Pulse Variations: Is Your Heart Rate Normal? - Cardiology

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Pulse issues


I have been observing my pulse recently.
While sitting, it is around 75 bpm.
When I stand up, it increases to about 90-95 bpm.
If I remain standing without moving, it gradually decreases to around 80 bpm.
However, if I continue to be active while standing, my heart rate remains elevated.
After eating, the changes in my heart rate are even more pronounced.
For instance, after walking quickly from the first floor to the second and then back down, my heart rate rose to about 120 bpm.
I have a history of mitral valve prolapse and have not exercised for over four months due to a concussion.
I would like to ask the doctor if these heart rate changes are considered normal.
Thank you.

Niming, 20~29 year old female. Ask Date: 2019/06/12

Dr. He Dongjin reply Cardiology


Hello, this is a normal variation, so there's no need to worry.
Changhua Hospital cares about you.

Reply Date: 2019/06/12

More Info


Understanding pulse variations and heart rate fluctuations is essential for assessing cardiovascular health. Based on your observations, it appears that your heart rate changes with different activities and positions, which is a normal physiological response.
When you are sitting and your heart rate is around 75 beats per minute (bpm), this is within the normal resting heart rate range, which typically lies between 60 and 100 bpm for adults. Upon standing, your heart rate increases to 90-95 bpm, which is also expected. This increase occurs due to the body's need to maintain adequate blood flow and blood pressure when changing positions. The heart rate can rise further during physical activity, such as walking quickly up stairs, where you noted it reaching 120 bpm. This is a normal response as your body requires more oxygen and nutrients during exertion.

Your mention of having mitral valve prolapse (MVP) is relevant. MVP can sometimes be associated with palpitations or a sensation of a racing heart, but it does not typically cause significant heart rate abnormalities. In many cases, individuals with MVP lead normal, healthy lives without any major complications. However, it is essential to monitor any symptoms you may experience, such as dizziness, shortness of breath, or chest pain, as these could indicate other underlying issues.

The increase in heart rate after meals, known as postprandial tachycardia, is also common. After eating, blood flow is redirected to the digestive system, which can lead to a temporary increase in heart rate as the body compensates for this change.
Given your history of a concussion and a period of inactivity, it is not unusual for your body to take some time to readjust to physical activity. Resuming exercise gradually is advisable, and it is essential to listen to your body. If you experience any concerning symptoms or if your heart rate fluctuations become more pronounced or accompanied by other symptoms, it would be wise to consult with a healthcare professional.

In summary, the heart rate variations you are experiencing appear to be normal physiological responses to changes in position and activity level. However, maintaining regular check-ups with your healthcare provider is crucial, especially considering your history of mitral valve prolapse and recent concussion. They can provide personalized advice and determine if any further evaluation or monitoring is necessary.

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