio-respiratory fitness.
Can ECg Test Detect Hyperthyropidism ?
No, an ECG cannot detect hyperthyroidism. An ECG is simply just an electrical tracing of the heart’s conduction system.
Sir I Am Weed Smoker I Quit It Before 3 Weeks And Then Suddenly My Bp Goes High 140-145 so My Question Is That Is Withdrawal Symtomps Of Weed ? Fast Heart Beat Too
It can be, most likely related to anxiety. You should continue your cessation of smoking, congratulations. If your systolic blood pressure (i.e. top number) remains above 130 mm Hg, then you should make an appointment to talk to your primary care provider about lifestyle modifications to lower your blood pressure.
Hello Sir
Today I Got My TSH Report And My TSH Level was 5.69 ulu/ml My Doc Says Report Is Normal You Dont Need Any Medicine For Thyroid
So My Question Is That 5.69 Is Normal ?
That level is very mildly elevated, unlikely to be of any significance. If you are still concerned, you could request and “free T4” level to confirm.
So In Which level of tsh should take medicine ?
It is mainly based on your free T4 level, you should consult with your primary care physician.
Sir i am with heart palpilation and prehypertension doc suggest me pantprazole , zolent plush and aulip h and it really works for heart palpilation but prehypertension remain same 128 , 130 And sometimes 135 ( Upper num ) so internet shows daily drink of orange juice help to reduce High Blood Pressure
So my question is that can i drink daily orange juice with these medicines ? Did it good for me ?
You can drink daily orange juice, it will not affect your medications. However, orange juice will not do much for your health. Juices, in general, are not as beneficial as the whole fruit itself. I would encourage you to eat a whole food, plant-based diet. Choosing to eat whole foods, rather than processed foods (including juices).
Does meditation help to lower blood pressure and heart rate ? If yes , so how many days it will take to lower both ?
I am strgling from prehypertension and rapid heart beat 80/90 Bpm
Yes, some blood pressure medications can lower blood pressure and heart rate. The most common ones are beta-blockers and non-dihydropyridine calcium-channel blockers. It should only take 1-2 days to see an effect.
hi doctor,
im 30 years, currently i have diarrhoea 2 3 loose stools per day, no vomit, my heart rate since 2 days goes down to 48,50,51 while resting sitting. while working increases to 90 and then falls to 54 to 51,
i am little nervous about these numbers.
From what you are describing, you appear to be asymptomatic, so these heart rates could be normal for you.
hi dr. i recently went to my physician due to my heart rate. i used to have a heart rate around 80s since i have a panic disorder. before that i used to goto the gym everyday and even went on a diet. my heart rate recently got lowered to around 60-64 but this is strange because i quit going to the gym and just went on a diet since going to the gym will cause me to have a panic attack due to the increased bpm after a few pumps of iron . this also started happening when i had some stomach problems such as acid. this has been for almost 2 weeks that my heart rate is around 60ish. my doctor did put me on a holter monitor and everything was fine. he then said my lowest rate was 39 while sleeping. also two months ago i went to a cardiologist who did ekg, stress test and ultrasound and said everything was normal. just concerned about the 39 bpm aroubd sleeping and if the diet may have played a role in my heart rate since i lost 10 pounds. my physician even saw my records from previous visits before my panic attack around june and other visits that my heart rate just plays around 60.
The tests completed by your doctor and cardiologist are reassuring. I don’t think your diet and weight loss would have contributed to a resting heart rate of 39 bpm, but it is possible. In any case, I would not worry about your heart rate given the thorough work-up by the physicians taking care of you.
Hi there,
I’m a 32 yr old woman, relatively inactive and have always been very thin (100-115lbs)
I recently got a fitbit and my RHR is ranging from 68-72 but I’ve noticed that in the morning my heart rate will jump to 90-100 bpm when I get out of bed/make coffee/get ready for work.
When I’m walking quite slowly, it will also go up to about 110bpm. Recovery time seems quite good, I don’t feel unwell during exertion, and do tend to be on the anxious side. My question is, is this variability normal?
Yes, that variability can be normal. However, wrist heart rate monitors can be inaccurate at times, so it would be helpful to check your heart rate manually just to confirm your heart rate correlates with the Fitbit reading. And, you should consider a mild-to-moderate exercise routine to improve your overall fitness. Thank you for your question!
I’m 38 year old woman overweight and don’t exercise. My heart rate used to be in the 70’s when in bed trying to sleep and now is 55. Not sure if just eating clean watching my diet could have changed this or not?
It is difficult to say what prompted the change, but your heart rate can be lower when you are resting or sleeping.
I’m 27 with BAV, 3.6 aortic root, high blood pressure(under control) and occasional arrhythmias. My cardio said i’m stable and not likely to need surgery until 50’s 60s. This year i got echo, stress test, ct scan, ekg, blood test and 24hr monitor. None of these tests caught the arrhythmias, but she said it is NOT afib. Suggested it is probably a sinus arrhythmia. I’ll describe the episodes below:
+ They happen in-frequently…sometimes multiple in a week, sometimes i go a couple weeks without any. I’ve gone months now without one during the day.
+ They last 5-30 seconds mostly, 1-5 mins sometimes, but in the past have had episidodes that lasted 20 to 45 mins.
+ They occur mostly at night in bed, laying down, but also from sudden/awkward change of posture, or drinking coffee/alcohol, from stress/anxiety.
I took a beta blocker for blood pressure but it knocked me into the 40s sometimes and gave me ectopic beats. Now I’m constantly checking my heart rate. Off the beta blocker now, my heart rate is usually in 50s/60s…but sometimes when anxious or during the day it gets up to the 80s/90s…is that normal? My cardio said I have a very abnormal, though sinus heart beat…
Do you think it’s likely i’ll need a pacemaker? Sure hop not
That kind of heart rate variability can be normal for your age. Based on what you are describing and the normal heart studies you have completed, I think it would be unlikely that you would need a pacemaker anytime in the near future.
So I’m 23, 5’4 and weigh around 135 pounds. Generally my resting heart rate is 110 and when I do something simple like walking five feet to pick up my 5 pound cat, my heart rate goes up to 134. I sometimes do have minor chest pain, but I’m also asthmatic so I have no idea if it is because of that or not. I haven’t monitored my heart rate while or really after actually exercising, but I get winded and start sweating pretty quickly.
I walk around 4 miles every other day, but even doing that I’ll be so sweaty, hot, and winded. I’ve walked for going on two years but that hasn’t helped much.
Should I be worried?
It is a little unusual for a 23 year old to have a resting heart rate of 110 bpm. I would make sure that you are not taking any excessive stimulants or prescribed stimulant medications. It would be a good idea to have an ECG completed to make sure that your heart rhythm is normal (sinus rhythm) and to have basic blood work completed to make sure your thyroid function is normal at least. You don’t need to be worried, but I would investigate your high resting heart rate a little further. Thank you very much for your question!
Hi
I’m 28 years old. I had a panic attack few months ago after a period of severe stress and anxiety. Since them I’ve been paranoid about having heart disease whenever I have any chest pain. Sometimes I get stabbing pain mostly at the middle or left side of chest. It lasts for few seconds which scares me and causes tingling in hands and feet. Sometimes I have heart palpitations as if it skips a beat and I feel my heart beating strongly in my chest although my blood pressure is 110/75 and my pulse is usually between 70 and 80 daytime and sometimes around 65 at night. Could anxiety cause this or should I be concerned about a heart problem?
Thank you!
Your chest discomfort is atypical and most likely related to your anxiety and palpitations (which could be either PACs or PVCs, in either case, these are usually benign). Being a young female with a normal blood pressure, the likelihood of you having any significant heart disease is very low. Thank you very much for your question!
Hi dr. Jason,
Thank you for taking the time to look at and answer all of our questions.
I was having bronchitis on 10/6/18 and while driving my car I felt my heart rate extremely elevated (a hot flush went through my body before that). I pulled my car and went to the nearest pharmacy where my bp and bpm were measure with a BP machine. My heart rate was 178 bpm at rest and my BP was somewhere around 140 over 90.
I rushed to the nearest ER but until I got there my heart rate was back and settled to around 100 bpm and they could not catch anything apart from sinus tachycardia.
Since then, I’ve experience same episodes around 5-6 times, where my HR at rest was peaking between 165-175 bpm. I could never catch it on an ECG.
I’ve had numerous ECGs done, 2 echos (trivial MPV with mild regurgitation & tricuspid mild valve regurgitation, but they say that’s structurally normal heart and the findings are trivial).
I also had a stress test, which came back normal with a few PVCs during the test and during recovery.
I’ve had 3 different holter monitors all of them coming back normal with the exception of acceptable amount of PVCs (as the doctors said).
However, my last Holter monitor caught an episode of monomorphic wide complex ventricular tachycardia – 3 beats at 160 bpm, lasting 1 second. I’ve also seen an EP for that who told me to just forget about it, which is really hard for me to do.
One more thing is that my HR drastically changes upon standing. It can be 80 sitting and as soon as I stand up it increases to 120-130 bpm and stays there. Even the slightest movement increases my HR drastically. I’ve been advised to exercise but I cannot imagine doing that, since my HR is 130 bpm just standing.
I am reaching out to see what might me your opinion as I am clueless as of what to do next.
Are there any additional tests I need to do. Is there anything that can be done?
Thank you so much for your time.
I am looking forward to hearing back from you.
Yes, occasional PVCs (usually a burden <10% in a structurally normal heart) and short isolated runs of nonsustained ventricular tachycardia are usually nothing to worry about. However, if they are symptomatic to you, then you can consider medications or in very symptomatic cases an ablation procedure. I worry that you could be having an undetected supraventricular tachycardia or atrial fibrillation. My question is if the Holter monitors detected the rapid intermittent heart rates of 150-170 bpm that you have been having? If not, then a 30-day event monitor or even an implantable loop recorder could be helpful. As a last resort, an "EP study" can be done to induce certain abnormal heart rhythms and potentially arrive at a diagnosis. Most of these options can be discussed with your EP physician at your next visit.
Hi Dr. Guichard,
Like Polly said, thanks for taking the time to respond to an article you posted over two years ago.
I’m 55, 5’8″, 145 lb male with a resting HR of 55 BPM. I was pretty much sedentary until 2 years ago (lost about 20 lbs since then and my BFI is now around 10 (yes, i’m that skinny)). I didn’t start exercising because of a medical condition but because I wanted a change in lifestyle. I cycle about 3,000 miles per year (commute by bike to work from April to December at an avg speed of 17 mph), run about 300 miles per year (5K followed to 2.5K HIIT or 10K per run at 6.5 mph), cross country ski about 70 miles per year and do about 15,000 steps per day, including 10 to 30 stairs climbed. I also do weights training about 200 minutes (including rest time) per week. So I went from pretty much nothing to lots of activities in a short time.
When running, cycling or doing X skiing, I can now easily get my heart rate in the low 170s for over 20 minutes at a time. Yes I have to breath trough my mouth then but can still carry a small conversation (but not a debate lol) and not even close to puking. The max I managed to get my HR last year was 180 BPM.
If I stop exercising when I reach 170, my HR drops by about 50 at the 2 minutes mark. Depending how long I worked out, it will take about one to two hours before it get back in the 60 BPM range. I had my pressure taking while _doing max effort_ last year and it was at 160/80.
I’m saying all that because my max HR is much higher than calculated by any given formula. Should I worry that I’m pushing too hard? My doctor said I should try to stay at a max of 150 BPM but I find I’m not giving any effort at that heart rate. It’s like a “stroll in the park”.
How do you check your pulse? Is it manually or with a monitoring device? A manual check, how many actual heart beats in 60 seconds, would be best to confirm your heart rate if you are concerned. Overall, I would continue your exercising based on your exercise tolerance. You appear to be doing very well for your age.
I have a Wahoo Tickr chest strap and a Garmin VivoActive HR activity watch. I’ve confirmed the accuracy of both by taking manual reading and when I had my pressure taken while doing max effort last year.
Thanks for your input, much appreciated.
I sometimes feel like my heart is beating fast but the highest my pulse has been at these times us 104bpm. I do have some anxiety. I also take 50mg of noritryptiline at night and it says one of the side effects can be tachycardia. I recently started monitoring my heart rate. I am 30 years old, female and have a bmi of 24%. I quit smoking after 15 years about 3 months ago. My resting heart rate us 78. I am a high school teacher and on my feet most of the day. While at work I notice my heart rate varies between 80bpm up to 112 or so. Is this normal? It does go below 78 bpm sometimes at home but I have to be super relaxed. I am just curious if this all sounds normal so I can quit stressing about it! Thanks!
Yes, that kind of heart rate variability during the day can be normal.
mY WIFE HAVING ASD DEVICE CLOSER IN2015. NOW SHE HAD PAIN. AND MILD VALVE CURVE. DOCTORS SAID SHE HAS aRRTHYMIA. IS THERE ANY SOLUTION TO RESOLVE THIS. SHE HAS HEART PAIN, VOMATING, GIDDINESS, WEAKNESS.
kINLDY ADVICE WHERE SHOULD I GO AND WHAT SHOULD I DO
Her symptoms could be due to many different things. She should be evaluated by her cardiologist to further answer all your questions.
Hey Doc,
I’m 22 y/o 5’8 135lb and I have anxiety and tons of panic attacks (recently). I get chest pains but my doc says that it’s due to my anxiety and panic attacks. I’ve been getting a bit more worried about my heart health so I started to monitor it. My resting heart rate is 59-65bpm and throughout an active day it will fluxuate from around 70-90. My worry is when I have a panic attack. During the panic attack my heart rate will go between 120-140bpm. Should I be concerned with my heart health?
Your heart rate could be a normal response to anxiety. However, that is a little higher than expected. If you have these episodes on a daily basis, then a 24-hour or 48-hour Holter monitor could be helpful to determine that the high heart rates are normal.
I’m 34 yrs old, obese female with chronic back problems that prevent most exercise. Doesn’t excuse being obese, of course.
I was recently diagnosed with hypertension (175/115) and tachycardia (resting HR of 95 but normally 110+ as high 201 sometimes) been averaging 135/95 on toprol xl.
My father has PAT syndrome. My Dr hasn’t referred me to a cardiologist nor ordered any further testing with the exception of a sleep study. Should I request more cardio tests?
Your fast heart rates need to be evaluated, to determine if the fast heart rates are sinus (i.e. normal) rhythm or another abnormal rhythm, and this can be easily done with a 24-hour or 48-hour Holter monitor.
.
I’m 29 healthy but not very active…i usually have a higher resting heart rate around 70-80 I’m 8 weeks postpartum and I’ve noticed my heart rate is lower at rest than normal around 50-54 no symptoms just anxiety because of lower rate. My heart rate increases with activity. I have daytime fatigue but I also have a 2 month old so I’m not getting great sleep. Could this be normal and should I worry?
This can be normal. If your heart rate increases with acitivity and you do not feel limited (no symptoms), then that is reassuring.
I’m 22 years old with a resting heart rate of 90 bpm; do I need to see a doctor?MY actual weight 80 kgs.My Pulse rate 88 per min…Is It normal…i can not feel batter. Every day i feel fever….
I thing I have gastric problem..Please Doctor(As like god) help me
Yes, a resting heart rate of 90 bpm can be normal. Normal heart rates are usually between 60-100 bpm at rest. I don’t know why you are having fevers and abdominal pain, that is not normal. If you are concerned, then you should discuss those symptoms with your primary care physician.
Thank you Dr. Jason L. Guichard…
Hi Dr. Guichard,
Thank you for so generously answering people’s heart health questions.
My question is regarding the equation for max heart rate…does that equation still apply if a person has a pacemaker installed? And if they are exercising with the goal of moderate intensity, would that still be the 50-70% of max heart rate? How reliable is monitoring heart rate with pulse ox in this situation, or is it best to use RPE, or both?
I appreciate your time. Thank you.
Yes, it would still apply if there was a pacemaker present. If needed, a pacemaker will track the upper chambers of the heart and pace the lower chambers accordingly. However, most standard pacemakers are placed for abnormally low heart rates so high heart rates will not be affected by the pacemaker. And yes, the goals would be the same. Heart rate monitoring with pulse oximetry is fine, but manual checks are the most reliable and accurate. Thank you very much for your question!
Hello and thank you so much for your time and what you are doing by answering these questions!
I have noticed that while resting, my heart rate will periodically jump from the mid-50s, lower-60’s into the 80s. This happens for very brief periods of time several times during the night. Sometimes it wakes me up. I wear an Apple Watch and can see these spikes in my pulse rate using my Cardiogram app. It happens during the day as well and is noticible when I am just sitting or standing.
I wore a 24 hour holster monitor and my sinus rhythm was normal. My doctor has chalked this up to anxiety, but this is all new to me over the course of the last 90 days.
Should I be concerned about these nighttime fluctuations? I am a 47 year old female.
Thank you!
The 24-hour Holter monitor is reassuring. These can just be normal nighttime fluctuations. With the evaluation by the monitor and your physician, I would not be too concerned at this time.
Hi, and thank you for responding to our questions.
I’m 42 and in good health, but just had a AAA scare that turned out to be a bad ultrasound read (CT was negative). But that was a huge cause for anxiety for over two weeks. I did immediately begin walking more and hitting the exercise bike everyday. I’ve lost about 20 pounds and since I’ve started wearing my fitbit all the time, noticed my resting BPM drop into the 50’s. (it was in the low 60s). Since I got the all clear, I’ve seen my resting heartbeat drop to a consistent 53 the last 5 days, and I’ve felt fatigued and occasionally lightheaded during that time.
Should I be worried about this? My body has been through a lot with stress and weight-loss, just feeling concerned that the low resting BPM coincides with these symptoms.
It is difficult to say, I would think the exercise and weight loss improved your resting heart rate but it shouldn’t lead to you feeling bad. A 48-hour Holter could be helpful to monitor your heart rate and correlate it with any symptoms that you might be having. I would recommend discussing this with your doctor. Thank you very much for your question!
I’m a woman, 28 years old and 1.55m. My normal heart rate stays between 95 and 110 bpm. When I exercise lift weights and Cardio my heart beat raises and stay elevated the whole day, sometimes even hinder me from falling a sleep. Is this normal? Should I seek help?
I wouldn’t say that is completely normal. Your resting heart rate is on the higher side of normal, and your heart rate should decrease after shortly after exercise. A persistently high heart rate would require some further investigation. I would recommend discussing with your physician and I think a 48-hour Holter monitor would be an appropriate next step. The results of the Holter monitor would determine if your heart rate and rhythm are normal or abnormal.
Sir my age is 26 years
I am having b/p 100/140 at all time and pulse rate 75-85 bpm , should I go to meet to docter because sometime I feel sansations in one side of my body and sometime I feel sensation in my both leg plaese suggest me best thanks in advance
A blood pressure of 100/140 does not make any sense, I think that might be incorrect. A heart rate of 75-85 bpm is within normal range.
Hi Doc,
It was great reading your article. Information is always a great tool. They tell me, I’m the exception.
Suffered badly child with health issues. Tool up sports & exercise at an early age & gradually improved my health. I have continued to excerise through out my life, acheiving high levels in my sporting careers to this day. I have a resting heart rate of 47bpm, can excerise constantly in the 150 to 156 range, have a maximum heart rate of 185 & have a recovery rate back to around 120 within 20-30secs. I am 65yrs old, it is a lifestyle that has acheived this, a whole package – exercise, diet, rest & consistency.
I still compete against athletes in there 20’s & 30’s & still holding my own & in a lot cases out working & besting my young opponent’s.
My word to everyone is never give up, don’t except the number. ‘You are what you let yourself be’
Doctor, ahen I wake up in the morning my HR is 70-76. But during the day it remains 85-104. During exercise goes to 155, comes down to 125 in 1 minute and to 105 in 10 minutes. But stays at 104 for next 40 minutes or so before coming down to 85. I am 42 years old 178cm and 68 kg.
Yes, that heart rate variability and heart rate recovery can be normal.
My son is 19 years old, healthy (weight/bmi), active/busy, but does not exercise regularly. He has complained of irregular heart beats ranging anywhere from 1-10 times per day. Unbeknownst to me, this has been happening for several months. He describes it as a “big” heart beat followed by a pause or skipped beat or two. However, sometimes he describes more of a flutter and also has to stop to catch his breath after everyday activities like climbing household stairs. Only once has he said his chest hurt and he was kind of scared. He wore a hospital issued heart monitor for 2 weeks. Without having the full details of that report, his resting heart rates ranged from 50-110 bpm. Not knowing whether I should be or not, I’m really concerned but I don’t feel like the medical providers he is working with are being responsive (it’s been 6 weeks since his initial doctor appointment and we are still waiting for details from his test). Should I be concerned? What action should we be taking?
It sounds like he is having PVCs (premature ventricular contractions), which are generally benign. The heart monitor is helpful because they can confirm that what he is feeling is indeed PVCs, and then quantify how many (his “burden”) PVCs he is having. If the burden becomes excessively high, then sometimes interventions (either medications or procedures) may be indicated. Ultimately, you need the results of the heart monitor to determine the next step. I am not sure why it is taking so long to get the results, but hopefully you will be contacted soon.
Hi Dr. Guichard,
Thanks for the helpful article! I’m not sure whether to be concerned with my issue. Im a 37 yo female. My resting heart rate is generally in the high 60s to low 70s, so very average. My recovery heart rate after high intensity exercise is usually around 35-40 after a minute, 50-60 after two minutes.
My issue is this: A few times a week my Apple Watch picks up low to very low heart beats. It’s usually just one reading of somewhere in the 40s, though it’s gotten as low as 31. It’s sporadic and I have zero symptoms when my heart rate reads low for that one measure. Is this concerning?
If I had to guess, it is likely an erroneous measurement. These devices are good, but are not always accurate (https://www.ncbi.nlm.nih.gov/pubmed/28395305). I would not worry at this time, unless this is confirmed with a manual heart rate check. Even then, it would not be concerning if you were asymptomatic at the time. Transient changes in heart rate can be normal.
Thank you!
Hi Dr. Jason.
My name is Afnan. I’m 28yrs old.
Echo, ecg, ett, ct angiography are totally normal. Holter monitor showed 75 Pacs in 48 hours. Sinus arrhythmia and sinus brachriyda was found. Some times resting heart rate is 45. I’m very worried about pacs and resting heartbeat. Please tell me what to do.
All of your normal studies are very reassuring. PACs are benign, especially at the lower burden in which you have them. It can also be normal to have a resting heart rate that low, especially if you are asymptomatic. I would not recommend anything else at this time.
Thank you sir!
I am a 58 yr old female who had hot thyroid nodules which let to RAI ablation. I am currently taking 75 mcg levothyroxine and 1.25 liothyronine. This dose was a recent reduction due to a low TSH of .02. It was 75 levo and 5 Liothyronine.
Since reducing my dose, my resting heart rate is now 58/59, which is decreased from a previous resting heart rate of 62. I still go to the gym and do a interval cardio workout and weights, but I’m exhausted afterwards.
Could this be caused by the decrease in thyroid meds?
It is possible, but unlikely. I would imagine that your physician is closely monitoring your thyroid levels, so I am sure that your thyroid medications are optimized. Additionally, a change in heart rate from 62 bpm to 58 bpm is unlikely to cause any change in the way you feel – that is a very small change in heart rate. I would keep monitoring the way you feel and discuss your symptoms with your physician at your next follow-up visit.
Hi Doctor,
I’m 27 years old, 260 lbs, healthy in general, exercising softly everyday (taking my dogs for an at least 1 hour walk everyday). Never had issues until beginning of June this year where I was awoken in my deep sleep by a heart rate of 160, sweating, very dull chest pain, and very frightened (didn’t have nightmare or night terror). I was rushed to the emergency by ambulance. By the time I arrived at the hospital (took around 20 minutes), my heart was down 120ish and went normal after 1 hour (95 bpm). I had everything checked: blood, ecg, pericardium test, radiography, and others. Everything was fine and not showing anything wrong linked to my heart. Doctors told me I was fine but they thought I was having anxiety. 2 weeks later, same scenario but during the day this time, except, my heart dropped in the 20ish bpm right before it went up to the 140ish (monitering it with my watch and manually to be sure). Rushed to the hospital again. Same diagnosis. Evrything fine. Today I had an appointment to get the CardioCall on me for 1 month. My heart is always around 70/90 during the day. 110/130 when walking. And 50/70 during my sleep. I did the Keto diet for 2 months before the incident but did give it up because my doctors thought it wasn’t a great idea and that my heart would maybe had been triggered by that. I feel my heart is all messed up right now but never really have any strong pain. Sometimes sitting and my heart jumps from the 70ish to the 110ish and more for some minutes and comes down to 90ish or lower. I don’t know what to think about all of this. What’s your thoughts?
I think a 48-hour Holter monitor or a 30-day event monitor would be helpful in your case. It would be helpful to record your fast and slow heart rates to determine if they are a normal rhythm or not. If those monitors are normal, you should be reassured about your fast and slow heart rates.
hi
Im 38 years old & im in 85 kgs weight.
recent days my blood pressure varying from high (152/100 ) from normal (120/80 ) and my heart rate is 120 bpm at resting range.
After that, I started my walking 1 hr a day ( 30min in the morning and evening ).
with in 2 days my bp came to normal. but my heart rate still the same (110 bpm ).
while sleeping i feel my heart is beating very fast. but while check it shows 110.
was this is normal for my weight and age? do i need to take any medication or this physical activity will bring back my normal resting rate?
please advice i’m very confused about this.
No, it is not normal to have a resting heart rate ~110 bpm. You need further evaluation. The easiest thing is to get an ECG while your heart rate is ~110 bpm to determine if it is sinus rhythm (i.e. normal rhythm) or not. That information will determine what to do next, but if it is not a normal rhythm, then your physician should know what to do next.
With a heart rate of 110 i think at least a check up, EKG, exam and some basic blood tests may be warranted.
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Hello, I was asked to track my resting heart rate to see improvements with exercise. I noticed that my current resting heart rate is 59. I’m a 54 year old male and weight around 200 lbs. I thought that was a pretty good number but I’m not sure. Any input is appreciated.
Yes, a resting heart rate of 59 bpm is a good number. A normal resting heart rate is 60-100 bpm. However, a better range is 60-80 bpm, so 59 bpm is good for you.
I noticed my heart rate drops to 54 at rest. Im a 56 yr old female with mild copd and sleep apnea. I am not athletic. Is this normal and safe? My heart rate has been slower since I stopped smoking. My 02 level drops to 90 sometimes when I sleep. When sitting it from 95 to 93. Is this a safe heart rate and oxygen level?
Yes, your heart rate is most likely safe for you (assuming that it is a normal sinus rhythm). Your oxygen level is borderline, I would recommend that you continue to follow-up with your pulmonologist and make sure that your sleep apnea is appropriately treated.
Hi Doctor,
My day time heart rate is in between 60 to 80.
Im usualy do my exercise routine 30min combined with 30min walking in night and 5 days in a week.
Noticed that my hear rate is arround 100 after my workout and walking and it takes 3 hours to reach 70 80 ranges.
Since i do these things in the night, while i lie down flat im slightly feeling my hear is jumping / vibrating for sometime and gone.
Is the hear beat cool off time is normal? ( 1 hour exercise will take 3 hours to bring back heart rate to 70-80)
Also this jumping and vibrating effect of heart while i lie down flat after 3 hours?
Please advice Doctor.
Your heart rate recovery time is a little long, but I would not be too concerned about that. When laying down, especially on your left side, you can feel your heart beat in your chest. Any extra beats will be felt inside your chest more than usual and, my guess is, that is probably what you are feeling. Again, this phenomenon is normal and nothing needs to be addressed at this time. Thank you very much for your question!
I recently change my medication to Metoprol Tartrate 25MG and now my heart rate while resting is 35 to 39. I am 78 years old is this a safe heart rate.
Thank you
Joseph Cordani
I would say that your heart rate is a little low in your case. Unless there is an important clinical reason for you to be on a beta-blocker, I would suggest discussing with your physician about stopping the metoprolol and switching to a different class of medications if needed.
Hello, so I had svt when I was 18 had an ablation. Never had a “low” resting hr. It typically would be in 90-100. During pregnancy it would be in 110. I am 6 weeks postpartum and my resting hr is now in mid 50’s. I have never been this low. I don feel dizzy or anything. What can cause such a decrease in hr and is it alarming?
I am not exactly sure what could have caused such a dramatic decrease in resting heart rate, per your report. If you are asymptomatic, then it is not alarming. Next time you are seen at your physician’s office, you can get an ECG just to make sure that you are in a normal rhythm.
Hi,
I’m 20 years old & I have lyme disease. My resting heart rate is sometimes 40. When it’s that low, I feel dizzy and have shortness of breath & just feeling weird. I haven’t exercised in 2 years, so I’m not athletic. Is this okay? I know lyme carditis is a thing…
If you are symptomatic with your low heart rate, then you should be evaluated further by a physician. The first step would be an ECG, then a 24- or 48-hour Holter monitor to evaluate your heart rate and rhythm during your normal daily activities.
I am a 50yom. 2 months ago, had incredible pain (clenching) upper chest to left shoulder, with 175/125 bp. Hospital did ecg, normal. Blood test, normal. Before event, bp 135/85, rhr 70.dr said no heart attack. No insurance, so can’t go to heart specialist. Have started light to moderate exercise and lost 25 lbs, 225 now, from 250. For month after bp 150/105, rhr 110. Now bp 145/95, rhr 82, and sleeping hr 58. As soon as I start walking around, hr up to 100, then drops when back to rest. Walking for exercise, and biking up to 10 miles, hr up to 150. Stop exercise drops to 110, and takes 2-4 hours to drop below 100 with laying down, or sitting. Get up and move back up to 110-115, next day drops to new normal. Last 2-3 weeks blood pressure and heart rate not dropping. What should I do?
I think you should continue your current diet and exercise program. Overall, it appears to be improving your health. You may have fluctuations in the blood pressure and heart rate, but you seem to be on the right track.
Hi I’m 32 years old with anxiety and depression I loss my mom in September 2017 and now I’m on anxiety pill my heart rate use to be a 80 at resting now it’s at 54-60 is that normal for my age
Yes, that resting heart rate can be normal for your age.
I a 54 yr old male.i work in a very busy a and e department so I am busy all day.i have my blood pressure checked by the nurses .they say it’s a bit high usually 160/109. I went to my go.i was put on the 24 blood pressure machine.the results came back ok .I am confused to why my go says I’m ok and the doctors and nurses say it’s too high.can you help me
I would suggest that you purchase your own automatic blood pressure cuff (that measures blood pressure and heart rate). Take readings every morning when you wake up and every evening before you go to bed. Do this for 30 days and see what your average blood pressure measurement is, if it is >140/90 mm Hg, then you should discuss your findings with your physician. You can have daily variations in blood pressure, so determining what your average blood pressure is over time can be helpful to decide about treatment options.
Hello…I’m 26 yrs old male…My heart rate stays around 100 in rest after hard runing for 2 hours…Good recovery rate in first minut, drops for more than 30 bpm, but stays high after that…Good EKG, diagnosed with hiatus hernia…Should I do more heart tests?
No, I do not think any additional cardiac testing is needed at this time. The reportedly normal ECG is reassuring.
Hello I am 22 year old male… My resting heart rate is around 100 is it good?
A resting heart rate of ~100 bpm for a 22 year old is a little high. I would recommend getting an ECG to make sure you are in a normal (i.e. sinus) rhythm.
Hello I am 22 year old male… My resting heart rate is around 110 is it good?
If is it not good so how to decrease my rate?
A resting heart rate of 110 bpm is abnormal, if measured appropriately. You should be evaluated by a physician and have an ECG completed to make sure you are in a normal rhythm (i.e. sinus rhythm). A 48-hour Holter monitor would also be helpful to see what your heart rate and rhythm are during the day with normal activity. If everything is normal, then positive dietary changes and a structured exercise program would be recommended.
I am a 84 year old male my normal resting heart rate is 65 in the morning , if I wake up and my heart rate is above 80 do I need to worry. I have afib and take metoprolol
No, those are normal resting heart rates. With regards to AFib, if your heart rate ever remains >110 bpm at rest for 24-48 hours, then you should see your physician to decide if a higher dose of metoprol might be appropriate.
Hi Doctor,
I am 25 years old female. My resting heart rate is around 83~87, is it good or bad?
thats a commonly normal range
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Yes, that is normal. However, a resting heart rate of 60-80 beats/min has been shown to have the lowest risk of all-cause and cardiovascular mortality (https://www.ncbi.nlm.nih.gov/pubmed/26598376). Even in young people, the benefits of a healthy diet and regular mild-to-moderate exercise should be acknowledged.
31 yo, female recently diagnosed with PVC and hypothyroidism. Doctor started me on Metoporlol and Synthroid, resting heart rate (sitting around watching TV) is now 52-54. Non-athlete… is this normal? It’s giving me anxiety that it’s too low!
A low heart rate can be normal (<60 bpm), especially if you are asymptomatic. The low heart rate is likely a combination of the beta-blocker (e.g. metoprolol) and hypothyroidism. Hopefully as your hypothyroidism is treated, your heart rate will increase a little. With regards to your PVCs, are they symptomatic and how many are you having (i.e. your PVC "burden")? You may not need to be on a beta-blocker if you are asymptomatic and your PVC burden is low.
This article was very in-depth and detailed. I learned a lot of things I did not know. The only thing missing from the article was specifics on normal daytime heart rate for a sedentary person like me. I am definitely not an athlete but my heart rate runs between 48 – 57 during the day.
Once I was about to have a medical procedure and it was delayed until my heart reached 54!!!
Also I have had spells where I’ve gotten super dizzy, light-headed extremely weak and short of breath. The only thing that relieves the symptoms is to sit or lay down for 15-20 minutes until I start feeling a little better.
The doctor did an EKG in office but I wasn’t having the symptoms at that time. He also did a stress test even though I said the symptoms were not brought on my physical activity. I also wore a heart monitor for a few weeks but never had the symptoms during that time. However it can sometimes 6 to 8 weeks between these debilitating spells and I can’t wear a heart monitor forever. I suspect that my heart rate may be dropping even lower than it normally does whenever I have an episode.
Now I’m frustrated and confused. I wish I knew of a way to catch one of these “attracis” as it happens and share the information with my doctor. Any suggestions?
An implantable loop recorder (ILR) is a single-lead, electrocardiographic (ECG) monitoring device used for diagnosis in patients with recurrent unexplained episodes of palpitations or syncope. It records the electrical signals of your heart and allows remote monitoring by way of a small device inserted just beneath the skin of the chest, these devices can last up to 3-5 years. You can also record your own ECG using AliveCor’s KardiaMobile smartphone app (https://www.alivecor.com/). These are two options for recording heart rates and rhythms that happen infrequently.
I am 53 years and did ECG and my heart at rest was 52 and was asked to do echocardiogram. Now, with my iwatch my reasting heart rate is between 58-76 and walking heart rate avarage was between 114-92. My Ldl is 6.26. I told my doctor that I will prefer to work on it with diet and exercise. I am a very active person. What is the implications.
I am not sure why an echocardiogram was obtained for sinus bradycardia with a heart rate of 52 bpm. Your resting heart rate and walking heart rate are within normal ranges.
I am a 63 year old male, taking levothyroxine for hypothyroidism. I recently noticed that my resting pulse rate has been dipping into the upper 40s (46-47) during the night. Should I be concerned? I have recently lost about 15 pounds of weight.
I would make sure that your hypothyroidism is properly managed. If your thyroid levels are within normal limits, then the lower heart rates during the night while you sleep are likely normal for you.
Hello I’m 24 years old and not really doing exercise. I downloaded an app like a cardio to where I can see my heart rate. When I tried it shows sometimes 90 to 102 I guess because get nervous and just thinking things or it is normal when you move? But sometimes even just sitting it is 90 or so. And when lying down it turns to 70 or 80 up. When I wake up usually 75-77 Can I ask if it’s normal for my age?? Thanks for the answer in advance.
Yes, those types of heart rate variations can be normal for your age.
Thanks very much for answering my question. One more question please. 🙂 But I also have a low blood/anemia. Is it normal also to have palpitation? And also bloated. I’m actually afraid because of thinking I might have an heart attack. Is there something to worry about?? Please answer. Thank u very much.
Yes, low blood counts (i.e. anemia) can increase your heart rate. It is normal to have occasional palpitations, but several times a day would be abnormal. At that point, a Holter Monitor would be advisable to determine the cause of the palpitations. Palpitations are rarely a symptom of heart attacks, but if you are concerned then you should discuss with your physician.
Thank you Doc. I palpitate sometimes I palpitate more when got nervous and anxiety and starting to have chest pain. But do you think I don’t have nothing to worry about with my heart rate? And it is not symptom of heart attack? What should I take and eat to avoid anemia?? Thank you very much Doc.
The title of the articles seems so simple. But, once you go through it is has a deeper meaning and everything is very clear. It worth reading this article.
Hi Sir…. Greetings for the day! Recently I have bought, Mi band 3 which has heart beat counting feature. Initially out of my curiosity, I have testing that with my left wrist. Some times, in day time (am in night shifts, Hence I’ll be sleeping) that clocks 90-100bpm. And in night times(I’ll be working), that is showing 55-70bpm. I am a Business Developer. Taking calls (very few) and Replying to Emails. Is this a correct heart beat? Or a device problem? Please suggest… Am worried alottt…. Thanks and Regards, Allen M, Hyderabad, India.
Yes, I would agree that your heart rate being higher when you sleep versus being awake is a little odd. However, your circadian rhythm is off because you work night shift, which is contributing to your heart rate. I would not necessarily be concerned, but you should be mindful of your diet and achieve some level of exercise 3-5 times a week. This is good advice for anyone.
Hi I am 21 years old and I used to have wolff-parkiston white syndrome and then had the catheter ablation, so I haven’t had an episode since then, but sometimes I do feel my heart skip beats and it scary and now recently I have found my hear dropping to 54 bmp which scares me. I feel dizzy and tired but also I workout everyday at least 50 minutes daily, I go to school and have a job. I had really bad anxiety as well i dont know if this can be causing it. Ive had several test done on my heart and everything comes out normal, i dont know what to do anymore I’m just scared.
Skipped beats and low heart rates can be very normal in healthy individuals. If you have been tested, and it sounds like you have had several, then you should be reassured that everything is OK.
My resting heart rate is 63 sometimes lower. Lately, my heart rate has been a bit erratic. When I’m going about my daily activities the rate goes from 72-106. The higher it goes the worse I feel. Super fatigued. When sleeping it sometimes wakes me racing. A few minutes ago I was vacuuming and it was 93 (wear a fitbit that tracks pulse) and then I sat down and literally 2 minutes later it was 63. I have increased the PPI I’m taking per dr. orders and am wondering if there is a cause and effect. Is this normal?
It is unlikely that a PPI would cause that degree of heart rate variability. I would recommend a 48-hour Holter monitor to determine your heart rhythm during the tachycardia episodes as well as track your heart rate variability during the day and night.
I’m a 29 year old female and my heart rate when resting is 48 bpm. I suspect this is because I am a long-distance trail runner. Is this something I should monitor? If it goes much lower, can this be a problem?
Yes, the low resting heart rate is likely from your conditioning. A low heart rate in athletes is not concerning, and would only be a problem if there were symptoms associated with the low heart rate. In most cases, athletes can tolerate low heart rates without any issue.
Hello, am a 24 year old female and apparently having some health issues but dont have the answer yet. I seen two cardiologist and one tells me i have to be on meds for the rest of my life and the other one that am too young and i dont have nothing? My fastes heart rate on a two week monitor was 175 and lowest 33 at deep sleep…my heart rate goes from 54 to 143 in matter of seconds with no activity at all or walking. I feel dizzy, tired, chest pains, weak some days are better than others but i get fatigue every day. In my monitor result I read that second degree heart block type 1 was present but doctor did not mention that to me. I read it myself at home because the doctor told me go home ur young and u dont need meds or pacemaker like the other doctor told me which is great to hear but symtoms dont stop what should I do next? And whats your opinion about my situation?
