Elevated Pulse After Health Check: Anxiety or Heart Issue?

After the physical examination, it was reported that the pulse was elevated?

Hello doctor, I had my pulse measured at 110 during a pre-employment health check, and after resting, it was measured at 118, which I thought was due to anxiety.
Then it went up to 127.
I've been feeling very anxious and nervous since last December, often getting scared easily, sweating, and experiencing stomach pain, which makes it hard for me to eat.
I visited a mental health clinic affiliated with my university last year and thought I was better, so I stopped my medication.
However, after experiencing a relapse, my symptoms have worsened.
Is this high pulse related to my condition? That night after the measurements, I could feel my heart beating strongly, and I had drunk green tea earlier, which is known to lower blood pressure.
What is happening to me? Additionally, I went to a large hospital two weeks ago for an anal fissure, which made me more conscious of my health, and I have been eating less meat and exercising daily.
After my health check report comes out, which specialist should I see first? My body fat is 27.3%, weight is 88 kg, and BMI is 31.6.

Li Renjie, 20~29 year old female. Ask Date: 2016/12/29

Dr. He Dongjin reply Cardiology

Hello, it's normal to feel anxious.
Symptoms caused by autonomic nervous system dysregulation can be concerning, but don't panic.
A fast heartbeat is not a disease; it's arrhythmia that you should worry about.
Since you do not have arrhythmia, there's no need to see a cardiologist or a psychosomatic specialist.
Changhua Hospital cares about you.

Reply Date: 2016/12/29

More Info

Elevated pulse rates, especially when measured at rest, can be concerning and may indicate various underlying issues, including anxiety, stress, or potential cardiovascular problems. In your case, the recorded pulse rates of 110, 118, and 127 beats per minute (bpm) during a health check suggest a state of tachycardia, which is defined as a resting heart rate above 100 bpm.
Given your history of anxiety and the physical symptoms you describe, such as cold sweats and stomach pain, it is plausible that your elevated heart rate could be linked to anxiety. Anxiety can trigger the body's "fight or flight" response, leading to increased heart rate, elevated blood pressure, and other physiological changes. This response is often exacerbated by stressors, both psychological and physical, and can create a cycle where anxiety leads to physical symptoms, which in turn increases anxiety.

Additionally, the consumption of caffeinated beverages, such as green tea, can also contribute to an increased heart rate. Caffeine is a stimulant that can elevate heart rates, especially in individuals who may be sensitive to its effects. If you consumed green tea shortly before your pulse was measured, this could have played a role in the elevated readings.

Your mention of experiencing heart palpitations and feeling your heart beating strongly at night could also be related to anxiety or stress. Palpitations are often benign but can be distressing, particularly if they occur frequently or are accompanied by other symptoms such as dizziness or chest pain.

In terms of your health management, it is essential to address both the physical and psychological aspects of your symptoms. Here are some recommendations:
1. Follow-Up with a Healthcare Provider: Since you have already experienced elevated pulse rates and have a history of anxiety, it would be prudent to schedule an appointment with a healthcare provider. Given your symptoms, you might consider seeing a cardiologist first to rule out any potential cardiovascular issues, especially since you have concerns about your heart rate.

2. Mental Health Support: Since you have a history of anxiety and have previously sought help from a mental health clinic, it may be beneficial to revisit this support. Therapy or counseling can provide strategies to manage anxiety and stress, which may help alleviate some of the physical symptoms you are experiencing.

3. Lifestyle Modifications: Incorporating regular physical activity, maintaining a balanced diet, and practicing relaxation techniques such as deep breathing, yoga, or meditation can be beneficial for both your physical and mental health. Reducing caffeine intake may also help in managing your heart rate.

4. Monitoring Symptoms: Keep a record of your symptoms, including when they occur, their duration, and any associated factors (like food intake, stress levels, etc.). This information can be valuable for your healthcare provider in determining the best course of action.

5. Weight Management: With a BMI of 31.6, you fall into the category of obesity, which can contribute to various health issues, including hypertension and cardiovascular disease. Working towards a healthier weight through diet and exercise can improve your overall health and potentially reduce your heart rate.

In summary, while your elevated pulse may be related to anxiety, it is essential to rule out any underlying medical conditions. A comprehensive approach that includes both physical and mental health support will be beneficial in managing your symptoms and improving your overall well-being. Please consult with your healthcare provider to discuss your symptoms and determine the best next steps for your health.

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