Elevated Pulse Rates: When to Seek Medical Attention

Elevated pulse rate?

Hello, doctor.
My health check report shows an abnormal pulse (120 beats per minute).
My Xiaomi band has detected approximately 5 instances of irregular heartbeats.
Is this considered abnormal?

18, 10~19 year old female. Ask Date: 2024/01/08

Dr. He Dongjin reply Cardiology

Hello, the electrocardiogram showed some abnormalities.
It's currently difficult to say everything is fine.
Changhua Hospital is concerned about you.

Reply Date: 2024/01/08

More Info

Elevated pulse rates, particularly when they exceed the normal resting range of 60 to 100 beats per minute, can be indicative of various underlying health issues. A pulse rate of 120 beats per minute, especially if it is persistent or accompanied by other symptoms, warrants further evaluation. In your case, the detection of abnormal heartbeats by your Xiaomi band, along with the elevated pulse rate noted in your health check report, suggests that you should seek medical attention.

There are several potential causes for an elevated pulse rate (tachycardia), including but not limited to:
1. Physiological Factors: Stress, anxiety, or physical exertion can temporarily raise your heart rate. If you were anxious or had just exercised before your pulse was measured, this could explain the elevation.

2. Medical Conditions: Conditions such as hyperthyroidism, anemia, fever, or infections can lead to an increased heart rate. Additionally, heart-related issues such as arrhythmias (irregular heartbeats) could also be a factor.

3. Medications: Certain medications, including stimulants, decongestants, and some antidepressants, can increase heart rate. If you are taking any medications, it is essential to review them with your healthcare provider.

4. Lifestyle Factors: Caffeine, nicotine, and alcohol consumption can also contribute to elevated heart rates. If you consume these substances regularly, it may be worth considering their impact on your heart rate.

Given that you have experienced abnormal heartbeats and have a consistently elevated pulse rate, it is advisable to consult with a healthcare professional. They may recommend further diagnostic tests, such as an electrocardiogram (ECG), to assess your heart's rhythm and electrical activity. An ECG can help identify any arrhythmias or other cardiac issues that may be present.

In addition to an ECG, your doctor may also consider conducting blood tests to check for thyroid function, electrolyte imbalances, or signs of infection. A thorough medical history and physical examination will also be crucial in determining the underlying cause of your symptoms.

If you experience any of the following symptoms along with an elevated pulse rate, you should seek immediate medical attention:
- Chest pain or discomfort
- Shortness of breath
- Dizziness or lightheadedness
- Fainting or near-fainting episodes
- Severe anxiety or panic attacks
In summary, while an elevated pulse rate can sometimes be benign, your specific situation—marked by a pulse rate of 120 beats per minute and the detection of abnormal heartbeats—suggests that further evaluation is necessary. It is always better to err on the side of caution when it comes to heart health. Please schedule an appointment with your healthcare provider to discuss your symptoms and undergo appropriate testing. Your health and well-being are paramount, and timely intervention can lead to better outcomes.

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