From what you are describing, with regards to your heart rate and symptoms, that is not normal. A second-degree AV block, specifically the Mobitz type 1 (Wenckebach), is a benign finding and likely happens when your heart rate is very fast or when you are sleeping. Your heart rate and symptoms could be inappropriate sinus tachycardia (https://myheart.net/articles/inappropriate-sinus-tachycardia/) or even POTS (https://myheart.net/pots-syndrome/). I would read more information about these two conditions on our website and discuss further with your physicians.
Thank you so much for you responds.
God bless you for helping others because many doctors dont take our situation seriously in my case because am young but I will look more into this. My echo was normal apperantly and my heart rate at stress test was 194 and the limit was 160 for the clinic but I heard is( 220-age) which should be normal for me also my heart goes Down for no reason. The first cardiologist Said I had bradycardia and tachycardia in a 24 hour monitor result had but like I said palpitations and shortness of breath and getting dizzy is what bothers me the most. I have 3 year old and 4 month old and I want to be healthy for both of them. Thank you so much from the bottom of my heart.
Very nice article! Thank you for sharing!
Hello,
I am a 57 yr. old man, 5’9, 145lbs. who exercises 5-7 days a week, cardio and weight
mix. I know the norm for resting heart rate is between 60-100. My resting
HR is 70. Is it me or should it be lower, considering all the exercising that
I do, which includes HIT, and other intermediate movements. I really push it
when i’m working out. I
Thx3
No, a heart rate of 70 bpm is a good resting heart rate. A normal heart rate is indeed 60-100 bpm, however an ideal resting heart rate should be 60-70 bpm (https://www.ncbi.nlm.nih.gov/pubmed/27551034 and https://openheart.bmj.com/content/6/1/e000856) which is associated with lower and improved cardiovascular and noncardiovascular disease events.
Hello, I’m male 35 years old & 70 kilos, 173cm. Every year I do a medical checkup. In recent check up, there was note related to heart rate (bradycardia): 49 bpm. I also checked manually & also using pulse meter, the result +- 51-53 bpm. Note: in the last 8 months I do running 3 times a week (@30 min). Actually previously instead of running, I also do exercise (static bike) with same intensity. One thing that differ is I lost 8 kilos (in 7-8 months time). I also didn’t do a spesific diet, only lower food quantity (especially night).
I don’t feel any symptom related to my health, instead I feel comfortable & fit.
I’ve consulted with a cardiolog & he said it was okay as long as I don’t feel any symptom (faint, dizzy, etc). But the doctor quite worried regarding the heart rate at night since based on ECG result (using holter monitor for a full day), it showed the heart rate plunged to 35 bpm at night (sleeping).
my question:
– does this bradycardia related to my sport activity?
– does it related to my weight loss?
– from internet article, bradycardia condition are also found & considered normal for athlete (sport heart). is there any reference related to “normal” heart rate for those athlete (sport heart) when sleeping at night?
Thank you
Yes, your bradycardia is likely related to your exercise and weight loss (both are good things). I agree with your cardiologist, and I would not worry about a low heart rate while you are sleeping. We expect your heart rate to lower while you are sleeping, so if your resting heart rate is 40-50 bpm then it will likely be 30-40 bpm while you are sleeping.
Hello
I am a 65 year old male, 71Kg, 7′ 10″, BP at “rest” is between 110/75 and 125/85 with HR of 55 to 70. My heartrate at rest is typically 50-55 (60) and 40 to 50 during sleep.
I am quite active, cycling regularly (twice weekly) for 40 to 70 miles with average speeds of 13-14mph in fairly hilly terrain. (avarge power output in the order of 120W for 4h)
During these 3-4h cycle tours my heart rates reach up to 165 bpm for maybe 10-20 minutes at a time and the avarage over the whole duration is ~145 to 150. I can have a conversation during cycling up to a HR of 155, at a HR above that it becomes a bit more of a “wheeze”.
When “coasting or recovering” after a push, my HR drops from 165 by at least 30 bmp within a minute.
I calculate that my max HR should be 163 bpm .
Is it too much to for my heart if I excercise to this max HR and sliughly above or is the avarage HR the more important limit. I feel perfectly fine during and after the cyle tour
I should add that I had a quad CABG 4 years ago and have recoverd FULLY in a short period of time. I am on No medication aside of 40mg Atorvastatin and 75mg Aspirin daily
I have beein trying asertain the safe uper limit for my HR for some time now but dont seem to be able to find a reliable answer to my question.
In my case there has been no clear indication to the root of my stenosis aside of the possibe effect of non diagnosed type 2 diabetes for 10 years or so, now fully under controll by diet. only.
Thank you very much in advance for your advice !!
I know there are others who are also a bit worried if they might be doing too much of the “good” especialy when they had a heart issue in the past.
Your exercise routine is acceptable, but I probably wouldn’t recommend any increases in frequency or intensity. Predicted maximal heart rates should not be sustained (>60 minutes), so the 10-20 minutes that you currently achieve should be fine. Your average heart rate is important, you should aim for an average heart rate of 135-140 bpm in your case. You should be congratulated for your dedication to exercise, keep up the good work!
Hello Dr Jason,
I have a resting HR at 49 bpm. I am 45 yr old male, weighing 70 kgs at height of 154 centimeters. At age 34 I have a mild Mayo-cardio in faction which was confirmed while taking ECG , the then cardio interventionist who conducted subsequent TMT test a week later confirmed that there is nothing to worry as nothing has happened. After 10 years, I started to do yoga for 45 mins to 1 hr daily. Subsequently my HR at reat came to 49 bpm from 70 bpm. While doing Yoga my HR rises to 120 to 134 bpm and occasionally while doing asana (30 sec each) such as Bheka asana, Salabhasana, Dhanurasana my HR shoots up to 156 bpm until completion of these asana and falls back in the next second to 105 bpm. I maintain HR above 100 bpm throughout 1 hr yoga exercise by controlling my breathing and maintain oxygen level between %SpO2 between 79 to 100(oxymeter). I sweat a lot during these yoga exercise. Prior to starting my exercise regime early in the morning on empty stomach I take 2 gms of L arginine and cirtuline in 600 ml water.
I did lipid profile test in 2017 May HDL-13 LDL-145 TG 270 and another one in 2018 Dec HDL-60 LDL-80 TG-100.
If I maintain this way, I hope to overcome cardiac block that led to mayocardio infaction long time ago.
Yes, it sounds like you are doing very well for yourself. I would keep up your current routine. Thank you for sharing!
Hi there. My resting heart rate is around 66-70.
Im 29 years old and lately feel like my heart rate jumps up too high during any physical activities. One day while doing a cardio/weight lifting combination i noticed i didnt feel well and looked at my Fitbit to see mg heart rate was 182. I was only about 10 mins into a workout and not even working out as hard as im used to. Ever since that day even things such as being busy at work tend to shoot my heart rate up to 130 and thats just stocking shelves and moving around a few light items. Is this something to be worried about? Or normal? Ive been kinda light headed as well more often. Any input would be greatly appreciated. Thank you!
Wearable heart rate monitors can be inaccurate, so I would suggest manually checking your heart rate during some of these episodes. If you confirm that your heart rate is elevated, and you are symptomatic (i.e. lightheaded, dizzy, etc.), then it would be reasonable to discuss your findings and symptoms with a physician.
I am a 34 year old male, and work out at least 3 days a week, but my resting heart rate is averaging at 84 BPM, my working BPM usually is between 170-190 BPM. I recently quit smoking about 6 months ago, which i did for 15 years. I also get a sharp pain when I start getting my heart rate up when I start my work out. I recently starting tracking my heart rate with a Apple watch and saw that my sleeping BPM can vary from 80-120 while sleeping. Should I consult a professional?
Your heart rate variability during the day and night are OK. Again, the wrist heart rate monitors are not always accurate, but I would not worry about your heart rates at this time. If you continue to have chest pain during your work-outs, especially at peak exercise/heart rates, then consulting a medical professional would be advisable.
I am a 36 year old female and I had my first baby 7 weeks ago via c section. My heart rate rose slightly in pregnancy and now it’s between 60-80bpm. But when I lie down it goes down to 49bpm, is this normal is my body just in recovery from the major surgery and cause I’m tierd looking after my little one.
Yes, that is normal physiology for your heart rate to increase with pregnancy. If you are asymptomatic then your heart rate changes are most likely normal for you, and no further evaluation is needed.
My resting heart rate is 86 and I am 34 years old. Is it okay or should I take Inderal?
Your resting heart rate is within normal range. Medications for heart rate control would most likely not be appropriate in your case, in the absence of any other medical issues.
Hello follow-up 24 year old female…..so my cardiologist diognose me with tachy-brady syndrome but am seeking another opinion before putting a pacemaker dor the rest of my life and be on meds. My regular doctor tells me that most likely all this heart and symptoms are due to asthma. So my heart rate goes down to 33 at sleep to 176. When go threw the stairs in my house it jumps to 130 or if am walking around the house will go to 118 and sometimes it goes to 48 etc. Stress test was 194 in 8 minutes my goal was 160. I have shortness or breath, palpitations,weakness,fatigue,dizziness(light headed),chest pain am more at night i feel my chest heavy. Honestly i want answers i dont feel stress out but i just want a solution am weak…i tell my body to go move on but it wont respond is like if in my mind am dying to get up and do as much as i can but my body doesnt want to play along. My doctor mention i was skipping beats and the cardiologist told me i had to do something about this if not his was reporting me to dmv since i could not drive being at risk of fainting. Can you give me you opinion again please?
It would be highly unusual for a 24 yo in sinus rhythm (i.e. normal rhythm) to need a pacemaker, despite the heart rate variability that you are experiencing. I would seek a second opinion from a cardiac electrophysiologist.
Hi I am a 26 year old female I am overweight. My heart rate resting has always been in the 60’s I notice I breath alot slower than my other half I have been going to the gym 5 nights a week for 3 weeks doing 1000m in 30 mins and then doing 30 mins walking in the pool with the resistance my resting heart rate has now dropped into the 40’s. Is this concerning I have struggled with anxiety for 2 years and had countless ecg’s and a holter because of feeling dizzy and palpertations now I feel better but my heart rate is lower which is making me anxious again. Thanks
Hi I am a 26 yr old female. I am overweight I have always had a resting heart rate of around 60 bmp I notice I breath one breath to my partners 2. I have suffered with anxiety over the past two years about my heart since I had a panic attack and thought it was a heart attack therefore was in and out of a&e countless ecg’s all fine a holter all fine and even paid for a private cardiologist who did and ECG and then laughed me out of his office. Kept suffering dizziness and tingling in arms all supposedly due to my anxiety. Been feeling better for the past few weeks since I started swimming. I do 1000m in 30 mins then 30 mins walking in the pool my heart rate goes up to around 120 130. I have been beating my lap time each day as I swim 5 days a week however I have noticed each day my resting heart rate has decrease from 63 to 52 in 2/3 weeks. If I am just sat on the sofa watching tv it can go down to as little as 43 and is around 40-43 at it’s lowest when sleeping. I have started feeling a little dizzy again but not sure if this is the anxiety coming back as it is really worrying me now. I starting feeling so much stronger untill I noticed this.
Please can you advise.
Thanks
In the absence of any heart rate controlling medications (e.g. beta-blockers or non-dihydropyridine calcium channel blockers), then your heart rate is most likely fine and reflecting the benefits of your exercise routine. Nothing you have presented is overly worrisome at this time, especially in the setting of your previous normal cardiology evaluation.
Hi,
I am 34 years old and very active… Doing crossfit/cardio/strengh training 6x a week…
My heart rate when sleeping or just waking up is 55-60 but as soon as I walk or start doing anything it jumps to 75-85 and stays in that range for most part of the day, even when I am relaxed and sit, its around 75-85… During exercise my rate goes up to 190 and after reading about normal ranges on rest and exercise I am starting to worry… Maybe its too much ? I dont feel any problems at all, even when I am on 180-190 I just feel like normal exercise…. Should I worry ? I am starting to get nervous about that…
Are these heart rates obtained manually or with a wearable heart rate monitor? The wearable heart rate monitors are notoriously inaccurate at times, so to know exactly what your heart rate is at rest and with exercise you will have to manually check your heart rate. Even so, everything you are describing seems acceptable. It would be advisable to keep sustained predicted maximum heart rates at no more than 20-30 minutes at a time with interval breaks, which is something that most HIIT and Crossfit programing does very well.
Hi,
The pulse rate of my father is 45-49, he is 73 yrs old. The doctors advised him to go for pace maker for slow heart rate.
BP is 170/65
Sugar level is 185
Lipid profile is normal.
Thanks!
In the absence of symptoms or high-grade atrioventricular block, that is most likely an inappropriate recommendation. I would recommend a second opinion from a cardiac electrophysiologist. Additionally, your father needs better control of his blood pressure (goal systolic blood pressure <130 mm Hg) and diabetes (goal HgbA1c <7%).
hi iam 37 yr old its is normal in heart rate while sleeping 50 to 40 and it is normal that may result FT3 2.86* (4.0-8.3 pmol/L.) my doctor told me its normal. ill been hospitalize last week mylaboratory all normal mydoctor said to me it just my WBC result 2.49 ( 5-10 normal value) iam having panic attack and anxiety palpitation range 150 but it lower down when iam in calm.
Yes, a heart rate of 40-50 bpm while you are sleeping can be normal. Hypothyroidism (i.e. low thyroid hormone levels) can cause a low heart rate, so you should discuss with your physician and possibly be referred to an endocrinologist.
thanks you for the quick reponse… My i ask again.. its it normal also that heart rate 50 at rest while lying down.. I already ask my doctor abt my tsh is normal just the ft3 he said its normal.. thanks
Yes, that can be normal.
I’m a 55 year old male weighing around 345 and when at work sitting at my desk my heart rate can be around 57-58 beats per minute. I can also feel heart palps once and a while when my rate is on the lower 60’s. My resting rate before getting out of bed in the morning averages around 55. Should these lower rates with my weight be something to get checked out?
Your slightly lower heart rate than normal, at rest, is likely just normal for you. If you feel OK, then that is normal for you. However, losing some weight would be advisable for your long term health.
I am 45 years old. 5″11 and 175lb. My heart rate while I am sleeping is at 50 in average with lowest 40 an highest 58. I am not very active but used to swim regularly.
When I run I can stand a heart rate of 130-140 max before feeling uncomfortable.
Should I see a Dr for the low heat rate?
Thanks
That is likely not necessary. Having a low heart rate while you sleep can be completely normal, and it appears that you have a normal heart rate response to exercise.
Dear Dr. Guichard,
Quite recently, I felt dizzy when walking for about 10 to 150 minutes. I went to several doctors they told me it is due to my high BP for example 150/90 at the doctor’s office. They prescribed me enalapril 5 mg twice a day. I know I am not hypertensive because while at home I have BP readings 120/80 or 11.5/75. I believe it is white coat syndrome.
However, the dizziness after walking still happens. I accidentally found my heart rate to be about 105 after ten minutes of slow walk. My resting HR is about 75 BPM.
I went to a cardiologist, based on the ECG and echocardiography he said there is nothing wrong with my heart. He prescribed me Concor 1.25 mg per day (I guess I was anxious again while he was listening to my heart).
I have been taking Concor for a few days now.
About two hours past taking the medicine in the morning: My heart rate is slightly over 100 after ten minutes of slow walk and I feel dizzy. My HR quickly goes down to 65 BPM when I sit for a few minutes.
The dizziness and headache and feeling that I am going to faint (while walking) is bothering me. I have almost no chest discomfort.
I am 33 years old, male, weigh 162 lb and 6.1 ft tall. I have a sedentary lifestyle but I am careful with my food and do not smoke/drink. My recent Hemoglobin count was 16.5 to 17.5 g/dL.
Please do advise me, I feel desperate!
If you are having symptoms everyday, it would not be unreasonable to obtain a 24- or 48-hour Holter monitor to assess your heart rhythm during your tachycardia and bradycardia episodes. You can discuss this possibility with your cardiologist.
Hi my resting rate is between 54,58 bpm is this something I should get looked into ?
Hi my resting rate is between 54,58 bpm is this something I should get looked into
No, if you feel fine, then that is most likely a normal heart rate for you.
Hello,
For the last month and a half I’ve noticed my resting heart rate slowing down. I’m not an athlete nor do I exercise. It’s been as low as 57 before falling asleep. I’ve had an EKG done at urgent care and ER the same day for something unrelated and it was normal. I’m 41, hypertension but under control, panic and anxiety disorder and depression. Thyroid is normal. Only thing is mild hypokalemia. Thanks
Yes, that heart rate can be normal for you. The normal ECG that was obtained is reassuring as well. I would not be concerned about the lower than average resting heart rate at this time.
Hello, my name is Daisy and I am a highschool Cross country and Track Athens. And recently I had a sharp stabbing pain in my upper left back by my shoulder blade. It was hard to breathe and I felt tingly down my left arm. It hurt to stand and to sit and to walk. I had tried icing my back, heating my back, my athletic trainer had massaged it (it really hurt), but when I run it was hard to breathe and every time I took in a breathe there were sharp pains that went into my upper left back. And now when I lay down and I breathe in, breathe out, or even hold my breath, my chest is bubbly, I can hear crackling. Even when I stop to breathing for a couple seconds the crackling still occurs when my heart is beating. So I am trying to search for medical advice to see if there is absolutely anything that I can do to relieve my pain and the bubbly/cranking in my chest. Because I have tried looking up what all of my symptoms could relate to but I’m not sure which one is right. And maybe you won’t be able to help me, but I maybe you can. Thank you so much if you are reading this.
From what you are describing, this does not seem to be coming from your heart. If anything, it sounds like your lungs or the muscles/cartilage/ligaments/tendons in and around your chest. I think at the very least a chest x-ray (maybe a CT of your chest) would be a good place to start, then go from there. Sorry you are having such a hard time and thank you for your question.
Hello, I’m 31 years old, 183/75. When resting my hr goes to 49 (especially before sleeping) and usually is between 60 and 80, but after I eat it goes to 100 and then back to 60 and it bounces back to 100. Also with moderate walk my hr goes to 130 and after ckimbing som 50 stairs in a faster tempo it goes to 170 although I don’t feel that tired. Once I had en episode of hr 165 during rest. I took 24h holter ecg and had 1 av block II during sleep and 3 extraystoles. Echocardiography was fine except my right ventricle is borderline size. On myocardal scintigraphy there were signs of reversible ischaemia but my treadmill Bruce test was stopped in 11th minute when my hr was 200. I was feeling fine but on rest period i had little dizzyness so doctors told me scintigraphy test was probablywrong. Also other scintigraphy showed I have a possible right-left insignificant shunt which wasn’t seen at echocardiography. My blood tests are fine including nt pro bnp. I want to train but I’m affraid. Sometimes I feel like I miss a little bit of air and have dizzynes. I lost 15 kg and then started feeling this problems. My iron us in normal range but double lower than before. What would you say my heart condition is?
I am not sure, I would defer to the physicians that have ordered a lot of tests and have evaluated you in clinic. I would listen to their advice, if they believe your heart to be healthy, then I would continue your exercise routine.
Hello, my hr at rest is between 55 and 80, although sometimes goes to even 49 (after sleeping) or 100 (after eating). I noticed my hr goes to 170 after climbing stairs in faster rhytm but goes back to around 70 in a minute or two. I don’t feel exhausted after it. Is my heart working normally?
I forgot to mention, I’m 31 years old, 183/75
I’m sorry, now I see you already answered me, thank you. Problem is I don’t think they were listening about my hr going up so high on the stairs, they were concentrated on the high hr in rest abd later on the scintigraphy issue.
It is difficult to say, it is unusual for your heart rate to increase to 170 bpm after only mild exertion. I would suggest starting a mild-to-moderate exercise program to improve your cardio-respiratory endurance, you may have a component of cardiovascular deconditioning.
Hi I realise this post is old but I am a not extremely fit 28 year old female , have two kiddies.. i weigh 160 pounds and 5ft2 my heart rate is mostly in the range of 56 to 59 resting. I saw a cardiologist in 2018 should j be concerned he missed something?
He did an echocardiogram, stress ekg and a resting ekg after.
No, that can be a normal resting heart rate for you. Your cardiologist appears to have done a fairly thorough work-up, so that is reassuring.
Also my BP is usually low like 100 over 69 that range mostly
Hey. I am 36 female and was diagnosed with Lyme disease. I haven’t been able to exercise in about 6 months but will get out and about walking here and there so I’m not in great shape. I weigh about 115. My normal resting heart rate is in the 70’s and high 60’s. When I stand up sometimes and walk to restroom it goes to 100 and above but goes back down when I sit down. Last night I didn’t sleep well so have been very sluggish and tired and my heart rate sitting down is 57-58. Is this normal?
I should probably also tell you that I’ve had EKG’s, holter monitor, stress tests (all fine) recently had a echocardiogram and had mild dilation in right ventricle (I think is the terminology) but the doc said nothing to be worried about.
Yes, the heart rate responses you stated at rest and with exertion can be normal for you. Also, the normal ECGs, Holter monitor, and stress test are reassuring as well. A structured exercise program would be helpful to improve your cardiorespiratory fitness, starting with at least 150 minutes/week of moderate-intensity or 75 minutes/week of vigorous-intensity physical activity including resistance exercise would be a great place to start.
Hi,
My name is Kelly. I’ve been border line on high blood pressure since in my 20’s, never liked the gym in school but got into jogging in my early 20’s. When I was super active a few years ago(2012-2016) I was 164 lb and I’m 5’10”. Had two children , hBp both pregnancies. Right after having my first my bp was 206/110, but the doc never continued my HbP meds cause she said once the placenta was gone it should go back down. For the most part i avg about 140-145/85-95. After working out hard lifting heavy weights recently my numbers have came up esp my resting heart rate. I do also have asthma but never took it seriously until I started lifting. One day I was pushing myself at the gym and i had to get off the treadmill cause I couldn’t catch my breath (just ran 45 sec at 8 mPH) after getting off my heart rate didn’t register until probably 10 sec on my Apple Watch as 185 bpM. That day my resting heart rate was 103 BPM until 7 pm. I worked out from 12:30-2. I had a few heart palpitations so I went to emerg, hooked up to an ECG , the alarm kept going off but the nurse just kept coming and silencing it, asked if I was doing okay once. That was a few eeeks ago I’ve had a 24 Holter and blood pressure monitor since, on HBp meds now, my avg was 143/85 , Holter showed no arrhythmia or skipped beats but a fast heart rate. I’ve had chest pains before and put on a pulse oximeter , sometimes when having chest pain the oxygen goes down to 80 when sick or about 89 when not sick. Can this be the cause why my heart rate is so high since lifting heavy weights ?
I mean could it be because my oxygen drops too low that’s causing a fast heart rate?
I see this post has been open a long time, thank you for your dedication and time to answer all of us .
No, your heart rate did not become elevated because of lifting heavy weights. However, low oxygen levels could cause a fast heart rate and probably needs further investigation, so I would recommend discussing with your physician.
Thanks for answering, since I’ve had a few episodes of near fainting when going from sitting or lying to standing after the days I work out hard. Or sometimes just walking a short distance , when this didn’t happen to me before starting exercising hard. The doc said I have exercise induced tachycardia and being referred to a cardiologist for an echo and stress test. Although one doctor said it could just be from my blood pressure ? my mother had a brother who passed when 5 years old of heart problems. I transferred my DNA genome analysis to codegen.eu and found out i carry the sequencing for familial cardio myopathy. I don’t think I could have it at 31 years old but hoping they figure something out soon. They said my oxygen readings aren’t reliable because I have poor circulation in my extremities , esp when my heart rate is up my hands go a slight hue of purple around the knuckles and sometimes my fingers go numb. Any thoughts of what it could be? Usually when I get to emerg my heart rate is up around 160 but comes down to 90 when I sleep, 110 when awake with Ativan as long as I don’t move. Around the 5th day after intense workout my resting heart rate is around 75 bpm, back to normal for me.
I am not sure, it is difficult to say what is going on from the information you have provided thus far. It sounds like an echocardiogram would be a good place to start and then go from there.
Hi, I had pvc few years ago. I had Holter echocardiogram, stress tests. All came out normal except impair relaxation noted in the echo report. My EP don’t seem to worry about it. I have been taking Taurine, Magnesium, fish oil supplements and potassium by food sources suc as avocado, coconut water. PVC has been reduced tremendously. Recently, I have been worrying about my heart rate elevated when waking up. It would go up to 120 bpm max when I wake up in the middle of the night but then it drops down quickly to 80 or 88 bpm. Sometime it take longer, 30 minutes then I take Metoprolol then it will drop back to normal in within 30 minutes or sooner. I want to note that I had anxiety (ocd) about heart damage caused by pvc and now with this fast heart rate when waking up at night. Every night when I wake up my brain seem to focus on my heart rate will elevate. I fear about AFib or svt will damage my heart. I wake up 2 or 3 times each night. Sometimes the first wake up is normal but the second and third wake up will have a fast heart rate and I try calm myself by acknowledging that it will drop then it drops really quick within minutes. Last night it took 30 minutes, longer than it used to drop back to normal range. I have to take Metoprolol then within 30 minutes or sooner it drop to below 96 bpm.
Is this related to my anxiety (ocd) about fast heart rate when waking up?
If the Holter monitor was normal, then the fast heart rate is likely due to your anxiety.
Thank you Dr Guichard. Much appreciated for your reply.
Hi I am a 22 year old female 5’4 110lbs. not overally active i dont go to the gym but i go on lots of walks. My normal resting heart rate is around 60-65. I work in a job where I am not active but also not sitting all day, standing the whole shift. Yesterday I was working a faster pace position and my chest started to hurt so i put on my coworkers apple watch and my heart rate was 140 after standing still for a few minutes. It then stayed pretty high all day even after moving to a stationary position it would spike and then drop. Spike to about 120 then drop down to the 60’s. Today I was only on the stationary position and it was a slow day and I spiked to 177 then down to 44 within less than a minute on more than one occasion. Even now just sitting on the couch my heart rate is reading at 95. My chest feels almost tight with a little pain but nothing unbearable. Any ideas as to what could be causing this? Also to add my family has a very strong history of heart issues on both sides of the family. My grandmother her sisters and her mother both had thyroid issues as well. Could this be a sign of those?
It is difficult to say, but the extreme changes in your heart rate could need further investigation. I will say that wearable heart rate monitors are notoriously inaccurate, so I would verify your heart rates manually when able. Getting a 48-hour Holter monitor to see if you are experiencing a supraventricular tachycardia (SVT) would be helpful, also having your thyroid checked would be reasonable. I would start with these suggestions first, then move forward from there based on the findings.
Hello Jason,
I got 2018 in june 95pcs 48 hours and now in the start of this year 0pcs in 21 hours. Sometimes i feel skip beats 2 to 3 times in a week. What do you think about it? I didn’t take any medicine as I avoid. I walk daily basis 15mints. I quite smoking from past 2 months.
My resting heart rate is 48 to 50, but it greatly increase when I eat something or start walking. Sometimes I checked when my heart rate is in 50s I take breath in it increased and when exhale its reduced again.
Please answer thank you!
My age is 28 from Pakistan
PVCs are a normal occurrence in low numbers, such as yours, and it can be normal to feel some skipped beats 2-3 times a week. Also, that resting heart rate can be normal for you with normal changes in respiration (i.e. respiratory sinus arrhythmia).
Thank you!
Sir I’m Sameer. My ecg shows irbbb with qrs 118 and all my sugar and lipid profile is within normal range. My resting heart rate is near 50 in early morning goes to 60-70 during day and more than 100 during jogging it comes back to 60-70 after say 20 min is my heart rate OK or is a sign of low heart rate. Plz advice
All that you are describing can be normal. I would not worry about your incomplete RBBB or the heart rate variability that you have during the day, these are all normal findings.
Hi Doc
I’m 40 and started running again after 10 years of only weightlifting and occasional hiking. And now my resting heart rate is even lower than when I was in great shape in my 20s.
I’m my 20s it was about 48 if I was good shape and 50s if out of shape.
Now it’s 48 if I’m out of shape and low 40s if I’m shape.
After two 4x400m interval workouts last week it dropped to 38 bpm during the day and my Fitbit says 32 while sleeping.
So my question is – why is my resting heart rate slowing with age, especially since I’ m less active and cant train at even a third of volume and intensity I once did, I’m also 25 lbs heavier. Is this bad? I was wondering if my heart is slowly dying.
No, your heart is not slowly dying. Your heart rate can slow with age, but that can be normal. As long as you are in a sinus rhythm and asymptomatic, then everything is OK. Thank you very much for your question!
Im a 30 year old female that is considered obese. I’ve been trying to lose weight. I have a range of heart beat from 48 resting to 70 resting and it goes up if i move around.
Ive had an ecg on my heart to make sure all is good because when it gets that low i feel tired and sluggish. All is good with my heart, so is there really a reason to worry?
No, there is no reason to worry. If you are in a sinus rhythm, with no apparent atrioventricular blocks, then your low heart rate can be normal for you.
I am a 24 year old female who just has baby 3.5 months ago. I have been struggling with a lot of anxiety and stress. I have previously had a few palpations here and there but a couple days ago I ran up my stairs in my house to grab something out of my room and noticed my heart fluttering so I coughed and it was staying in that rhythm…. it felt like it was like bear beat beat beat BOOM. It was beating fast and around every fifth beat felt like a slam in the chest for approximately 5 minutes straight… it has not happened since but I am terrified. Can it be normal to throw PVCs like that for 5 minutes straight? ( I’m only assuming that may be what was happening) or I could’ve been in AFIB…. also the day that that happened I had barely drank anything all day and I am breastfeeding so possible electrolyte imbalance?
It is hard to say, but you can have PVCs for an extended period of time. The only way to know about an electrolyte imbalance is if you had blood work checked. If this continues, then a 24- or 48-hour Holter monitor would be reasonable to evaluate your palpitations.
Hi Jason,
Does respiratory sinus arrhythmia can cause pacs and fluttering in chest like mostly notice when went to bed for sleep on right side?
Sometimes I feel pacs during only deep breath. Why?
Rgds,
Rehan
Hi Jason,
Can respiratory sinus arrhythmia cause pacs and fluttering and I noticed this is mostly happened when I went for sleep on right side?
Also I feel pacs during a deep breath why it is happening?
Usually no, respiratory sinus arrhythmia does not cause PACs or heart fluttering. Sometimes with body positional changes (e.g. leaning over, sleeping, deep breathing, etc.) you can feel palpitations, and that can be normal. If you are having symptoms on a daily basis, then a 24- or 48-hour Holter monitor would be reasonable to identify the cause (e.g. PACs, PVCs, AFlutter, AFib, etc.) and frequency of your palpitations.
Already done 48 hours holter 95 pacs found. I found the main cause of my palpitations is smoking and chew tobacco.
Few days ago I made another holter and found no skip beats but suddenly I,ve fever in the morning and I feel 300 skips beats in 4 hours after I sleep all the skip beats gone.
Can we cure the skip beats?
Your reply in the regards of cure highly appreciated.
Thank you,
Rehan
Your PAC burden is low, but you can also try eliminating or reducing your caffeine intake. Fever can worsen PACs as well, so the fever you experienced likely caused your current episode of PACs. Symptomatic PACs can be medically managed with beta-blockers or primary antiarrhythmic drugs and, in medically-resistant cases, symptomatic PACs can be treated with catheter ablation by a cardiac electrophysiologist.
Hi Jason’
1; Does ablation successful for low number of pacs like mine 6 to 7 in a day but worsen in fever?
2: i read on many websites that pacs or pvcs are more worsen after ablation is this true Wrong?
Sir,
I have been taking medicines for the last six years for heart related problems. For the last two years I have been taking Amlopres L, Clavix 75, Rousovas F20 and Imdur 30 daily. For the last three months I have been exercising regularly, 150 minutes every week which includes moderate to intense exercise. My fitbit watch says my resting heart rate is 49 and my heart rate is 57-61 which it says is excellent. Till a month ago my resting heart rate was 54 and it has come down to 49. Please provide your interpretation.
Yes, that low heart rate can be normal for you especially since you are asymptomatic and able to complete your exercises. A change in heart rate from 54bpm to 49bpm is likely within the error of your Fitbit watch, and likely not significant.
Thank you very much for your reply. As you said, it could be an error of the watch because it shows 50,50 and 52 as the heart rate for the past three days.
Hi Doc,
I’m 21 years old,
Recently i realized my heart beating faster and i give them a RHR check and it falls between 90-110s. The time i check is mid day and i think i didnt get good sleep that day. But in the morning when i check my RHR it falls between 80-90s. It give me some anxiety, i have a habbit to sleep at late night afound 1-3 am.
Right now i do some exercise like running and yoga. When I walk my HR is rising to around 118 but after i sit for a while it goes back to 90s. I need some sugestion, this state give me so much anxiety and make me can’t focus on my work.
Thanks..
The heart rate variability you are describing can be normal for you. I would recommend continuing to exercise and make improved dietary changes to improve your overall health and longevity.
Dear Dr Jason
Im a 47 yo asian female. My resting heart rate is 54bpm whilst my exercise heart rate is 182 bpm when running, with recovery bpm at 125bpm not long after. My max HR shd only be 173 according to my age. Shall I be concerned of my exercise bpm as its over my max HR? Appreciate your kind reply. Thank you.
It is OK to reach your maximum heart rate during exercise, however, I would recommend not to sustain that level of very high-intensity for >75 minutes at a time. Prolonged very high-intensity exercise is likely not helpful, in fact potentially even harmful, for your health. Sustained exercise is safe at a heart rate around 70-90% of your predicted maximum heart rate.
Thank you, I will be mindful of that. Appreciate the advice.
Hi Jason’
1; Does ablation successful for low number of pacs like mine 6 to 7 in a day but worsen in fever?
2: i read on many websites that pacs or pvcs are more worsen after ablation is this true Wrong?
1. It is unlikely anyone would offer a PAC ablation for only 6-7 PACs per day, medical therapy would be the first choice.
2. PACs and PVCs do not worsen after their respective ablation procedures.
Thank you sir!
Does medical therapy is very effective for these low number of pacs and can stop forever? Your answer will be highly appreciated!
Yes, lifestyle changes and medical therapy can be very effective and is the recommended first-line approach to PAC management.
Hello sir Iam Sameer and 36 yrs old
Iam on medication for high blood pressure and taking telmisartan 40 my once a day. My ecg diagnosed incomplete rbbb. My heart rate just after bed is 46 – 48 and stays in 50-60 through out the day occassionaly at 65-70 . I do daily exercise as jogging for 5-6 kms. My heart rate increases to around 130 bpm and comes to 75 something say in 25 minutes rest. Iam worried if am having slow heart rate. I don’t feel fatigue etc presently. Your advice is greatly appreciated
Your heart rate at rest and with exercise are normal, especially given your age. You are also asymptomatic, so I definitely would not worry.
Sir when I check my BP it also shows my pulse rate. Sometimes it shows irregular heartbeat sign is it to worry
Yes, an irregular heart rate can be abnormal and needs to be further evaluated by your physician.
Hello,I am a 59 yr old male fairly fit,not obese and on zero meds. Have had severe insomnia last two months. I exercise daily walking 75 min. Exercise bike three times weekly. My EHR = 130 though my HRR is a little slower now with Insomnia /anxiety. My question is this: in the am my RHR= 64-70 then increases to 80’s throughout the day befor lowering back into 70’s in the eve. Is this normal to have a jigher heart rate throughout the day as described?
Yes, that can be normal. That is normal heart rate variability during the day. Thank you very much for your question!
Hello Doctor,
I’m a 34 year old male. My heart rate is usually between the range of 100 to 130. My weight is 68 kgs and I dont don’t exercise or physical activity. I have a desk job. I smoke 2 ciggarettes in a day. What do you suggest I should do to lower the heart rate?
If your resting heart rate is 100-130 bpm, I would suggest an ECG to make sure your heart is in a sinus rhythm (i.e. normal rhythm). If your heart is in sinus rhythm, then I would suggest stop smoking, start a moderate-to-high intensity exercise program, and adopt a whole food, plant-based diet.
Hi Dr Jason, im an 18 year old female. I was diagnosed with PFO when i was 5 years old and went to several doctors around the world back then, and they all said its nothing to worry about and that they can BARELY see the hole.
Anyway, what i wanna know is if its normal to have variations in my heart rate during the day. When i lay down for a while my resting heart rate is 72-74 bpm, however during the day when i go out and all that my heart rate spikes up to the 90’s and sometimes even 102bpm (thats the highest it got) and when i sit down it decreases gradually. Put in mind that the past year i have been very inactive with minimal exercise!
Is this normal?
My family doctor is aware of the issue, i told him my heart rate was 91 and he said its fine and that im a pretty nervous person most of the time so the variations are normal, and he measured the amount of oxygen in my blood which turned out to be 99%. In conclusion, he said that he’s not worried about the heart rate at all and that the only thing to worry about is the oxygen levels IF they drop.
Also, my BP is pretty normal as i last checked it was 100/68 (thats an average of 3 recordings).
I would like to ask for your opinion please. Is this normal??
Hi Dr Jason, im an 18 year old female. I was diagnosed with PFO when i was 5 years old and went to several doctors around the world back then, and they all said its nothing to worry about and that they can BARELY see the hole.
Anyway, what i wanna know is if its normal to have variations in my heart rate during the day. When i lay down for a while my resting heart rate is 72-74 bpm, however during the day when i go out and all that my heart rate spikes up to the 90’s and sometimes even 102bpm (thats the highest it got) and when i sit down it decreases gradually. Put in mind that the past year i have been very inactive with minimal exercise!
Is this normal?
My family doctor is aware of the issue, i told him my heart rate was 91 and he said its fine and that im a pretty nervous person most of the time so the variations are normal, and he measured the amount of oxygen in my blood which turned out to be 99%. In conclusion, he said that he’s not worried about the heart rate at all and that the only thing to worry about is the oxygen levels IF they drop.
Also, my BP is pretty normal as i last checked it was 100/68 (thats an average of 3 recordings).
I would like to ask for your opinion please. Is this normal??
Yes, everything you have described is normal. You are experiencing normal heart rate variability during the day and with daily activities.
Hello sir
I’m 36 yr male prescribed telmisartan 40 mg once a day for high bp. I took meds for first 6 months and later I decided to do regular physical exercise to avoid med. I used to jog 5-7 km daily and have reduced my body weight by more than 6 kg over 3 months and waist size by over 1.5 inch. I stopped talking my meds and is maintaining a bp of around/ below 140/90 most of the day. I check my bp regularly and My heart rate is around 46-50 just after bed increase to 60-70 during day 120-130 just after jogging and reduce to around 70 after 30-40 min. I also had ecg done and shows irbbb. Occassionaly my bp monitor shoes irregular heartbeat sign. Occasionally I also feel missed beat during jogging. I don’t have any other problem presently but little worried. Very kind of you to advice
No, an irregular rate and rhythm as well as skipped beats would not be caused by an incomplete right bundle branch block (iRBBB). It is likely a different heart rhythm or ectopic beats that are causing your symptoms.
Sir I had my ecg says irbbb and sometimes my bp monitor show irregular heartbeat sign. Could this be due to irbbb.
Dr. Jason,
I wear a holter monitor few days ago and there is occasional pacs. Mostly pacs are happen when I take a deep breath why it is happening like this?
Deep breathing is not a common cause of PACs. It is more likely that you feel the PACs during deep breathing because of the positioning of the heart with inspiration, rather than actually causing the PACs.
Hi Doc,
I’m 21 years old,
Recently i realized my heart beating faster and i give them a RHR check and it falls between 90-110s. The time i check is mid day and i think i didnt get good sleep that day. But in the morning when i check my RHR it falls between 80-90s. It give me some anxiety, i have a habbit to sleep at late night afound 1-3 am.
Right now i do some exercise like running and yoga. When I walk my HR is rising to around 118 but after i sit for a while it goes back to 90s. I need some sugestion, this state give me so much anxiety and make me can’t focus on my work.
Thanks…
Hi Dr. Jason,
I am 57 years old and been diagnose type 2 diabetes 3 months ago. I have been prescribe metformin but didnt take it, and on strict diet and exercise. I able to lose 15 kgs and managed to control blood sugar. Now the problem is i am having a low heart rate of 40 to 50 bpm only on nights if i am sleeping and normal heartbeat throughout the day. Is this normal?
