the Causes of Rapid Heart Rate: From 45 to 90 BPM - Cardiology

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The heart rate increased from slow (45 beats per minute) to fast (90 beats per minute)?


Hello Doctor: I have always had a slow heart rate (40-50 beats per minute).
Recently, I noticed that my heart rate has risen to 90 when measuring my blood pressure, and it seems to be consistently around that number.
I'm not sure what could be causing this.
Could it be related to the cold weather? I've also been drinking red date tea every day lately.
My heart rate has doubled, which is making me a bit worried.

Z, 20~29 year old female. Ask Date: 2009/01/19

Dr. Lin Jixiong reply Cardiology


Hello: It is possible for the general public to experience bradycardia if they engage in regular exercise.
As for palpitations or tachycardia, there are many potential causes, such as excessive intake of caffeine-rich foods, staying up late, excitement, shock, stress, or emotional distress, all of which can lead to an increased heart rate.
If you are concerned, you may visit a cardiology clinic for a professional diagnosis.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital.

Reply Date: 2009/01/19

More Info


Understanding the causes of a rapid heart rate, especially when transitioning from a baseline of 40-50 beats per minute (BPM) to 90 BPM, can be concerning and warrants a thorough exploration of potential factors. A heart rate that significantly increases can be influenced by various physiological and environmental factors, and it is essential to consider these in context.

Firstly, a resting heart rate of 40-50 BPM is considered bradycardia, which can be normal for some individuals, particularly athletes or those who are physically fit. However, a sudden increase to 90 BPM can indicate a change in your body’s response to various stimuli. Here are some potential causes for this change:
1. Environmental Factors: Cold weather can affect heart rate, but typically it would lead to a decrease in heart rate as the body conserves energy. However, if you are experiencing stress or anxiety due to the cold, this could trigger an increase in heart rate.

2. Dietary Influences: You mentioned consuming red date tea recently. While red dates are generally considered healthy and can provide energy, if the tea is high in sugar or if you are sensitive to certain compounds, it could lead to an increase in heart rate. Additionally, if you are consuming other caffeinated beverages, this could also contribute to a faster heart rate.

3. Physical Activity: If your daily routine has changed, such as increased physical activity or stress, this could lead to an elevated heart rate. Even mild exertion can cause your heart rate to rise, especially if your body is not accustomed to it.

4. Emotional Stress: Psychological factors such as anxiety, stress, or excitement can lead to an increase in heart rate. The body’s fight-or-flight response can cause the heart to beat faster in response to perceived threats or stressors.

5. Medical Conditions: Certain medical conditions, including hyperthyroidism, anemia, or infections, can cause an increased heart rate. If you have any underlying health issues or if this change persists, it may be worth consulting a healthcare professional for further evaluation.

6. Dehydration: If you are not adequately hydrated, your heart may pump faster to maintain blood flow and pressure, leading to an increased heart rate.

In terms of management, if you are concerned about your heart rate, it is advisable to monitor it regularly and note any accompanying symptoms such as dizziness, chest pain, or shortness of breath. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can help regulate heart rate.

If the elevated heart rate persists or is accompanied by concerning symptoms, it is essential to seek medical advice. A healthcare provider may recommend tests such as an electrocardiogram (ECG) or a Holter monitor to assess your heart's rhythm and rule out any underlying conditions.

In conclusion, while an increase in heart rate from 40-50 BPM to 90 BPM can be alarming, understanding the potential causes can help alleviate concerns. Lifestyle factors, dietary changes, and emotional stress are common contributors to such fluctuations. Monitoring your heart rate and consulting with a healthcare professional if necessary will provide clarity and ensure your heart health is managed appropriately.

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