Elevated Heart Rate During Fever: When to Seek Help - Cardiology

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Heartbeat issues


Hello, doctor.
I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius.
I measured my blood pressure, which was normal, but my heart rate shot up to 100 beats per minute (I don't feel unwell).
My usual heart rate is around 70-90.
Is my increased heart rate due to the fever? I almost rushed to the emergency room when it reached 100.

Si, 20~29 year old female. Ask Date: 2023/05/18

Dr. Cai Guiqin reply Cardiology


Recommendation: Please seek medical examination.
Thank you.
Wishing you good health!

Reply Date: 2023/05/18

More Info


When experiencing a fever, it is common for the heart rate to increase. This phenomenon is known as tachycardia, and it is a physiological response to the elevated body temperature. In your case, with a fever of approximately 38 degrees Celsius (100.4 degrees Fahrenheit) and a heart rate of 100 beats per minute, it is likely that the fever is the primary cause of your increased heart rate.

Fever can lead to an increased metabolic rate, which in turn raises the demand for oxygen and nutrients in the body. To meet this demand, the heart pumps faster, resulting in a higher heart rate. This response is generally considered normal and is not usually a cause for concern unless accompanied by other alarming symptoms.

However, it is essential to monitor your condition closely. Here are some guidelines on when to seek medical help:
1. Persistent High Fever: If your fever lasts more than three days or continues to rise despite over-the-counter medications, it is advisable to consult a healthcare professional.

2. Severe Symptoms: If you experience severe symptoms such as difficulty breathing, chest pain, confusion, or persistent vomiting, you should seek immediate medical attention.

3. Underlying Health Conditions: If you have pre-existing health conditions, particularly cardiovascular issues, it is crucial to consult your doctor if you notice significant changes in your heart rate or other concerning symptoms.

4. Heart Rate Monitoring: While a heart rate of 100 beats per minute is not alarming in the context of a fever, if your heart rate continues to rise or if you experience palpitations, dizziness, or fainting, you should seek medical advice.

5. Dehydration Signs: Fever can lead to dehydration, especially if it is accompanied by sweating, vomiting, or diarrhea. Signs of dehydration include dry mouth, decreased urine output, and dizziness. If you notice these symptoms, it is important to hydrate and consult a doctor if they persist.

In summary, while an elevated heart rate during a fever is typically a normal response, it is essential to remain vigilant and seek medical attention if your symptoms worsen or do not improve. Always prioritize your health and consult a healthcare professional if you have any doubts or concerns about your condition.

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Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which is normal, but my heart rate has surged to 100 beats per minute (I don't feel unwell). My usual heart rate is around 70-90. Is my in...


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