Yes, that can be normal. A low heart rate, especially while you sleep, is somewhat expected. You should be congratulated on your lifestyle changes and weight loss, keep up the good work!
Hello Doc,
I’m 21 years old
Recently i measure my HR and it reach around 80-110. This state gives me anxiety
The HR is that value when I sit after walking, when I walk it can reach 120 maximum. I’m 174cm tall and 72kg. Currently I’m doing some workout to decrease my HR like peddaling for 15 minutes and doing some yoga menu. Do you have any suggestion what should I do to reduce my HR? My HR is 80-90 when I’m sit down or lay down relaxing. But 90-110 when I sit after I walk around. I dont feel any pain or any heart pumping except after exercise.
Thanks doc.
Hi Jason,
I read all your posts and found you are one of the professional doctor in this page 🙂
I’ve few thing to discuss:
I got pacs few years ago but now this is totally disappeared from last 4 years. How could it be automatically?
My sleeping heart rate is 41 and my resting heart rate is 48 to 60 in between. Heart rate increased when suddenly stand up and after eating something.
I’ve sinus arrhythmia from last one year. So might be resting heart rate is related with sinus arrhythmia. What is longest rr pause? Is 2.50 second pause is normal does every person have this? If not what other ppls do normal have this pause?
Thank you.
Kalan
Yes, PACs can be transient and resolve on their own. Your sleeping and resting heart rates can be normal for you, especially since you are asymptomatic. Generally speaking, pauses >3 seconds will be important to investigate. A patient’s age, time of day, events surrounding the pause, and symptoms will become important when determining if a pause is worrisome or not. I am assuming you are young and asymptomatic during the 2.5 second pause, so there is likely nothing to worry about at this time. You can always discuss your concerns with your physician. Thank you very much for your questions and kind words!
Thank you Mr. Jason!
My age is 28. I’ve check my holter and found my pause 2.5 seconds is in the morning 6.30am that time my heart rate is 42 and I’m in sinus arrhythmia. Rest of the day whole pause are less then 1.5 seconds.
Does everybody’s have pause if yes how lengthy pause is totally consider normal?
Your response is highly appreciated!
Yes, sinus arrhythmia and sinus pauses can be normal in young healthy people. Generally speaking, a pause <3 seconds can be considered normal - especially if you are asymptomatic.
Hello Mr. Jason,
What is longest RR? I got my result and its said 1.69 during sleeping 6.30am and heart rate was 41. The holter report showed I was in sinus arrhythmia that time. Is it normal and can be worsen in future or not? Thank You!
Yes, that can be normal. It is impossible to predict the future, but it should not worsen over time.
Hi! I was wondering if a heart rate below 40bpm is normal/okay for a 25yr old female 4’11 102lbs… I just had my second baby 2 weeks ago and just noticed how low my heart rate dips during sleep thanks to my lovely Apple Watch. I was seen by pcp and he referred me to a cardiologist whom I saw today. He did and ecg in the office and came in to talk with me about the results and said everything looked fine and asked if I was having any symptoms.. my only problem is that I’ve been dealing with anxiety pretty much my whole life and the symptoms he was asking if I experienced at all are also common symptoms of anxiety so I can’t be sure what to relate them to. I’m honestly a little afraid to go to sleep now because of my heart rate dropping so low. Please tell me this is normal and I shouldn’t be worrying!?
It is normal for your heart rate to decrease during sleep, so there is nothing to worry about regarding your nighttime heart rate. I would defer to your cardiologist for any further work-up, but it sounds like everything is normal.
Hi Jason
Two years ago my pauses are 1.90 seconds but now it gently reduced I just got my new holter report for 3 days and it clear mention that the pauses is not greater then 1.20 seconds in all report. I mean how it is possible?
Can you tell me what is normal longest rr# in healthy all peoples?
Rgds,
Mark
Hello Jason,
2 years ago my holter report show sinus pauses 1.90 seconds by now it is gently reduced by their own self I just got my new report and hotler show my sinus pauses are not more then 1.20 seconds. How Could it be possible?
What is normal range of sinus pauses in healthy person’s and does every has it?
Rgds,
Mark
A sinus pause is usually not a progressive process, meaning, sinus pauses do not necessarily prolong as you age. Sinus pauses are quite common, especially at night during sleep, and there is no normal range for sinus pauses.
Hi Jason,
Is 10 to 15 pacs ablation is successful. Its much worsen in fever? I don’t want to use anti arrhythmia drugs. My heart rate always down in resting like 50 to 60 i feel almost dizzy all the time. I felt my down resting heart rate cause of pacs or sinus arrhythmia. It is happening from last 1 year my life is totally stuck. Please advise me what should I do.
10-15 PACs is not a lot of PACs and I do not think a PAC ablation or medications would be needed in your case. A resting heart rate of 50-60 bpm is an appropriate resting heart rate, so I am not sure why you feel dizzy all of the time. A 24- or 48-hour Holter monitor might be helpful to find an arrhythmia component to your symptoms.
No other arrhythmia found in 48 hours expect pacs. I feel dizzy in low heart rate like 55 and same dizzy even in high heart rate like 90. I don’t think this is related with heart. I’ve sinus arrhythmia and this is cause of my low heart rate. What do you suggest?
I agree, it does not seem like your dizziness is related to your heart rate. I would discuss further with your primary care physician.
I am a 50 y/o female. I have been wearing a fitbit for approx 2 weeks. I am concerned that my resting heart rate fluctuates between 53 and 80. I am sitting, doing nothing physical. Is the fluctuation within normal limits? I know normal adult hr is between 60-100bpm, but the fluctuation concerns me.
Thank you.
Yes, that can be normal heart rate variability during the day. Also, wearable heart rate monitors are not always completely accurate – so if you are concerned, I would recommend a manual heart rate check for confirmation.
I’m a 45 year old woman, my resting heart rate is in the 80, I exercise 6 days per week (kickboxing, strength training) yesterday during kickboxing my heart rate was 188, have never hit that number before and I felt exhausted during, but I continued on, is it normal and safe for my age. Thank you.
Yes, that can be normal and it is safe for short periods of time. However, it is not recommended to have sustained heart rates of >90% of your predicted maximum heart rate for prolonged periods of time.
Hi,
When I go to take the shower and sit my heart rate is 72 but after completing the shower my heart rate goes to 55. What does it means?
Your heart rate change in that particular setting does not have any clinical significance.
Thank you so so much! This puts me in anxiety know I’m totally fine after reading your satisfied words.
Sir my heart rate is 46 in morning after bed and remains 54 to 60 rest of the day. During exercise it goes to 130 to 136 and comes to 80 after say 20 min. I had my ecg which says irbbb. Could irbbb an cause for my low heart rate. I had low rate for last 3 months earlier was having 70 to 85 as normal. I could run 12kms without stopping inbetween and daily run for about 5 kms. I don’t feel any problems during exercise. Only concerned whether irbbb is cause of slow rate.
Regards
No, an incomplete RBBB will not cause a slow heart rate.
Sir thanks for your kind reply. Is my low heart rate is due to continous regular exercise jogging 5 to 7 km daily for past 3 months or something else
Yes, your low heart rate can be normal for you – and is likely from your young age and exercise routine.
Hi there. I’m a 26 year old fairly active female. I walk at least 80 minutes a day at moderate speed and either play sports, perform cardio or strength train every day. I’ve been monitoring my resting heart rate through a Fitbit. My resting heart rate seems to fluctuate between 48 and 59, usually creeping up/down by 1 or 2 bpm each day. I feel healthy, rarely faint or feel dizzy but I haven’t been able to find much information online regarding fluctuations in resting heart rate. Are fluctuations like this something to watch out for? Thank you
Yes, those can be normal fluctuations. Given your health and lack of symptoms, it is not something you have to watch out for. Additionally, wearable heart rate monitors can be inaccurate so if you are ever concerned about a heart rate I would recommend a manual check to verify your heart rate.
Hi
What is longest rr? What ratios are normal.
This is related with cardiac.
R-R intervals can be variable, there is no defined longest R-R interval, and I am not sure what normal ratio you are referring.
My Longest rr is 1.50?
Some doctors told me everybody has longest rr and the ration of all human beings 0.60 to 1.20 seconds is totally normal. Is this true?
Longest rr and ratio(?) are not measurements that are commonly used or really even used at all, so I would defer any further answers to your questions to your physician.
Can a person notice sinus pauses like in awake and doing during something?
Yes, that is possible. You would likely feel lightheaded, dizzy, and faint.
Hi There, my resting heart is normally between 45-49, I’m runner and usually train 4-5 times a week. I this normal, sometimes I look at my watch to see heart rate in the 40s and always freak out, thinking Bradycardia.
Yes, that can be normal for you – especially since you are asymptomatic. Resting sinus bradycardia is a well-known and somewhat expected phenomenon in athletes.
Hello, I’m confused by the different heart rates and what is a ‘good’ healthy heart.
I am 44 year old male, skinny (6’1, 143lbs)
When I wake (after the initial shock of my alarm which makes my heart race, and then calm down) my heart rate is around 60 bpm, with a low of 58. I wake to do deep breathing exercises and reach a low of 40-45.
As a test of recovery, each morning I climb 10 flights and my heart rate is 165 at the top. My heart rate taken after 2 minutes rest, is 91, a drop of 74 beats.
However, during the day (while at an office job), my breathing is rather irregular and shallow and my heart rate, even when trying to relax, will be in the 80s -this figure is one I wonder about the most and wonder whether my heart is healthy, given a general rate that seems rather high?
The heart rate variability you are describing can be normal, there is no suggestion that your heart might not be healthy.
Hello! i am 32 year old male and i had weird sensation i couldn’t explain and did a holter monior, echo an EKG blood work the whole nine. After these tests i was told i have very Mild LV,H. the holter monitor came back with rare isolated SVE’s less than 1%. The highest my heart rate was 170 (during exercise) lowest was 44 (While Sleeping) blood work along with lipid panel came back all normal. Why am i still so nervous about these isolated SVE’s when i get them i get anxious and dont know what triggers them. Any advice? thank you.
There is no reason to be nervous. Caffeine or other stimulants can be triggers, so be mindful if you drink coffee or energy drinks.
Hello!
I am 28 year old female. I bike or walk at least 3 times a week for exercise and I am considered overweight though I am trying to lose some pounds. I have anxiety which increases my blood pressure at times to 140/90 but typically its 115/75. My resting HR is typically 60. If I do some light activity (walking around the house) sometimes my HR goes to 95-100. Also during physical activity my HR will recover from ~140 to 90 but then it might take a little while to get back down to 60. During a panic attack my HR will jump to 125 to sometimes 180. Is this concerning?
I have palpitations about once a day but I’ve had a 2 week & 24 hr monitor before and neither showed any skipped or missed beats. I can get shaky with some moderate activity (cleaning the house, weeding, cleaning the car). I want to make sure my heart is in good condition and not something to worry about.
Thank you!
With regards to your resting heart rate, exercise heart rate, and heart rate variability – everything is within the normal range. The reportedly normal 24-hour and 2-week Holter monitor monitor is reassuring as well.
I have always had a low heart rate, but have tachycardia 58 is normal for me. Lately I am sitting at my desk and it will drop into the 40s then shoot up to 120 to 148 while sitting and just typing?
I would check this heart rate manually. If accurate, it could possibly be a supraventricular tachycardia (SVT) and I would recommend to discuss with your physician for further evaluation.
Hello Sir,
I have noticed that recently my resting heart rate at night has been in the low 50’s (51-53). After reading all of these posts I am reassured that these are ok readings (I have had complete cardio work up and all tests came back ok). I have low blood pressure, sometimes 91/59. Should I be concerned about the low blood pressure in combination with the low heart rate at night? I am not having any symptoms other than extreme anxiety over this. At times I am afraid to go to sleep because I am so worried about this.
Thank you in advance for your response.
A low heart rate and low blood pressure, in isolation and in combination, can be normal – especially if you are asymptomatic. So, you should not be worried about your heart rate or blood pressure.
Great article.
I’m 42 and I’ve recently got a Fitbit and trying desperately to find out “normal”, but most articles don’t mention sleep lowering heart rate.
Around 5 years ago I was an avid runner an even did a half marathon. When I used my running watch I used to have to ramp up the heart rate zones about 15 beats above standard formula because my max HR was near the 200 when I actually ran near full speed. Could never really get a good reading on resting HR because I’m the kind of person who’s HR goes up when I know I’m watching it.
When I recently got Fitbit that would be monitoring HR 24/7 and knew I could get a real resting HR, I was concerned my resting HR would be high because although I keep myself a bit active, these days I only run once or twice a month.
Actual Fitbit record of HR is 63 and I think that’s a Fitbit average because when I’m lying in bed at night I see it regularly slipping into 58-59. And fitbit sleeping shows it dipping down to a low of 51, and I’m almost worried to ramp up my exercising in case it. Seeing every article on the internet say 60-100 is anxiety-inducing! I don’t like to be higher than “normal” when exercising and lower than “normal” when sleeping!
Yes, your heart rate decreases when you sleep – that is a completely normal phenomenon. An ideal resting heart rate is really 60-80 bpm, with highly trained athletes noted to have resting heart rates around 40-60 bpm. Based on what you are describing, your resting heart rate and heart rate variability with activity and sleep are normal.
Hi, when i am in a resting position like sitting, my heart rate is often constantly at 47-50. Im not very active and wondered if this is something i should be worried about. When i walk in a moderate pace my heart rate is rarely above 100.
Hi, to add onto what i previously wrote. I am a 16 year old girl. I have periods where i am pretty active and workout 2-3 hours 5 times a week however these past 4 months i havnt done any workouts and have been very un active. lately i have been a bit tired and find myself needing to take a breath when walking. I have had a slow heart rate for a few years now where my bpm has been at 56 however lately it is at 46-50. I often go from being super energetic to being very tired in a few seconds. I was wondering if this could be a sign that i have hypothyroidism since many of the other symptoms such as being cold, weight gain, slow metabbolism, dicreased sweating and many others relate to how i feel everyday.
Yes, what you are describing and your current symptoms, this could be hypothyroidism. I would recommend being evaluated your physician, as well as obtaining an ECG to make sure you are in a sinus rhythm.
Very informative blog post.Thanks for the info. A big thumb up. Keep it up.
I am a 49 yr old overweight female, type 1 diabetes (30+ years), Hypothyroidism, Hashimoto’s Disease, Cabg (5) in 2011.
Resting heart rate has been 55/60 on Fitbit Alta HR used to be around 65. I noticed a lot of people stating they use them, are they really reliable? I have a oximeter and it does show about the same heart rate as my fitbit. O2 at mostly 97 or 98%. Should I be worried that my resting heart rate is so low? I will admit, I don’t exercise much and this could be my problem but doesn’t the resting heart rate get even lower if you exercise?
No, you should not be worried, it can be normal to have a low heart heart without symptoms. I would recommend having your thyroid levels monitored periodically per your physician managing your thyroid medications.
I do have my thyroid checked at least 2-3 times a year. On 180mg Armour Thyroid and have been in range. It’s so expensive and wondering if going back to synthroid would be better in the long run. I forgot to mention. My Diastolic pressure has been in the 60’s and 70’s and just got a new monitor and I was 117/74 and then this morning 110/60. I was taking 5mg Lisinopril but have cut it back to 2.5 and it seems my pressure is a little better.
Lisinopril 2.5mg daily is a very low dose. If your blood pressure remains <120/80 mm Hg, then you can likely just stop the lisinopril if only taken for high blood pressure under the direction of your physician.
Hi there, i just gave birth to my second daughter 2 weeks ago. (natural, no interventions, no complications) My resting hr pre pregnancy was in the mid 60’s, but now its often in the low 50’s and has gotten as low as 46 bpm. This happened with my first daughter as well, I had an EKG done and it was normal, bloodwork is good, blood pressure was 113 / 70, no other symptoms. Should i be seen by a cardiologist to rule out anything else? I exercised casually prepared -pregnancy but am by no means a training athlete. I worry that my heart is worn down from pregnancy/birth?
No, with the normal work-up (but, make sure your thyroid levels were evaluated) and lack of symptoms thus far you do not need to be evaluated by a cardiologist. Low heart rates can be normal and there is no need to worry about your heart being worn down from pregnancy and birth – that is not a known complication or result of pregnancy.
Thank you for your quick response – my test results were:
TSH, Sensitive 1.01 uIU/mL
Could my lower HR simply be do to hormones, fast weight loss from having baby, blood changes etc?
Yes, all of the above could be possibilities. However, in most cases, your typical resting and exercise heart rate will return after a few months.
Hi my sleeping heart rate is 47 can drop to 41 while sleeping. About 51 resting and over 60 at work. Physical activities at work I go up to 84 sometimes over 100. The sleeping rate has me worried cause my left chest is sore. I am 6,4 275lbs played sports upto 30 years old I am now 40.
Heart rates between 40-60 bpm can be normal during sleep and bradycardia (i.e. a slow heart rate) is unlikely to cause chest soreness.
Hello,
Thank you so much for answering all these questions. It is really amazing.
I am a 25 year old female. I am 5 foot 5 and weigh 125 pounds. I should work out more, but do walk about 5 miles per day at work.
Even during times where I have worked out consistently, my heart rate is always high. When I sleep it is about 75 bpm, but when I am awake it is around 95 bpm even if I am just watching tv.
When I get up and walk around it usually is closer to 110 bpm. During cardio, it will increase to up to 185 bpm.
I do not have any known health issues, but sometimes feel lightheaded.
Should I be concerned about by heart rate being high?
Thank you so much!
No, there is no concern necessarily about the heart rate being high during the day. However, for your age, a resting heart rate between 60-80 bpm would be ideal. I would recommend continuing a healthy diet and regular mild-to-moderate exercise moving forward.
I was diagnosed with a benign heart murmur 10 years ago. I now do full ironman competitions but note that for all the training i do, my resting heart rate is 78. Should I be concerned?
No, you should not be concerned. That is a perfectly normal resting heart rate. Also, benign heart murmurs do not alter your resting heart rate in most cases.
Hi Jason,
A year ago I felt skip beats like pacs and the cause of smoking, suddenly one day I went to the bed I felt my heart beat very rapid like 250 beats per minute just for 10 second and after that it went away and become to the normal like 60-80 beats per minute. Today A year ago I never felt again this but skip beats still are here but It is getting better day by day.
What do you think what is cause of this rapid heart rate and I know very well it is in rhythm like clock wise but only rapid?
Please reply ASAP.
I am not sure, it is difficult to say. The only way to know for sure would be to capture the heart rhythm on an ECG or Holter monitor. If it becomes more frequent or worrisome, then a 24-48 hour Holter monitor would be reasonable.
It was happen only one time and its year ago, never happened again. However ecg total normal only sinus arrhythmia. Two times holter done for 48 hours only 16 pacs noted.
Any thoughts?
Only 16 PACs noted would not cause any issues, that is reassuring.
Hello, My heart beats very hard and fast 95-105 / minute.
I find very difficult to sleep as while lying on the bed it feels like someone beating so hard from inside in whole mind and body.
My cbc, ecg, c-xray, bp, tsh, sugar, urine, cholestrol all normal.
in the past i had b12 and d3 deficiency.
the deficiency is corrected but still i feel weakness and fast heart beating.
what can be the reason behind it. can i have b1 , b6 , b9 or zinc deficiency too which is causing this. someone please help me out of it.
its happening me since 1 year.
Hello, My heart beats very hard and fast 95-110 / minute. whenever i do any simple work it goes to 115-120. i feel weakness in my body
I find very difficult to sleep as while lying on the bed it feels like someone beating so hard from inside in whole mind and body. whenever i close my eyes i feels sudden rotation in my head due to force of heart beating.
My cbc, ecg, c-xray, bp, tsh, sugar, urine, cholestrol all normal.
in the past i had b12 and d3 deficiency.
the deficiency is corrected but still i feel weakness and fast heart beating.
what can be the reason behind it. can i have b1 , b6 , b9 or zinc deficiency too which is causing this. someone please help me out of it.
its happening me since 1 year.
What you are describing could be a supraventricular tachycardia (SVT). A 24- or 48-hour Holter monitor may be helpful to identify what your fast heart beating could be or reassure you that everything is normal.
Hi
Does sinus arrhythmia has relation with sinus pauses?
I’ve sinus arrhythmia and sometimes my heart rate goes to 46 and increase after inhaling to 66 to 70.
Sinus arrhythmia and sinus pauses are two separate entities. What you are describing is likely just a sinus arrhythmia.
Hi
Please read this link at the start.
Sinus pauses up to two seconds in duration occur commonly in young people in association with sinus arrhythmia (fig 11).1 This is seen more frequently in athletes,w1 and less frequently in those over 80 years of age.w2 These arrhythmias are, for the most part, both asymptomatic and benign. They are a reflection of changes in autonomic tone that occur during sleep and require no intervention unless accompanied by symptoms.
Does it now means that sinus arrhythmia has connection with sinus pauses?
For sinus arrhythmia, the varying changes in sinus node activity are part and parcel with the known phenomenon. In general, we refer to sinus pauses and arrest as largely pathologic terms due to conduction system disease.
Hi, I am 39 years old and suffer from iron deficiency anemia due to heavy menstrual cycles, hypertension, and anxiety. I was getting iron infusions but haven’t had one since March. I had a procedure on June 14 of this year to correct the haven’t cycles with hopes that I can be normal again. I get heart palpitations frequently. At times my resting heart rate will be 102. I have had an echocardiogram, ekg, holter monitor, stress test both exercise and nuclear and the doctor says everything is normal. I’ve been to ER multiple times because of it. For a while it was my potassium but after getting of hydrochlorothiazide it went back to normal. My blood work is normal with the exception of my hemoglobin. All these test were done about a year ago. I can’t help to still feel like something is wrong when i wake up and my heart is racing.
Your work-up appears to be fairly comprehensive and apparently normal, this should be reassuring to you. If you have further concerns, I would discuss with your physician.
After an episode of chest pain and an abnormal ECG (no definitive diagnosis, just “abnormal”), a subsequent angiogram and echocardiogram, all results have come back normal, aside from high blood pressure. I’ve been put on 12.5mg of Metoprolol twice a day. My blood pressure is now normal to high-normal. I still have occasional chest pain, but mostly at rest. When I exercise, it seems to feel better. My doctor is inclined to think everything is stress-related. I’m 5’5″ and 180lbs, and have just started a walking program to get into shape. My heart rate on the beta-blocker is now around 58-62 when resting. Does this sound normal?
Yes, that can be normal. However, I am not sure why you are on metoprolol. If the metoprolol is strictly for blood pressure, there are better medications to treat high blood pressure. Improved diet and exercise are always a good compliment to medications for treating high blood pressure.
Hello, Dr. Guichard
I’m a 44 years old male. No significant medical history. Have been sporty all my life, including running marathons and triathlons but now stick to 4-5 miles 3 days/week. My resting heart rate is usually in the 50s and low 40s during sleep.
Over the past couple of years, since I started monitoring, I noticed that during sleep HR is consistently around 40 but can go down to 37-38. Can this still be normal or do I need to check it out? Thank you.
Yes, that can still be normal. You should be congratulated for your dedication to exercise.
Hello! 36 yo female with no hx of medical problems. 20 lbs overweight (leftover following pregnancy) and am working on that. After eating a larger than normal meal I began to feel a flutter in the chest area. RHR was fluctuating between 95-105. This high for me (usual is in 70s) . I read that after eating your heart rate can elevate so I have monitored it in hopes that it would return to normal and it keeps hanging out in the high 90s. My mother who is a RN listened to my heart and would hear a variation every 13th beat. She said it *may*be PVC ? I have no other symptoms but am health conscious and know that it’s not ideal to have a RHR in the 90s. Should I have a cardiologist work up? I don’t want to appear silly when I ask for an evaluation for an elevated rested heart rate that technically is in normal range (though not normal for me). Thank you !
It would be reasonable to obtain a 12-lead ECG at a physicians office, or even a single lead ECG (AliveCor’s KardiaMobile is one option) at home, to be sure that you are in a sinus rhythm. A 24- or 48-hour Holter monitor would be reasonable if you are having intermittent rapid heart rates or palpitations. If determined to be a sinus rhythm, then I would suggest healthy lifestyle changes moving forward to optimize your cardiovascular health.
I’m a 48 old male a.little over weight .i I have been Bike riding on and off for the last several years My max heart rate on my most recent ride was hitting 180 and my avg heart rate is 169.
This was after a 15 mile ride on particularly humid day,
My max and avg have rates have always been On the high side.
Wondering if I should be concerned about these readings?
This reading was a little higher then usual but over the last year my max and avg heart have gone up a bit .
Does this.Mean I’m getting In better shape or does. It mean I’m pushing myself way to hard?
I believe the routes and rides I have been taking have been getting incrementally harder over the last year.
Thanks for your help!
Your training is on the high-intensity side of the spectrum. It might be advisable to keep your exercise heart rate around 157bpm and avoid reaching 174bpm for prolonged periods of time. You should be congratulated for your exercise efforts!
Hi doctor I have been having anxiety for about 5-6 months and have been taking serataline 50mg mane and bromazipam 1.5mg nocte for one month and reduced the bromazipam by the psychiatrist to half dose now..I have been having palpitations before taking these medications and now my resting heart rate is about 65-75 but when Im lying on the bed it goes down to 60. Is this normal? Is there any effect for the heart rate from those medications?
Thank you
Yes, what you are describing can be normal. Sometimes, those classes of medications can effect your heart rate but it is unlikely to cause you any harm and the benefit usually outweighs the risk in those cases.
Hi Dr. Jason,
I was doing some breathing exercises and practicing consciousness and being present as explained by Eckhart Tolle and my heart rate got as low as 44 bpm. I’m only 16 years old and I’m healthy but not as healthy as the majority of student athletes. Should I be concerned about this low heart rate? It’s also important for me to clarify that I feel fine, if not better when practicing that mindfulness even though it results in a low heart rate.
Given your age, that low of a resting heart rate can be normal – especially with relaxation techniques. As long as you feel well, which it sounds like you are, then there is no reason for concern.
Alright, thank you so much for your time.
Hi
My longest RR is 1.80 in sleeping time.
Does longest RR is pause? I check how to measure longest RR and found the answer that count the boxes and multiply with 0.04 is this correct? I also found that the normal RR interval is between 0.6-1.2 seconds is this correct? Check this link please https://www.google.com/search?ei=4g0-XfSuOqG_lwS3lLyIAw&q=what+is+normal+rr+interval&oq=what+is+normal+rr+interval&gs_l=psy-ab.12…0.0..227451…0.0..0.0.0…….0……gws-wiz.JTOVl4lHRnA&ved=0ahUKEwj0p5H7wdjjAhWh34UKHTcKDzEQ4dUDCAo.
Regards,
Kareen
You do not need to measure or worry about your longest R-R interval. Your longest R-R interval does not necessarily mean a conduction system delay or pause. A normal R-R interval can change on a beat-to-beat basis, but a normal resting heart rate is considered to be between 60-100 bpm.
Good Morning!
I’ve sinus arrhythmia as well and sometimes my heart rate drops 45 beats. Is this also normal?
I would encourage you to read our post on sinus arrhythmia (https://myheart.net/articles/sinus-arrhythmia-what-is-it/).
Ok. I’ve sinus arrhythmia and sometimes my heart rate goes to 46 and when I take deep breath it is increased so does it is normal and does it has connection with longest R-R interval?
See you soon
I would encourage you to read our post on sinus arrhythmia (https://myheart.net/articles/sinus-arrhythmia-what-is-it/).
So I’m a 34 yr old male. Over the last few years I have managed to lose 170lbs. I’m 6’4 and 250lbs now. I lost it Primarily through diet but last year I started running. Now I’m running 3xs a week. I have noticed my resting heart rate going down, my Vo2 max going up, and my heart rate recovery is getting better. Well my resting heart rate is usually in the 40s or 50s when I sleep. Depending on how hard I exercised. And I have a 2 yr old and 1 yr old so I’m constantly on the go lol. Last night my Apple Watch detected my heart rate went to 39. Then went back up to 42. Is that something I need to worry about?? I am on BP meds but my BP has been really good. Not really noticing any symptoms other than being tired from a little lack of sleep lol
No, that is nothing to be worried about. Just be sure that you are not taking any AV nodal blocking agents for hypertension that could be artificially lowering your heart rate. Congratulations on your weight loss and exercise!
I am a 57 year old woman. My FitBit shows my resting HR to get into the mid-upper 50’s. It used to be in the lower 60’s not long ago. How do I know if this is healthy/acceptable or if it is Bradycardia?
That is most likely normal for you, especially if you are asymptomatic and able to exercise.
Hello,
I’m 28 years old,female, 130lbs and my resting heart rate when I’m sleeping ranges from 36-39 bpm. I wear my Apple Watch to sleep and wake up with alerts that my heart dropped under 40bpm multiple times throughout the night. Is this normal for someone my age ?
Yes, that can be normal for someone your age.
Hi,
I am 20 years old. My resting heart rate changing. Sometimes I have 62-70 (often in evening) but most often between 75-85. It is normal? My blood pressure is 60/100
Yes, what you are describing can be normal. Also, I am sure you meant to say that your blood pressure is 100/60.
Hi Sir
Iam on bp medication but currently no taking medicine. Recently during review I had my ecg done. Remarks by physican is T inverse in V1 WNL. Iam quite worried. Your opinion is highly appreciated
T-wave inversions in V1 can be completely normal.
Sir thanks for your time and advice. Does T wave inversion mean I should not be doing much running as part of my routine. I run daily for about 6 kms
No, it does not mean that. You can keep your regular exercise routine.
Hi Sir
Iam on bp medication but currently not taking medicine. As a part of my routine checkup to review my disease I had my ecg done. My doctor says in his remarks on ecg as T inverse in V1 and WNL. I’m bit worried and you inputs are highly solicited. Is T inverse in V1 to worry about.
Hi. I am 35 year olds male and my resting heart rate is usually in the 40s – 50s. I was concerned by this and had a holter monitor which found I had a period of nocturnal bradycardia of 31 bpm. I have been a smoker for around 18 years however I have also weight trained reasonably regularly since age 20. Should I be concerned by my low heart rate and holter monitor findings?? Thanks
Nighttime sinus bradycardia can be a normal phenomenon while you sleep, there is nothing to be concerned about at this time.
Doc,
Im 15 years old. When wearing an Apple Watch, I noticed that it said my resting heart rate was 54 BPM. Im very anxious that this number is too low for me. I’ve been having some dizziness, but that occurs even when I’m standing up and when my heart rate is in about the 80s, I believe. I think its just from my anxiety, because I’ve been feeling very anxious lately and even had a few panic attacks. Also, I’ve been feeling rather tired some days, which I also believe is related to the anxiety I’ve been experiencing, because I also experience depersonalization. Im not very active. I walk about 2 miles in school everyday and climb about 6 flights of stairs, I believe. I’ve had an echo, EKG, and holter monitor. The doc said I’m fine, and even healthy. When sitting around the house, my heart rate is usually in about the high 70s to 80s. But sometimes, I think it goes to the 50s as well. When I asked my doc what my resting heart rate was according to the holter, he told me it was about 80, I believe. I’m very confused because when laying down at night in bed I’m almost sure my heart rate goes to the 50’s and an Apple Watch even confirmed it. I can almost say for sure it goes to the 50’s. I’ve checked my pulse several times. Im very scared. Can you please reassure me , doc? Thank you so much!!!
It can be normal to have a heart rate in the 50s, especially in young people at rest and during sleep. Your evaluation appears to have been thorough and reportedly normal, which is reassuring. I would say that you do not have anything to worry about at this time with regards to your bradycardia.
Thanks so much for reassuring me Doc. I really appreciate it. I just have a question. So it is highly unlikely that my “dizziness” symptoms are related to the bradycardia, correct? The funny part is that I’ve only started experiencing the “dizziness” when I started getting anxious about the bradycardia. Also Doc, I forgot to add I also got blood work done. All was good! So I have nothing to worry about correct doc? Thank you very much, I and I’m sure many other people really appreciate your kind responses! All the best!
Yes, unlikely that your symptoms are due to bradycardia. Thank you very much for your kind words.
No problem. I would really like to share something with you. As I stated before I’m 15 years old. A while back ago, a traumatic experience caused me to have a panic attack and a Apple Watch calculated my heart rate to be 190. Ever since than, I believe, I’ve been extremely anxious about my heart, thinking it will stop. The anxiety has been so bad that my parents took me to a cardiologist to make sure everything was okay and is just anxiety. The cardiologist told me I am healthy and every test looked good: The Eco,EKG, Holter, and blood tests. I’m still anxious that my heart can just stop beating. Sometimes I’m afraid to walk outside with friends, excercise, shower, and do other normal things every other teenager does. Dr, can you just please reassure me. Tell me something that will make me feel better please. I wanna start going to the gym but I’m anxious my heart will stop. I wanna take a normal shower without having to think about my heart. Please just try to reassure me Doc. I want to thank you so much for answering all of my, and everybody else’s questions. Just know you are greatly appreciated Dr!!! Thank you for all you do!
Given your symptoms and previous thorough evaluation by your cardiologist, the likelihood of your heart to “just stop beating” in the near future approaches 0%. No one can predict the future, but rest assured, you should be OK from a cardiac perspective moving forward.
Doc,
Thanks for answering all my questions. I would like to describe my symptoms to you better.
It usually occurs when I lie down in bed, that I feel a “swaying” type of dizziness sensation. It feels like my body is almost swaying back and fourth. A lot of times when I notice the dizziness and check my heart rate it is in the 50’s. Remember I am 15. I’ve been having some anxiety lately so I have no clue weather the dizziness is linked to to it or not. When I stand up from sitting in bed, I sometimes notice a bit of a head rush almost like blood is filling my head. What do you say about these symptoms now that I explained them a lot more? Is it related to the bradycardia? Remeber all my tests came out fine. Thanks so much!
No, those symptoms are not related to your bradycardia.
Doc,
My heart rate has been dropping to the high 40’s even. 47 bpm. Bad?
Thanks!
That can be normal for your age and, in the setting of your recent evaluation, very reassuring.
Sir,m y age is 17, recently I was admitted in hospital due to chest pain. The local cardiologist suggested a whole day ECG. The ECG reports gave results like~
Avg heart rate – 74bpm
Min heart rate – 53 BPM
Max. Heart rate – 134bpm
Multiple events of sinus arrythmia and low atrial rhythm noted
Your reviews plz
Is Electrophysiological test {EPS} necessary
Those results can be normal for your age. It does not seem like an EPS would be indicated, but I would defer that decision to your local cardiologist.
Thanks for answering Doc. I really appreciate you answering all my questions. Now, I really want to know what this bradycardia means. I understand that you say it’s normal but to me it feels like it’s out of the ordinary because when you look it up online, you see heart rates in the 40’s and 50’s are for extremely fit people, I believe. So what could this mean for me? Is the bradycardia mainly because of my young age and perhaps my thin body (not underweight but thin), that my heart doesn’t need to work so hard? (Considering all the tests were normal?) Would you consider the bradycardia something good and healthy, rather than being something bad? Why shouldn’t I worry about the bradycardia? Thanks so much for answering my questions Doc. You are greatly appreciated!!!
Doc, I believe this will be my last question, if you can please answer.^ I know I asked a lot. Thank you so much for answering all my questions, you are extremely appreciated!!
Yes, I would not worry about your bradycardia due to your age and lack of true symptoms attributable to a slow heart rate.
Thank you for taking the time to answer our questions Dr. Guichard. I am a 64 year old male, no diagnosed heart issues. I cycle and swim to keep fit. My question is in regards to overall heart health and to maximum heart rate when exercising. My resting heart rate before rising from bed is 58. When cycling I keep a close eye on my heart rate and have confirmed my measurements with two separate devices, one a portable ecg monitor . I ride hilly terrain and do like to push it. My heart rate stays most often between approx 130-140 bpm. But on long extended hills purposefully exerting myself I can push it up to 160 bpm. My hr lowers quickly back down to the 130-140 range after cresting the hills. My hr also quickly lowers when I have completed my ride. My question is am I risking heart injury by pushing to 160 bpm which I believe is my maximum calculated heart rate? And are my heart beat numbers an assurance to me that my risk for arterial blockage low that and general heart condition in general is good?
You are not risking heart injury with transient elevations of your heart rate to a maximum calculated heart rate. However, sustained periods (e.g. >30-45 minutes) of high-intensity exercise continuously at your maximum calculated heart rate is likely not helpful – and potentially harmful – for your health. Yes, your resting bradycardia, heart rate variability, and heart rate recovery suggest excellent cardiorespiratory fitness.
Hi, i am very concern about my HR. i am 35 yr old 178cm tall 99kg i got High blood pressure and high cholesterol
My resting Hr is between 66 to 70 bpm.
During the work Day, when sitting down my HR varies between 69 to 87 bpm.
When i stand up and walk for a short distance, my HR elevate between 95 to 115 bpm.
then when i go back to sitting position for 3-5mins, HR back between 76 to 91.
3 months back i am having some chest pain and HR shoots up to 140bpm maybe due to anxiety. i went to hospital for checks, had EKG, blood test and chest x-ray and cadiologist inform that i am fine (not heart attack,angina).
Right now i am afraid and worried as i cannot perform my daily activity due and keep monitor my HR.
Why is my HR so high above 100bpm when i am just walking?(no chest pain no giddy no shortness of breath) (beside i am a inactive person)
is there a problem with my heart or i am just experience anxiety attack?
Am i perfectly fine? i am very worried and paranoid now.
Everything appears to be reassuring, but discussing with your primary care physician or cardiologist would be reasonable.
I’m interested in the relationship between nocturnal resting heart rate and exercise recovery. I’ve been having difficulty recovering and I drink regularly. Now that I have a watch with a HR monitor, I notice when I drink alcohol my nocturnal HR during its low phase is around 55, and when I don’t drink it drops lower to around 45. I’m assuming this lower HR is an indication of a more restful and recovery sleep. Can this nocturnal HR variation be enough to compromise recovery and is nocturnal HR a good indicator?
Those are great questions, but we do not have good answers at this time. I would say that you need to monitor your heart rate for several more days to make any meaningful conclusions about the relation to alcohol. Nocturnal heart rate variability has not been thoroughly studied, so I would not make any recommendations or suggestions with regards to your specific question. However, I would say that I doubt it is affecting your exercise recovery during the day.
Thanks for your feedback. I appreciate it. This is a study of 1 and only 30 days, so I appreciate it’s not enough data to draw a scientific conclusion, yet. Another outcome I’ve noticed is the day after drinking (4 or more beer), I lose the ability to maintain my HR within my workout zone. I currently use the Dr. Phil Maffetone 180 formula MAF training method. So if I don’t drink my N-RHR is lower (avg 45 bpm), and drinking is higher (avg 55 bpm). So at one end of the spectrum is a lack of recovery during sleep, at the other end is exercising at a level of overtraining, so I wonder if both of these combined produces a lack of recovery? Of course exercising less overall would solve most of this, but where’s the fun in that!?!
Interesting points, I am not sure. I will say that you should limit your alcohol intake to only 1-2 beers/day (or equivalent).
Hi! I’m a 22 year old female who’s very slightly (1 pound in the morning, 3 pounds after a big dinner) over the healthy weight range for my height. I got an Apple Watch recently and the numbers have been worrying me. My heart rate while resting is quite low at bradycardia levels. It’s normally around 55, although it’s gone as low as 50 and as high as 60. My mom’s a former nurse and she said this was healthy. However, I had a pretty bad chest cold/sinus infection that I’m just starting to get over (I still have congested lungs and a cough), and my heart rate with mild exertion jumps to a really high level. When I stand up and walk around to get food, it’ll jump to around 110, double my resting rate. If I walk around and exert myself in any way (like I tried doing some lunges), it gets even higher, like 120. While doing the lunges, it was 140-150. I tried going for a walk at a nearby park, and it hit 170, averaging at 145 (to be fair, it was hot outside and hilly). I know I was mildly anemic last time I tried to give blood, so that might still be an issue. Is this a problem worth checking out with my primary care physician, or is it just leftover weakness from my cold and lingering cough?
