Elevated Heart Rate: Causes and Solutions for Your Health - Cardiology

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Increased heart rate?


Hello, doctor.
I would like to ask about my heart rate.
Every morning when I get up and walk lightly to brush my teeth, my heart rate measured with a medical pulse oximeter is around 110-118 bpm.
When I walk, my heart rate increases, but when I sit or lie down, it drops to 95-85 bpm.
However, it goes back over 100 bpm when I get up again.
Is this concerning for my heart rate? How can I lower my heart rate? Could it be related to not exercising recently? Thank you.

Nike, 20~29 year old female. Ask Date: 2021/06/06

Dr. He Dongjin reply Cardiology


Hello, as long as there are no arrhythmias, the number of heartbeats is not important.
It may be related to not exercising recently, so it's best to observe for now.
Medication can help lower the heart rate.
Changhua Hospital cares about you.

Reply Date: 2021/06/06

More Info


Elevated heart rate, or tachycardia, can be a concerning symptom, especially when it occurs frequently or at rest. In your case, experiencing a heart rate between 110-118 beats per minute upon waking and light activity is noteworthy. While it is common for heart rates to increase with physical activity, a resting heart rate above 100 beats per minute can indicate an underlying issue, especially if it persists.

There are several potential causes for an elevated heart rate. These can include:
1. Dehydration: Insufficient fluid intake can lead to a higher heart rate as the body compensates for reduced blood volume.

2. Anxiety and Stress: Emotional factors can significantly impact heart rate. Stressful situations or anxiety can trigger the release of adrenaline, which increases heart rate.

3. Caffeine and Stimulants: Consumption of caffeine or other stimulants can lead to a temporary increase in heart rate.

4. Lack of Physical Fitness: A sedentary lifestyle can lead to a higher resting heart rate. Regular exercise strengthens the heart muscle, allowing it to pump blood more efficiently.

5. Medical Conditions: Conditions such as hyperthyroidism, anemia, or heart-related issues can also cause an elevated heart rate. Given your history of mild mitral and aortic valve regurgitation, it’s essential to monitor your heart health closely.

To address your concerns about your elevated heart rate, consider the following strategies:
1. Regular Exercise: Engaging in regular physical activity can help lower your resting heart rate over time. Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, cycling, or swimming. Exercise improves cardiovascular fitness and can help regulate heart rate.


2. Hydration: Ensure you are drinking enough water throughout the day. Dehydration can lead to an increased heart rate, so staying hydrated is crucial.

3. Stress Management: Incorporate stress-reducing techniques into your daily routine. Practices such as yoga, meditation, or deep-breathing exercises can help lower stress levels and, consequently, heart rate.

4. Limit Stimulants: Reduce or eliminate caffeine and other stimulants from your diet, especially if you notice a correlation between their intake and your heart rate.

5. Sleep Hygiene: Ensure you are getting adequate and quality sleep. Poor sleep can affect heart rate and overall health.

6. Monitor Your Heart Rate: Keep track of your heart rate throughout the day, especially during different activities. This information can be valuable for your healthcare provider to assess your heart health.

7. Consult a Healthcare Provider: If your elevated heart rate persists or is accompanied by other symptoms such as chest pain, dizziness, or shortness of breath, it is essential to consult a healthcare provider. They may recommend further evaluation, such as an electrocardiogram (ECG) or a Holter monitor, to assess your heart's rhythm and function.

In conclusion, while an elevated heart rate can be concerning, it is often manageable through lifestyle changes and monitoring. Regular exercise, proper hydration, stress management, and avoiding stimulants can significantly contribute to lowering your heart rate. However, it is crucial to remain vigilant and consult with a healthcare professional if you have ongoing concerns or symptoms. Your heart health is paramount, and proactive measures can help maintain it effectively.

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