Rapid Heartbeat: Is It a Vaccine Side Effect or a Heart Issue? - Cardiology

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Feeling of rapid heartbeat?


A few years ago, during a school health check, I discovered that my heart rate was elevated.
After seeing a doctor for an examination, I was told there was nothing significant to worry about.
However, three days ago, before receiving the BNT vaccine, my blood pressure was checked, and the doctor mentioned it was a bit high but still allowed me to get vaccinated, advising me to pay more attention to it.
I am still a bit anxious because my heart rate has consistently been around 80 to 90 bpm, and it jumps to about 100 bpm when I climb stairs or engage in light exercise.
Is this a side effect of the BNT vaccine, or could I have some heart condition? Additionally, I have not been active in the past, but I recently wanted to start exercising to improve my health.
However, when I jogged 1 kilometer, my average heart rate was 170 bpm, with a maximum of 190 bpm, and I felt dizzy after finishing.
It took about 10 minutes of rest to feel better.
Should I continue exercising like this?

Ke, 20~29 year old female. Ask Date: 2021/09/28

Dr. Wu Xueming reply Cardiology


This is not a side effect of B N T.
Exercise should be increased gradually and progressively so that the body can adapt.

Reply Date: 2021/09/28

More Info


Understanding the relationship between rapid heartbeat and physical activity, especially in the context of recent vaccination, can be complex. Based on the information provided, it appears that your concerns about your heart rate and the effects of the BNT vaccine (Pfizer-BioNTech) are valid but may not necessarily indicate a serious underlying heart condition.

Firstly, it is important to recognize that a resting heart rate of 80 to 90 beats per minute (bpm) can be considered within the normal range for some individuals, especially if you are experiencing anxiety or stress. Physical exertion, such as climbing stairs or engaging in light exercise, can naturally elevate your heart rate. It is not uncommon for heart rates to reach 100 bpm during such activities, particularly if you are not accustomed to regular exercise.
Regarding your experience of a significantly elevated heart rate (170 bpm, peaking at 190 bpm) during a 1-kilometer jog, this is notably high and could be a sign that your body is not yet conditioned for that level of exertion. When starting a new exercise regimen, especially after a period of inactivity, it is crucial to ease into it gradually. High-intensity workouts can lead to symptoms such as dizziness and fatigue, particularly if your cardiovascular system is not accustomed to the demands of running.
In terms of the BNT vaccine, while some individuals report experiencing side effects such as increased heart rate or palpitations, these are generally transient and resolve on their own. The vaccine is not typically associated with long-term heart issues. However, if you have a history of heart problems or if your symptoms persist or worsen, it is essential to consult a healthcare professional for further evaluation.

To address your concerns about continuing your exercise routine, consider the following recommendations:
1. Start Slowly: Gradually increase your activity level. Instead of running, you might begin with brisk walking or light jogging, allowing your body to adapt to the increased physical demands.

2. Monitor Your Heart Rate: Use a heart rate monitor to keep track of your heart rate during exercise. Aim to stay within a safe range, typically 50-70% of your maximum heart rate, especially as you are starting out.

3. Listen to Your Body: If you experience dizziness, excessive fatigue, or any other concerning symptoms, stop exercising and rest. It is essential to pay attention to how your body responds to physical activity.

4. Consult a Professional: If you continue to experience rapid heartbeats or other symptoms that concern you, it would be prudent to seek advice from a healthcare provider. They may recommend further testing, such as an electrocardiogram (ECG) or a stress test, to assess your heart's health more thoroughly.

5. Manage Stress and Anxiety: Since anxiety can exacerbate feelings of a racing heart, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

In conclusion, while your symptoms may be concerning, they are not necessarily indicative of a serious heart condition, especially if you have been cleared by a healthcare professional. By taking a cautious approach to exercise and monitoring your body's responses, you can work towards improving your fitness safely. Always prioritize your health and well-being, and do not hesitate to seek medical advice when needed.

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