Slow heart rates at rest and faster heart rates with exercise can be normal in young people, anemia can affect that as well. I would continue to monitor your heart rates and know that nothing appears to be overly worrisome at this time.
My heart rate was 48 today at my doctor and I’m 27
That could be a normal heart rate for you, especially if you are asymptomatic.
Someone had mentioned the same symptoms to you I am having myself it looked like a few years ago. I am a 31 year old male. I am experiencing dizziness spells, chest pain and also stomach issues. When laying on my left side I do feel the fluttering feel in my chest, also along with it comes what feels like gas, but isn’t and lots of burping. When this does happen my heart rates goes from the 60’s and 70’s straight down into the 50’s and after the episode ends, usually 10-15 min everything goes back to normal.
Did an EKG and Stress test. Everything was good, had MRI done on my brain for dizzy spells. Nothing there. Currently waiting blood test results for autoimmune diseases as I get a swollen eye during these episodes of events, fatigue feeling and weak feeling all over my body daily. Right now I have been experiencing this for almost 2 months, it happened back in April as well for a month. Then the symptoms just went away.
Just wondering if you had any thoughts on this.
I appreciate your time greatly!
Based on all the symptoms you have been experiencing, along with the normal ECG and stress test, it is unlikely that these episodes are due to your heart. It will be interesting to see if all this is due to an autoimmune disease.
I’m interested to know if its unusual for HR to go up while sleeping? My average HR is around 80bpm but a night when I’m asleep it can slowly increase up to 120 then slowly come back down again.
Yes, that is not typical of a nighttime heart rate. I would assume this was a wearable device? Sometimes the devices can be inaccurate.
Yes its an apple watch. I thought it was just a glitch the first few times but its getting quite regular now. Not always to 120bmp but always an increase.
Doc, what’s your opinion? Do you think that 99% a heartrate of 48 BPM for a 15 year old with all good tests is normal? Or should I contact my doctor just in case?
Also, how do I differentiate the symptoms of a low heart rate from the symptoms of anxiety?
Thanks!
From what you are describing with a low heart rate, but a normal work-up and likely asymptomatic, then that is reassuring. The symptoms of a low heart rate and the symptoms of anxiety are quite different, should be able to distinguish between the two.
Thanks Doc. Here’s the thing. Like I said I’ve been feeling a little tired lately and dizzy, (which the dizziness is almost for sure from anxiety). So what I’m saying is, im tired, how can I tell the difference if it’s from anxiety or not?
Also, my heart rate rises easily. For example by just doing about 10 pull-ups my heart rate increases to about 130, I believe. Also, a lot of times after exercising I can easily sustain 100 BPM. Thanks!
Doc,
I would really appreciate it if you replied. I hope all is well. My dizziness is still occurring. When lying in bed for some reason I believe I feel it more. It’s a swaying type of sensation. Doc I really need to know if this is due to my bradycardia. Is there anyway I can know for sure that the dizziness is not due to the bradycardia? In the gym I can easily raise my heart rate to about 130 and even higher in believe when lifting weights. Thanks!
It is unlikely to be due to your bradycardia, but the only way to know for sure would be to obtain a 24- or 48-hour Holter monitor for evaluation. You can discuss this possibility with your physician.
Hi Doc,
I’ve recently did my holter and found I’ve sinus arrhythmia + 1.69 longest rr interval? Does longest rr interval happen in sinus arrhythmia? My normal heart rate per hour is 55. Please answer.
Yes, your longest R-R interval could happen during a sinus arrhythmia. A resting heart rate of 55 bpm can be normal for you.
I know that.
Hi,
I have a new watch that calculate my heart rate. My resting heart rate is between 53 to 59. I wear my watch also while sleeping. I am a 28 year old woman. I am clearly overweight, but I run twice a week and I play ie hockey once or twice week. For the first few weeks, my resting heart rate was around 59, but in the last week it slowly dropped toward 53-55. I have no syptoms. Should I talk to my doctor?
No, that can be a normal resting heart rate for you – especially if you are asymptomatic and able to exercise.
I’m a 36 yof weighing around 200 ,5.1 tall. I workout for 30 minutes daily. My resting heart rate fluctuates between 57-61. I’ve kept up with my physicals and bloodwork and it always comes out perfect, minus the BMI which can improve. My cardiologist friend told me that my resting heart rate is great, but I”m still concerned, because though I workout daily, I don’t consider myself an athlete. Is 57 too low? sometimes I do feel dizzy/tired when standing for a long time but I don’t have a thyroid or high or low blood pressure. Again, all my tests are perfect. I also do a variety of workouts, running, cycling, interval training – my heart tolerates all of them great. So what gives? Is 57 too low and what would be a reason for feeling lightheaded or dizzy/tired when standing even though I tolerate working out with no issues? PS Any EKG done in the past has been perfect.
That appears to be a normal heart rate for you, which is good news, based on your symptoms and exercise capacity. Not sure how to explain the feeling lightheaded or dizzy/tired when standing, if it continues then I would discuss more with your physician.
Hello
I am 52 years old male fairly good health 175lb 6’3 this summer i had an episode where i felt light head and found out my BP was up to 165/80 from sitting down normally i am 120/7* went to heart dr wore a heart monitor for 48 hrs and 30days no afib my fitbit says my heart rate goes from sitting at desk working from anywhere 69 to 87 constantly bouncing around sitting on couch watching tv it will constantly bounce around 70 to 80 had ekg and did an heart echo everything looks fine but with that i do get ear ringing from this some light headed some fog just where i dont feel 100% sharp like i should be i can hear my heart beat at my desk in my left ear the most or just sitting down watching tv or in bed trying to sleep ive been to 2 heart doctors they say nothings wrong but i feel something is wrong what can i do or where can i go next? or is this normal?
From what you are describing, and I would imagine a thorough evaluation by all the physicians you have seen, it seems like everything is OK. I think you should be reassured that nothing serious is going on, but I cannot fully explain the symptoms you are feeling/experiencing. I would make sure that you are focusing on a good diet and exercise, as well as getting enough sleep.
Good day doc,is it normal to have a 48 to 55 bpm during sitting and lying on bed.During exercise,my hearth rate slowly go up but i noticed a skip beat for ever 5 seconds during the start of my jogging then back to normal beat as my heafth beat go up and back to normal but again there is a skip beat again for every 5 secs after my exercise then back to normal again.what is this indicate pls help.
Yes, a heart rate of 48-55 bpm can be normal for you. The skipped beats during and after exercise can also be normal, but without additional information (ECG, Holter monitor, etc.) it is difficult to say what kind of skipped beats you are having. If they are infrequent, then it is most likely benign.
Doc,
I would really appreciate it if you replied. I hope all is well. My dizziness is still occurring. When lying in bed for some reason I believe I feel it more. It’s a swaying type of sensation. Doc I really need to know if this is due to my bradycardia. Is there anyway I can know for sure that the dizziness is not due to the bradycardia? In the gym I can easily raise my heart rate to about 130 and even higher in believe when lifting weights. Thanks!
Hi sir, I am a Hypo-plastic left ventricle patient. About 3 months ago I started feeling really tired when I haven’t done anything all day. I also started feeling pain in my chest around pectoral muscles. I went to the doctor and he said my vitals were all fine. And did a 24 hr halter on me but never called me back. I now get dizzy sometimes everyday. And sometimes get shortness of breath. I sometimes get pain in left shoulder. My heart rate while at rest is sometimes 84 bpm I am 24 yrs old is this something I should be worried about?
I would recommend being evaluated by an adult congenital cardiologist, at the very least a general cardiologist. After that, the first place to start would be to get an echocardiogram and go from there.
Hi sir I am from Pakistan I am 33 year old man my weight is 114 kg my resting heart rate is 54 to 70 and activity like climb stairs and walking 105 t0 114 and when i am going to exercise like mostly walk and some times jogging my heart rate increase 110 to 145 it’s normal and last question sir what is the normal heart rate when we doing home work like dropping kids and eating food and climb a home stairs thanks a lot sir
I am 33 year old male weight 114 kg
Last one week ago I have done my echocardiography and ecg it’s normal no issue in report and kindly tell me the best heart beat of during sleeping and best of doing home work like upstairs and downstairs of house and eating food my resting beat is 53 to 70 and normal is 90 to 96 during work like home stairs and walking in home eating and workout like walking jogging is 110 to 145 beat per min is it ok sir
Yes, those can be normal heart rate ranges for you during sleep, resting, and exercising.
My bp is normally 99/56-122/75 range. Heart rate 77-100 resting. I take cardizem to suppress PVCs ..without the meds my bp is about the same and heart rate stays more in the 90s range. Is this ok?
Yes, your blood pressure is normal and a resting heart rate of 60-100 bpm can be normal as well. Without the Cardizem, your blood pressure and heart rate might be a little higher then usual.
I am 33 year old male weight 87 kg
kindly tell me the best heart beat of during running on treadmill .when I walk on treadmill with speed my HB is 165and in slow walking HB is 130, and normal walk 100 .kindly tell me best heart beat for my health .thanks
A good resting heart rate is between 60-80 bpm. A good exercise heart rate for you would be between 115-150 bpm.
Hi, and thank you for patiently answering all these questions. I’ll throw another one in, you might have had it before, but I ran out of time reading through all the questions .
I am 43, at around 56 kg I think, I don’t check anymore. I go for a 10K run 3 times a week and play tennis for 1-2 hours 3-4 times a week, been doing it consistently for about 3 years. My RHR is in the higher 50’s, but what makes me wonder is my HR while exercising intensely. During the runs it averages 170 bpm (seen it at 180 bpm once or twice) and yet I am able to carry on a conversation, going at a pace of 6.40min per km, so not super fast. When I play tennis I am often out of breath and yet when I check, I’m usually around 130-140 bpm. Is all this normal, because people keep telling me 170 is way too high and not healthy?
For you, sustained heart rates >180 bpm is probably not ideal for heart health. I would be very surprised if your heart rate was actually 180 bpm and you were able to carry on a conversation – was the heart rate measurement manual or from a monitoring device? Monitoring devices can be notoriously inaccurate, you should verify your heart rate with a manual count to make sure.
My resting heart rate is in the 40s-50s. I consider myself fairly active and healthy. I wore my Apple Watch to bed and my heart rate was consistently in the 100-120s range. what the hell is going on ? Am i just having stressful dreams or is this a condition I should be concerned about?
Wearable devices can be notoriously inaccurate. I am not sure if there is a way to visually look at the “data” obtained with the Apple Watch to decide if the information is valid or not. If true, then yes, that would be abnormal and a 24- or 48-hour Holter monitor would be needed to confirm the frequency, duration, and etiology of the fast heart rates at night. All of this can be discussed with your physician.
Doc,
I really don’t know what to do anymore. The anxiety from the bradycardia is really getting to me. Can I please explain to you something, I need your opinion. I’m 15 and my resting heart rate is generally in the 50’s and even sometimes high 40’s. My brother told me he also has a low heart rate also in the 40’s I believe. I can be in bed and have my heart rate at 48 bpm let’s say, and than it rises quickly to 80 bpm when I get up and start walking around. What does all this suggest? Thanks so much!
That can be a normal heart rate response to minimal exertion. Overall, what you are describing can be normal for young people.
Thanks Doc. I have another question, if you can please answer. My resting heart rate is sometimes in the high 40’s and usually around 50-65 bpm, I believe. Now, I wanna gain some weight because I am a bit thin. If I gain some weight will my resting heart rate go up? Do you advise not gaining weight because it will make my heart rate go up ? Thanks!
Hi I’m a 35 year old woman I been checking my heart rate for 24 hours because I been feeling alittle tightness on my chest even nausea this last couple weeks. My heart rate it’s been 82 to 90 w and going up and down from 102 to 128 while I’m resting at night laying down or sitting today its been staying at 99 to 102 the most of the day. This is with minimum activity . Just my every day cleaning etc around the house with my 3 little ones.
Do I have a reason of concern. Thank you.
Heart rate is a non-specific finding with regards to chest pain, so it is difficult to comment on the connection between your heart rates and chest tightness. Overall, I will say that your resting heart rate is on the higher side of what would be expected for your age, but nothing to be overly concerned about. You can try to improve sleep duration (6-8 hours/night), diet (whole food plant-based), and structured exercise (mild-to-moderate 3-5 days/week) to see if that will improve your resting heart rate closer to 60-80 bpm. Also, no smoking and only mild alcohol consumption if any.
Doc,
I would really appreciate if you answered this. I’m 15 years old. I got an EKG, holter monitor, echocardiogram, and blood work. All was good tg. The doctor said I was healthy tg. Today, I played basketball. When I went inside and was sitting down I felt a weird sensation in my chest that made me cough. It was what I think my heart making beating weird for one beat, I believe. Every time it happened it made me cough I think. It happened every 30 seconds or sooner I think. Didn’t happen that often I believe. I had no symptoms. Is this serious? Is it even a PVC? Thanks a lot.
What you are describing does not sound serious, especially in light of the recent normal comprehensive evaluation. It is hard to guess what you might have experienced, but you could discuss the episode with your physician.
Hi Dr. Jason,
I’m 42 years old and my heart rate is 65 bpm while my blood pressure is 130/80 at most for the past 9 months since I diagnosed with hypertension. Can I eliminate the prescribed maintenance med which is amlodipine 5 mg / daily? All my test showed that my cholesterol level, sgpt etc. is now normal. I’m also reducing my weight from 240 lbs. to 185 lbs now. Need your thought for my case.
Thank you.
Regards,
Alvin John
Exercise, dietary changes, and weight loss can lower your blood pressure (better than medications in most cases). So, I would say that if your blood pressure remains <120/80 mm Hg consistently at home for 2-4 weeks then you could discuss stopping the amlodipine 5mg every day with your physician. However, if your blood pressure increases to >140/90 mm Hg after you stop the medication then you may need to restart a blood pressure medication.
The article never answers its own question – how to calculate what an ideal resting heart rate is!
Recent studies have suggested that an ideal resting heart rate is between 50-70 beats per minute. The calculations included in the post are to determine your exercise heart rate.
Hi Doc!
So I am a fairly active, healthy 18 year old male. Granted I was having a small panic attack when I took my pulse so that could have played a part in the results. However, when I took my pulse to get my resting heart rate, I got 75/76. Should I be concerned? If I should be, what should I do about it / what can I do to bring my testing heart rate to the normal beats per minute?
For reference
Age, Sex: 18, Male
Race: Caucasian
Notes:
– Have panic attacks frequently
– Have severe anxiety
– Am fairly active and eat a pretty healthy diet, have been thinking of going on the Flexitarian Diet though.
Anything else you need to know just let me know, or email me if there are serious concerns. email: [email protected]
Thank You!
A resting heart rate of 75-76 bpm is normal, there are no obvious reasons for concern given the information you are presenting.
Im 21 years old and my resting heart rate is 55-58 bpm. I want to lower it more via exercise and running. What is the lowest bpm i can go and still remain in a better healthy position?
It is well-known that the average resting heart rate for well-trained athletes is between 40-60 beats per minute.
Hello sir
Happy new year.
I am 37 years old with no health issues but overweight. I recently had comprehensive blood tests which only revelealed marginally low folic serum and all other good(liver, kidney, etc). Recently i have been having some gastric acid reflux issues and a started eatting healthy and alkaline. Since then i noticed a drop in my resting heart rate from about 63 to 57. Also, my heart rate when laying in bed dropped to around 58-60(it was 60 70)After only 8 days of healthy diet i noticed that when running on treatmil my endurance have increased as well and it takes more effort to get to 140bpm(had to increase the treadmil speed). I had a 24h and heart ultra sound about 3 years ago and they came back fine. The only reason i worry is because i am by no means an athlete yet my numbers are low. Resting hear rate 57(smart band) …when laying in bed around 60 and sleeping min around 47. During normal activity 70-90….walking fast up to 110 and during cardio up to 140.
Any reason to worry? Can a change in diet chamge the bpm so quick? (Had a terrible diet before)
Thanks alot
With the normal evaluation that you had recently, there is no obvious reasons to worry. And, yes, positive dietary changes (especially dramatic ones as it seems in your case) can have profound immediate affects on your health including your resting heart rate.
Question
im 35 years old and resting heart rate is 51 to 54 even …. I have done a manual heart rate count and its 54 (9 beats in 10sec ) and when i check my device it shows 54 as well. please advice. tq
If you are asymptomatic, and it sounds like you are, then that is a normal heart rate for you. Recent studies have suggested that an ideal resting heart rate is between 50-70 beats per minute.
at times i do feel tired and shortage of breath…….
That is something you can discuss with the physician taking care of you.
hii i am 30 years old…recently i just checked my resting pulse rate and it was 58-65 beats per minute.previously it used to be 75-85 beats per minute.my blood pressure fluctuate between 120/80 to 130/90.is my heart beat ok in resting time?? please advise sir…
Yes, your resting heart rate can be normal for you. It appears that your blood pressure is stable and you are asymptomatic, which is reassuring.
Acutally its been 1 months that i walk 8km per day.. after i started walking daily 8 km my heart beat drop to 58 to 60 during sleeping and resting time.. so is it the reason to drop my heartbeat or there is anything should i worry about??and one last question can more exericise helps to lower heart beat?and as u said the normal heart beat ranges from 60 t0 100, same ranges of heartbeat applies during sleeping or resting time Or not? If heart beat rate falls below normal range during rest time or sleeping, there is anything to worry about or not?and is it necessary to have pacemaker of heartbeat of 58 to 65 during resting time?sorry for so many questions sir… thank you…
A heart rate of 58-60 bpm can be normal for you and your heart rate should decrease while you rest and sleep. A pacemaker is indicated for symptomatic sinus bradycardia, it does not sound like you are symptomatic.
Thank you for your prompt reply sir…
I am a 33 year old male of light-moderate fitness. 6’0″, 167 lbs and I eat mostly whole foods with moderate alcohol intake of 1-2 beers per day. I run ~9 miles per week at a 9:15 pace per mile (3 days of 3 mile runs each). My resting heart rate averages 42bpm, and my sleeping heart rate is 37-38 according to my Fitbit. My exercise heart rate is 165 or so in the middle of my runs. If I am walking around the house, cooking dinner, etc, it rarely breaks 60bpm. Should I be concerned with my low heart rate given my overall health, running, alcohol intake levels, etc? I never worried or even thought about it but my Fitbit has brought my low resting heart rate to my attention and it’s kind of freaking me out! Should I request an EKG? IIRC my blood pressure was 110/60 at my last doctor’s appt. Thank you
That can be a normal heart rate for you. It appears that you are asymptomatic and able to exercise without limitation, so that is all reassuring.
Thanks very much! I am amazed and appreciative that you have managed this Q&A for so long. Great public service.
Hi Doc,
I am a 41 yo male on 10 mg of Lisinopril for blood pressure for 6 months now. I have a heart rate of 50-60’s at night. When i get up at night to use the restroom my heart rate goes up to around 105 or so. Is this normal? I live n altitude of 7600 ft.. I walk 4 -5 times a week for 30 minutes with a hr of 100-110 wile walking. Sometimes at night i wake up with a fast heart rate when dreaming.. I had an ekg done 4 months ago and was normal. What are your thoughts? Thanks for all that you do!!!
That is a higher increase in heart rate than would be expected for that little amount of exertion, not sure how to explain that. Your exercise heart rate appears appropriate and your ECG was normal, which is all reassuring.
It seems like it happens after I eat a dinner. After I eat heart rate goes to around 80 resting. It also depends on what I eat. Can you give me any ideas? Thanks Doc!
And it only goes that high for 30 seconds or so and then comes down.
Very strange, I am not sure how to explain that particular phenomenon.
Hi,
My cardiologist tells me I have tachycardia, but can it just be anxiety? Whenever I go to doctors my hr is 110-120. I am 22 years old
My resting ekg is abnormal and has non- specific t wave changes (110 bpm), but my stress test, stress echo, and resting echo were all normal. I also had a 24 hour holter monitor that stated I had an a average heart rate of 83 with 125,000 beats in a day. 3 single supraventricular ectopies. Cardiologist says I have three epiosdes of tachycardia, during 24 hours but was infrequent. She wants me to take a beta blocker, but I dont see why this is nesscary? Are these findings normal? Can tachycardia just be me nervous while at the doctors?
Yes, your thorough work-up and 24-hour Holter monitor was reassuring. If the three episodes of tachycardia, I am assuming an SVT, do not bother you – then a beta-blocker is likely not necessary. You can discuss further with your cardiologist.
64 year old, white, female, 148 lbs., low to moderate activity level. Hypertension since age 40 controlled with medication. I have been feeling short of breath for over a year and pulmonary dr. after chest ct and pulmonary function test could not find any issue with lungs. Looking over medical records I note that my heart rate has increased. Starting in 2015 it was in the 60 range resting, then in 03.2017 it increased to 70s and 80s resting. I had a PET scan nuclear study yesterday and my cardiologist office called today and said everything looks good except one small area of my heart not getting enough oxygen, dr. not worried. I have also been diagnosed with mitral valve insufficiency. Is there any reason for concern? Is this considered normal? Thanks for any information on this. Bad cardiac family history, just wondering.
It is hard to say, changes (up or down) in heart rates are very non-specific (meaning, lots of things can cause that). In your case, I would try some lifestyle modifications like a low sodium diet and a regular structured exercise program. Hopefully, the combination of the two will help your shortness of breath.
Thank you very much for the information. I will work on exercising more.
Dear Dr. Guichard: I have the results of my PET scan and thought I would pass that on as well. Thanks for your time and the information about exercise.Procedure: Cardiac Positron Emission Tomography: The patient underwent a stress test utilizing 0.4mg of IV Lexiscan infusion over 10-15 seconds. The patient experienced stomach pressure during the procedure and received no medications. The patient had a myocardial perfusion imaging performed using same day imaging protocol, with the injection of 30.0 mCi of Rubidium-82 at 30 seconds into Lexiscan infusion, and the injection of 30.0 mCi of Rubidium-82 at rest. Imaging was performed by gated resting and gated stress technique ,.
Data Summary:
TID: 1.06
Resting EDV: 47
Resting ESV:5
Resting EF:88%
Stress EDV: 47
Stress ESV:4
Stress EF: 92%
Baseline BP:103/66
Baseline HR:70
Peak Stress BP:76/46
Maximum HR Achieved:94 .
Exercise Level: N/A .
*Pre-Stress EKG: Normal Sinus Rhythm .
*Stress EKG: Normal Sinus Rhythm , No ST changes.
*Arrhythmias observed None .
*Resting Left Ventricle size Normal .
*Peak Stress Left Ventricle Size Normal .
*Right Ventricle appears Normal .
*Post stress global LVEF is Normal .
*FINDINGS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%).
2. Normal wall thickening.
3. Normal LV systolic function..
*CONCLUSIONS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%). Low risk stress test.
2. EF 88%
3. Normal LV systolic function..
Assessments
1. Anginal equivalent – I20.8
Yes, the stress test is reassuring.
Dear Dr. Guichard: I found notes from an echocardiogram I had 2 years ago. I recently had another but do not have those results yet. I am pasting the information. It mentioned mild pulmonary hypertension. Your thoughts on next steps…one person recommended a 2nd opinion. Thanks much. Have a good weekend.
Reason for Appointment
1. Patient follows up from September 2017 for chest pain and valvular heart disease.
History of Present Illness
LVEF Recordings:
Based on – ECHO.
Ejection Fraction
Result (%) 60
Date : 04/19/2018
Electrocardiogram (ECG):
The electrocardiogram (ECG) was done for cardiac evaluation 09/15/2016.
Follow-Up Visit Note:
Patient is a 62-year-old female
With history of valvular heart disease, hypertension and hyperlipidemia comes today for follow-up.
Since last appointment she has been doing very well and denies any symptoms of orthopnea PND. No symptoms of exertional chest pain or exertional dyspnea. No symptoms of palpitations. No episodes of syncope.
She had an echocardiogram last year at Shands hospital and I reviewed the report. LVEF is 65% with trace MR and mild pulmonary hypertension. I discussed the test results with her.
She was switched from atorvastatin to rosuvastatin and since then both her LDL and triglycerides have improved. She denies any further episodes of angina.
Vital Signs
Wt 159 lbs, Ht 61 in, BMI 30.04 Index, BP 98/83 mm Hg, HR 83 /min, Oxygen sat % 98, Wt-kg 72.12.
Examination
General Examination:
GENERAL APPEARANCE: in no acute distress, alert.
NECK/THYROID: neck supple, full range of motion, no cervical lymphadenopathy .
HEART: regular rate and rhythm, S1, S2 normal, no murmurs .
LUNGS: clear to auscultation bilaterally .
ABDOMEN: soft, nontender, nondistended, bowel sounds present, normal .
Extremities no clubbing, cyanosis, or edema .
NEUROLOGIC: nonfocal, motor strength normal upper and lower extremities .
Assessments
1. Mitral valve regurgitation – I34.0 (Primary)
2. Chest pain – R07.9
3. HTN (hypertension) – I10
4. HLD (hyperlipidemia) – E78.5
Everything looks reassuring. The mild pulmonary hypertension can just be monitored, you are symptomatic and it appears that your right ventricle is normal as well, so there is no need for any therapeutic options at this time. I would suggest continuing a mild-to-moderate exercise program and a healthy diet (a BMI <25 would be ideal).
I am a 35 year old male, 5 feet 8 inches. 194 pounds and live a sedentary lifestyle.
I have a fitbit and manually check to make sure its accurate.
My normal resting heart rate is around 60-75 when laying down, which I feel good about.
When sitting upright it is usually between 77-86
When standing it is usually around 88-96
and when walking around It is usually 95-130
Is it concerning that it sometimes hits as high as 130 bpm for just walking? (I don’t notice any symptoms but I feel like 130 is a bit high for just walking)
Also if I take a hot shower it gets slowly climbs from 90ish all the way to 130 over course of 10 mins so I usually get out of the shower once it hits 130 and it will begin to lower back down.
I saw my doctor and she wasn’t concerned at all about any of the numbers and no tests were performed but she did say I should start walking 30 mins a day.
Any thouoghts?
Yes, the heart rates are not overly concerning but starting a structured, regular mild-to-moderate exercise program would be a good idea to improve overall health.
I am 43 years old female and normally my resting heart rate is 60bpm. On my most recent workout at F45(HIIT) gym, my heart rate reached 180 bpm and I had shortness of breath and dizziness. After my workout, I had a throbbing headache and my heart rate stayed at 100bpm for 6 hours. Eventually it came back down to 80bpm but i still feel light headed. For the last 3 days, my resting heart rate is between 80-100bpm. Is my heart ok? Should I go see a cardiologist?
I am not sure how to explain your symptoms. I would stay well-hydrated, well-rested, and take a break from exercising for 48-72 hours. If your symptoms do not improve, then it would be reasonable to talk to your primary care provider.
Dear Dr. Guichard,
Thanks for the quick response. =) Yeah I’ve been taking it easy the last 3 days but my heart rate is still higher than normal. When i woke up this morning my blood pressure was 139/70 and heart beat was 106 bpm. Normally my blood pressure is 80/60 and heart beat ~65bpm. I didn’t expect it to be high since I didn’t do anything strenuous. I will schedule a visit to a cardiologist.
Thank you!
I have noticed lately that my resting heart rate is a little bit higher. Because of my Apple Watch, I have noticed my heart rate being anywhere from 70 to 90 during sleep it even gets up to like 92 and stays there for about an hour during my sleep. In the past if I look at my logs it was in the high 60s low 70s. What would cause this increase?
That is a difficult question to answer, as many things can affect your heart rate. One potential issue that may need to be evaluated would be sleep apnea, you can discuss this further with your physician.
Hi Doc,
I’m 18 years old and a week ago I took my pulse in rest, maybe for the first time in my life, and it was 43 bpm before sleep. When I knew that normal resting heart rate was 60-100 it freaked me out. I’m usually at 45-50 bpm while sitting on the sofa doing nothing, but before sleep it goes down to 40-45. I’ve never had any kind of symptom and I feel great during the day and even doing physical activity, however, I’m sedentary and inactive. A year ago I did a stress test and a EKG and everything was fine. Are those bpm normal for me? What if i practice a sport and those bpm get lower?
Yes, that can be a normal heart rate for you. Lack of symptoms and a normal stress test and ECG are reassuring.
Dear sir. Iam Sameer 38 yrs old taking telmisartan 40 my once a day in morning for my hypertension. Does telmisartan induces palpitations which I sometimes feels while running. I only feel palpitations like feeling during running that too occasionally. Does telmisartan induces it.
No, telmisartan does not cause palpitations.
I’m 65 and in good condition. I just did a 4.36-mile bike ride (with intermittent sprints) in 20 minutes, average speed 13mph. My pulse directly after was 114. What should it be after five minutes of rest? I did a heart stress test a few years ago and I recall them measuring how the heart rate was slowing down after in increments after the max exercise. Are there guidelines for this?
A reduction of 15 +/- 5 bpm at 10 seconds and 30 +/- 10 bpm at 1 minute are both markers of good heart rate recovery.
Hi there
I’m a 27 year old female weighing in at 95lbs. I have never been tested or diagnosed with tachycardia despite mentioning abnormal heart rates since I can remember. I do have a heart murmur but it has been determined as harmless. Daily I experience elevated bpms in a resting condition ever since I can remember. Always between 120 and 157.
Should I be pushing to have more tests done?
If you are having daily intermittent resting heart rates into the 120s-150s, then you could be experiencing a supraventricular tachycardia (SVT). It would be reasonable to have a 24- to 48-hour Holter monitor to evaluate your fast heart rates.
Hello – I am a 36 year old female, 240lbs on losartin potassium for high blood pressure. Occasionally I go through periods where I just feel “off” maybe a little dizzy and lack of focus, and a sharp pain in my back. When this happens I check my heart rate and it tends to be in the 50s. This causes me to begin to check my HR more frequently (i begin obsrssiving over it) and I tend to see it in the 50-60 range and sometimes when laying down upper 40s. This really freaks me out. I have had numerous ekgs done that appear normal but have been told there is a right bundle branch block that neither my Dr or the ER Dr seem worried about. Could the lower HR be from the branch block? As I type this I lay in bed scared to go to sleep with my HR in the low 50s. Any advice or thoughts would be appreciated.
No, the right bundle branch block (RBBB) will not specifically lower your heart rate. Certain specific heart blocks and progression of existing heart blocks could your heart rate, but this does not appear to be the case for you. It can be normal to have a lower heart rate when you sleep (even into the 30s, 40s, and 50s). I would defer to the physician taking care of you for further evaluation and management if needed.
Hi Doc,
What is normal blood pressure in the age of 29? Mine usually is under 100/65 and 90/60. Is this totally normal? Also when I lay down it goes more bit low.
Yes, that can be normal for you – especially if you are asymptomatic. Laying down can also lower your blood pressure.
Hi,
Sex: male
Age:29
Background: African black
I am always worried about My heart rate, I get palpitations maybe 2-3 a month. I have had at least 6 Holter monitors which have all come
Back fine. What worries me is my resting heart rate which is around 54-58 when laying down on my bed or playing games (Xbox) or pc work, when walking around and running it picks up. My blood pressure when last read was 147/92 in March but I was also very anxious I weigh around 14 stone and my bmi was 26.1.
My cardiologist is not one bit worried about the low heart but I’d keeping on me because of the palpitations.
But I guess I want to know is the low heart rate an issue ?
Thanks
With everything you are describing and the normal evaluation to date, it is reassuring that your heart rate is normal in your case. I would defer decisions to the cardiologist taking care of you, but I would say that your low heart rate is not an issue at this time.
Hello Dr. Guichard,
I was wondering if change in hormones (especially near menses) plays a role in one’s resting heart rate? I am a 44 year old, very petite and small build female. I excercise weekly (minor weigh lifting, squats) and weekly walks. I noticed I get palpitations around the time of my period (sometimes weeks before) and was wondering if fluctuating hormones play a role in resting heart rates. I noticed my resting heart rate to be higher in the morning before excercise (i., 100-122 bpm), and then it is back to a “normal” rate between 67 and 97 bpm. I’ve had an EKG and wore an heart monitor for a a few weeks, and my cardiologist found nothing. This was a year ago. I don’t seem to have additional symptoms associated with the palpitations. I also had blood work done which came out normal.
Yes, that is a known phenomenon and can be benign. You can just continue to monitor your heart rate at this time.
Hi. I am a 27 year old female weighing about 110 and 5’5”. My heart rate is usually at about 100 bpm. Sleeping and Resting it doesn’t seem to go much lower. I don’t seem to go much higher than 130bpm even during High activity. But after standing up even if I only sat down briefly, I find that I frequently have to sit right back down or lean over to prevent myself from what feels like I may be close to passing out. My vision goes dark as I get dizzy and sometimes I feel a wave of nausea. I usually will feel either very warm or sometimes the total opposite. I thought maybe it was my blood sugar dropping or spiking, but recently I had been told that it might be my blood pressure dropping. It happens repeatedly throughout the day and it makes me feel like I am exhausted. I don’t have insurance so I really cannot afford to just go in to have it checked out like I want to do… but I feel like this is impacting my daily life because I can’t get as much done. I fall asleep very easily. Within moments of closing my eyes. Even if I have already slept more than enough I will still go right back to sleep immediately if I don’t get up. and I sleep very hard. It is common for me to not hear my alarms going off. Sometimes I wonder if I just won’t wake up at all the next day….
Thank you for your question and I am sorry to hear about your symptoms. Even without insurance, it would be advisable to find a primary care physician and obtain basic lab work (including thyroid function). It is possible that some of what you are describing could be treated with medications. I would also buy a blood pressure cuff, if possible, and also measure your blood pressure during these episodes. That would also be helpful information for your physician.
Hi, I’m 32, 240lb, I’ve noticed that during the night my Apple Watch recorded that my heart rate drops to 35-38 bpm. Should I be concerned? Once I get started with my day I’m between 60-100bpm depending on what I’m doing.
It can be normal for heart rates to be lower at night. If you have a normal heart rate during waking hours and with exercise, then the lower heart rate during sleep can be normal for you.
Hi. I’m 31 yrs old, 6’2, and 230lbs. Sometimes when doing chores around the house for 10mins or less my BPM will go to 135 and even 140. I’ve had my cholesterol checked and my HDL is 100 and LDL is 170. I’ve been working on eating more vegetables and less red meat. Is this a normal heart rate for a guy my age? And also if my heart rate goes up that high if I’m just watching tv or playing video games should I be concerned?
That is a slightly higher heart rate during mild exertion than would be expected for your age. It seems like your cardiorespiratory fitness is likely poor. I would suggest improving your diet and starting a mild-to-moderate exercise program with resistance training.
Hi doc, 35 year old male here. I have been having a low heart rates in the 50’s for quite a few months now and it’s really making me worried, I went to the emergency department one evening with a heart rate of 51bpm they kept me there till morning. All blood work they did was normal plus ecg, The doc even told me it went down to 43bpm while I’m in deep sleep but they couldn’t find anything wrong with me. I was told to do follow up with my GP which I did but he doesn’t seem to be concerned about it. I once had a stress test about for years ago because I thought I was having heart palpitations but also came back normal on treadmill. Just wanna ask you if I should be worried or not. Thanks
If you are asymptomatic, then the low heart rates are likely normal for you especially if your heart rate increases with exertion and exercise. It sounds like the evaluation by the ER and your GP is overall reassuring.
I’m 50yo male with no health conditions other than cholesterol levels are borderline between normal and high. BP is about 115 over 70.
My resting heart rate drops as low as 37 at night when sleeping and is below 50 for most of the morning before lunch, then stays below 60 for the rest of the day. SpO2 is over 97% pretty much always.
No symptoms other than very hard to wake up in the morning and general sense of lethargy until after lunch. I get about 8 hours sleep.
I’m not so much worried as wondering what tips people might have to get RHR up in the mornings. I have such low energy that I don’t get much done until the afternoons/evenings.
It would be reasonable to obtain some blood work to make sure your blood chemistry, blood counts, and hormone levels are normal.
Hi I am 33 years old female…I do walking and yoga regularly 5 days a week and I am mother of 5 yr old twins.
My RHR used to be 54-56 range but last couple of days it increase to 57-59. Is this bad and any reason for this.
That is a very small and likely insignificant increase in your resting heart rate. I would not worry and continue your regular exercise program.
I am 50 years old and lately my resting heart rate has been dropping to the 40s . Is this normal?
Yes, that can be normal for you, especially if you are asymptomatic. However, having basic blood work and hormone levels checked would be reasonable.
I alway get heart palpitations and my bpm usally go higher than 100 bmp thought the day. It’s that normal
It is not normal to always have heart palpitations and a heart rate >100 bpm during the day without exertion or exercise. It would be reasonable to discuss this further with your primary care physician.
Hi Dr Jason
I’m 32 years old, normal BMI at 18.5. I experienced tachycardia episode few months back, I went to cardiologist. He checked all blood test, thyroid function and echo all come back to normal and diagnosis was sinus tachycardia. My resting heart rate is 65-75, HRV 32ms however when I do normal activity in a day like working, walking or house chores it will jump to 100-120 that last for few mins then go down again below 100. However this heart beat jump happened quite often in day, sometimes I feel palpitation too. Is this something that I should worry about? should I drink ivabradine? any side effect on ivabradine
appreciate your help, thank you
No, I do not think this is anything you should worry about – especially given the normal evaluation by your cardiologist. Corlanor (ivabradine) would not be very useful in your case, I would not recommend a 32 year old being on a lifelong medication that would likely not provide any benefit.
Thank you Dr Jason 🙂
Few more questions
– Is Holter test necessary for me?
– Sometimes when I’m so stressed. My heart rate will go around 100-115 that will last for 1 hour. Can I just drink corlanor when my HR went high?
– During palpitation I feel light headness? is it normal?
– Can this sinus tachycardia went away without any treatment?
The Holter monitor is up to you and your physician, based on your symptoms. Corlanor is not a liquid and is not used as an as needed medication for sinus tachycardia. That can be normal feelings with palpitations. Yes, your resting heart rate can improve without medications – diet and exercise are two important components.
Hi I’m 21 years old using my Fitbit, I’ve noticed my heart rate when I’m awake resting is around 54-60bpm when it used to be around 60-70bpm and I’m feeling more fatigued than normal and dizzy when I stand up. I’m just wondering if this is normal? I try and do 30 min workouts each day and eat relatively good avoiding caffeine as it doesn’t agree with me but when I drink alcohol,as a normal 21 year old, my heart rate is in the 100-120bpm same as the morning after if not faster. I’m wondering if my heart rate is now irregular
It is hard to say based on what you are describing, but some basic blood chemistry, blood counts, and hormone levels would be reasonable for further evaluation.
Dr. Guichard,
I am an active 36yo woman. My resting heart rate is between 62-66bpm, depending on where I am in my cycle. (Heart rate drops into low 50s nightly.) My husband was worried about my heart rate during exercise, since it has jumped up to 199bpm while running. It seemed too high for how i was feeling (breathing heavy, but no shortness of breath or chest pain), so I verified it manually. Manual heart rate check is always within a few bpm of my fitbit. PCP said “you’re young and active, everything’s fine” without doing any tests besides CBC, TSH, and ana (mom and sisters have autoimmune diseases). OB/Gyn tested TSH and hormones about 6-8 months after PCP said everything was normal. Prolactin was elevated, so referred me to an endocrinologist. Endo ran more tests and everything came back within normal limits, and he said “you’re the epitomy of health, not sure why you fluctuate between feeling hot and cold and heart rate is jumping so high”.
I completed a sprint triathlon last year (after PCP said everything was fine) and still run or cycle 3-6x each week. Heart rate still jumps almost immediately to 150bpm while cycling and 170-180bpm running and is maintained for as long as i exercise (30-50 minutes). Heart rate of 130-140s while walking.
Last year when my mom had a stress test, they commented that her heart rate jumped almost immediately and then didn’t rise more than20 points during the whole stress test. Dr said it was unusual, but not a problem. Mom has autoimmune diseases, was diagnosed with lupus in the ’90s, but since told she doesn’t have lupus markers, but not sure which autoimmune disease it is as of yet, but does also have Inclusion body myositis. 2 sisters have hashimotos.
