Heart Rate Changes During Intense Exercise and Anxiety - Cardiology

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Heart rate issues


Doctor, I would like to ask you about something.
After exercising, my heart rate usually returns to a normal range of 60 to 70 beats per minute.
However, recently, after playing volleyball, which has become quite intense, my heart rate stays around 96 beats per minute even after resting.
It only seems to improve gradually when I go to sleep.
Also, I want to ask if it's normal to feel like my heart skips a beat or beats irregularly when I suddenly sit down after walking or running.
Sometimes, when I'm anxious, I also notice my heart beating faster or slower, but those feelings disappear once I calm down.
What could be the issue? I recently had a routine electrocardiogram at the hospital, and the doctor said everything was normal, and my blood pressure is also normal.
I often experience palpitations and can feel my heartbeat, so I avoid tea and coffee.
Doctor, I tend to overthink things, and when I feel unwell, I often search the internet and come across serious illnesses, which makes me worry that I might have one of those conditions.
I would appreciate your help in clarifying this for me.

Anan, 10~19 year old female. Ask Date: 2020/05/25

Dr. Wu Xueming reply Cardiology


A heart rate of 60 to 100 beats per minute is considered normal.
If you frequently experience palpitations, please adjust your lifestyle and reduce your intake of caffeinated beverages.
If there is no improvement, you may visit a cardiology clinic for further evaluation.

Reply Date: 2020/05/25

More Info


Understanding heart rate changes during intense exercise and anxiety is crucial for maintaining both physical and mental well-being. It’s common for individuals to experience fluctuations in heart rate during and after exercise, particularly when engaging in high-intensity activities like volleyball.
When you engage in intense physical activity, your heart rate increases to supply more oxygen-rich blood to your muscles. This is a normal physiological response. After exercise, it typically takes some time for your heart rate to return to its resting state. A heart rate of around 96 beats per minute after intense exercise is not unusual, especially if you have just finished a vigorous activity. The time it takes for your heart rate to normalize can vary based on several factors, including your fitness level, hydration status, and the intensity of the exercise.

The phenomenon you describe—feeling your heart "stop" or "skip" a beat when you suddenly sit down after running or walking—is often related to changes in blood flow and autonomic nervous system responses. When you transition from an active state to a resting state, your body undergoes a rapid adjustment. If you are feeling anxious or stressed, this can exacerbate the sensation of palpitations or irregular heartbeats. Anxiety can lead to heightened awareness of your bodily sensations, making you more sensitive to changes in your heart rate.

Your previous heart tests, including the electrocardiogram (ECG), indicated normal results, which is reassuring. Normal blood pressure further supports that your cardiovascular system is functioning well. However, it’s important to note that even with normal test results, individuals can still experience palpitations or anxiety-related symptoms. This is often due to the body's response to stress or anxiety rather than an underlying heart condition.

If you find that your heart rate remains elevated for an extended period after exercise, or if you experience significant discomfort, it may be worth discussing with your healthcare provider. They might suggest further evaluation or monitoring, especially if your symptoms persist or worsen.
In terms of managing anxiety, it can be beneficial to incorporate relaxation techniques such as deep breathing, mindfulness, or yoga into your routine. These practices can help calm your mind and reduce the physical sensations associated with anxiety. Additionally, maintaining a balanced diet and staying hydrated can support overall cardiovascular health.

It’s also important to be mindful of your caffeine intake, as you mentioned avoiding tea and coffee. Caffeine can stimulate the heart and may contribute to feelings of anxiety or palpitations in some individuals. If you notice that certain foods or beverages exacerbate your symptoms, it may be helpful to limit them.

Lastly, it’s crucial to address any negative thought patterns you may have regarding your health. Engaging in health-related research online can sometimes lead to unnecessary worry. If you find that this is a recurring issue, consider speaking with a mental health professional who can provide strategies to help manage anxiety and improve your overall outlook.

In summary, fluctuations in heart rate during and after intense exercise are generally normal, especially when combined with anxiety. Your previous medical evaluations indicate that your heart is functioning well, but if you have ongoing concerns, it’s always best to consult with your healthcare provider for personalized advice and reassurance.

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