the Impact of Heat Exhaustion on Heart Rate and Health - Cardiology

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Hello Dr.
He,
Yesterday (July 24), I felt unwell with symptoms including sweating, fatigue, low-grade fever, a dull headache, and an increased heart rate.
I measured my heart rate with a blood pressure monitor, which peaked at 99 beats per minute, and throughout the day, it was generally in the 90s, whereas my usual heart rate is around 65 to 80 beats per minute.
Today (July 25), I sought medical attention, and the doctor indicated that I had mild heat exhaustion.
When I measured my heart rate today, it had decreased to around the 70s.
I have a few questions for you, Dr.
He:
Q1.
Can heat exhaustion cause an increased heart rate compared to normal?
Q2.
If so, what is the reason for the increased heart rate due to heat exhaustion?
Q3.
I experienced an elevated heart rate of over 90 beats per minute yesterday due to heat exhaustion, and today it has returned to normal at around 70 beats per minute.
Given that my heart rate increased throughout the day yesterday and then suddenly decreased today, with a difference of about 20 beats, could this situation have any adverse effects or damage to my heart?
Thank you, Dr.
He.

Axiang, 40~49 year old female. Ask Date: 2022/07/25

Dr. He Dongjin reply Cardiology


Hello, the heart rate is regulated by the brain based on the body's needs at the time.
Not only heatstroke, but any physical discomfort can potentially cause an increased heart rate, especially when the body is relatively dehydrated.
The heart needs to beat faster to meet the body's demands.
Once the demand decreases, the heart rate naturally slows down, which does not cause any adverse effects or damage to the heart.
There's no need to worry.
Changhua Hospital cares about you.

Reply Date: 2022/07/25

More Info


Heat exhaustion is a condition that arises when the body overheats, often due to prolonged exposure to high temperatures, especially when combined with high humidity and strenuous physical activity. It can lead to a variety of symptoms, including excessive sweating, weakness, low-grade fever, headache, and an increased heart rate. Understanding the impact of heat exhaustion on heart rate and overall health is crucial, especially for individuals who may have underlying health conditions.


Q1: Does heat exhaustion cause an increased heart rate?
Yes, heat exhaustion can indeed cause an increased heart rate, a condition known as tachycardia. When the body overheats, it activates the sympathetic nervous system, which is responsible for the "fight or flight" response. This activation leads to an increase in heart rate as the body attempts to cool itself down through increased blood flow to the skin and extremities. The heart pumps faster to circulate blood more efficiently, allowing for greater heat dissipation. Additionally, dehydration, which often accompanies heat exhaustion, can lead to a decrease in blood volume, prompting the heart to work harder to maintain adequate circulation.


Q2: What causes the increased heart rate during heat exhaustion?
The increased heart rate during heat exhaustion is primarily due to two factors:
1. Thermoregulation: When the body temperature rises, the hypothalamus triggers mechanisms to dissipate heat, including increased heart rate and sweating. The heart pumps more blood to the skin, where heat can be released into the environment.

2. Dehydration: Heat exhaustion often leads to fluid loss through sweating. Dehydration reduces blood volume, which can cause the heart to beat faster to maintain blood pressure and ensure that vital organs receive adequate blood flow. This compensatory mechanism can lead to a sustained elevated heart rate until the body is rehydrated and cooled down.


Q3: Is there any adverse effect on the heart from the fluctuation in heart rate?
In most cases, a temporary increase in heart rate due to heat exhaustion is not harmful for a healthy individual. The heart is designed to handle fluctuations in heart rate in response to various stimuli, including heat and physical activity. However, if the elevated heart rate persists or if the individual has pre-existing heart conditions, it could potentially lead to complications such as arrhythmias or increased cardiac workload.

In your case, the heart rate returning to a normal range after experiencing tachycardia is a positive sign. It indicates that your body is recovering from the heat stress. However, if you experience recurrent episodes of heat exhaustion or if you have underlying health issues, it is essential to consult a healthcare professional for further evaluation.

Conclusion
In summary, heat exhaustion can lead to an increased heart rate as a physiological response to overheating and dehydration. While temporary fluctuations in heart rate are generally not harmful for healthy individuals, it is crucial to stay hydrated and cool to prevent further complications. If symptoms persist or worsen, seeking medical attention is advisable. Always listen to your body and take necessary precautions when exposed to high temperatures, especially during physical activities.

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