I often get up and almost pass out, dropping to my knees to prevent the tunnel vision from closing and losing consciousness completely. This can happen between 1-12x/day and is annoying. Happens more frequently after menses, but drs say I’m not anemic and that all my labs are wnl.
Sorry, I know this is a ton of information. My question is do you think I need to insist my Dr run more tests? Or am I ok? what could be causing my heart rate to be so high? What tests, if any would you recommend?
It sounds like you have had a thorough work-up and evaluation by your physicians. And, based on all that information, I would agree with them that everything looks OK. I would not recommend any further testing at this time. Now, I am not sure why your heart rate increases so quickly with mild exertion or why you obtain a super-normal elevated heart rate with extreme exercise. I would recommend keeping your heart rate between 156-176 bpm when you do prolonged (>30 minutes) intense exercise.
Hi Doctor, I’m 50 years old, I’ve got cardiovascular disease , I’m having 5 stents in my heart for right coronary artery and small LAD, no heart failure, no ischemic signs. I’m using 1/2 tablet of concor 2,5 mg every two days. I bike every day 60 minutes. I use Apple Watch to monitor my heart rate. My resting heart rate were usually 61-62bpm, but for the past few months it decreased to 56-60 bpm. Before, my heart rate during exercise ranged from 65 to 110bpm. But since the beginning of this week, my heart rate during exercise is 70 – 85bpm with the same workout routine. I feel tired, especially at the end of the day. I want to ask if concor is causing this symptom or is my cardiovascular problem progressing to heart failure?
Yes, I would definitely ask about the Corlanor (ivabradine). It doesn’t sound like you have a strong reason to be on the medication, so that would be easy to stop. You can discuss that with your physician and see if your symptoms improve.
Hello Dr. I’am a 24 yeal old male, I used to go twice per week to the gym between january and march. Recently I had a tachycardia episode and did a holter, with ok results. But I do have palpitations litteraly everyday when I stand up, when I drink water, if I sneeze, If I lay my chest down and up again… My resting heart rate is good, between 50-80bpm but when I stand up it increases to 100bpm, sometimes a little bit more, and settles back down after a few minutes. Shouldn’t it only increase 10 to 15 bpm when standing? I can have 60 bpm sitting and when I get up it goes to 95bpm 100bpm. It seems to be worse in the morning when as soon as I get out of bed, my heart rate increases to high 90s 100s bpm. The palpitations do bother me a bit. I dont believe it is POTS or my symptoms would be worse and a sustained tachycardia upon standing, which does not happen. What could it be?
I am not sure, but you are right, that is a significant increase in heart rate after just standing. I would continue to monitor it closely, hopefully things will improve on their own, and stay well-hydrated.
Can’t seem to regulate my heart currently and don’t know if I have a serious problem. EKG’s haven’t picked up anything abnormal. Known hypertension take a low dose 10mg of lisinopril daily. Noticed i am quite erratic. Noticed having 100/110 bpms while having a pressure of 105/76 for example. Pressure seems to be lower when heart rate is higher. Also feeling very worn down after little activity. Sometimes short of breath when heart rate over 100. Been getting lightheaded also at times. Came back from grocery store today and heart rate was at 121bpm and felt wiped out and kinda sickly. After about 5 hours it still is just over 100
Seems like a supraventricular tachycardia (SVT) could potentially be the issue, a 24- or 48-hour Holter monitor might be reasonable in your situation for further evaluation. I would discuss this with your physician.
Hi Dr. Guichard,
(Sorry if this is a double question, not sure if it posted)
But I’m a 31 year old male, used to workout and play basketball a 3-4 times a week before corona virus shutdown. Been very active my whole life and was a college athlete for 4 years. I still try to workout now from home the best I can. My resting heart rate on my fitbit is in the mid 40s and gets to high 30s while sleeping. I can get it up to 170s while going extremely hard while exercising. I sometimes will get lightheaded when going from laying down to standing up too fast. Also would feel some tightness in chest on and off throughout the day so me being me I tried to self-diagnose it online and drove myself crazy. So I told my doctor about it. I had EKG done for bradycardia and machine read it came back as sinus bradycardia, early repolarization, and voltage criteria for LVH. So my doctor ordered an echo and that came back normal with no evidence of thickening of the walls or anything and ejection fracture was 60%. He told me my heart was fine and the findings were normal and he says I’m worrying a little too much causing anxiety and stressing myself out. My question is even after the echo, is that enough testing or should I still be concerned of the low heart rate and what the EKG picked up?
Thanks a lot in advance
Yes, no problem, I answered this previously. Your heart rates during sleep, rest, and with exertion appears to be normal for you – especially with you being asymptomatic. With you getting lightheaded when going from laying down to standing up too fast, make sure you are staying hydrated.
Hi Doctor, I applaud you for your patience and the fact that you’re sharing the insights to create more awareness around.
I’m very actively involved in running and do weight training too.
Recently I felt in very good form, and infact I achieved my personal best for 5 km – 20:10 on last Monday [easily under 20 minutes at proper place] which I’d been eyeing since last year.
I commute to the park by walking, after that fast run I was very happy and felt fresh, I came back home relaxed.
But after some time, I started sweating and felt discomfort in the chest.
It occured to me to check my heart rate manually, it was around 90, later it came down to 80, and then just under 70.
I’d a good sleep, and rested for 3 days, I did light weight-training on Thursday which went fine.
On Friday, again I went for run to check how it goes, I felt pressure and something bothering me so I did run + walk.
After I came back home, the heart rate was 120, and came down to 100 – 90 – 80 – below 70 again around that time.
So I thought it would be wise to rest as yet,
I’ve been taking a large glass of black coffee twice a day since many years.
Just yesterday when I’d it in the morning, I didn’t feel anything, but in the evening (5 PM) it got me very uncomfortable, at 5:30 PM I checked my heart rate manually, it was
88, Then by 7:30 PM it started dropping and came to 61.
Should I be concerned about this and go for ECG or Lipid profile test?
Thanks and regards.
I am not sure the exact reason for your symptoms. I would recommend that if you continue to have exertional symptoms (i.e. symptoms with exercise), then I would discuss your symptoms further with your physician.
I am a 58 year old South Asian male with diabetes since 2013. For the past ten years I have adopted a healthy life style and I do regular work out. Once a week I do extremely heavy work out and I have developed my own protocol which goes like this. Since I am 58 so my age predicted maximum heart rate happens to be 162. So I subtract 10 out of it and then aim for a pulse rate of 152. After a 5 minutes of warm up I start running and push my heart rate to 152 and when my heart rate crosses 152 then I slow down until my heart rate slows down to 132 or below. Then again I increase my exercise intensity until I reach 152. I continue this cycle for one hour.
But last year sometimes, I felt heaviness in the chest when I used to approach the heart rate of 150 for the first time. This heaviness would remain for a couple of minutes but I used to continue and the heaviness would automatically disappear. So I mentioned this phenomena to my physician during one of my visit and then he referred me to a Cardiologist. Then I underwent normal ECG which was normal. Then I had Echo-cardiogram in Sept 2019 which too was normal. Then in Nov 2019 I underwent stress test with ECG as well as nuclear perfusion study. The stress ECG showed a minor ST deviation which was less than 1mm. But nuclear perfusion report was abnormal as below:
a) Ejection Fraction 63% during rest and 50% during stress
b) Infarct in the apical segment of the antero-lateral wall
c) Ischemia in the mid segment of the antero-lateral wall
d) Ischemia in the apical segment of the infer-septal wall
The report was a total surprise to me since I never had any kind of chest pain during my entire life. The only episode I can recall was in July 2000 (almost 20 years ago) when I had strange chest burning sensation after a heavy mean when I had lied down in my bed. This sensation remained for about 15 minutes and then disappeared. I had echo done during the next week and was told that my heart function was normal. Was this a heart attack? I still cannot be sure.
Anyway, I eventually underwent Heart Catheterization procedure in January 2020 and the report is as below:
a) LAD: Large Caliber. Moderate irregularities Proximal & Mid. Moderate ectasia Proximal & Mid. 50% Stenosis Proximal & Mid
b) RCA: Large Caliber. Moderate irregularities Proximal, Mid & Distal. 40% Stenosis Proximal & Mid
I am yet to see my Cardiologist after the above test.
My question is whether I should still continue high intensity workout with the specific protocol which I mentioned above. Or should I limit my exercise to 70% to 90% regime which you have mentioned in your article. I will greatly appreciate your kind reply. Thanks
You should limit your exercise to 70-90% of your maximum predicted heart rate. I am sure your cardiologist will have additional recommendations and medications to start to prevent further blockages.
Hello. I am a 33 year old female. I weigh 179 pounds and am 5’1. I suffer from anxiety, but I am currently taking steroids for an inner ear infection that is inflamed and bulging. My heart started racing and beating 140 bpm. I told my doctor and he told me to lessen the amount of steroids I was prescribed. Either way, sometimes my resting heart rate gets to be about 140-150 bpm. It may be from my anxiety, but how many bpm is considered dangerous? I’ve had heart tests every year for the past 3 years and they’ve always been normal. I’ve had ECG’s, sonograms of the heart, stress tests, etc. My blood pressure has always been normal. More so on the lower side I’ve always been told, but doctors never seemed concerned. When I get the fast heart beat, I have no other symptoms other than my anxiety. But this particular situation with the steroids concerns me. My doctor said to not worry because the heart rate will slow down. He prescribed me methylprednisolone. 4mg. You’re supposed to take 6 pills the first day, 5 the next, then 4, and so on for 6 days. I had already taken 4 on day one before starting to feel my heart racing. Doctor told me to not take the last 2, which I didn’t and to only take two pills twice a day for 6 days instead of following what was prescribed. He said that this way, I shouldn’t experience the side effects. Could be my anxiety making it worse as well. I used to take Zoloft, but have stopped over a year ago and am trying to self-control my anxiety. I just want to know what the dangerous heart rate per minute is with my current age, weight and height mentioned above. I have an office job. I get very little exercise during the day. Other than housework and taking care of two young boys (my kids), I don’t exercise. I don’t have the healthiest diet either. Thank you.
For someone in a normal sinus rhythm, there is no dangerous heart rate per minute – your body naturally prevents that from happening. However, if you are not in a sinus rhythm, then certain fast heart rates can be concerning. Given your normal work-up and evaluation, I am assuming you are in a sinus rhythm, so there is nothing to worry about at this time and the elevated heart rate is likely due to the steroids.
I am a female, 43 years old. I am walking 4 or 5 km a day or run 2 to 3 Km a day. In two occasion two weeks ago when I went for a run, my heartbeat achieved 192 but drop to 110 quick when I stopped. My resting heart rate it was normally between 60 and 65, however, the las three weeks has been dropped to 51 to 55,with a low rates of 47 in some moment during I was sleeping. I am feeling a little bit dizzy. Could be this a problem? Should I visit the doctor?
You can have low heart rates, especially when sleeping. However, if you are starting to feel symptomatic then it would be reasonable to visit your doctor at least for an ECG and some blood work.
Hi Dr jason
I’m female 32 years old with normal weight. I’ve been diagnosed with sinus tachycardia, doctor check all possibility underlying cause but couldn’t find anything. Blood test, troponin, thyroid and echo all result is normal
I experience palpitation sometimes. My resting heart rate at 65 but my daylight heart rate hovering around 85-130
Is sinus tachycardia dangerous? Can i do something about it?
No, sinus tachycardia is not dangerous. We have discussed inappropriate sinus tachycardia (https://myheart.net/articles/inappropriate-sinus-tachycardia/), you can read more for further information. Improving cardiovascular conditioning by exercise training can be helpful in your case.
Hi, I am a 59 yo female with a resting heart rate of +- 92 bpm. Fairly active, gardening, going for walks etc. weigh 64 kg. Blood pressure +- 98/60. Should I be concerned? Always had low bp but high bpm is fairly new.
Many thanks.
I am not sure how to explain that. You can try a low salt, whole food, plant-based diet and a structured mild-to-moderate intensity exercise program with resistance training to optimize your cardiovascular fitness and see if that improves your resting heart rate.
Good afternoon, I have been concerned about my heart rate lately. Last April I believe I had a panic attack after going out for a walk, probably due to the pandemic. My heart was beating so fast I went to the hospital and since then I made several exams, an holter monitor, an echocardiogram and a stress test. All of them came normal, only the holter revealed some minor periods of sinus arrhythmia and medium frequency of 66bpm and periods with discreet unspecific changes in ventricular repolarization. Iam a young 25 year old male and used to exercise twice per week before last April, my general doctor told me everything is ok with these results. However my heart rate when I stand up is usually around 100bpm just walking around the house, I get palpitations on my throat, sometimes I can even see my pulse in my stomach, even my T-shirt pulsates and I get scared, usually feel lightheaded when standing up. When Iay down my heart rate goes back to normal 60/70. Can this be due to anxiety? I find odd that my heart rate goes to 100 or more with minor activity like a change in posture or moving around the house, it seems like my heart exaggerates… can it be thyroid related or even parasympathetic nervous system exaggeration?
It is difficult to say, I am assuming that your evaluation was through and normal from what you are describing, so there are no obvious answers to your symptoms. What you are describing is similar to postural orthostatic tachycardia syndrome (POTS), but this is a diagnosis of exclusion. You can read more about POTS here: https://myheart.net/pots-syndrome/
I am 57-year-old male when I go out to wash my car, nothing to physical when washing a car why does my heart rate shoot up till like 133, but when I do go in the house and sit down in a certain amount of time it seems like it will finally come down to about 100, is it normal when you’re walking around the car slowly just holding a hose and rinsing the car off for the heart rate to go up to 133. Growing up I’ve always had an elevated heart rate in the high eighties to 90s as far as I can remember which started around in my 30s, I’ve had tons of ekg , which came back normal
From what you are describing, the quick rise in heart rate with minimal exertion is suggestive of poor cardiovascular fitness. I would suggest a whole food, plant-based diet and a structured mild-to-moderate intensity exercise program with resistance training to improve your overall cardiovascular fitness.
Hi Dr Guichard,
Usually my sleeping heart rate is consistent of mid to low 50s but the past week it’s been all over the place. It’s any where from 80 to mid 50s. Mainly in its high 60s. What does a sudden change in sleeping heart rate mean? I did have a ekg done as well as an echo a few months ago and everything came back good…
I am not sure, there are many things that can affect your sleeping heart rate including seasons, temperature, and stress, etc. I would continue to monitor and hopefully it will return to normal in the coming weeks, your normal work-up thus far is reassuring.
It went back to normal and now it’s back up. For the past week my heart rates at 80 to mid 60s when sleeping. It’s just very unusual to me. I did not know the season and temperature played apart.
Hello, I’m 21 years old and my RHR is around 90. Should I be concerned and be checked by a cardiologist? What can I do to help lower my RHR?
Thanks! 🙂
A resting heart rate of 90 bpm is still within normal range, being evaluated by a cardiologist is likely not necessary. Improved dietary changes and starting a mild-to-moderate exercise program with resistance training can improve your resting heart rate. For your age, a resting heart rate of 50-70 bpm would be preferred.
Hi Doctor,
My age is 31. I have checked my pulse rate twice. once it was 107 & next time it was 100.Please suggest what to do.
If your heart rate remains >100 bpm at rest for the next couple days, then it would be reasonable to have an ECG to evaluate for a sinus (i.e. normal) rhythm or other heart rhythm.
Hi, I keep fit regularly cycling, running, walking, and tend to race weekly.
I am 37 years old and was looking through my heart rate data for the last 5 years.
My max heart rate has not change in this time and at peak efforts (generally sprinting at the end of a race) my heart rate peaks at 205bpm.
I know this is high but I was more surprised by the fact it has not decreased at all in the past 5 years.
My resting HR is between 38 and 42.
My VO2 max is over 50.
Is my heart rate peaks anything to be concerned about?
No, the short duration of your heart rate peaks are acceptable. However, I would avoid prolonged activity (>30 minutes) that keeps your heart rate >180 bpm.
Hi, I am 27 years old. I noticed in my fitbit that my resting heart rate varies from 77-82 when I am sitting. But when I sit and meditate it goes to 65-70. In morning when I wake up it was between 67- 70bpm. Also, when I took a 5min stroll around the house, it reached to 108bpm. And when I sat down it is 83bpm. Is it fine?
Yes, the heart rate variability that you are describing can be normal.
Hi! My name is Teonna and I’m 20 years old. I hike 3-5 days a week and I’ve noticed that my resting heart rate is around 63 (according to my Samsung smart watch). However, during lunch breaks on my hikes my heart rate has dropped down to 35 a couple times. When I sleep my lowest heart rate is around 45.
I just thought these were a little concerning.
Thanks!
A heart rate of 35 bpm with activity would be a little low, I would suggest checking your heart rate manually to confirm. A sleeping heart rate of 45 bpm in a young person can be normal.
Hi, I’m a 22 y/o female and my heart rate is around 115-120 almost constantly it seems. I’m currently seeing an endocrinologist to figure out which thyroid disease I have – likely an overactive thyroid on top of my regular anxiety. My family also has a history of heart disease, though. In the meantime, should I be worried about my heart rate & seek urgent care? Or should I just wait to figure out my thyroid issue?
A resting tachycardia (>100 bpm) is not normal, so seeking further evaluation is appropriate. If you are asymptomatic, and it seems like you are, then it would be reasonable to wait until your endocrinologist diagnoses a possible thyroid disorder.
Hello, I’m a 39 yo male, who runs about 4-5 days a week (for a total of 60-70Kms aprx 40 miles), and although I’m not tryingo to be above 90% of heart capacity, I use to run (in average) about 150-160, my rest heart is between 42-45 most of the nights and restinf siting 52-57 mostly, so I guess I’m not in bad shape.
But I’m concerned about if after 9 years of running I may be running too much. (Lately I’ve also added sime hills 1500 feets twice os 3 times a week).
Thanks & regards.
Running too much…that is a hard question to answer. We do know that excessive amounts (i.e. prolonged exercise sessions) of extreme high-intensity exercise is likely harmful. However, very few exercise enthusiasts likely reach that level. I would recommend keeping your heart rate at less than 90% of your predicted maximum for prolonged periods of time and do not exert yourself to complete exhaustion, I think those are some general common sense guidelines that will keep you on the right track.
Hello,
I have BAV(mild to moderate), a 3.8 dilated aorta and occasionally tachycardia since i was born.
Just wanted to know if you could elaborate on when i should be concerned about a low heart rate? Resting I’m usually in the mid 40s, but have dipped into the 30s in some cardio tests/meetings. Also since i was a kid, sometimes when i bend or move awkwardly my heart will get stuck in this tachycardia where my heart rate jumps to the 100s. It usually lasts 10-15 seconds but sometimes a few mins. I get tested every year with a stress test, echo, ekg, and I wore a monitor 2 years ago for an entire day. The cardios have never seemed worried about my heart rate. Yet still i have some anxiety and the occasional panic attack when it comes to my heart rate(probably irrational?)…
any advice that might calm me down on this a bit would be helpful.
If you are asymptomatic and able to exercise, then everything is likely alright. I would have to defer to the physicians that are taking care of you every year about any particular concerns that you may have.
Is it safe to take xanax if you have low heart rate in 40s and sometimes even 30s?
Yes, that should be fine. Xanax does not directly affect your heart rate, however, there are better benzodiazepine medications (or other classes of medications in general) for anxiety. I would discuss this further with the physician that prescribed the Xanax.
Hi. My resting heart rate is between 50 and 56 during the day. Once droped to 49.
Exercise now and again, but i do walk a lot. Im 29 year old male. Havent noticed any symtoms.. is this normal?? Worried it will drop too low in my sleep.
Thanks.
Hi. My resting heart rate is between 50 and 56 during the day. Once droped to 49.
Exercise now and again, but i do walk a lot. Im 29 year old male. Not overweight. Havent noticed any symtoms.. is this normal?? Worried it will drop too low in my sleep.
Thanks.
Yes, that can be normal for you. It sounds like you are asymptomatic and able to exercise without any limitation, so that is reassuring.
I’m recovering from COVID had to be treated with Remdesivir and plasma, my heart rate has gone up as high as 140 When I walk around the house, shower etc. the resting rate remains around 90 is this a normal response to fighting the virus?
We are still learning about post-COVID-19 infection responses. It has been observed that some people have an abnormally high resting heart rate with an abnormal increase in heart rate with minimal activity after COVID-19. It appears that this phenomenon slowly improves over the course of weeks to months. Hopefully, more information will be discovered as the pandemic unfolds.
Hi, I am a 16 year old female who is active, I’m 5,5 and weigh about 53kg. I drink a lot of water and try to maintain a relatively healthy diet. I train twice a week for soccer and play a game once a week, I’m also running to keep up my fitness. In October last year I passed out and was taken to the hospital where they did some test, said my heart rate was a little high and blood sugar was a bit off but they just told me to go to the doctor later so I did. I got referred to a cardiologist who looked at my 24 hour holter monitor and said it was all fine. My resting rate is around 40-60 but when I stand it shoots up to about 150 give or take some. When I’m exercising even the slightest my heart rate is over 200, more than my watch can read. I’m constantly dealing with a headache, blurry vision, lightheaded, always blue/red blotchy feet and legs and I often get the feeling as if I need to breath slower and deeper to get more air. Should I be worried about this and get a second opinion?
It is not normal to have a heart rate of ~150 bpm when standing and ~200 bpm with mild exercise – even at 16 years old. It would be helpful to check your blood pressure when lying, sitting, and standing as well. In any case, it would be reasonable to get a second opinion. Two possible reasons for your symptoms could be a supraventricular tachycardia (SVT, https://myheart.net/articles/fast-heart-rate-symptoms-causes-treatments/) or postural orthostatic tachycardia syndrome (POTS, https://myheart.net/pots-syndrome/), but a more thorough evaluation by your physician would be warranted.
Thanks
Just yesterday I had had to stop playing soccer due to the fact I felt close to passing out. This time I couldn’t move I just felt that weak (still don’t feel the best). Starting to think it maybe more blood pressure related but my high heart rate is also weird. May be going back to the doctor soon just to get it double checked.
I read some about pots on the link you provide, not sure if that would be me because my heart rate isn’t always that high but it is always above 100 when standing (worse in the mornings). I was told by the cardiologist it was very unlikely to be SVT due to no rhythm changes on the holter monitor.
I’m possibly going to go get a second opinion soon.
Thanks again I appreciate it ?
Hi.
I’m 27yo female. I have lost weight and came from 85 kgs to 62kgs and im a fitness trainer now, so my work includes daily exercise class of 45min 6 days a week, inclusing cardio, resistance and pilates
My resting heart rate is 54 on avg measured by fitbit and while sleeping even goes to 45-48..
When I exercise it easily goes up too i have no problem in exercising, never fainted
Never had any problem is any pose of yoga(like dizziness)
Whenever i standup from sitiing position i get dizziness or imbalance for a second or 3 seconds lets say for most of times and it goes by its own n some days are worse, never fainged, it doesnt cause trouble sincw m used to it, sometimes fatigue too, is there any problem? Is it weakness? I eat pretty healthy three meals, with third meal as just fruits, am i eating less? What could be problem can it be hypoglycemia? I crave sweets too
Forgot to mention i have been working out for like almost 6 years on off, with pretty intense workouts as well like HIIT training
Not sure what could be causing your symptoms, but I do not think it is your heart rate. You can try checking your blood pressure as well, especially with sitting and standing to see if there are any major differences. Otherwise, I would recommend staying well hydrated.
Hello
I’m a 31 year old female, 170cm and 74kg. Usually exercise about 3 times per week and have a resting heart rate of about 60-70 bpm. While doing Crossfit it is about 130-140 on average and whilst running its about 160-170 on average. I think this is all within the normal range? During the day at work, a desk job, it sits comfortably around 60-80 throughout the day.
When corona hit, obviously my normal routine got taken away and i couldn’t combat stress and anxiety with socialising, keeping busy and exercising so i started to become very aware of my health and started to monitor heart rate on my Garmin Vioactive. I noticed that whilst just watching tv it would sit around 70-80, when laying down in bed it would be around 60-70 but when standing up to do the simplest task like cooking, doing the dishes or walking around the house it would always go, and stay, at 100-120. It would come down when sitting back down but whilst eating it would be about 80-90, whilst driving the same and when taking slow walks in the park it would be about 120-130 on average but sometimes spiking up to 140-160 and i’m just talking about slow walks here..
One day i was just laying down watching tv and it was persistently at 90-100 for the whole afternoon so went to a&e. They did a chest xray, blood tests and ecg. All of which they could not find anything wrong so put it down to stress and anxiety. They gave me beta blockers which I’ve been taking daily (initially 2.5mg but now down to 1.25mg of bisoporol) but i feel that makes my heart rate drop too much, to about 50-60 whilst at rest and makes me super tired and out of breath, i also get headaches and feel a bit dizzy, so i sometimes half that dose or don’t take it at all but that of course means my hr spikes. When taking the medication and i go out for walks its still around 120-130 on average and always goes over 100 when walking around the house.
Is this normal? Should i carry on taking the beta blockers or was my heart rate all ok in the first place? Thank you!
Your heart rate variability as described pre-COVID-19 was normal. Your post-COVID-19 issues are likely due to deconditioning. Based on what you are describing, I would not have recommended a beta-blocker, but you can discuss this further with your physician. Hopefully, your heart rate will return to your normal once you get back to your previously normal routine.
Thank you so much for your answer, much appreciated.
For me it didn’t feel right being on beta blockers so will come off them slowly. Makes sense that it’s due to deconditioning because I’ve been exercising less and routine completely changed but as things are becoming a bit more normal now it will be interesting to keep an eye on the heart rate in the next few weeks/months and see if it changes.
What kind of heart rate would be normal for me for when just doing simple tasks around the house like cooking or washing up? Because at the moment it sits around 100-120. Also, what would be normal for walking at a moderate phase? Since this whole scare I haven’t done much exercise as worry heart rate is too high! What kind of things would you recommend to try getting it to a more healthy range? Would things like magnesium or B12 help as I’ve read that can help stress and worry.
Sorry for all the questions, just really appreciate your help, much more useful than what I had from the a&e doctor I saw, he didn’t really give me any advise, just prescribed the tablets.
Thank you!
I would say a heart rate <140 bpm during mild and moderate exercise would be a reasonable expectation. Hopefully, your baseline will improve back to your normal once you get back to your routine.
Hi Dr,
I am a 57 yo female. I wore a heart monitor for 30 days. My cardiologist told me that my heart rate was consistently in the 30’s. I have sinus bradycardia which has been seen previously on ekg’s but my previous dr’s didn’t do anything about it. I take medication for high blood pressure, hypothyroidism, and a host of other things. I am not active as I am usually fatigued and out of breath. I also have a heart murmur which I do not take medication for. I have a heavy family history of heart disease in my family. My father passed away from heart disease. I had a stress test, which I had to stop after 5 minutes because my heart rate wasn’t rising. My cardiologist wants me to see an Electrophysiology Dr. Since I have sinus bradycardia and my heart rate is consistently in the 30’s, do you believe in your opinion that I will need a pacemaker?
It is difficult to give a definitive answer based on what you are describing, but yes, it seems like a pacemaker may be beneficial with your significant bradycardia and chronotropic incompetence.
Hi, I am a 39 yr old female, 148lb. Just started yoga a couple of weeks ago along with adding in a little more strenuous workouts like push ups and crunches in order to try and loose a little weight. I have been concerned as to whether my heart rate is too high. My resting rate is pretty normal, in the evenings before bed an while in bed it ranges from 75-95. When i get up out of bed it usually rises to a range of 110-115 while walling around, cooking.. and, sometimes when doing things like cleaning house or bathing my little ones it rises to a range of 120-140. But, standing or sitting still its usually ranging from 90-110. Also, i had one episode a couple of mornings ago where it started to rise while I was laying in bed in the morning and i think it gave me a little bit of panic which made it keep rising til i jumped up to splash cool water on my face and elevated to 170. seemed like a very scary high number to me! I took a cool shower and it came down slowly, but really scared me. That day I had a lot of belly gas from eating many veggies the day before and my heart rate tends to rise more after eating. with a big meal, it will rise anywhere from 120-130 while i am full, and decrease as i start to feel like my meal settles some or belly gases are released. I do think that my heart rate causes me to be a little more anxious and i tend to check it very often on my apple watch. I also do the ekg on the watch and it mostly always says sinus rhythm while my heart rate is below 100, resting, sitting.I haven’t experienced any other heart related symptoms besides being able to feel my hear beating fast at times. I have been unsure about going for a Dr. visit yet, due to covid, but will make an appointment soon if I need to. Just reaching out to get any advice or feedback. And, so awesome for you to answer these questions, i have done a lot of research in whether there is someone online to ask about this concern. Really appreciate your time!!!
I also monitor my blood pressure daily which is most always in the normal range, give or take a number or two.
Your resting heart rate is normal, however, your significant increase in heart rate to very mild exertion is slightly abnormal. I would suggest a whole-food, plant-based diet and a mild-to-moderate structured exercise program with resistance training to improve your overall cardiorespiratory fitness.
So just wanted to follow up after seeing a cardiologist and having a ekg, echo, stress test and Holter test. All of my testing came back normal, my next step is to have blood testing to check thyroid and for anemia since I still fee fatigued with minimal exertion. I do want to mention that my resting heart rate has decreased in the past month since I stopped drinking wine, started only lean meats and getting better sleep. My resting heartrate is how 60-70 bpm. It still goes up a little higher than normal with certain activities like laundry or cleaning, but going to try and work on it with more cardio. I am curious as to why it goes up higher with bending over to do things? Also, I denied trying out a beta blocker for a couple of weeks since my resting rate is so normal I wouldn’t want to lower it more.
I am glad to hear that things are getting better and that your evaluation thus far has been normal. With bending over, there can be changes in the activity of the autonomic nervous system and that likely explains the changes in your heart rate.
I also monitor my blood pressure daily which is most always in the normal range, give or take a number or two.
Hello Dr Guichard.
I’ve been dealing with pvc for the past 2years. It came suddenly when I was 25 soon after a long flight. Since then I’ve seen a few cardiologist who did all the work ups to diagnose it as frequent pvcs. Do pvcs go away? Any danger to them?
My rhr is usually around mid 50s to low 60s, but there are weeks where my rest heart rate is around higher 60s to low 70s and goes back to normal.. Is that normal? What could cause that? My pvcs? Does it have anything to do with my menstrual cycle?
PVCs can go away with or without treatment. The most important things to know is how many PVCs you are having (i.e. you PVC “burden”) and are they symptomatic to you. If your PVC burden is >20% or the PVCs are bothersome to you, then having them treated would be reasonable. The heart rates you have listed can be normal, unlikely to be affected by your PVCs, and yes, your menstrual cycle can effect your resting heart rate to a degree.
Hello my resting heart rate is always around 50-58 and when im sleep it is around 42-47 per minute is that bad. I have a lot of anxiety and wonder if that’s why it’s so low. Also I have blood pressure that’s around 91/60 I don’t know if this is normal but mines have been this way since I could remember. I am a 37 year old woman
Based on what you are describing, you are asymptomatic, so the resting heart rate and blood pressure can be normal for you – especially if this has been this way for years.
I am 20 year old female. I have a resting heart rate of 100 to 105 most of the time. I can feel it speed up at times. Once it even went to 170! I was diagnosed as anemic. I am trying to get my iron up but it is taking a while and in the mean time I have to deal with palpitations and a fluttering and fast heart rate. Am I ok? Should I be concerned?
I agree, that is an elevated heart rate. However, anemia can cause that. I would recommend allowing the anemia to be corrected, then if you still have tachycardia being evaluated by your physician would be reasonable.
I am a 28 yr old male
I’m 5’7″ and weigh 215. I have no history or family history of heart issues. Recently I got a smart watch and I wear it to bed now. Last night my heart rate fell as low as 29 for about 10 mins. I notice a real fluctuation anywhere from 35 to 75 throughout the night. The real worry I have is the heart rate of 29 what do you think
A heart rate of 29 bpm while sleeping does sound very low. Sinus bradycardia, sinus pauses up to two seconds in duration, and type 1 second degree atrioventricular block are commonly observed during sleep, and are generally benign. However, evaluation for sleep apnea would be reasonable if a sleep apnea screening tool is high-risk in your case.
Hi
I am 31 , recently I observed my heart rate in normal is 60 to 75 but while resting for long hours it reaches 45 to 50 and in deep sleep it’s about 40 ,
Is it normal?
Thanks
Yes, the heart rates you are describing can be normal for you – especially if you are asymptomatic.
When I did ECG it’s shows as below, I am 31
Is it normal?
P: 119ms
PR: 172ms
QRS : 92
QT/QTc : 372/417 ms
P/QRS/T: 43/2/43
Thanks
Yes, what you have listed can be considered normal.
Hi,
I’m 31, recently I got palpitation and when checked at hospital the BP was 140/100. I had the same problem earlier, one happened on last week of Jan 2020 another was on last week of May 2020. Now on 6th August 2020, had the same problem. Consulted with cardiologist and he is saying it might be situational. As on all these 3 times, I’m having late night sleep due to overnight working. And he did echo and it is not showing anything wrong. I’m having some gastric problems too. When I checked my smartwatch it is showing 47 as lowest heart rate and 130-150 as high. I’m worried about it. Last time when palpitations occurred, I got scared and still on some nights I’m having the same fear that whether my heart beat going high at night.
Can you help me to figure out?
From what you are describing, it would be reasonable to obtain a 48-hour Holter monitor to determine the rhythm of the tachycardia – as well as the possible cause of your palpitations. You can discuss this further with your cardiologist.
Hello
I’m a lightly active 30 year old female. My resting heart rate when laying down in bed is usually in the 60s and 70s, can fall to 50s when asleep, but when sitting down, watching tv, eating or in the office it’s in the 70-90s. Usually when I stand up it shoots to 90-120 and tends to stay in that range when cooking, cleaning or just in moving around the house in general. When exercising like walking or running it can be anywhere from 100-175. Is this normal? Thank you!
Yes, what you are describing can be normal with rest and with exercise.
Great thank you. I was worried it was high, especially the jump from resting heart rate to very light movement like cooking etc. I did get an ecg done as well as chest X-ray and blood work which all came back fine. Have been experiencing fatigue, shortness of breath and light headedness. Would you then say I should just go about normal life and stop worrying about it or are further tests recommended?
Given the normal work-up as you have listed, that is reassuring, so it is unclear if your heart rate is playing a role in your symptoms. If you continue to experience symptoms, then you can discuss further with your physician.
I am a 64 year old overweight woman (50 lbs plus overweight). In the last couple months I have dropped my resting heart rate from an average of 70 to mid 50s. Rate gets as low as 42 when just sitting. I also am having frequent PVCs though only when rate above 85 or so. ( every 2nd, 3rd or 4th best for several minutes at a time).
I feel shaky, weak, anxious. No fainting or shortness of breath. One ekg showed sinus Brady Lab work normal. Going in for stress test and echo. Thoughts?
It is hard to say given the information you have presented. However, frequent PVCs can be symptomatic and bothersome for a lot of patients, so I would defer to the physicians taking care of you regarding next steps and management.
Hi I am a 17 year old and I have been highly trained in dance for 15 years and I am very fit and work out. I am also very anxious and have other mental health problems. Usually athletes or highly active people have a low heart rate but my heart is rarely below 65 and the range when I am sleeping is 70-90 bpm. When I am awake it’s always above 100 or high 90’s. When I am dancing it is 170-202. I recently saw it go above 200 and was very concerned. It’s usually always around 185-195 when I dance. My heart sometimes hurts really bad and feels like it drops in my chest or flutters and it gets hard for me to breathe. Sometimes when i’m just sitting down it rises to 130 and I can feel it in my chest and it makes me very scared. Is it normal for my heart to reach above 200? I just feel like somethings wrong.
Yes, being 17 years old, your heart rate can get >200 bpm with exercise. However, the elevated heart rates (>100 bpm) while resting and causing palpitations could be a supraventricular tachycardia (SVT). You could discuss this further with your family physician.
I’m a 27 year old male, 5’ 9’ and 145lbs. Up until about 6 weeks ago I was running about 3-5 times a week between 6-10 miles a run, sleeping I would average about 45-50bpm, my resting heart rate would average around 55-70, and about 160-185 when running. At work it would be about 60-80 as I just do a desk job. I think this is all ok given my age etc.
Generally I’m pretty fit but I hurt my foot and haven’t been able to run for the last 6 weeks I just recently started being able to go for walks. I have had issues with anxiety which I managed to overcome mostly by regular exercise and keeping busy. I’ve also had high blood pressure for a long time and started taking 50mg of losartan a couple years ago now. I noticed having some chest pains right just before I had hurt my foot and figured it was just anxiety although I didn’t feel anxious but I also started noticing a couple weeks later that my heart rate would be 80-100 just sitting still or while I was working and thought that was odd, and it would jump to 110-120 just standing up and walking around the house, and sometimes for no apparent reason go over 100 for a little while just sitting.
I made an appointment with my PCP a couple weeks ago to talk to him about it. He ordered a chest X-ray, ecg and blood test which all came back fine and said it was probably anxiety related but gave me beta blockers to calm it down and upped my BP medicine to 100mg of Losartan. I used the 20mg of propranolol once a day for a week like he told me and then as needed but it doesn’t seem like it brings my heart rate down much. My BP has been a lot better 120/75 but I continue to have a dull pain in my chest even when my HR is at a normal range, but it will also still randomly spike like this morning it was 80-90 when I woke up and walking to the bathroom it jumped up to 120. Yesterday it was pretty good, I decided to take a walk and it started at about 90bpm when I started the walk and an hour and a half later it had climbed to 120 which seemed pretty good for a long walk, but when I got home I sat and watched tv for about 30 min and it wouldn’t drop back down it stayed at 120, so I ended up taking a propranolol and it eventually came down but only to about 80-90 the rest of the night. Just feels like somethings off. I eat extremely healthy, drink lots of water(haven’t had caffeine or alcohol in the last 6 weeks) haven’t felt sick since back in January, but don’t understand why my heart rate is elevating and why I continue to have this constant dull pain.
I am not sure, based on what you are describing. The normal evaluation by your physician is reassuring. I would suggest getting back to your previous normal routine and hopefully your overall cardiorespiratory fitness, along with your resting and exercise heart rates, will improve.
I am a 37yo male, 5’9” 185 lbs, overweight, heavy smoker for ~15 years, mostly sedentary. My heart rate at rest would be anywhere from 65 bpm upon waking up to 90 bpm, even up to 100 if I drank a lot of alcohol too. If I exerted myself, it would take a long time for my HR to to back to 80 or less.
I quit smoking a week ago and my resting heart rate has been around 60 bpm since then, even dropping as low as 53 while I’m awake. It also drops quickly to around 60 after exertion.
Can this change be solely due to quitting smoking? And could such a huge drop in RHR before and after quitting mean there are underlying issues that warrant further looking into? (BP is OK, bloodwork is OK, a 24hr EKG a few years back showed no bad arrhythmias, avg. HR ~70).
Yes, those small changes in resting heart rate and heart rate recovery could be due to the cessation of tobacco products. Keep up the good work and continue to focus on improving your diet and starting a mild-to-moderate exercise program.
MY PULSE RATE IN 90 PER MINT IS IT OK OR NOT. MINE LIPIDS (TRIGLYCERIDES) ARE 322 PLEASES TELL ME SOME THING ABOUT IT
Yes, that can be normal for you. Yes, your triglycerides are elevated in the high range – you can discuss this further with your physician.
Hi doctor…I am 33years old lady with 4feet 11inch height and weight 60kg.As I was doing gym,in December 2019 I got hurt and there was continuous pain in my chest muscle and on my left hand….So I have done ECG,echo on December,23,2019. And the report was absolutely normal but by nature I am a stressful person.Now due to this covid 19, oxymeter is there in my home.Sometimes my heart rate shows 45 and withing 1sec 50,52,55,60 so on…It happens for 1 or 2 times.It also happened that sometimes it starts to read like 120 then coming to normal like 65,70 withing few secs.But most of the time it is normal…I don’t have any other issues except migraine.I was overweight like 69kg,now 60kg.I do regular exercise of 45mins for 5 days a week.Now for the last two weeks I didn’t do any exercises..So is this oxymeter reading of 45,42 resting heart rate is normal?Please help.
