Rapid Heart Rate: When to Seek Medical Advice

Rapid heartbeat

Hello doctor, recently I have noticed a sudden increase in my average heart rate.
My weight, exercise level, and other health conditions have not changed, and my mood and stress levels remain stable.
Over the past year, my resting heart rate while sleeping was between 55-65 beats per minute, but for the past month, it has been between 70-80 beats per minute.
During my waking hours, my resting heart rate used to be around 70-80 beats per minute, but now it has been between 85-100 beats per minute for the past month.
This increase in heart rate has affected my sleep quality and I feel more fatigued.
I would like to inquire whether I need treatment or if you have any recommendations for further examination.
Thank you!

Mr. Huang, 30~39 year old female. Ask Date: 2022/03/29

Dr. Wu Xueming reply Cardiology

Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2022/03/29

More Info

When it comes to understanding rapid heart rate, or tachycardia, it's essential to consider various factors that could contribute to this change in your heart rate. Based on your description, your resting heart rate has increased from an average of 55-65 beats per minute (bpm) to 70-80 bpm during sleep, and from 70-80 bpm to 85-100 bpm while awake. This change, especially if it is sudden and without any apparent cause, warrants careful consideration.

Firstly, it’s important to note that a resting heart rate of 70-100 bpm is generally considered normal for adults. However, if you have experienced a significant increase in your heart rate without any changes in weight, exercise, or emotional stress, it may be indicative of an underlying issue that needs to be addressed. Factors such as dehydration, caffeine intake, medications, or even hormonal changes can influence heart rate. Additionally, conditions like hyperthyroidism, anemia, or heart-related issues could also lead to an increased heart rate.

Given that you have noticed a decline in your sleep quality and increased fatigue, it is advisable to seek medical advice. While an elevated heart rate alone may not be immediately alarming, the associated symptoms of poor sleep and fatigue could suggest that your body is under stress or not functioning optimally. A healthcare provider can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly an electrocardiogram (ECG) or a 24-hour Holter monitor to assess your heart's rhythm over a more extended period.

In terms of treatment or further investigation, your doctor may recommend lifestyle modifications such as reducing caffeine and alcohol intake, ensuring adequate hydration, and managing stress through relaxation techniques or exercise. If an underlying condition is identified, specific treatments may be necessary, which could range from medication to address heart rate issues to managing any identified health conditions.

It's also worth mentioning that anxiety and stress can significantly impact heart rate and overall well-being. If you are experiencing anxiety about your heart rate or health, discussing these feelings with a healthcare professional can be beneficial. They may suggest counseling or therapy as part of a comprehensive approach to your health.

In summary, while an increased heart rate can be normal in certain contexts, the combination of your symptoms—especially the impact on your sleep and energy levels—suggests that it would be prudent to consult with a healthcare provider. They can help determine if further investigation is necessary and guide you on the best course of action to improve your overall health and well-being.

Similar Q&A

Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation

Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which showed no significa...

Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...

Understanding Sudden Rapid Heartbeat: When to Seek Medical Advice

Hello, doctor. A few days ago, I experienced my heart rate suddenly increasing to 200 beats per minute on two occasions. I had a similar experience during high school physical education classes, but I did not feel any discomfort, just a rapid heartbeat. After resting and taking a...

Dr. Zhong Yuxun reply Cardiology
Hello, dear netizen: A sudden heart rate reaching 200 beats per minute without any discomfort is likely "supraventricular tachycardia." Please seek evaluation from a cardiologist or an internal medicine physician as soon as possible; if it occurs frequently, it may affe...

Managing Fast Heart Rate: When to Seek Medical Attention?

Hello, Doctor. I am a patient with hyperthyroidism and currently manage it with regular medication. Previously, I experienced episodes of rapid heartbeat, exceeding 130 beats per minute, which made me feel extremely uncomfortable and almost faint. I have since stopped consuming c...

Dr. Wu Xueming reply Cardiology
If the heart rate frequently exceeds 100 beats per minute while at rest, it is considered tachycardia over the long term. It is advisable to consider adjusting the medication for hyperthyroidism.

Understanding Rapid Heartbeat: When to Seek Medical Attention

My heart often beats very fast, and I feel quite uncomfortable. Sometimes I feel like I can't catch my breath, but at other times it returns to normal. I previously saw a doctor who told me that I was still developing and that a fast heartbeat was not a concern. However, I a...

Dr. Lin Jixiong reply Cardiology
Hello: Based on the symptom description, it appears to be palpitations, which can sometimes be influenced by diet and lifestyle. There is no need to be overly concerned. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.