Yes, a resting heart rate in the 40s can be normal for you. I would also suggest verifying the resting heart rate manually, as devices can sometimes be wrong.
I am a 43 year old female. I do not have Time to exercise anymore and for the first time in my life I have a desk job. I’ve always stood at all my jobs my weight went from 130 to 179 in one year my doctor put me on Vyvanse for my inattentive attention at work however I just noticed doing chores around the house my, I looked down at my watch and it said my heart rate was 195 so I sat down to see if I could get it lowered. My heart rate reading is lower and lower and is now down to 102 after sitting for 10 minutes. Should I be concerned that it jumped that high when I was doing laundry and sweeping? My Vyvanse dosage is 50 mg.
Vyvanse can cause rapid or irregular heartbeats, so I would discuss your episode with your physician.
Hi Doctor
I will try to give you as much info as possible, need your help clearing my mind if possible please, or the alternative, which is seeking medical assistance.
I’m 28, male, 186cm,124kgs (~98kg lean mass), so considered obese but have a very solid frame with about 15-20kgs of fat that needs to be dropped. I have active enough work in which im required to lift a decent amount and move around a lot, so I clock up around 12-15000 steps per day. I have severe health anxiety and was diagnosed with panic disorder in 2017.
My anxiety hasn’t been giving me any troubles recently, so I decided to start wearing my samsung watch again (I stopped because the heart rate readings made me worried) and sure enough, the concern has started again.
My lowest heart rate while asleep is 47, while my lowest while awake in a very relaxed state was 56. Compared to two years ago, it was about 51 while asleep, and 61 while awake. I have lost about 10kgs since then. My average heart rate is about 69.
I noticed today that I was getting a little light headed while standing up. Due to my extreme health anxiety, i take my blood pressure almost daily. It’s usually about 125/79.
I’ve had concerns about my heart previously (no family history of heart issues, no history of my own) and have taken myself to hospital a few times. The ECG (or EKG as you call it in America) showed no irregularities. I don’t know much about the technical side of things, so I’m not sure if a clear ECG is enough to clear me of any issues (this was about 3 years ago)
My pulse is regular enough I think… when i’m measuring it, i start to freak out and it suddenly starts beating a little faster, but then goes back to a normal rhythm when I am relaxed.
My questions are – is dizzyness an issue if i’m not constantly experiencing it? (As a back ground, i didnt get the best sleep last night, could this be the cause?) and is my heart rate ‘ok’. Should I see a doctor?
No one can say anything with 100% certainty, of course, but from what you are describing the heart rates you are experiencing can be normal for you. Intermittently, getting lightheaded when standing can be a normal occurrence – if this happens routinely, then that could be something that needs further investigation.
Hello doc,
I am 25 yrs old, since 2-3 months i am experiencing weird symptoms, my blood pressure suddenly rose to 170/100, and palpitations with 168 bpm. Since then i am taking telmisartan 40mg.
I was also diagnosed with gerd and taking rabeprazole 20mg for in the morning. But since the episode, whenever i stand my hr is around 120 and when i walk or exercise it goes around 130-140 and i feel dizzy and light headed . When i sit down i feel normal but whenever i stand or do a small walk my heart rate increases. Morning bp is coming around 135/84, i am not feeling fresh after waking up. And difficulty concentrating.
Is it due to high bp or telma 40?
My ecg showed sinus tachycardia. Blood reports came normal. While sleeping my heart rate suddenly becomes 140-150.
It is difficult to say. Blood pressure medications can make young people not feel great. It seems like it would be reasonable to obtain a 48-hour Holter monitor to confirm that you are having sinus tachycardia throughout the day. In addition to that, being evaluated for sleep apnea would be reasonable given what you are describing with regards to sleep.
Hello Doc,
I’m a somewhat fit 25 year old. 105lbs and 5’2”. I take a short 30 minute walk everyday and do light arm weight exercises for about 15 minutes, and nothing barring that so I would not consider myself athlete level fit or anywhere close.
My resting heart rate used to be in the early 40s back in late July- early August, then went back up to around the 60s in mid August-late September, but is back again to around the early 40s. I was worried about some random chest pains and thus had an EKG and stress test in mid August and everything looked fine, along with blood work.
This morning I woke up to a couple of notifications from my apple watch saying my heart rate had dipped to the 30s while I was asleep, as low as 36. Should this low heart rate be a cause for concern?
I read that resting heart rates in the 40s are normal for athletes but I’m nowhere as fit as an athlete. Also the notification from my apple watch confused me
Thank you,
Yes, low heart rates at rest and during sleep can be normal for young people. As long as the heart rate is a sinus rhythm (sinus bradycardia, not sure if the Apple Watch can determine that) and you are asymptomatic, then those heart rates can be normal for you.
Hello and politeness. I am the servant of a 25-year-old man. One night I went to the emergency room because of a pause and I had an ECG inside the PAC. I went to a cardiologist and did an echocardiogram which had no problem other than MVP. After that, I went to Holter to monitor my heart rhythm, which was the result. The lowest heart rate in sleep is 30 beats.
Mean heart rate 65.
Maximum beat 196.
Sine pauses of about 2 seconds to 3 seconds.
404 PACs.
4 pairs of PVC.
MIN QTC 0.28 IN 30 HEART RATE.
MAX QTC 0.47 IN 65 RATE.
QTC IN MAXIMUM RATE196
0.44
Early repolarization in all lead.
4mm st elevation in lead 2
Note All sinus rhythms.
No AV blocks.
Only irregular sinus rhythm. And I had a drop in heart rate. For example, if the heart rate is 75 or 80, will drop to 40 or 45.
It is not known if these are sinusoidal arrhythmias or sinusoidal blocks or sinusoidal output blocks.
My problem now is that sometimes my heart rate is 45 at rest. Sometimes even 40.
Sometimes when I am close to sleep. That is, when between sleeping and waking, which I still hear and see but I am addicted, my so-called heart rate rises to 35 even during the day. But I’m good at sports and my heart rate goes up well, even to 200.
I have a few questions
1_What do you think about my problems, are they normal or do I have a problem with my heart’s electrical system?
2_Are these my heart tests enough?
3_ Wasn’t the QTC problem in my reports?
4_Can I take citalopram or escitalopram, even for a very long time and sometimes alcohol?
Thank you very much for your time for humiliation.
Given your age, ability to exercise, and general lack of symptoms then those heart rates can be normal for you. Your evaluation to date appears thorough, you can continue to follow-up with your cardiologist. Your QTc is generally less than 450ms, so that would be considered normal. Taking medications appears to be reasonable, but would recommend a discussion with your physician, mild-to-moderate alcohol consumption would be acceptable in your case.
Greetings and best regards. Dear Dr.
I in bradycardia
QT and especially QTC I have 0.28 milliseconds is not short?
Or, for example, at a normal heart rate of 65 to 0.47 milliseconds, this is not long QTC?
I said that I am a 25-year-old man, I am thin, bony, I have weigh 54 kilos
Let me ask the last two questions with your permission.
One is that the heart rate should be lower than the rest in a very thin person? Is this true?
Second, those pauses of the sinus block heart beat or if it is a sinus exit block, can they also be normal in young people?
Answer these three questions for me, thank you. Thank you very much, Master. I’m sorry if I bothered you. Be healthy
Hello Doc,
My name is Tina 39yr old. My weigh 58kg. My Question is during the day my Hear rate is 60 to 90. During my resting time at night is 57 to 59. But this view night my resting heart is 60 to 63. Is it normal or not normal. Make me worry. Thank you.
Yes, those heart rates can be normal for you.
Hi Dr Jason,
I am 25 years old and recently has been having weird heart rates. My heart rate would hit 187 while laying down or sitting at my desk and doing nothing and when I’m sleeping it can go as low as 45. When it does goes up to 185 it’ll drop to 55 in second then go back up to 100+ again.I’ve passed out a couple of times already and I have discomfort in my chest. Heart attack and heart failure does run in my family as all my grandparents passed away from it. I have seen a cardiologist and they have ran a ECG on me but suggested it was normal. Is there something I’m missing with these evaluated high rate and constant black outs?
Also my heart rate variations (HRV) are anywhere from 6-20ms.
It would be helpful to know the rhythm of the tachycardia episodes. Thus, it would be reasonable to obtain a 48-hour Holter monitor to identify the rapid heart rates, especially since these episodes cause you to pass out.
Hello Dr.Jason,
Thank you for replying so fast !! I did also have a 24 hour holster monitor test and that came back normal as well, therefore my doctor think I’m fine but With these constant black out I’m worried. What do you suggest I recommend to my doctor ? Thank you! Also, does my HRV Have any role in my black outs ?
No, HRV should not have a role in your blackouts. Did the Holter monitor actually record your tachycardia? If so, and it was a normal rhythm, then I am not sure how to explain your symptoms.
I think my comment got deleted by accident.
Hi Dr Jason,
I am 25 years old and recently has been having weird heart rates. My heart rate would hit 187 while laying down or sitting at my desk and doing nothing and when I’m sleeping it can go as low as 45. When it does goes up to 185 it’ll drop to 55 in second then go back up to 100+ again.I’ve passed out a couple of times already and I have discomfort in my chest. Heart attack and heart failure does run in my family as all my grandparents passed away from it. I have seen a cardiologist and they have ran a ECG on me but suggested it was normal. My HRV is between 6-20ms. Is there something I’m missing with these evaluated high rate and constant black outs?
Hello Doctor,
First of all i am very impressed to see that till date you’re replying to every comment ?.
I am Jeet, weight 160 pound, height 171cm and age 25 years.
One year back i was diagnosed with hypertension and i started taking ‘Amlovas M 5/50’ tablet, at that time i was obese, my weight was 231 pound but now after a year i have lost around 66 pound and changed my lifestyle so, the doctor stopped my BP medicine as my BP was staying under 130/80. My resting heart is between 55 – 70 bpm and when i do some brisk walk it stays between 90 – 110 bpm and when i sleep it’s between 40 – 55 bpm.
I do workout regularly when i workout my heart rate varies between 100 – 160 bpm and when i stop the workout it returned to my normal heart rate( 50 – 80 bpm) within a minute but recently while doing some cardio it gose up to 180 bpm so, stopped the workout but even after i stopped my heart rate remains between 140 – 160 bpm, after 40 minutes it gose back to normal (70 bpm), i was so panicked at that time that i thought i will have a heart attack and now i am afraid to workout at all. So, I just want to ask is it normal that my heart rate remains 140 – 160 bpm even after i stopped the workout and is there going to be any problem if something like this happens again.
P.S. I have done with my stress test, 2D echocardiography, and ecg few month back and everything was normal
The resting, exercise, and heart rate variability you have listed can be normal for you. The previous normal evaluation you listed is definitely reassuring, so resuming your previous exercise routine should be reasonable.
Hello Doc, Thank you for the quick reply, I have one more concern – I have resumed my workout, as usual, one thing I noticed that earlier for the same workout I used to have like 100-110 bpm but now it is showing 120-130bpm for the same workout, Is it normal and can I continue my workout, as usual. Just recently I again have done ECG and 2d echo and all the reports are normal.
Yes, that can be normal variation in exercise heart rate.
Hello Doc, Again thank you very much for your reply, after that incident, I always get panicked if I see my hr above 130 during an exercise but earlier I wouldn’t mind if it goes even above 160 but now it’s all changed, my mind is always in my heart and it affects my daily life so badly I fell like I will have a heart attack in any moment because of this fear I couldn’t go outside at all and most of the time I feel like a prickling and heavy sensation in my heart like it is touched by a sharp object and I kinda feel like some pain in my left shoulder and hand but in my 2d echo report my doctor couldn’t find anything the report was normal, I just want to know what is your thought about this and do need a psychiatrist? and please suggest an hr range that will be suitable for me? and what test can I do apart from ECG and echo to check if everything is ok with my heart for my own satisfaction?
Apart from that when I visit my doctor for a checkup she took the fitness band because those are not accurate she said and I will get more panicked if see the hr everytime.
Elevated heart rates generally do not cause “heart attacks,” classic heart attacks are caused by heart blockages that rupture and form small blood clots within the heart arteries. I do not think there is any additional heart testing that can evaluate you any further than you have already. It sounds like your anxiety is affecting your daily life, so discussing this further with a mental health provider would be very reasonable.
Great I love your information.. I am a patient of heart…. Thanks for sharing knowledge
Hello doc.
29 year old male. 210 pounds. I am 5 foot 11 inches.
I’m have a resting heart rate of anywhere between 88-94, sometimes it can reach slightly over 100.
When I go from just sitting down to standing up it increases from 88 or 90 to 115-120.
If I exercise I hop on the treadmill and walk at a pace of 4 km/hour(brisk walk) and my heart rate stays around the range of 165-170.
I’m worried that these heart rates are much to high.
Also a side note, I am not sleeping throughout the night for over a month(often times not able to sleep for more than 3 hours straight, wake up tossing and turning and unable to get back to sleep).
I’ve had blood work done and it’s all come back normal and nothing to be concerned about with the blood work according to the doctor.
Those heart rates are the upper limits of normal, but still normal for you. A structured moderate exercise program with resistance training and weight loss to a goal of 175-185 lbs., would likely improve your resting and exercise heart rates.
Hi im 28 years old
Have a resting HR 86-115 soon as i stand up it jumps to the 130s. i am 167cm tall and 57kg i don’t know if its me just being anxious or i need to gwt this looked at.
That is a slightly higher resting heart rate (>100 bpm) than would be expected for a 28 year old and a heart rate ~130 bpm with just standing would be somewhat out-of-proportion to that level of exertion. My suspicion is that an improved diet and a mild-to-moderate structured exercise program with resistance training would improve your resting heart rate. However, discussing your situation with your primary care provider would not be unreasonable.
hi doc,
i’m 33 years old…
is it normal for my heart rate ranged from 44 to 76 bpm?
Yes, that can be normal for you, especially if you are asymptomatic.
what i mean is sleeping hearting rate
Yes, heart rate while sleeping is generally lower than when awake – that is a well-known phenomenon.
ok thanks doctor
I’m 5-8 190 . Very active . Lift weights , run and ride a bike 6 sometimes 7 days a week. I watch what I eat with the occasional cheat meal . I have noticed that when I sit down to relax during the day my RHR will be in the 50’s and sometimes drop into the around mid 40’s . When I sleep it gets into the low 40’s sometimes will even drop to 38. I’ve been to the cardiologist , just for piece of mind , and have done all the tests and everything came back fine . He said heart was in great shape . I trust him obviously but still seems low. I do diet and exercise almost everyday but am no elite athlete or marathon runner. Just wanted to get your opinion on it. Thanks
Yes, that can be normal for you – especially with a normal work-up which is reassuring.
Hi — I am 20 years old and have always been physically active over the years (whether it be walking, cycling, running, etc.) but for the last year, I have reduced my exercise intensity after being diagnosed with Fibromyalgia.
My heart rate (resting) has varied over the years in the 70s and the 60s but over the last year, it has dropped to the 40s and lower 50s (at rest) even though I have decreased my exercise.
I eat a balanced diet and switched from being vegetarian (which lasted only 10 months) to eating red meat over the last few months… it doesn’t seem to have helped (I thought it may be an iron deficiency but it turns out it isn’t.) I also suffer from terrible anxiety and am not sure if that has a role to play?
I am wondering if this is a common phenomenon, or if there’s something I’m missing? Any help would be greatly appreciated 🙂
Also — I tire easily and can sometimes be out of breath, but have ruled it down to Fibromyalgia? Could I be incorrect?
I was just put on a ecg monitor and had a ecocardio ultrasound done (hope I said that right) I am on Sertraline for Anxiety. My tests from the eco came back normal other than a Tricuspid demonstrates trivial insufficiency and the ecg My heart rate hit 160 , 130 & 120 several times late in the day (not usually doing anything ) and 52 at night while sleeping. My NP wants to put me on Metoprolol Succinate which I am not sure about due to the reviews on it. She said not to worry about the Tricuspid. I am also a smoker, 39 years old. Could I get your advice on if I should start that med or not or is there a better way to manage my heart rate. I am freaked out at the thought of taking that med.
I also have chest pain sometimes also. I get short of breath, sometimes dizzy, also with the med I mentioned should I even take that being my sleep heart rate is 52 and that med lowers the heart rate?
Assuming you are in a sinus (i.e. normal) rhythm, we generally do not start beta-blockers for sinus rhythm. If you are having an supraventricular tachycardia (SVT), then a beta-blocker would be appropriate.
Assuming you are in a sinus (i.e. normal) rhythm, we generally do not start beta-blockers for sinus rhythm. If you are having an supraventricular tachycardia (SVT), then a beta-blocker would be appropriate.
Hello doctor, I posted something previously but it is not showing up on my computer. So will repost my question if you may reply to it. Thank you.
I am a 20-year-old female, I weigh 60kg and am 172 centimeters tall. I have always been active over the years (running, walking, cycling etc.) but over the course of the last year I reduced my exercise drastically after being diagnosed with Fibromyalgia (so now I generally walk 15- 30 mins per day, nothing strenuous.) My heart rate in the past has varied in the 70s and 60s (at rest), but over the last year (after slowing down on the exercise) it ranges in the 40s and very low 50s (like 51) at rest. It generally goes up to 110/120/ sometimes 130 when I walk. I tire easily and can be out of breath.
I eat a balanced diet with very little sugar/ carbs, and switched from being vegetarian for 10 months to eating red meat again as I thought I was iron / B12 deficient … turns out I am not. Is this resting heart rate of 40s/50s normal? Or am I potentially missing something? Any help would be greatly appreciated.
The lowest it has reached is 42, that I am aware of, when I have been awake.
I also forgot to mention that I suffer from anxiety, and am not sure if that has a potential role to play?
Yes, those resting heart rate can be normal for you especially since you appear to be asymptomatic. I would also suggest to check your heart rate manually, rather than using a machine or wearable device. Anxiety could also be playing a role so getting your anxiety evaluated and treated, if necessary, might be beneficial.
Hi
I am 30 years old and had a baby 4 months ago. Since having baby I noticably feel my heart rate drop to around 38bpm usually just for a few minutes with slight tingly feeling in body, then it tends to go back up again to around 43bpm. My fitbit has logged my average resting bpm at 48. Currently I have been sitting for over half hour and it’s 60bpm. Is it normal for it to drop so low at night? Has this got anything to do with post partum? Thanks in advance
Yes, your heart rate can be lower at night especially when sleeping. If you are asymptomatic, then continued monitoring is reasonable. However, if symptomatic, then having some basic blood work completed (including thyroid function) would be reasonable.
Hello Dr. Guichard!
I’m currently taking metoprolol tartrate 50 mg twice a day.
I’ve been taking it for more than 6 weeks now and I feel as bad as when I started taking them.
Is it possible for the side effects to just don’t go away, even if I’m not taking any other meds at all?
Thanks
Beta-blockers can be poorly tolerated by young patients, but sometimes the symptoms improve after a couple months. This does not sound like the case for you, so what is the reason/indication for being on a beta-blocker?
I am a 19 years old female. I was put on this med because I have a high heart rate and very disturbing palpitations, but the cause of this is still unknown. The doctors made me some blood tests to find what could be causing it, but they didn’t find any abnormality at all.
The tachycardia usually happens when I’m doing something even if it doesn’t require much physical effort (walking up the stars, brushing my teeth or showering) I check it also manually even if the watch I wear is usually right and it goes as fast as 140-150 bpm and it takes around five minutes to drop to 90 bpm if I sit. My heart just goes abnormally fast at the slightest amount of exercise. What could be the cause of this?
I do not have anxiety or anything like that so it seems that it comes out of nowhere.
The meds I am currently on make me feel extremely drowsy and even dizzy sometimes. It’s affecting my quality of life since I’ve stopped going to college because of this. I’ve been told by my doctor that she cannot change the medication until I meet a cardiologist to find out more about what is causing the tachycardia. She says that she doesn’t have enough information to change it for other meds that will work for sure and it could be dangerous to stop taking them because we don’t know what’s the problem yet. Does this make sense for you? Is it okay what she decided to do?
Is it possible to take caffeine while taking metoprolol and improve the side effects this way?
Sorry, a lot of that does not make sense. Thankfully, you are going to be seeing a cardiologist who will hopefully help. You can read more about tachycardias here: https://myheart.net/articles/fast-heart-rate-symptoms-causes-treatments/. One of the first places to start would be a 48-hour Holter monitor to identify what the fast heart rate is, then treat it appropriately.
Hello Doctor, I’m a 40 year old male my heart rate is normally pretty good it 70’s bpm and up during the day. I exercise and try to eat healthy. At night my heart rate gets down to the high 50’s low 60’s. I have a concern when I get nervous or scared my heart rate rises let’s say I see someone that I don’t care for my heart rate will go from normal to 120 at the drop of a hat. After I calm down it goes back down but it scares me when that happens. Two years ago I had a bunch of test ran including a heart catheterization every thing turned out fine . I do have some anxiety. Hopefully you can help me stop worrying about this. Thank you ……
Based on what you are describing, that can be normal for you. Additionally, the negative work-up that you had 2 years ago would be reassuring.
Dear Dr.
I am a teacher and I weigh around 82Kg, my age is 36. I have 85-95 bpm, if i work or do any physical activities then it varies from 95-115bpm. While exercising or the treadmill it varies from 135-165 bpm. Kindly let me know is this normal.
My resting heartbeat is 68-80 bpm.
Yes, what you are describing can be normal for you.
I am 52 years old with usual BP 115/75 with blood sugar lever (Fasting) 6.5). Maximum bpm of tmt is 174. Echocardiogram results are very good. But recenly my resting bpm is sometimes less than 60. Today before going regular evening walk ( About 1 hours) bpm was 64 but after 1 hour later of walk bpm become 54 only. I felt uneasy bit and sleepy. I know it is bradycardia problem. Should I go for Cardio doctor? Recently my usual bpm is about 60-65 (resting) sometimes less than 60. What should I do?
What you are describing can be normal for you, a heart rate in the 50s with a normal blood pressure usually does not cause you to feel sleepy.
Hi Dr. I am a 43 yr old female, 5’1 and 115lbs. Never had cardiac issues that I know of other than a mild heart murmur. Ive always had low blood pressure. I’ve had hypothyroidism for over 20 years after having cancer and radiation to the chest. Last month I got very sick with racing heart, syncope episodes, feeling hot, insomnia, weight loss etc. My thyroid levels showed I was very hyperthyroid and they stopped my thyroid medication for a couple days and gave me a beta blocker which I only took one time (helped HR but bp 78/52). I ended up being hospitalized for 11 days on a tele floor and my monitoring showed SVT on any type of minor exertion. Standing up HR jumps to 120-135, standing up and moving arms like brushing teeth 135-150, walking HR stays right around 115-120, when I stop walking HR goes up. As soon as I lay down HR goes down to 70’s-80’s. Sitting can be anywhere between 90-110. They said I had a 7 beat run of vtach one time when I was in the hospital, 2nd night there and had been very dehydrated. They levels normalized very quickly (on half dose of my normal meds), most symptoms went away except the cardiac issues. I have a monitor now for 4 weeks. Echo and stress test were normal. Dr says I may have POTS? What else would cause svt and why did I suddenly develop it?
Ive been wearing compression socks and drinking tons of fluid. I notice hr is up in the am and gets better as day goes on. I have moments of feeling lightheaded and dizzy, usually when resting and HR is normal. Last night laying down my HR was 56-65 and yesterday throughout the day seemed to be better when walking etc. i havent had coffee, alcohol, excedrin for 3 months. No caffeine at all. Ive been trying to walk about 7500-10,000 steps a day. My sodium, potassium etc are always low normal
Yes, you can develop and manifest an SVT during any decade in life. Some SVTs can be treated with an ablation (which is the definitive treatment for an SVT, when appropriate), especially when persistent despite medical therapy. I would make sure that your thyroid disease is optimally managed and discuss a referral to a cardiologist (specifically, an electrophysiologist) with your physician.
I am 53 and an avid cyclist. I have a resting heart rate of 50. While riding its between 85-175 depending on power. When I ride 40 or less flat miles my heart rate returns to normal after about an hour. When I ride 50 or more or hills it will go down to about 70-80 and stay there for the rest of the day. It makes my stress counter say I am not getting enough rest. Is the fact that it stays 20 BPM over my resting rate for so long bad?
That is a good question, no one truly knows the right answer. In the editorial “Run for your life … at a comfortable speed and not too far” (https://pubmed.ncbi.nlm.nih.gov/23197444/), the authors suggest that there can be cardiovascular damage from excessive exercise and that moderate exercise might be the sweet-spot for longevity. What that means for you and your exercise routine is up to your interpretation.
Dr. Jason my wife have covid 19 she have know heart problems That we know of her heart rate resting is 94 to 109 is it becouse of a low grade fever are there some other problem
Yes, we are still learning about SARS-CoV-2 infection and the heart. There have been reports of persistent tachycardia or tachycardia with minimal exertion after SARS-CoV-2 infection, the low grade fever is probably also not helping. Most resting heart rates will normalize in the weeks-to-months after SARS-CoV-2 infection, so I would give it a little more time and continue to monitor.
It’s insanely impressive how much time you’ve taken out of your life to respond to people. I really, really respect that.
I have a feeling I know your response already. Lol But my question is this. Would this constitute a low heart rate? In the mornings when I just wake up or when I’m lying down my heart rate is commonly 52-58 bpms. However, throughout the day after I’ve woken up and been moving, when I sit back down or lie down it’s never below 60. It’s only ever below 60 when I haven’t been active or moving, when I retain my post sleep grogginess. I have an incomplete right bundle branch block so I’m assume that’s why I dip below 60. (Is it possible that low magnesium could trick an ecg? cause I had PVCs bc of low magnesium)
Thanks in advance!
A night or sleeping heart rate into the 50’s bpm can be normal, especially if you are asymptomatic. When awake and active, your heart rate can increase and stay that way during the day. All of this is largely regulated by the natural circadian rhythms in your body. It is unlikely that an isolated incomplete right bundle branch block would cause a low heart rate and a low serum magnesium level will not “trick” an ECG – although, very low serum magnesium levels (i.e. hypomagnesemia) can cause ECG changes including a prolonged QTc interval. Thank you for your kind words.
I have one last question. I don’t know if it’s just too much time on the internet or what. But it is possible that my cardiologist could confuse Brugada Syndrome for IRBBB? Or would it be fairly easy to assess? I’ve had multiple ECGs done because of spells of PVCs. However I have not had any spells as of late. Haven’t had a single PVC in months. With you saying it is unlikely my heart rate would drop below 60 bc of IRBBB has me wondering if it may not be something more.
They did an echocardiogram and everything came back normal (ik they come back normal even with ppl that have Brugada Syndrome). I get you can’t diagnose me over the internet but I was maybe looking for advice as to whether I should look into a second opinion. Or would it be unlikely they could miss something like that. My father died of sudden cardiac arrest at the age of 60. Would that be a risk factor?
The Brugada pattern on ECG can be subtle, and sometimes missed. Having your cardiologist weight-in again or obtaining a second opinion are both reasonable options.
It’s worth noting I’m not of Asian decent and have no reason to think anyone in my family has it. I’m 6’7″ as well and the lowest my heart rate has been is around 57, but measured in like 15 second intervals where for the whole minute it could be over 60 (guessing). Would my height facotr into my heart rate?
In general, your height does not factor into your resting heart rate.
Hi doctor,
I am pravin. I had undergone bypass surgery 4 years back.I am 64 years old. I exercise on stationary bicycle for 40 min.regularly. My resting heart rate is 57 . Normal heart rate fluctuate between 60 to 95. During exercise my pulse rate goes up to 145.Is it ok ?
Yes, that would be acceptable for short periods of time (<20 minutes). An ideal sustained exercise heart rate would be ~130-140 bpm in your case.
I am 49-Year-Old Male who recently battled COVID-19 Pneumonia (Left Lung). The COVID Caused tiny blood clots in my right lung which I believe was depriving my heart of oxygen. My 02 Sat would fluctuate down in the mid 80’s for a short time during my illness but would always go back up above 90. I was spitting up blood and was sick for 14 days before my fever broke. It would not stay above 94, however. This caused my heart to go into an irregular rhythm. My heart rate got as high as 190 before they hospitalized me and put me in ICU while administering meds to help slow my heart, lower blood pressure etc.
I spent 8 days in ICU and was released after 10 days with a bunch of meds and a life vest, along with supplemental 02. It’s been 10 days since I’ve been released. They said my heart was weak when I got to the hospital. I had Mild Left Ventricular concentric hypertrophy enlarged & thickening with Reduced pumping function. My Left Systolic function moderately impaired. LVEF was at 30 – 35%. Right V is mildly enlarged & global right V. systolic function is mildly reduced RSVP 42.87. Left and Right Atrium both mildly dilated.
Mitral Valve appears normal. Mild Right Valve Regurgitation. No Sclerosis of the MV Valve leaflets. No evidence of Mitral Valve Stenosis.
No evidence of Tricuspid V Stenosis. Aortic Valve normal, Pulmonic V normal, & the aortic v normal. No pericardial effusion seen. This is from the 11/9/2020 ultrasound while I ICU.
They have me on me on Amiodarone (Along with other meds) in preparation of a Cardioversion in the middle of December and they’re also planning to do a TEE to make sure I have no clots, and a Heart Cath. To make sure I have no blockages. My BP is currently at 115/75 range, heart rate is in the 80’s on average, and O2 Sat without Supplemental Oxygen runs between 95 and 98. No SOB, no chest pain that I can tell, I can do some minor exercising like walking around the block with no issues, etc. (They told e I could do that much with a slow walk)
Question, can my heart have healed some since the above the above ultrasound notes which were taken on day two of ICU? I still have the irregular heartbeat, however. Will the Cardioversion if successful fix the above? Lastly, how much should I be worried about the above procedures. Keep in my that I have always exercised and ate relatively healthy (The last 5 years) and like beer. 5 Years ago, I lost about 20 pounds through low gluten dieting, but have always been active. I was an athlete in College and had a resting heart rate between 40 and 60 before COVID and could run an 8-minute mile.
Thanks Kevin Box
Additional Information. I am 6 foot tall Caucasian and weigh around 215 ( I weighed 227 before ICU) and I have Thalassemia minor and have never had any issues except my blood draws and shows I am anemic. No other health issues ever. My cholesterol has always been in the 150 range. Trichlorides in the 160 range. Good Cholesterol has always been a little low and bad cholesterol a little high until I went low gluten and now they are in line. I’ve never had high blood pressure. It’s always been in the 120/80 range. I also had a complete physical in September and the doctor found no evidence of an irregular heart beat, however the Cardiologist now says it could have been and underlying issue before COVID. I also had a nuclear stress test 5 years ago and all checked out great.
Sorry, I am not an Engineer, but I do explain things like one.
Thanks, Kevin Box
I am 49-Year-Old Male who recently battled COVID-19 Pneumonia (Left Lung). The COVID Caused tiny blood clots in my right lung which I believe was depriving my heart of oxygen. My 02 Sat would fluctuate down in the mid 80’s for a short time during my illness but would always go back up above 90. I was spitting up blood and was sick for 14 days before my fever broke. It would not stay above 94, however. This caused my heart to go into an irregular rhythm. My heart rate got as high as 190 before they hospitalized me and put me in ICU while administering meds to help slow my heart, lower blood pressure etc.
I spent 8 days in ICU and was released after 10 days with a bunch of meds and a life vest, along with supplemental 02. It’s been 10 days since I’ve been released. They said my heart was weak when I got to the hospital. I had Mild Left Ventricular concentric hypertrophy enlarged & thickening with Reduced pumping function. My Left Systolic function is moderately impaired. LVEF was at 30 – 35%. Right V is mildly enlarged & global right V. systolic function is mildly reduced RSVP 42.87. Left and Right Atrium both mildly dilated.
Mitral Valve appears normal. Mild Right Valve Regurgitation. No Sclerosis of the MV Valve leaflets. No evidence of Mitral Valve Stenosis.
No evidence of Tricuspid V Stenosis. Aortic Valve normal, Pulmonic V normal, & the aortic v normal. No pericardial effusion seen. This is from the 11/9/2020 ultrasound while I ICU.
They have me on me on Amiodarone (Along with other meds) in preparation of a Cardioversion in the middle of December and they’re also planning to do a TEE to make sure I have no clots, and a Heart Cath. To make sure I have no blockages. My BP is currently at 115/75 range, heart rate is in the 80’s on average, and O2 Sat without Supplemental Oxygen runs between 95 and 98. No SOB, no chest pain that I can tell, I can do some minor exercising like walking around the block with no issues, etc. (They told e I could do that much with a slow walk)
Question, can my heart have healed some since the above the above ultrasound notes which were taken on day two of ICU? I still have the irregular heartbeat, however. Will the Cardioversion if successful fix the above? Lastly, how much should I be worried about the above procedures. Keep in my that I have always exercised and ate relatively healthy (The last 5 years) and like beer. 5 Years ago, I lost about 20 pounds through low gluten dieting, but have always been active. I was an athlete in College and had a resting heart rate between 40 and 60 before COVID and could run an 8-minute mile.
Thanks Kevin Box
Yes, your heart can improve as you improve from your COVID-19 illness and your atrial fibrillation. In fact, I would expect your left ventricular ejection fraction (i.e. pumping function) to return to normal over the next 4-6 weeks especially if you remain in sinus rhythm (i.e. not in atrial fibrillation after your cardioversion) or if your heart rate is well rate-controlled if you remain in atrial fibrillation. Given your young age, only mild dilation of the left atrium, and the acute setting of your new onset of atrial fibrillation – I would expect the cardioversion to be successful in restoring sinus rhythm. You should not be worried about the above procedures, cardioversions and heart catheterizations are very common and low risk procedures in the cardiology field.
How dangerous is it to be put under general anesthesia with the low pressure on my left ventricle? I went in today to have my Heart Cath, Cardioversion and TEE performed however the pre-opt nurse the day before didn’t tell me to not take my Blood thinner and I took it this morning along with my other meds, so we had to reschedule for another day. However, I did get to speak with the Anesthesiologist and he scared me a bit by stating there are risk associated with General Anesthesia and having low pressure in your left ventricle. He reviewed the ultrasound from November 9th when I was in ICU. Is it possible that my Left Ventricle Volume has improved since that ultrasound even though I’ve been in AFIB the entire time. How worried should I be about this. Sorry, I have a lot of anxiety about this procedure.
I am a 64 year old woman with increased heart rate. It normally runs in the 80s but it can easily get to 120 if I am just walking around. I have had a stress test and ultrasound and everything looks good. Sometimes I get short of breath climbing stairs. The heart rate doesn’t stay high for very long. It has been as high as 140 if I am exerting myself.
Is this reason for concern?
I would assume that your fast heart rate is sinus tachycardia? You can read more here: https://myheart.net/articles/inappropriate-sinus-tachycardia/
Hi Doctor, I am a 20 year old female that weighs about 127 lbs. I am relatively active, I have been running long distance for the past year and do think I’m in relatively good shape. My resting heart rate ranges from high 60’s to low 80’s. My walking heart rate average is 112 bpm. I do push myself pretty hard when I work out, my runs will range from 135-200 but the ultimate average is 185 (I’ll run between 3 and 9 miles a few times a week). I’ve tracked this information February 2020-December 2020. Thanks so much for answering these questions, it is very much appreciated.
Yes, what you are describing are good heart rates for you – resting and with exercise.
Hi I’m a 27-year-old active male very tall around 6’8″. I am a bit overweight by fat percentages but I stay very active. All my life I have played basketball and etc. Recently I became more sedentary then I starting back into activities. My heart rate generally throughout the day stays around 64-62 bpm. In the mornings and when I’m tired it goes as low as 54bpm. I have PVCs very occasionally. Like the most would be 10 a day. I did have a spell of them where I was super low in magnesium. After correcting that by taking a daily pill of 250mgs I haven’t really had many PVCs. However, when I have them it often slighlty catches my breath and sometimes I feel a flushing sensation (that could be from anxiety bc I get anxious when I feel them). Is that normal for them to change my breathing slightly? I had an echo and multiple ecgs. Had an IRBBB which the cardiologist said really didn’t amount to anything. He almost didn’t even mention it till I pried him for it. Looking for advice.
Yes, PVCs can give you those sensations and symptoms that you are experiencing. It sounds like your evaluation by your cardiologist was thorough, which is reassuring.
Can use patient have early repolarization and sinus brady cardia 41bpm escitalopram 20mg?
Escitalopram have danger prolonged QTC and torsade de point?
Escitalopram is arrhythmogen?
Yes, that is a concern. I would suggest you discuss with your physician for further guidance.
I am 55 years old and my resting heart rate is 55-60 bpm. Is this a normal rate?
my height is 174cm and weight is 175lbs.
Yes, that can be normal for you.
Firstly bless you for caring for ppl most Drs. wouldn’t put this much effort. I’m 28 healthy, atheletic male. I linked a photo of a pulse ox reading from my phone that happens when I lie down. The second wave thing is very low and I feel a heaviness in my chest. When I sit up the waves are full and normal? I assume gravity affects your heart but could this be a sign of something? Worth noting I might have gerd (could explain the heaviness, but it goes away after lying down for a few mins and goes away when sitting or standing). I’ve seen a cardiologist and had a pretty much fully workup. ECG echo etc. Everything came back normal except I had a irbbb. Should I go back? Is this a possible sign of heart failure that they missed? Or does a pulse ox not pick up changes in heartwaves?
https://ibb.co/bKg7CtK
I am not sure how to explain the phenomenon and symptoms that you are experiencing. Your oxygen levels should not change when going from sitting to laying or laying to sitting. Your normal evaluation by your cardiologist is reassuring and it is unlikely that what you are experiencing would be a sign of heart failure.
My oxygen levels do not change. I just feel a heaviness on my chest. But it’s usually very slight. Like I can breathe through my nose, but it’s enough I notice “extra” weight on my chest. I know HF can cause that because of the buildup of fluid. Would it be easy to miss HF? And during normal activities, I don’t get short of breath. I’ve hiked 6+ miles and played ball on the same day without any symptoms I noticed. But I know that HF isn’t always to the same degree and it may be minor. My oxygen saturation usually sits around 100. I get occasional PVCs (not daily but maybe 5 per week).
It is not easy to miss heart failure and the ability to do the activities you are describing is very reassuring.
hi,
i’m 24, obese but working on it. in the mornings my heart rate is lower. i just recently got diagnosed with mild apnea and have been on CPAP therapy for a week.
when resting in the morning my heart rate is usually 60/58 sometimes 55. usually it goes up to 80-90 when i get up and move around.
this morning i got out of bed and went downstairs to make breakfast. i was stood in the kitchen talking and looked at my fitbit to check the time and saw my HR was 66. is that normal while standing? i felt fine and no symptoms. just never noticed it that low while standing, usually just sitting.
thank you!
Yes, that can be normal for you. Losing weight and CPAP should improve your resting heart rate and exercise heart rate.
Hi,
I’m 24, and my resting heart rate is generally around mid 60s – early 70s. However I’ve noticed a few spikes in my heart rate during sleeping in the past couple of days, probably during REM sleep according to my watch. For a span of 40 minutes, it was around 105-112 constant, and then a couple of minute long spikes to 127 and 124 later. Also noticed a short term (a minute or so) spike to 125 the night before.
I’ve had a holter monitor for 7 days 2 months back to monitor palpitations due to my anxiety (been off those meds for 45 days now), but they didn’t bring up any VT or SVT. However, this is recent. Could it be serious, and should I keep monitoring?
I should also mention that I felt a minute’s dizziness after work yesterday, and noticed my watch showed my oxygen levels dropping to 92 – but went upto 98 straight after.
Hi,
I’m 24, and a bit overweight – 80kgs. My resting heart rate is normally mid 60s to low 70s. However, for a couple of nights I’ve noticed spikes in my heart rate while sleeping, mostly during REM sleep according to my watch. Yesterday, for a 40 minute duration it was around 110bpm. Then a couple of hours later two spikes of 127bpm and 124bpm for a minute each. A similar spike happened the night before – a couple of minutes with 125bpm and a week or so before. Is this normal?
Also I should mention, after work yesterday, I felt a little dizzy and my oxygen level according to my watch fell to 92 for a bit, then back up to 98 within a minute, so I suspect that was because of cold hands and the weather.
Yes, that can be normal, you can have some heart rate variability during sleep. Additionally, there can be some errors and variability with wearable heart rate monitors. Yes, cold extremities can cause the appearance of a low blood oxygen level.
Thank you, that’s reassuring. I’ve been reading that it could be VT or SVT, so was worried a bit.
I’ve had holter monitoring done before (2 months or so back for 5 days) due to my anxiety issues, but I’ve been off those meds for more than a month now. The reports from them was fine, other than anxiety related palpitations from time to time.
Hi Jason! First off great name lol Secondly thanks for being there for people that reach out for answers that may not can afford it. You’re a blessing. I have a question. Had some workup done by the cardiologist because of some strange symptoms that were similar to heart failure. Everything came back normal but that was a few months ago. However, as the mind is active I’ve been worried about those symptoms. My question is would it be possible to have left-side heart failure and have great oxygen saturation levels? Mine is almost always 100. The lowest is like 97, but generally 99 and 100. Would it be possible to have left or right side failure with that good of oxygen saturation?
Yes, absolutely. You can have heart failure (left, right, or both) and still have a normal oxygen saturation. Sometimes, acute heart failure (usually requiring a hospitalization) will cause low oxygen levels but most ambulatory (at home) heart failure patients do not require home oxygen.
Okay one last question, as I don’t think I have heart failure since I’m not short of breath when doing activities; what is the likey-hood of having heart failure with a normal ECG besides PVCs and an incomplete right bundle branch block?
I would say a very low likelihood, especially since you are asymptomatic.
Hello, I am a young male that spends generally an hour or more each week with intense exercise. During the summers I hike often and etc. Is it normal to be able to see your heartbeat on your left nipple? It shakes when my heart beats.. Sometimes my heart rate goes as low as 55-57 at night or first thing in the morning when I awake. But throughout the day at rest, it’s usually 64. Does all this sound normal?
Yes, all that sounds normal for you, especially since you are asymptomatic.
This is in reference to my November 27thth post:
How dangerous is it to be put under general anesthesia with the low pressure on my left ventricle? I went in today to have my Heart Cath, Cardioversion and TEE performed however the pre-opt nurse the day before didn’t tell me to not take my Blood thinner and I took it this morning along with my other meds, so we had to reschedule for another day. However, I did get to speak with the Anesthesiologist and he scared me a bit by stating there are risk associated with General Anesthesia and having low pressure in your left ventricle. He reviewed the ultrasound from November 9th when I was in ICU. Is it possible that my Left Ventricle Volume has improved since that ultrasound even though I’ve been in AFIB the entire time. How worried should I be about this. Sorry, I have a lot of anxiety about this procedure.
You would be at increased risk than the general population without heart failure, but not prohibitive risk, heart failure patients receive general anesthesia for various procedures every day across the country. Yes, it is possible that your heart has already improved since your ICU stay on 11/9/20. It may be reasonable to repeat a transthoracic echocardiogram to provide reassurance to yourself and the anesthesiologist.
Procedure went well. The Cardioversion did get my heart back into sinus rhythm. There were no blockages. My ejection fraction improved to 45 up from 33 from the Nov. 9th Eco. He did say there was a moderate leak in a valve (He didn’t say which one.) However he felt like this could improve as long as I stay in Sinus Rhythm. He didn’t seem too concerned with the valve leak and said overall my heart has made great improvement since my ICU stay in early Nov. Lastly he stated my AFib was more than likely caused by COVID. Thank you so much for your feedback.
Thank you for the feedback. The work you do in answering these questions is truly great because our normal doctors are often too busy to answer these kind of detailed questions this way. My Doctor is Dr. Sonjey Kunnapoli with Houston Methodist and he’s very hard to actually speak to because he’s always in the middle of a procedure. He does 2 to 3 Cardioversions a day a I am told. Thank you for the timely and honest feedback and may God bless you for the work you do.
So, what kind of complications could someone have during this sort of procedure when an irregular heart beat and reduced Left Ventricle ejection fraction is present?
Would AFIB be considered heart failure? My heart is just out of Rhythm and will occasional spike up to about 140 to 150 if I am up moving around. My resting heart rate stays between 60 and 80 usually. Of course, I am on about 5 medications including amiodarone. Also, I’ve never experienced any chest pains or shortness of breath and have impeccable cholesterol and numbers and have never had high blood pressure. In fact, I can’t even tell when my heart is elevated or that I have AFIB. I view this as a temporary issue because it was onset by COVID, however I am aware the Cardioversion may not work and other measures may have to be taken.
The complications are few and relatively rare, mainly related to bleeding and esophageal trauma from the ultrasound probe. AFib would not be considered heart failure. Hopefully the cardioversion will help, if not, then an AFib ablation might be recommended.
Thank you Dr. Guichard for your feedback. Happy Holidays. I will update on how it goes. The procure will be at 7:30 tomorrow morning.
I am 41 and have been dealing with COVID/Post-COVID issues since November 8th. During this time I have had a very difficult time sleeping. I wake up 3-5 a night feeling like my heart is beating out of my chest. When this happens I put on my pulse oximeter to check blood oxygen and heart rate. My blood oxygen has finally normalized and is usually 95-98. My heart however, is a different story. During these “episodes” I have woken up with it as high as 152, but usually it is in the 115-135 range. I wake up panicked and gasping for air. Another thing I have noticed is when I put the pulse oximeter on, if I am laying down it will start on the high 80’s or 90’s, but the second I sit up or stand up it jumps to that high number snd maintains there for or awhile. As I said before, I have been dealing with COVID for awhile. I had a doctors visit where they did an EKG and my heart rate was 51 and they sent me for an ECG which they said came back okay. I have been reading a lot about heart rate and COVID and something called POTS keeping coming up. It appears as though what I am experiencing is very similar. Could this be something I should look into????
Thank you for your help and advice.
There is a lot about the post-COVID-19 syndrome that we do not know, thus it is difficult to fully answer your questions with confidence. You can read more about POTS Syndrome here: https://myheart.net/pots-syndrome/, but it’s relation to COVID-19 is still not very clear.
Hello Dr. Jason, I am 26 years old male, I was diagnosed with hypertension 1 year back and I was on BP medication (Amlovas m 5/25) but 3 months back my BP started to fall so my cardiologist asked me to stop taking the BP medicine it’s been 3 months since then now my BP comes under 130/80 and goes little above sometimes and my resting heart rate stays under 50-70 bpm and when I walk on the treadmill at 7km/h it goes up to 180bpm (Is it normal for my heart rate to go that high only at 7 km/h ?)
But in these 3 months, I had some issues like I feel like a pricking sensation like pricking a sharp object in my left chest under the breast and sometimes right side and above the breast in my left chest, at the same time I feel pain in my left shoulder, hand, and pain in the left jaw and rarely sometimes I feel like my breathing stopped for 2-3 seconds and I can’t take a full breath so, I visited my cardiologist and she has done ECG, 2d echo and 48 hours Holter monitor test all the results come normal according to the cardiologist and she said nothing to worry.
But till days I feel pain in my left chest and sometimes pain in the left jaw and left hand and if I sleep on my chest sometimes then after waking up I feel severe pain in my left chest so, I want to ask is there any other test apart from the test I mentioned above to verify the cause of the pain or it just normal body pain?
Thank you.
A stress test or heart catheterization could help determine if the pain is cardiac chest pain. However, given your age and what you are describing this does not seem like cardiac chest pain. Your cardiology evaluation to date is reassuring and if you are still having concerns then you can discuss further with your cardiologist.
Hello Dr. Jason, Thank you for the reply I really appreciate it, I still have a few questions –
1. About the stress test I have already done a TMT test one year back in January 2019 and the report was normal so, do I still need to do the stress test again?
2. And I am very afraid to do the catheterization test as I am only 26 and I don’t want to take any risk or side effect of a catheterization test. is it really necessary to do the test?
3. When running on a treadmill at just 7km/h my heart rate goes up to 180 bpm, is it normal? and is it safe to do cardio and weight training?
4. And the symptoms I am having like pain in the left chest, left jaw, and left hand at the same time, I read on the internet that all these symptoms are related to a heart attack but it’s been 2-3 month I am having these symptoms so like when someone having a heart attack does it take 2-3 month to come or it just happened suddenly?
5. Is it possible for some one having a heart attack at the age of 26? my weight is 75kg, my height is 5′7 and I do workout regularly
Thank you.
The normal stress test is reassuring, so it is unlikely that you are having a heart attack (especially given your age). That exercise heart rate can be normal for you, and moderate exercise with resistance training would be acceptable in your case.
Hello Doctor, Thank you for your suggestions.
Just to make sure if everything is ok I did a stress test again please find it here and let me know what is your thought on the report – https://drive.google.com/file/d/1H9rgpanswOoOSIHn-CZ1gy73VLBhrbwe/view?usp=sharing
And please suggest to me a healthy heart range that I can run on the treadmill for 30 min or more or suggest me a duration.
Thank you again.
A target heart rate of 70-90% of your maximal heart rate would be appropriate.
Okay Doctor, is 30 min of running with a heart rate of 70-90% of my maximal heart rate continuously is fine ? or should I increase the time to 45 min with a continuous heart rate between 70-90%?
And please check the TMT report and let me your thought on that.
Thank you.
30-45 minutes would be acceptable. I will defer to your physician about the stress test, but it appears like the results were normal.
Thank you so much doctor
Hello doctor, sorry for asking you again but although all of my test report including trop i, ECG, echo, TMT etc. results came normal but still i feel a pricking, heavy and sometimes itchy sensation in left side chest, the pricking sensation is very sharp and severe in the left chest sometimes around breast.
And sometimes i am having pain in left hand and and left back and pain in left jaw while having the pricking sensation in my left chest.
And my cardiologist said like it is not practical to do ECG or any other test every month.
So, is it possible all the symptoms
is caused because of gastric or any other causes please suggest something..
I am not sure how to explain your symptoms, but it is unlikely to be coming from your heart.
Hi – I’m a 27 year old female, I haven’t exercised for a while but over the past 2 weeks I have started couch to 5k and I’m doing around 40 minutes of exercise per day. I am also taking 40mg propanalol a day for anxiety. I have notice over the past few days that whilst resting, my heart rate occasionally dips between 50-60 (usually around 56) is this normal? Should I consider not taking the propanalol?! Thank you
Yes, that can be normal for you, especially if you are asymptomatic. There could be better medications for your anxiety, I would discuss this further with your physician.
Hi,
I’m 24, around 80kgs – a bit overweight for my height. The day before after a trip (outside in the open!) I started having palpitations consistently of 120bpm which lasted for a couple of hours. They died down but for the next day my heart rate remained in the high 90s to around 110 at rest – except while sleeping when it went down to 60-70. But the high hr of 120 again followed for an hour in the evening.
My normal resting heart rate is around early 70s. Before the palpitations, I had eaten a meal and immediately fell asleep. An hour later – vomit and high heart rate.
Today, the HR while working has been okay – 75-85, but spikes of 120 for a few minutes every hour or so. No symptoms today, just had a headache yesterday. Is this of concern?
Thank you.
If what you are describing is confirmed manually, then you could be experiencing an SVT (https://myheart.net/articles/fast-heart-rate-symptoms-causes-treatments/). You can discuss this further with your physician.
Thank you doctor. Is this a serious condition? I’m in a new country and don’t have access to a GP currently, and due to covid I’ll be avoiding going out.
One more thing — It just happened again after eating — is it possible that it is due to food?
An SVT is generally not serious, but should be evaluated when you are able. It is unlikely to be related to food or drink (hot or cold), however in some cases it can.
Thank you.
Hi, I’m trying to understand resting heart rate. I wear
My Apple Watch to bed and durning the day. My resting heart rate when I sleep is around 62-63. I am a stay at home mom, and when I wear my watch durning the day when I’m running around doing laundry, cleaning, going up the stairs a number of times my resting heart rate is between 70-76….. is this normal?
Yes, what you are describing can be normal. In general, your sleeping/night heart rate will be lower than your resting/day heart rate.
What is more important ton judge your heart health… resting heart rate at night or durning the day?
There is more evidence for resting heart rate during the day.
Hi Doctor,
I did have my heart rate checked as you suggested above and they said it’s likely my anxiety acting up, since heart rates during SVT go around 170-200 instead of 120. So I guess that’s okay.
I noticed another thing last night – for around a hour and half my heart rate got up to 110bpm and stayed there during sleep, before going down to around 60bpm. Is this normal?
Also I noticed whenever I stand up, my heart rate shoots upto 130 bpm.
Could be postural orthostatic tachycardia syndrome (POTS) and is something you can read more about here: https://myheart.net/pots-syndrome/.
Yes, that can be normal for you, especially since you are not experiencing any episodes of an SVT.
I am 21 years old female, from beginning of 2020 i got aware about my health and i notice that when i stand up after seating or lying my heart beats fast
about 110-120 and i feel it , then i start to not feeling it but when i check it is like 90-100 , and when i seat down my heartbeat immediately goes down in just one second for like 60-70 beat , my resting heart rate is 60-70, when i go out walking for an hour it is 100-110 . Is it Pots? I read that in Pots it should goes down after 10 minutes but i guess mine stay like 90-100. And i am very anxious person
And i always feel like that when i am thinking of that or paying attention
Hi ,doctor.
I am 21 years old female from beginning of 2020 i got aware about my health and I notice that when I stand up after seating or lying my heart beats fast about 110-120, and I feel it then i start to not feeling my heartbeat but i check it is still around 90-100, but when i seat down my heartbeat goes down immediately just in second for about 60-70, i go for a walk outside for like an hour and it stays around 100 , is it normal? I do exercises at home it goes like 120-130 , then go back 60-70 again. My resting heartbeat is 60-70 . And want to say that i am very anxious person, i go and checked at cardiologist doctor said everything is normal and it is all duo my anxiety , and my hemoglobin was slightly low 113. When i am walking around or doing something my heartbeat doesnt bother me or i dont feel breathless .
Having a normal evaluation by your cardiologist is reassuring, it sounds like what you are describing can be normal. You can read more about POTS here: https://myheart.net/pots-syndrome/, but it does not sound like this is an issue for you.
I am 60 years old man. I have 30 years of diabetes, I am currently using insulin and oral antidiabetic drugs. I once had a subclinical thyroid disease, but I never used medication for it.
I have a heart rate of 95/min while I nap. I have no palpitations, no shortness of breath, no complaints,I just need to nap during the day. I guess it’s because I’m always at home these days due to quarantine and unemployment.
I think my heart rate at rest has increased 10 units this year compared to the previous year (previously 85/min).
What should I do? Thanks in advance.
I would recommend improved dietary patterns and a mild-to-moderate exercise program with resistance training to improve your overall cardiorespiratory fitness.
Hi Dr., I’m 33 F and have recently started paying attention to my heart rate. I’ve started a diet/exercise program lately and have lost 10lbs in the past 1.5 months. At the begging, my heart rate was in the mid-high 50’s. Lately, it’s been in the high 40’s, low 50’s. I exercise around an hour each day (half the days are not rigorous). I also had an ekg last February that showed no issues. Should I be concerned about my low heart rate as of recent? My energy level has been fairly normal except the past few days, where I’ve felt more tired than normal (but that may be attributed to other things). Thank you!
No, those heart rate changes can be normal for you and likely from the increased exercise and weight loss over the past couple weeks.
Hi Doctor, I am 53 years old and was regular jogger 2 years ago (running average 20k/week. My resting HR back then was a steady 60 BPM. Then I got hit with a flu like symptoms that lasted 2 months (not sure if it was covid since I never got tested). Then I noticed my RHR dropped to 50BPM. My sleeping heart rate also dropped to 40 BPM. I have no symptoms and blood pressure actually became lower after the flu.
Not sure how to fully explain that, most of the post-COVID-19 syndrome patients have an increased heart rate. I would just continue to monitor for now, especially since you are asymptomatic.
Greetings !
i started doing cardio lately. 30 min bicycle or running each day . maintaining my heart rate between 130-140 constantly.. i am observing that my resting bpm is getting lower and lower.
before i started training it was 70-85.. not it s 55-60 . I did ecg and other checks and everyting was fine. Is it normal? i have no symptoms , i feel good, but i am worried that my heart rate will get to low that i will faint. is it possible?
What you are describing can be normal, especially since you are asymptomatic. Congratulations on your exercise routine, it appears to be working well.
Hi,
I am 24 years old, 5ft4″, weighing 55kg. I have exercised consistently for years, eat well and don’t have significant amounts of caffeine/alcohol and am a non-smoker.
My resting heart rate fluctuates wildly day to day, ranging from 50 to as high as 85. There seems to be no specific cause (not related to exercise/non-training days nor stress). My heart rate frequently goes up to 195/200 whilst jogging (even at a slow 12min mile pace) – this also happens during other types of exercise, but not always. Sometimes this presents entirely asymptomatically and sometimes with chest/shoulder pain and dizziness.
I have experienced sporadic chest pain and palpitations (a few times a week) for over 3 years, occasionally leading to loss of consciousness. Although, sometimes I feel absolutely fine (high or low heart rate).
I was referred to a cardiologist and my echocardiogram was normal and ECG has always been normal. I have been checked over in hospital on days I have lost consciousness and there seems to be no underlying cause (blood sugar, blood pressure, chest X ray all fine). Is there any advice you can give..surely this can’t be normal!
A resting heart rate between 50-85 bpm can be normal, but a heart rate of 195-200 bpm with mild exercise (even as a 24 year old) seems a little high. I would have to trust the evaluation done by your cardiologist was thorough, and notify them if you have any continued issues.
Hi Doctor Jason
I’m female 32 years old, BMI underweight, cholesterol level normal
I’ve been diagnosed with sinus tachycardia (ECG, EKG, blood test, thyroid test all came back normal). This ongoing high heart rate when I’m stress increase my blood pressure to 110/85. Is this something I should worry about? When my heart rate below 100, the blood pressure test is within normal range
Thank you
This sounds like inappropriate sinus tachycardia (IST), you can read more about it here: https://myheart.net/articles/inappropriate-sinus-tachycardia/. Hopefully you will find the information helpful.
Hi, I am 38 years old. I have been always healthy and active. I started noticing some increase in my heart rate since I got a new Apple Watch. Sleeping and resting at night my heart rate is ok ( 55 to 70). It is during day time when I am studying or driving it is in 80’s to 90’s. Walking is around 105-110 bpm. Is this normal? When I do Zumba it also goes up to 170 but comes back to 100 in 2 mins. I am stressed about it lately. Is this normal?
Yes, what you are describing can be normal for you. Your heart rate is a little high with mild activity, but you have reasonable heart rate recovery after exercise.
hi i’m a 14 yr old and i’m very active – i get 3-6 hours of exercise everyday, recently my heart rate has been going down to 36 bpm when i sleep is this normal?? i’ve lost a fair amount of weight recently and most of my exercise is cardio minus the one hour of strength
Yes, that can be normal for you. That can be quite common in very young people.
Hi, I am 29 yr old. My weight is 83 kg. During asleep, my heart rate goes lowest to 38 and highest to 49. I am taking medication(bisoprolol 2.5mg) for lowering the blood pressure. My resting heart rate remains avg. around 50 during the day. Is it normal or should I visit the doctor?
Yes, that is probably OK. But, there are probably some better options for blood pressure control than bisoprolol so I would discuss this further with your physician.
I have been having palpitations and chest pain for months now. I was referred to Cardiology and still waiting for appointment.
I caught Covid a month ago and since then my symptoms have got worse.
I went to A&E and had all tests done. They said I had an arrhythmia, Bigeminy? and referred me to Cardiology again. Still no appointment.
My heart rate is 40-42 BPM which used to be 89BPM. It goes up to 90-105BPM when I stand. I feel tired and lightheaded.
Please advise
It is difficult to say what is going on, but this could be a “post-COVID syndrome” that has now been recognized. Following up with a local cardiologist for further evaluation would be very reasonable.
Hi, I’m 37 years old female. I am deficient on Vitamin D, so I start taking 5000 iu a day and I took 240 magnesium at night, I noticed my resting heart beat can go down to between 53-56, but when I walk around it can be 108.. My cgk was normal and my blood test shows everything else normal too.. My thyroid panel also normal.. Is my heart rate fluctuations concerning please?
No, that heart rate variability can be normal for you, especially with the recent normal evaluation.
Hi, my resting heart rate when I wake up is usually in the mid 50s to low 60s, but I notice that when I’m bed before going to sleep it often drops down to the high 40s. Is this normal? I’m relatively physically active – probably walk for an about an hour a day.
Should say I’m a 28 year old male by the way.
Yes, that can be normal for you. Especially if you are asymptomatic and able to exert yourself with no issues.
I have a heart rate monitor that records EKG(I think) and HR for up to 30 minutes at a time. I recently recorded my heart rate while I was asleep. As you said, it was lower than when I woke up. Should I use the heart rate when sleeping to determine my resting heart rate or the one when I first wake up?
When you are awake would be a better measurement of resting heart rate.
Good day sir, I’m a 38year old male. My pulse is between 50-60 before I go to sleep and during the day between 60-100bpm is this normal? I’m being treated for high blood pressure with Lisororm, & Bendroflumethiazide and also acid reflux with Nexium 40mg
Yes, what you are describing can be normal for you.
Hello, I’m a 61 year old runner. Resting heart rate is 56. I’ve never really worried about my HeartRate but now using a fit bit and it shoots up to 200 when running even when I would say my RPE is only around 8. It drops really quickly when I pause but I’m worried as this obviously exceeds my max heart rate.
For short periods of time, that would be acceptable. However, I would manually check your heart rate because wearable devices can be incorrect at very high heart rates.
Hi Dr. I am Anuran 41 years old. My resting Heart Beat is 70-80. I do exercise everyday. After exercise my HB goes to 90-100 and in few mins it turns to normal like 80-85. But without any reason maybe I am working in my Computer my HB turns into 95-100 and feeling palpitation. My ECG and echocardiogram result is normal. Dont know what is the reason. Is it because of stress or anything? Please help.
If your ECG and echocardiogram are normal, that is reassuring. However, if you continue to experience symptoms then a 48-hour Holter monitor might be helpful to determine the etiology of your fast heart rates and palpitations.
Hello! For some reason my heart rate is higher when lying down on my back, stomac or on my right side (70–80 bpm). When i sit down or lie on my left side, resting hr is 40–55.
My resting heart rate have been earlier 40–50 at any position. Any idea what could case this?
No, I am not sure, that is a little strange. You can have some heart rate variation with movement and compressing the various nerves and vessels that are in your chest, but usually not to that degree.
I am a 34 year old female athlete. My rhr overnight typically gets as low as 55, but during the day it is rarely below 75 and often in the 80s even when I’m sitting. Is this common?
Yes, that can be common. It is very normal for your sleeping heart rate at night to be lower than your resting heart rate during the day.
I am 28, I have Fibromyalia and am on medication such as Pregabalin, nortriptyline and naproxen.
I keep having episodes when resting or standing when my heart rate goes upto 118 and above, I get dizzy, off balance and begin to sweat, my arms and hands also feel tingly. I started over a month ago before my medication was changed to this. It can last from 10 minutes to an hour or two
Should I be concerned as it is being more frequent and last longer?
I have an oximeter to keep an eye on it, should I create new journal to show to my doctor
I do not exercise but I will go for slow walks as I need to use a walking stick, when walking it also can get very high and have the same feelings, quiet often feel like I will faint when walking.
Should I speak to my doctor more about this?
I had an ECG in January and it showed a particularly blockage in one of my ventricles but the doctors weren’t too concerned
Yes, discussing this further with your physician would be reasonable.
Hi, I’m a 34 year old female, 47kgs and 152cm tall. I have a viral illness (flavivirus) and have been having issues with my heart since contracting the virus last year. Holter monitor shows an average HR of 94 over a period of 24 hours. Max HR 154. Doctor wrote “myocardial effects from viral infection” and told me I have tachycardia but not tachy-arrhythmia. I often feel light headed, breathless and I have to lie down as I’m worried I’ll faint.
It feels like my heart is struggling to keep up with my body even though the virus has left me with chronic fatigue and pain and so I don’t even do mild exercise. Can you offer any advice?
I am sorry for your current situation and symptoms. There have been similar symptoms reported after coronavirus infection as well, which have taken anywhere from a month to a year to improve. It is also possible that you have inappropriate sinus tachycardia (IST) and you can read more about that here: https://myheart.net/articles/inappropriate-sinus-tachycardia/
Hi sir, I’m 55 year old male.My height is 170cm and weight-63.
My heart rate during sleep is 40-48 bpm. Is it normal?
Yes, that can be normal for you, especially if you are asymptomatic during the day and with exertion/exercise.
I’m 28 with a resting heart rate in the high 50s, usually 57. However, I have had it as low as 47 while lying in bed (no symptoms). I do however have some type of dyspnea. I have trouble breathing when I lie on my back. I have GERD and I was thinking this may be the issue. If I lay there generally in the morning I can breathe fine. It’s usually when I first lay down, it starts instantly and when I slouch in my chair. I find relief by pressing near my stomach. I’m too poor to afford to see a Dr. again, but I had a full workup about a year ago and everything came back normal. I have on occasion woke up gasping. But I have no issues when exercising with dyspnea. I’ve heard if it’s fluid it generally makes you short of breath with exertion. If I lie on my back and turn my legs to the side I don’t feel SOB. Do you think it sounds more like GERD and false dyspnea or could it be stages of HF?
Yes, I agree, from what you are describing this does not appear to be heart-related.
Hi Doctor,
My resting heart rate is 84 bpm. It hovers around 77 bmp at night. However, during the daytime, while working it will be hovering closer to 100 bpm. Also, when I do chores/walk inside the house, the average will be around 120 bpm. Is this normal?
Lightly active but I eat a very healthy diet.
Sorry, forgot to mention that I’m a 28 year old female, 143 lbs and 5’5.
Yes, that can be normal. However, that is a significant increase in heart rate with minimal exertion. Like with a lot of people, improving your diet and starting a mild-to-moderate exercise program could improve your overall cardiorespiratory fitness.
Hello, before February this year, my pulse was normal, 64-67bpm,i had high at rate of 90-110bpm February and shortness of breath, so I took supplements, and vitamins, and it stopped after a week, but recently, I found out my pulse had gotten to 80-90bpm,with shortness of breath when I’m scared of how high my pulse is, and burping, but my resting heart rate is around 65-73bpm,please what can I do to reduce my pulse back to normal and stop the burping.
I also want to add that I’m 23,il be 24 by August
Hello, I am 23,I’ll be 24 by August, early February I had palpitations, my pulse was above 110,but after using supplements and vitamins, it stopped after a week, but I noticed recently, it started again, I don’t do exercises, my pulse increased from 64-67bpm to 80-90bpm,and I have shortness of breath when I feel scared or think about it, and I also noticed I’m gassy and always burping, please what can you recommend for me, and which exercise can I also use to reduce my pulse back to normal
It is difficult to fully explain your changes in heart rate, it is possible that they vitamins and supplements you are taking could be contributing to your gas symptoms. I would recommend a whole food plant-based diet and a mild-to-moderate exercise program with resistance training.
hi , I am 61 year old man, was having BP and daibetes medication since long years (aten 50 and glycomet 500mg)
recently changed to metformin(1000mg) and algoliptin since a week along with a Keto diet and also started monitoring hear rate on fit bit, for a week noticed resting heart rate increase daily usually, it moved from 64 to 74 in one week itself . some days constantly whole day around 80’s or 90’s even for moving around in the house or doing normal work for small durations but no specific pain or shortness of breath,i also started walking since a week for about 20 mins a day where bpm touches 109 or so during walking .even while sleeping if it reduces a bit as soon as im awake it reaches 80 plus.
i have never got a heart check up done so far should i be worried or go get a check up done specifically for the heart?? i am not sure if its the change of med, or food, or walking excercise causing this increase of heart rate..my bp is usually high around 150/90 and diabetes also is a little high but now reducing significantly with medecine since a week
It is hard to say with the information provided, however the blood pressure and diabetes need improved control. I would discuss this further with your physician.
i think my comment got deleted by mistake , so i have started this new diabetic medication along with diet and excercise since a week, the average blood glucose level of the day has almost come to 54-59 range and BP latest reading was about 146/89. only the heart rate since 2 days saw an increase constantly , today it was almost over 85 and easily touching 90s and 100 throughout the day for minimal walking in the house.
the medication started was metformin 1000mg(morning &night) , alogliptin 24mg for 3 days and 12.5mg since day 3 , and supplements of myokramp and bevon (night)
today we consulted a doc to inform this concern and he advised to stop alogliptin and probably have only half the 1000mg tablet if the rate stays high and i feel tired.
so today i had just half of the metformin and no alolitpin, would i see an impact in the rate by trw or few days? or when can i know if i need to get the check up done for something else..?
so I mainly shifted to these tablets and diet and started the walking exercise to get my diabetes lower,its been a week to be precise and that is visible quite clearly , i have approx avg bloog glucose level now as 54-59 mg/dl approx and the BP measured early morning today was around 146/89 the medication currently since a week is Metformin 1000mg , alogliptin 12.5mg, myokramp and bevon as supplements. along with ongoing Aten 50 for BP.
even thought the others seemed to get effective in reduction only the heart rate seemed to increase , since 2 days it constantly around 85 or 90’s for normal minimal movement or walking around house.
so felt a concern on observing high pulse rate easily touching 90 and 100…today onward we tried to stop the alogliptin and reduce the 1000mg tablet and eat just half the tablet instead after consulting a doctor.
but apart from this are we supposed to see an immediate impact or reduction or do we need to observe for any no of days and then go to heart specialist checkup?
It is difficult to say with regards to timing, everyone’s body is different. You can probably expect changes within 4-12 weeks.
I’m a 50 year old male. 350lbs 6ft 3inches tall. I have a RHR of between 49-63 as determined by an Apple Watch, this has been consistent for at least 2 years of data I have. I’ve lost 100 lbs over the last few years (I was over 450 lbs) and am asymptomatic as far as I know. I’ve had a ECG which was normal several years ago when I first got a Fitbit showing RHR under 60bpm and I got worried about it after reading RHR should be 60-100bpm).
My HR rises and falls with exercise and recovery, my walking HR averages 109-116bpm and cycling/rowing it’s around 120-140bpm. Maximum HR seems to be in the 150bpm range when really going for it exercising. Again, recovery is fine. I walk 3 miles a day, cycle 10 miles 2x week. And also row/weights a couple of times a week as well. Averaging 30-60m moderate exercise each day. Weight loss is ongoing at a normal rate given my exercise and diet regime.
Am I normal? Or should I return to my Doctor?
Yes, what you are describing can be normal for you. You should be congratulated for your efforts and weight loss.
Awesome blog post. Please keep it up!!
Hi,
I have a resting heart rate (when awake, but sitting or lying down) of 46-49 bpm and feel extremely tired and exhausted for no reason some days, but not all. I do run 10k twice a week and do an average 10k steps per day. Is that a normal heart rate?
Thanks
Lina
Hi,
I have a resting heart rate (when awake, but sitting or lying down) of 46-49 bpm and feel extremely tired and exhausted for no reason some days, but not all. I do run 10k twice a week and do an average 10k steps per day. Is that a normal heart rate?
Thanks
Lina
Yes, that can be a normal heart rate for you. However, you can discuss with your physician the need for basic blood work to evaluate your tiredness and fatigue.
First, thank you for continuing to answer all these questions from various readers. My question is this: I’m 71 and have a resting heart rate which is always right around 55-61. I’m not particularly athletic but I do play about 4-6 hours of tennis a week which raises my heart rate into the 115-125 range. Do I need to worry at all about the low resting heart rate? Thanks
No, that resting heart rate can be normal for you – especially with an appropriate increase in heart rate with exercise.
Hi
I’m 36 years old male and it’s about 6 months i started to exercise and running. It’s nearly 10 years I’ve been struggling with asthma, but fortunately after I started to run my disease completely has gone. My rest heart rate is 52 and my question is about my maximum heart rate when i run under the pace of 5 which it’s above 175. All of my training are at peak besides my pace and Vo2Max has been improved but my heart rate is still constant in 170-185 which it worries me. Is it normal? Or do i need more time to exercise and let time solve it?
Yes, that can be normal for you, but over time and with more exercise it may improve.
Hi! I am 22 years old and weight 210 pounds. I’ve had been keeping up with my Bmp and 78-130 is my range. My most recent BMP was 156(I believe it got that high because I had my 2nd dose of the covid vaccine) The day after I got my vaccine I also had pain in my left side in my chest but it was not the first time I experienced that pain. I am not sure if I should be concerned or not because my bmp is usually over 100 at times but currently I am laying down and it’s 80 bmp. Any advice or input on this situation will be very helpful and appreciated. Thank you in advance.
What you are describing can be normal for you. It can be normal to have wide variations in your heart rate during the day, especially when you are young.
Hi,
Am Riya,age 31. My heart rate at sleeping position is 72-75, when I stand up its around 120-140. And I feel dizzy a bit. My GP said its tachycardia after seeing ECG report and said seems to be like POTS. I have mild chest pains at times. My heart rate also increases drastically after i eat. I feel my heart pounds loudly when it increases its rate.
Yes, what you are describing could be POTS syndrome. I would recommend you read more about it here: https://myheart.net/pots-syndrome/
Claire, age 26.
Whenever I check my resting heart rate it jumps around a lot it seems. From 112-115 (think mainly because I get nervous checking my heart rate at first) it starts high and eventually goes as low as 86. I’ve had my heart checked with an ECG and was normal. Should I be concerned It can sometimes be in the 100-115 while I’m resting?
Forgot to mention.. I am 5’1 female.
No, that can be normal for you, especially if your heart rate lowers to 70-80 bpm while resting or asleep.
Hi Doctor,
I’m 30 years old and I had had ECG check up and my resting heart rate counts 52bit/min. in the ECG graph lines it shows nothing wrong. additionally sometimes I’m physically excessively active and other times have a quite dates, so is it normal to have such a lower heart bit rate
Yes, that can be normal for you.
Thank you so much for a great article and for incredible followup on so many questions! This is unbelieveable!
I’m sorry about the long comment/question, but I have been very anxious for the last 6 months, so figured I’d try asking. Thanks in advance for any help.
F 31, ASD surgery at 2-3 yo, normal followups in childhood, no followups since age 10. Don’t think I had a really bad ASD, if i had symptoms at all they were not very bad (parents are unsure).
Pre 6 months ago (last 5 years or so)
Rhr 59-65 awake with occasional dips to about 57
Sleeping rhr: 50-55, occasionally high 40s
Exercise: minimal, ranging none to 30 mins walking/day
Heart rate during everyday activities: usually 65-80 while working, driving, etc.
BMI: 26
Six months ago, I found out my cholesterol levels were 250 (6.5 mmol/l), 3 months later down to 224 (5.8 mmol/l), lifestyle changes only.
Right after I found out i had high cholesterol i changed my diet, and within days my rhr dropped from low 60s to low 50s (i had not started exercising). This scared me a lot because it was so abrupt. Got referred to a cardiologist, got an echocardiogram, resting EKG and 24hr Holter. All came back okay.
Now (and for the past 6 months)
Rhr: 50-55 with dips to about 48
Sleeping rhr: 48-55, occasionally mid 40s (44 measured with Holter)
Exercise: 2-3 cardio workouts/week (25-40 min/3-5 km running). A few walks, some swimming and strength. Not great stamina, but I am able to jog/run about 5 km without walking breaks, improved from about 1-2 km six months ago)
BMI: 23-24
BP: 139/79 (strong family history of high BP, mine is comparatively low)
Typical hr now:
Working at desk: 50-57
Relaxing on couch: 50-55
Driving: 55-65
Walking around inside: 60-80
Walking outside: 75-100, 100-145 if hills or terrain
Running: 140-185 (sometimes 190), avg. 160-165 during 30 min workout. Drops 20-40 BPM in 60 seconds when going from running to walking.
Post workout: usually down to 80-90 within minutes. After a hard workout my rhr sometimes remains at 70-85 for hours after.
What really scares me is that this rhr seems way too low for me, and changed so quickly (before i started working out). Especially concerned that it has decreased so much during activities like driving and working, while not as much while sleeping. I also have had anxiety for years, and even when really anxious my heart rate remains relatively low or even at rhr level. My hr also drops to its lowest (48-52) when i sit down after some time of moderate activity (e.g. a long walk or a longer period of doing chores around the house), or if i haven’t eaten in a while.
I’m constantly worried that my heart rate will get too low or that my heart will just stop, and feel like a constantly have to monitor it, both manually and by checking my watch (which is usually very accurate). I sometimes feel a bit lightheaded, and feel brief, weird sensations in my chest. But if I’m being strict i would say that is probably more likely anxiety related.
Is there any reason for concern here? Or should I just throw away my fitness watch, stop checking my pulse manually, stop googling bradycardia and find a good psychologist instead?
What you are describing can be normal for you. You are able to exercise and have a good exercise heart rate, with good heart rate recovery afterwards, which is very reassuring.
I am a 29 year old man who is in faily good shape and has prior military experience but I have noticed that when I am laying down my pulse rate is around 136 to 143. My family has a history of heart attacks. What is the cause of my extremely elevated pulse? I am starting to get concerned and need advice on what to do. Thank you
A heart rate of 136-143 bpm at rest is abnormal, the cause at this point would be unclear. I would discuss this further with your physician who may obtain an ECG and 48-hour Holter monitor to try and determine the rate and rhythm of your heart during the day and at night.
Hi. I have a question about my baby/toddler in reference to his sleeping HR. He wears an owlet monitor, and I’ve noticed his whole life (he’s now 14 months), his sleeping HR fluctuates. When looking at the graph, it appears as waves going up and down (not spikes). All night long it will fluctuate 20-30 beats. Is this normal? Or should he have a more steady, consistent HR while asleep? Thank you!
That is a good question, I do not know about pediatric heart rates. I would suggest you ask your pediatrician for that information.
First of all thank you for what you do: My brother and I both have an incomplete right bundle branch block. That worries me because I feel like it’s possible that it could be more than just electrical or clinically insignificant. My dad died of sudden cardiac arrest at the age of 60. Do you think that is a risk factor? I had a full checkup including an EKG and an echocardiogram. Nothing came back abnormal. I had low magnesium that caused some PVCs, but since have had maybe 10-20 a month if that. However, I heard that something like Arrhythmogenic Right Ventricular Cardiomyopathy can be hard to detect. I am fretting over this wondering if I should go back again or am I over-thinking it?
I understand your concern, it is difficult to say. It would be reasonable to be evaluated by a cardiologist and/or electrophysiologist for a definitive conclusion, you could discuss this further with your primary care physician.
I guess I should also mention that my QRS width was .10 almost not an incomplete right bundle branch block and that I had no inverted T waves past V1 which is fairly prevalent in Arrhythmogenic Right Ventricular Cardiomyopathy I’ve. Also if my brother and I have it, most likely it would be genetic. My dad lived till 60 untreated and my grandad till his late 70s grandmother 90 and current Uncle 60. Would that make it less likely to be genetic seeing as many men with Arrhythmogenic Right Ventricular Cardiomyopathy die mid 40s?
It is hard to day, but being evaluated by a cardiologist and/or electrophysiologist would be reasonable.
Sorry last comment, but I have been seen by a cardiologist. I guess I should have made that more clear. The only thing I was told was that I had an IRBB and that everything else was great. I would assume it would be unlikely that a cardiologist would miss an Epsilon wave right? I have no wave inversions past v1 and not long QT or QTCs and a QRS of .108s. The paramedic said he didn’t see an IRBBB. I thought it could be possible that my IRBBB at the time was because of low magnesium (due to GERD medicine) and it caused me to have PVCs, which I haven’t had in like 2 or 3 weeks.
Yes, that is reassuring.
I guess I should also mention that my QRS width was .10 almost not an incomplete right bundle branch block and that I had no inverted T waves past V1 which is fairly prevalent in Arrhythmogenic Right Ventricular Cardiomyopathy I’ve. Also if my brother and I have it, most likely it would be genetic. My dad lived till 60 untreated and my grandad till his late 70s grandmother 90 and current Uncle 60. Would that make it less likely to be genetic seeing as many men with Arrhythmogenic Right Ventricular Cardiomyopathy die mid 40s?
Sir, my age is 32 years, weight is 66 kg, I am a government employee, have to work sitting on a chair for the whole day, my heart rate remains from 65 to 85, sometimes my heart rate becomes 58 even after resting on the chair. My heart rate ranges from 59 to 64 while sleeping in the bed at night. Most of the sleep stays from 51 to 58, when I wake up in the morning, it comes back to above 60. While walking, I have noted from 100 to 120.
All this has been told by my android watch according to the readings of
are there any problems
Sir, my age is 32 years, weight is 66 kg, I am a government employee, have to work sitting on a chair for the whole day, my heart rate remains from 65 to 85, sometimes my heart rate becomes 58 even after resting on the chair. My heart rate ranges from 59 to 64 while sleeping in the bed at night. Most of the sleep stays from 51 to 58, when I wake up in the morning, it comes back to above 60. While walking, I have noted from 101 to 120.
All this has been told by my android watch according to the readings of
are there any problems
What you are describing can be normal for you, however I would recommend starting a mild-to-moderate exercise program.
Hello Dr. Guichard. I was hoping you could help me with a question. Recently I was told that I have a first-degree heart block after taking a nuclear stress test. They told me not to worry about it because I do not have symptoms. After reading up about this condition I noticed that there are different levels of heat block. Is there anything I can do to try to reverse this condition or to make sure it doesn’t get any worst? I was also concerned because my heart rate is usually in the low to mid 50’s and even sometimes goes to 47 or 48 when I am just sitting and resting. Overall I feel fine but sometimes I feel like I am just a bit light-headed until I get up and start moving around. I have no problem working out and going to the gym on average four to five times a week and have my heart rate go up all the way to 150 to 155 when I exercise.
Yes, a first degree heart block can just be monitored. There is no way to reverse the block, and they are unlikely to progress to a second or third degree heart block. The fact that you can exercise is overall very reassuring.
Hi!
I am a 25yo Female .. 5’3 230lbs. My resting heart rate is usually 75/80 bpm. Sometimes from sitting ive seen my heart rate get as low as 49bpm .. when walking it’s usually 115-120bpm. I do not exercise daily but I am an elementary teacher, just diagnosed with anxiety and I want to make sure everything is normal. I have anemia and I have seen so many different readings from my Apple Watch , sometimes 60’s sometimes 90’s other times 80’s. When I get anxious I do see readings of 105/108 bpm .. is this normal ..
Yes, what you are describing can be normal for you. Would recommend a mild-to-moderate exercise program to improve your overall cardiorespiratory fitness.
I’ve also seen low 40’s readings sometimes maybe even 38/39 bpm this is not for resting rate but when my watch takes my heart rate randomly .. Is this still normal? My anxiety has me extremely concerned that I’m not okay and doctors may be missing something.
Yes, that can be normal for you – especially if you are asymptomatic and able to exercise without any limitations.
Thank you for your quick response. Is my low heart rate something I should be concerned about and monitor?
You can continue to monitor, but it is not something to be concerned about at this time.
Hi Doctor. Sorry but you wrote that it’s not something to be concerned about this time. Does this mean in time as I get older it can become more of a serious issue that I would have to address?
Is there something I can do to increase my heart rate naturally to bring it to a more normal level?
No, not necessarily. And, no, there are no natural remedies to increase your heart rate.
Hi today i have done ecg test and it shown as a result (pac detected:- 1
And mentioned below as possibly normal ecg what does it mean?
And i have sometimes feel pain nearby heart like pin type pain (chubhan) and sometimes i feel light pain in my arms? Is it ok or do i need to worry abt?
Premature atrial contractions (PACs) are normal, and it seems like you only had one, thus the ECG can be considered normal. As far as your symptoms go, I am not sure how to explain that and it could be something you can discuss with your physician.
Hi,
I am a 29 year old female. My resting heart rate on average is 62! When I walk to work it can go up to 130 and then when I am sat at my desk it can go as low as 53 and when I sleep the lowest it has gone is 47! I am not overweight however I wouldn’t say I am an athlete either. Just general fitness with walking to work 4 times a week. Does that sound normal for a heart rate for someone my age?
Yes, that sounds like normal heart rate variability for someone your age.
Hello, my resting heart rate sitting is 65-70. When I stand it is 95-105 and that’s standing still. I am 43 year old male.
That is a little strange to have that much of an increase in heart rate with just standing. You can read more about Postural Orthostatic Tachycardia Syndrome (POTS) here: https://myheart.net/pots-syndrome/ to see if this syndrome might apply to you.
Hi I’m 35 and my resting hr is between 62-69 but as soon as I move around it shoots up to around 108 -115 when just generally moving around the house. If I run up the stairs it can go to 122-144. It soon goes back down but Should I be worried?
That could be normal for you, however seems like a large increase in heart rate with minimal activity. Would be reasonable to consider a mild-to-moderate exercise program with resistance training to improve your overall cardiorespiratory fitness.
My mother is 55 her heart rate remains 87 nd it goes up to 95 with a little exertion like during washing dishes or standing in the kitchen.. is it normal?
Yes, that can be normal for her, an increase in heart rate of 8 bpm with minimal exertion can be acceptable.
Hi Doc, im 26 yo i have problem with my anxiety, sometimes i got my palm sweat, my heart rate at rest between 60-85 but sometimes it can be increase around 10-20 bpm even when im resting and i feel my heart flattering. I already have my ecg test 3 months ago and it says its normal, should i check again or that is just normal ?
Hi Doc, my name is Arie, i’m 26 yo i have problem with my anxiety, sometimes i got my palm sweat, my heart rate at rest between 60-85 but sometimes it can be increase around 10-20 bpm even when im resting and i feel my heart flattering. I already have my ecg test 3 months ago and it says its normal, should i check again or that is just normal ?
Yes, what you are experiencing can be normal. The normal ECG is reassuring.
Hello,
I’m 32 years old, female, 5’4 and 186lbs. On the 12th of Jan my RHR was normal. Jan 14th I found out I have COVID, and ever since my RHR has been between 102 and 105 BPM consistently. Is this because of COVID (I was sick starting the 2nd of Jan, with all symptoms of COVID but didn’t get my positive test until Jan 14th and I tested Jan 11th). I’m wondering if my elevated RHR is due to COVID. Any insight on this would be great. If my RHR isn’t lowered to between 60-100 BPM by Friday. I will be going to the ER immediately. I test my RHR by pulse on my wrist and usually I do a timer for 10 seconds and multiply by 6 or 15 seconds and multiply by 4.
Yes, there is a known phenomenon of increased RHR during and after a COVID-19 infection. This can last for as little as 2 weeks to as long as 6-9 months, however having an ECG to confirm a sinus tachycardia (or otherwise) would be reasonable in your case.
hey doc i’m a larger male about 350 and i take metoprolol 100 my rate rate during the day is about a 75 but when i rest it about 56 and when i doze off i’ve seen it down to about 47 is that normal
Yes, that can be normal on metoprolol 100mg daily.
thank you so much kind sir you just took a load off my mind lol you a truly and gentleman and a scholar!!!!
Hi Doctor, I am a 33 year old female. My resting heart rate usually varies between 64-74 but as soon as I stand up it shoots up to 100 or 110 walking around the house and when I go for a brief slow walk around the neighbourhood it gets up to 120. At night it sometimes drops to 55, sometimes lower. I don’t do much cardio apart from walking/some hikes but do strength training 3x a week at the gym. Is this considered normal?
What you are describing can be normal. A heart rate increase to >100 bpm just with standing or minimal activity is somewhat unusual, but can be common in some individuals.
Hello, I’m 24 years old, my resting heart rate is around 80, my sleep heart rate is around 69, and when I walk or do mild activities it’s around 110, is this normal? I’ve had thyroid problems in the past and that affected my heart for a while (tachycardia). The doctors said it had nothing do to with heart issue and was causes by thyroid hormone imbalance. My ECG is normal,though my heart rate was at around 90 when I did it, but I’m typically very easily anxious and could have been anxious at the moment.
Yes, what you are describing can be normal in your case.
Hi Jason,
I am sorry to bother you with a potentially silly question.
In the past (3 yrs ago) I have been able to run 10km continuously without breaks several times per week, averaging 45-50km/week. I did this for several years before a knee and hip injury flared up.
I am looking to get myself active on that level again. However, my concern was always that my active HR was 178-192 continuously while running. It didn’t ever seem to improve, and it did not matter how far or often I ran. My resting HR was in the low to mid 50’s.
I am now 3 years older (53) and I don’t want to do anything to cause unnecessary risk to my heart.
I have always had low blood pressure. I have an autoimmune disease and I have had echos, and EKGs, and worn a Holter for 3 days. Everything came back clear (it turned out the chest pain was erosive esophagitis). I am on Plaquenil for the autoimmune condition.
My question is: is it dangerous for me to run if my active heart rate is in the 178-192 range for 30-50 minutes at a time? 5 minute post-run recovery is about 120bpm and 30 minute recovery was back to my normal 50’s bpm.
My current resting rate is in the high 70’s and I am concerned that running will cause me risk. But I need to be active again (53yr female, 5’10”, 185 lbs)
Thanks!
What you are describing is reassuring and can be normal for you. Continuing an exercise routine would be advisable to optimize your cardiorespiratory fitnss.
Hi I am 43 years old and my resting hr is about 60 sometimes as low as 55, i have had a few ecg’s in the last few years and recently and all show ok, I am worried as when I stand up and move around house doing chores hr can be 90 – over 100 is this normal it returns when I sit down,
I am a little over weight and reduced exercise recently but have some months where I cycle a lot etc
Thanks Chris
Yes, what you are describing can be normal. However, that is a significant increase in heart rate with minimal exertion. I would recommend a mild-to-moderate exercise program with resistance training to improve your overall cardiorespiratory fitness.
Hi o was wondering if the ramipril I have been given for high blood pressure and me changing diet considerable to lose weight could be contributing ?
It is difficult to say for sure, but I do not think that the ramipril or dietary changes are playing a role.
Thanks very much for replying, do you think I should have more tests or juts fitness down at the moment, I don’t get out of breath when exercising and did 900 miles cycling in 8 days last September,
The doctors juts do ecg and say I am fine they out chest pains down to stomach and anxiety,
I have just been really worried since the blood pressure was up and noticed this high heart rate when moving about house doing jobs,
I went for an 8km brisk walk yesterday abs averaged 110 bpm same as when I am moving around in the house
Your evaluation to date is reassuring. I would recommend continuing your exercise routine and follow-ups with your physician.
I’m 69 and love running my weekly 5k parkrun. Recently my Apple Watch tells me that my average heartbeat when running is 160. (When it hits 165 I walk until it settles a bit.) I’m very fit for my age. (My mum died at 98 and active at 96.). Is this heart rate safe? I have congenital pulmonary stenosis, but am symptomless.
I would recommend manually checking your heart rate and confirm that the Apple Watch is correct. However, an exercise heart rate of 160bpm is OK, but a reasonable exercise heart rate range would be 140-150bpm in your case.
Hi there, I am male 42, 5ft 10 and 273llbs ( down from 310 in 3months) recently diagnosed diabetic and taking metformin. BP 128/85. I have also switched to a low calories (almost) clean eating diet. Switching most refined food for whole foods.
I have noticed that my resting heart rate has dropped from 75 to 53 over this time and during sleep will drop to 42. Only once has it dropped below that to 38. when I Wake it’s around 54-65. Walking around house 75-90 and walking to work is around 112-130. I occasionally get lightheaded and very occasionally feel palpitations but this could be down to my blood sugars and low calories diet (1500-1800 cal per day) and also my anxiety. but I am worried that with a large amount of weight still to lose that my resting heart rate is too low and how much lower it could go with weight loss. Should I get this checked?
I should also say that Over the last 3 months I regularly walk around 3-4 miles per day at a low- moderate pace. (18-20 min per mile) or around 90k steps per week. I am not sure if this low level of exercise would contribute to my lower resting heart rate.
Your reduced resting heart rate is likely due to your weight loss and increased exercise, which are all good things. The fact that you can exert yourself and exercise is reassuring that your heart rate is normal for you. Congratulations on your weight loss and improved lifestyle choices.
Hi Dr. Guichard. I’m male, 39, 5’10” 165lbs, eat a healthy diet for 10+ years, and do 3 strength training workouts a week for 10+ years as well. I’m fairly inactive outside of that though, I have a desk job and typically average 2000 steps a day.
However, I’ve started wearing a watch that tracks my sleep, steps, and heart rate, and my resting heart rate while sleeping is 85 bpm on average. During the day if I sit for a minute and try to take my resting heart rate, it’s typically in the 80s or 90s.
Does this seem high? Should I be trying to lower this? If so, what can I do?
I’ve recently started walking more during the last 1-2 months to improve my step count, and I now average more like 6000-7000 steps a day. Resting heart rate is still exactly the same though, but I assume this would take more than 1-2 months to make a difference?
Thank you for taking the time to answer questions, by the way. It’s appreciated!
That is a normal to high-normal resting heart rate for your degree of conditioning, but not overly concerning. I would recommend adding more aerobic workout routines (e.g. running 20-30 minutes 3-5 times a week) to your strength training workouts.
Thank you! That’s super helpful!
For the aerobic workouts, is there any sort of specific target to aim for? Like a certain heart rate? Or a certain number of steps per minute? Or a certain speed (e.g. miles per hour)?
Yes, targeting 85% of your predicted maximum rate heart would be a reasonable exercise heart rate.
Hi Dr. Guichard. I just had a quick update and follow up question for you if possible.
I’ve been following your advice over the last few months. I’ve been averaging 9000+ steps per day (up from 2000-3000), and I’ve been doing aerobic exercise 3 days a week.
I’ve been tracking my heart rate since January, and the last 2 weeks I’ve been seeing something different for the first time.
Since Jan, my heart rate overnight while sleeping has consistently been in the 80s in terms of bpm, with the average being about 84-85 and the low being 80-83. I’ve never seen it go lower than that.
During the last 2 weeks, maybe 7 out of the the 14 nights, my heart rate during sleep has gotten into the 70s and 60s at various points. It typically starts out in the 80s, then drops into the 70s, then eventually the 60s, then kinda moves around in the 70s and 60s and then often back into the 80s at some point.
It’ll be like this for maybe 3 nights in a row, then go back to 3 nights in the row where it’s only in the 80s again. And then it’ll go back to a few nights where it’s in the 70s and 60s again.
I was just wondering if this is what progress would look like when it comes to improving resting heart rate?
Thank you for your time!
It is difficult to say for certain, but yes I would agree, it appears that your nighttime heart rate is slowly improving. Congratulations on your consistent activity!
Thank you!
Hello.
I’m 36 and I had covid about a year ago. My heart Raye goes up to way over a hundred randomly. I went to cardiologist. They said I’m young. I’m okay. They said I showed tachycardia. I went to two doctors. I do cardiologist for 2 mins, NY heart rate goes to 180 immediately. I’m out of breathe and my chest feels uncomfortable. I did a stres test. My heart rate went just as fast very quickly. For some reason they said I was fine. I wanted to know if this is normal and should I just ignore it and move on?
They said I would not need an electrophysiologist and my echo was normal to them just some liquid around my heart.
There are typos… I do cardio, and heart rate goes up to 180. My*
It could be an inappropriate sinus tachycardia (IST), you can read more about it here: https://myheart.net/articles/inappropriate-sinus-tachycardia/
What you are describing has been seen after coronavirus infections, however it usually improves after 12 months or so.
Hey doctor, my heart rate will be within 60-80 during the day. I’m 29 years old, work out regularly. I notice my heart rate will speed up and slow down when I am checking it. I think I have a respiratory sinus arrhythmia as it increases with inhalation. But sometimes I can notice it speed up. Never exceeds 100 bpm unless exercising.
Yes, what you are describing is likely a sinus arrhythmia and the heart rate ranges you are experiencing can be normal for you.
Dr. Guicard, I am a 61 year old male and am very active. I run and cycle regularly. I keep my body weight steady with a BMI always at or near 23. My resting heart rate averages 45 BPM. While running I can get my heart rate up to 160 BPM. While cycling I can hardly ever get it above 140 BPM. In the last 5 months my heart rate has spiked unusually high three times, 215 and 181 while running and 211 while cycling. I clearly noticed it on the runs, having to slow dramatically, but not on the ride. I don’t want to cut back on my activities. What could the issues be and how could I best get it under control?
The first thing is trying to figure out what the very high heart rates could be, supraventricular tachycardias (SVTs) are the most common (https://myheart.net/articles/fast-heart-rate-symptoms-causes-treatments/). You can discuss with your physician about the utility of a heart monitor (e.g. Holter monitor) to determine your heart rate and rhythm during these episodes.
Hi
I am 30 yrs old, i have been having an anxiety attack since last 3-4 days and my heart beat ranges from 75-95 bpm.
My weight is around 67kgs.
But the anxiety on the first day frlt like something else.
Am i fine?
What you are describing can be a normal heart rate range in your case. If you are concerned, you can discuss with your physician.
Good morning Doctor. I have a resting heart rate of 55 just after waking up. During the day the resting rate goes to about 63. My ECG taken yesterday was Normal. What should I do to increase the resting heart rate ? I drink just about 1 liter of water per day.
Everything you are describing can be normal for you, especially if you are asymptomatic.
Hi I am 34 weeks pregnant and I am 35 years old I a diabetic type 2 and I been Experiencing my heart rate going to 118 when I am moving around or standing I would think it’s my sugers being high but I’ll check and they are not high or low sometimes I feel like I need more air, when my heart rate more up even if I am laying down, and I just sit up in bed or turn to my side my heart rate go,s up, I thought it would be like 88 to 95 while laying down, I just hope it’s not because of a Hernia/ muscle that hurts where my stomach is located at,that is pushed out and it’s getting pushed up.my obgyn says it’s not called an hernia it’s something else. But it hurts and can see it pushed out when I get up,I been having this hernia/ or muscle this can see for over 6 years it even hurts now sometimes but I just don’t know if that is causing my heart rate or something else
There are a couple things that could be causing your elevated heart rate, 1) being pregnant and 2) being in pain and/or discomfort. Either or both could explain what you are feeling.
Sir my age is 28.please answer sir
I noticed yesterday that my heart rate came to 48 when I woke up, then after 1 hour it came to 72, when I am running normally it comes to 160 and at rest 50 to 54. Is this normal? I walk for 1 hour everyday and do meditation in evening. Because I have anxiety disorder.
Sir, there is a lot of stress for heart rate inside the brain, I also got 2d echo and ecg done 2 years ago, it was normal. But I had panic disorder, so I got it done, I used to think that heart attack would come soon and I used to get it reported. Right now the treatment is going on with psychiatrist my mental health, they are saying that everything is normal. please answer sir
my height is 5.8 and weight 74 kg symptoms only stress to much not sleep well
From what you are describing, your heart rate at rest and with exercise appears normal for your age especially since you are asymptomatic.
Dear sir, I noticed today that my heart rate was 44 when I woke up in the morning, is it normal.
After getting up from the bed it was between 60 and 70
is it normal sir
Yes, that can be normal for you – especially if you are asymptomatic.
My resting heart rate is about 69 , i do exercise and while running it goes uo 140 avarege.Sometimes during the lazy tv nights it goes up to 87,87.Is that normal? I am 49 years old.
Yes, what you are describing can be normal for you – especially since you are asymptomatic and able to exercise.
Hello Sir. I’m 27 years old female. Last year I caught COVID. After recovering, it turns out I have hyperthyroidism. All tests were done and only the thyroid hormone was abnormal. After the thyroid hormone returned to normal, I did an EKG and ECHO check. The results are all normal. The problem is that my resting heart rate is still at 88-100. Is it normal?. How to lower resting heart rate?. I’ve never had a history of fainting, I’m just tired after from work. How to improve my cardiovascular?. I hope you will answer. Thank you.
Additional information :
I do not exercise daily. When I move around, it comes to 115-120 bpm, or when i walking fast, it comes to 130 bpm, when i walk on uphill road, it comes to 145 bpm. When i’m standing it is always above 110-120 bpm.
Yes, this is a well-known effect from the coronavirus (a high resting heart rate) that usually resolves in 6-12 months. Continue activity and exercise the best that you are able.
Hello! i’m 38 years old man. My blood pressure 120/80, and at day my heart beat around 60-75(at sitting work) on activity something around 110-140(depending of phisical stress). At nigth my heart beat around 45-50, but somethimes drops to 37-40 for some minutes. Is it normal? i doing some boxing(not professional, 1 day at week, for 1-2 hours). Nothing symptomes, but on holter finded one sino-artrial blockade 2 degrees and somethimes my pq interval around 200-210 ms, not every time.
Greetings! I’ll ask again, because the previous comment for some reason did not pass moderation. I am 38 years old male. I occasionally do boxing (not professionally, for myself once a week, about 1-2 hours). I also walk about 10,000 steps every day. The pulse at work is about 60-75 (sedentary work.) With a load (walking, climbing stairs), the pulse is from 110 to 135 beats. At night, during sleep, the pulse averages 45-55, but sometimes it drops to 37-40 for a couple of minutes. There are no symptoms, but he did a holter and showed one CA Blockade of the 2nd degree. Is it normal?
What you are describing appears normal for you. My guess the Holter monitor showed an AV Block: 2nd degree, Mobitz I (Wenckebach Phenomenon) – which again can be normal in your case.
Thank’s so much!
I’m 65, a female with stable diastolic heart failure with preserved ejection fraction, diagnosed in 11/22. I have a genetic predisposition for this…my mother died from heart failure. She was diagnosed at age 54 and died at 66. She had fluid retention that wasn’t controlled even with furosemide. I have no issues with edema and don’t require diuretics. I follow the DASH diet and consume 1000-1500 mg sodium per day, sometimes less. My resting heart rate is 64. with light to moderate activity 85. I have managed to get my BP down to 140/75 with the sodium restriction and no medication for hypertension. Before the BP was controlled, it was 170/80-190/90. I have no weight issues, never have. Have always eaten a healthy diet. I am limited when it comes to exercising. My knees are trashed, had a 3-level cervical fusion, have a plate and 8 screws in my right arm, have broken both shoulders, my right knee twice, my calcaneus, and both wrists. I was an extreme athlete and beat myself up quite a bit. I am now facing surgery for severe spinal stenosis (L4-L5)in 2-3 weeks. I feel my resting heart rate is very good considering the heart failure. What do you think? Thank you!
I also had a left THR.
Yes, I would agree, your resting heart rate is acceptable. Congratulations controlling your blood pressure with lifestyle changes!
Hello,
I’m a 41 year old woman, tall, a little more thin than I’d like and rather inactive (I have POTS syndrome and spend much of the day in a supine or lateral recumbent position). My resting heart rate tends to be in the mid to low 50s. Reading on the NHS, Heart Foundation and other reputable sites that resting rates below 60bpm (unless one is a highly trained athlete – which I am certainly not) is abnormal and requires investigation has been a huge source of anxiety for me. This is the first website where I have found reference to studies suggesting that a rate below 60bpm can be normal and healthy for non-athletes – is this really the case? If so why is it not more widely stated?
Yes, that is true. Information changing standard thinking can take a long time to get out.
Hi, I’m a 62 year old male who’s reasonably active. I run 5-6km twice a week and walk 5-10km 3X/wk. According to my fitness watch my avg. resting heart rate is 48 but when running it averages at 160. My running isn’t particularly quick at just under 7min/km. Does all this sound ok? My Mum and Dad had heart problems so I try to keep a healthy heart.
Yes, what you are describing can be normal for you, especially since you are asymptomatic with excellent exercise tolerance.
Hi there… I am 52 year of age and run on a regular basis… I have started to wear a fit bit recently and noticed that my resting bpm is around 59-61 generally. When I exercise/run or power walk it can go from around 150-180 and has spiked a few times recently to 202 to 209 when I am going up a hill…..Is this normal.
Yes, what you are describing can be a normal heart rate variability for you with rest and with exercise.
Heart Rate Increases (30M)
Hello!
Background:
Toward the end of November I had a bout of gastroenteritis. Then had a cold about a week later. It wasn’t covid according to 2 rapid tests. I felt pretty much back to normal after that for a week or so and then I noticed my resting heart rate was higher and my heart rate is about 15-20 beats higher across the board (walking, exercising, etc). It’s been like that now for 3 weeks with no improvement. I have taken 12 days off exercising and that didn’t help either. I am a pretty fit individual and do a lot of endurance cycling. To give you an idea, before this I was riding 9hrs a week and I did 8000mi on the bike in 2022. My resting heart rate is typically 48-53bpm. No history of high blood pressure.
I saw my primary care doctor and he did an ekg, electrolyte panel, thyroid, blood count and echocardiogram. All of which were normal.
Sometimes I feel minor short bursts of pain on the left side of my chest but they are mild at best and don’t last for more than a few seconds.
I was referred to a cardiologist but haven’t gotten in yet.
Any idea what this could be and how I can get back to normal?
It is difficult to say for sure, but it appears due to your recent gastroenteritis and/or viral illness. The normal work-up by your primary care doctor is reassuring. I would suggest getting back to your normal work-out routine and hopefully your heart rate will return to your normal in 3-6 months.
Is it normal for it to take such a long time to get back to normal? Is there any other testing you’d recommend I pursue or do you think they’ve already ruled it out everything and all that’s left is to wait and see? I don’t get sick very often but when I have I’ve been back to normal in a week or two at most.
It is hard to say. Most people seem to take 3-6 months to improve their heart rate after a viral illness (especially COVID-19). Your primary care doctor was pretty thorough, I am not sure what else needs to be done at the moment.
Thanks so much for taking the time to help me! Really appreciated, have a great weekend!
Just curious, since my echo results were normal, would that rule out the potential for this to be viral myocarditis? Wasn’t sure if that test can check for myocarditis. Thanks!
Unfortunately, no, a transthoracic echocardiogram (TTE) cannot rule-in or rule-out viral myocarditis. Cardiac magnetic resonance imaging (MRI) can help evaluate for myocarditis, and the clinical context can assist in supporting or refuting the diagnosis.
Okay is an mri something you think I should ask the cardiologist about getting or do you think my symptoms aren’t likely to be myocarditis? Thanks!
Hello I’m a 22 Y/O female. I have a history if feeling dizzy/out of breath with elevated heart rate when out an about between 120-150. This is during regular activities such as work, grocery shopping etc. it often leaves me feeling so dizzy I need to sit down. my resting HR is high 80s low 90s is this normal? Sometimes even while reclining my HR can still be above 100bpm some days. My cardiologist blamed anxiety should I keep looking into it?
I assume your cardiologist obtained a Holter monitor to ensure that the heart rate of 120-150bpm was a normal rhythm? If so, then that is reassuring, and what you are describing can be normal. I would recommend a mild-to-moderate exercise program with resistance training to improve your overall cardiorespiratory fitness, which will improve your heart rate at rest and with exercise.
Thank you “Myheart” For this article. It was very helpful and much needed. Reading the comments were too enjoying ans useful. Thanks again.Keep sharing like this.
Thank you very much for your kind words.
I have been pretty sedentary for the past ten years, especially the last five as I have been a stay at home mom, so I wanted to get heart-healthy this year. I started working out on an exercise bike three times a week, and my heart rate would get into the 170s. (I’m 32, 5’4″, and weigh 100 lbs.) After about four weeks, I am having trouble with my heart racing when I am sitting, laying down, walking up or down stairs, making dinner, etc. My doctor is having trouble figuring out what is causing my heart racing. EKG was abnormal, but she said it was okay. They did a holter monitor, but still waiting to hear back about that. Is it possible I was exercising too hard and damaged my heart? Will I recover? How long will it take to recover? And what rate should I have been exercising at?
It is unlikely that exercising has damaged your heart. It is hard to say how long it will take to “recover” but I would give it 3-6 months. Also, a reasonable exercise heart rate in your case would be around 150-170 bpm.
My resting heart rate (measured 5 after 5 minutes of laying down) was 52 and then jumped to 102 standing for 5 minutes. Can this be normal for an overweight moderately active person?
That is an exaggerated increase in heart rate to standing. You can read more about postural orthostatic tachycardia syndrome (POTS) to see if this may apply to your case here: https://myheart.net/pots-syndrome/
Hi, it’s amazing how many responses you’re commented to and how you continue to help people.
My question is about LVWT and relation to height. I was told by my cardiologist not to worry that my echo came back with a 13mm LWVT and I’m about 6’7″. I looked online and seen that height is related to increased LVWT. If true would that be within a normal limit for someone my height? I know it’s not heart rate related but wanted your thoughts.
Yes, it can sometimes be related to height and athletic conditioning. So, as your cardiologist suggested, it is likely normal in your case.
Hey I’m a 20yr old and here lately my resting heart rate is 70-100 but when I use stairs or walk around it seems to be in the 100-125bpm
What you are describing can be a normal heart rate range at rest and with mild exertion.
I am a 39 year old men, not athlete but sport addict, run and ride bike, 5 day every week, monday and Thursday recovery. My resting HR overnight typically gets as low as 36 bpm, it is avarage daily HR 62 bpm and often in the 45 bpm when I’m sitting reads book. Is this common?
Thanks
Yes, what you are describing can be normal for you, especially since you have no symptoms while exercising. The average resting heart rate for very active people can be between 40-60 beats per minute.
Hello dear. I am very stressed. Whenever I get out of bed and start to do things; walking, cooking, bathing. My heart beats 102-120 bpm. But as soon as I lie down/relax, it drops to 78-85 bpm. Is it normal?
Yes, what you are describing can be normal.
I have a question. I am a 35 year old FtM male. I got pregnant and lost the baby in December. Prior to losing the baby, I was bed ridden for about 1 1/2 months and didn’t eat much. After that I was also bed ridden for about two months and still have wasn’t eating much, I got out but not for long because of my heart. Since then I have been having weird heart beat issues. My pulse will be fine at night or when I just wake up but I sit up and walk around and finally I got it to where it would only get between 90-110 when doing light work. I finally restarted testosterone and in the last 3 days, every time I get up from bed, it shoots to 118. I walk to the bathroom, in the 120’s, I walk to the kitchen, it’s hitting 145 and I have to sit down. I’m getting out a lot more but still not eating regularly. I’ve gone through 2 monitors (both of which my symptoms were not this severe), chest CT’s, stress test (again, symptoms weren’t as bad as they have been recently). ECG’s, everything is coming out normal but I’m starting to really freak out. Especially since this hard hit of symptoms the last few days literally came out of no where. I can’t walk without needing to sit down and I just want to stay in bed all day because when I’m sitting, my pulse is normal-ish. At first I thought it was de-conditioning or malnutrition from not eating but it got better and now it’s worse than it was when it began. Can you shed any light on this?
Thank you.
It is difficult to say what could be causing your symptoms and heart rate variability. However, your evaluation appears to have been very thorough and is reassuring from a cardiac perspective.
I am a 54 y/o female, 5’7″, 130lbs with a history of SVT that was repaired with ablation. Doing better with that now. My HR is consistently over 100 if I’m going anything other than sitting or laying down. Brushing my teeth, I’m at 130, blow drying my hair 145-155. Also, I have an Oura ring that tells me that my average HRV is in the 20s. Is this normal?
The seems like a higher-than-normal heart rate at rest and with minimal exertion for your age. Discussing with the physician that performed your SVT ablation about a short-term wearable heart monitor to track your heart rate would be reasonable.
Hi I am a 32 year old female. I run 9-12 miles a day and hike some days, active. I’m wondering about a 38-48 heart rate while sleeping. During steep climbing and long runs the max is 155 heart rate. Resting during the day generally 48 and while walking around outside up to 80. Any thoughts?
What you are describing can be normal for you, especially since you are able to exercise with no symptoms. The average resting heart rate for well-trained people can be between 40-60 bpm, and even lower while sleeping.
I really appreciate the quick reply, I suffer from anxiety and have been a little anxious about my heart sometimes so thank you for the facts.
Hey I’m a 34yr old and here lately my resting heart rate is 55. need spacemaker??
From what you are describing, it is unlikely, pacemakers have very specific indications for use. In addition, a normal heart rate can be between 40-100 bpm in certain people.
Hi, I had COVID-19 in December and my heart rate went from being in the high 70s/high 80s to being in the 90s and low 100s. I was able to function, though not as much as I could, with this heart rate. I was then hospitalized for an entire month in April because my heart rate would just be at 115-130 bpm laying down. Sometimes it would get up to 150 bpm. I was diagnosed with POTS and probable IST. I’m now on a beta blocker and it’s fairly managed. I’m getting back into walking again but I’m always afraid that my heart rate would skyrocket like it did earlier. What’s a normal heart rate for walking? Obviously it’s not 140 or 150, but can it be around 120/130 with no problems as long as it doesn’t increase too quickly? Also, what lifestyle changes can I implement to stop the drastic changes in my heart rate (and increase my blood pressure — since I have low BP)? Remember, I’m a POTS/dysautonomia patient, so exercise routines should take that into consideration.
A walking heart rate of 120-130 bpm would be acceptable. This syndrome can be seen after a COVID-19 infection, and usually resolves in 3-6 months. Mild-to-moderate exercise program with resistance training and diet (Mediterranean, plant-based, or vegetarian) is the best medicine.
Hi, I’m a 22 y.o. female and I had COVID-19 in December — my heart rate went from being in the high 70s/high 80s to being in the high 90s and low 100s at rest. I was able to function, though not as much as I could, with this heart rate, and I thought that it would go away after a while. I was then hospitalized for an entire month in April because my heart rate would just be at 115-130 bpm laying down and it made me feel like I was going to die. Sometimes it would get up to 180 bpm. I was diagnosed with POTS and probable IST. I’m now on a beta blocker and it’s fairly managed. I’m getting back into walking again but I’m always afraid that my heart rate would skyrocket like it did earlier. What’s a normal heart rate for walking? Obviously it’s not 140 or 150, but can it be around 120/130 with no problems as long as it doesn’t increase too quickly? Also, what lifestyle changes can I implement to stop the drastic changes in my heart rate (and increase my blood pressure — since I have low BP)? I think the blood pressure increase is particularly important.
I am almost 80 years old. Since young adult, my heart has always skipped beats. In March I got an afib warning on my watch – and I could feel my heart rate jumping around.for about 2 hours. Then fine. Dr. did ekg and echogram which were okay. I was already on atenolol (50 mg) and losartan 50 mg/twice daily. Thinking it might be afib even before monitor for two weeks they put me on eliquis which within 5 days caused rectal bleeding, so stopped it. Dr. said heart monitor did not show afib – just some extra beats. My biggest symptom is RHR is in 60’s, but sometimes when I stand or just walk around and do minor chores, it can jump immediately to 100, then go down quickly. As soon as I sit back down it is in the 60’s again. This doesn’t happen all the time. Some days it stays below 100 all day even with exercise, other days it jumps all around going up to 100’s and down to 70’s. Dr. put me on sotalol to help this, but some days it seems to work, others not. It also makes me feel terrible – tired, with nausea and gassiness. He thinks it could be SVT but why somedays and not others? I am also very anxious about it, which I’m sure doesn’t help. I feel weak when it jumps up so high from being in the 60’s. I exercise about 30 min. a day and eat right.
SVT episodes can be intermittent (e.g. once a day, once a week, once a month, etc.), that is normal. It is hard to say exactly what is going on, but would defer to the cardiologist familiar with your case.
Thank you so much for your reply. Is solatol safe to take indefinitely?
Yes, it can be, under the direction of an electrophysiologist (a doctor who is an expert in issues with your heart’s electrical system).
Im 20 years old, 5’2, 85lbs female. My resting has been anywhere from 106 to 115 recently. I have type one diabetes and am on lexapro, vistaril and trazodone, on top of the insulin required. I do not do any sports or physical activity. Should I be concerned?
A normal resting heart rate is 60-100 bpm, so 106-115 bpm for a 20 year old is elevated. I would discuss with the physician managing your diabetes if a further evaluation, including thyroid function tests, would be appropriate.
Hello doctor, I am 37 year old male, 168 cms height and 65 kgs weight. I am regular to gym with moderate cardio and weights. My heart beat peaks upto 198 BPM while intense cardio. Read in articles that 182 BPM should be the maximum for my age. Kindly advice. Thank you doctor.
It is hard to say, it can be difficult for monitoring devices to accurately determine fast heart rates. I would recommend manually counting the beats per minute and see if it correlates with your fitness device.
Hi I’m 43 years old I had a bunch of heart related test including a coronary angiogram about 5 years ago every thing came out fine with very minimal artery plaque. I exercise 4 to 6 days a week and eat a healthy diet. FOr the last week I’ve been noticing like a jump feeling in my stomach near heart it doesn’t happen that often just enough to get me on edge and make me worry. I do suffer from anxiety. What are your thoughts on this? Thank you so much for your time you really do help people.
Thank you for your kind words. What you are describing would be usual for your heart. Additionally, the evaluation you had 5 years ago is very reassuring, especially in a 43 year old who exercises 4 to 6 days a week and eats a healthy diet.
Hi doctor,
can you please answer my question. My normal, resting heart rate is about 65-70 BPM. All of the sudden, the entire week is is about 134, day and night.In the last 2 day I took some blood thinner to no effect. I am 77 years old and sometimes do a lot of physical work like firewood, construction or digging in the garden, sometimes, sometimes I am inactive.
What is it and what can I do to not drop prematurely.
Thank you ahead for the answer.
It sounds like you went into atrial fibrillation, I am assuming that because you were started on a blood thinner. A blood thinner will not control/improve your heart rate, that takes different medications. I would discuss this further with the physician managing your case.
Hi doc, I’ve been sick with Covid 3 times, after I recovered, I often gasped for breath when I did a little hard physical activity. can you explain what happened?
No one really knows the mechanism. Currently, long-COVID is an area of many unanswered questions and intense research.
Hi Dr, looking at all the comments you have responded to, I’d just like to say I think you are an amazing Dr and the world’s a better place with you in it. Thank you THANK YOU thank you. Your bloody amazing!
Thank you very much for the kind words!
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Hi, I’m 39 years male and my average Resting heart rate is around 73-92depending on situation and mind. While sleeping it drops to 62-67 sometimes. However while doing normal house hold work or casual working heart moves to 100-120 sometimes and during brisk walking it averages 117-130. Is this normal ? I had done my echo before 1 years and my LVEF was 69 at that time. Recently not done any test however CBC is normal. I do normal and brisk walk only and my average BP 125/83
Yes, what you are describing can be normal.
Resting heart rate of 55 is(can be) ok(normal) for a 44 year old Blood pressure and anxiety obese male patient?
There are no symptoms. Physical checkup, ECG and Echo test are normal
Resting heart rate of 55 is ok for an obese and not very much active 44 year old male who is Blood pressure and anxiety patient?
There are no symptoms. Physical checkup, ECG and Echo test are normal.
Yes, what you are describing can be normal, especially with the normal work-up by your physician.
Thanks for this Post
Hi,
I am 41 woman, and relatively active, but certainly not an athlete.
My resting bpm is about 45, and during the night would usually drop below 40 bpm for some time. During workout, my heart rate can go up to about 180 bpm (occasionally over). Blood pressure was 120/70 last time I checked.
Whilst all seem very healthy, I don’t understand why my rest heart rate is so low. I am never lightheaded, but I struggle losing some weight. Can you assess based on this info if I should get myself checked ou?
Thanks so much
From what you are describing, this can be normal heart rate variation for you – especially given the appropriate heart rate response to exercise. If you are having difficulty losing weight, then hypothyroidism could be of consideration and you can discuss that further with your physician.
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Hello Dr.! I’m a 67 year old female and upon researching, I found that cardiologists want to see heart rate returning to your normal resting heart rate within 40 seconds of standing up after being in a resting sitting position. My heart rate went from 73 resting to 82 after standing up, but took longer than 40 seconds to go back down – more like 2 or 3 minutes. Is this indicative of a problem?
Not necessarily, that can be normal for some people especially as we age.