Is a Heart Rate of 90 BPM Normal? When to See a Doctor? - Cardiology

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Heart problems?


Is a heart rate of around 90 beats per minute normal? Should I see a doctor?

Xiao Fan, 50~59 year old female. Ask Date: 2012/04/11

Dr. Lin Jixiong reply Cardiology


Hello: If your heart rate is around 90 beats per minute occasionally, it is generally not a concern.
However, if your heart rate consistently remains above 90 beats per minute, it is advisable to consult a doctor.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2012/04/11

More Info


A heart rate of 90 beats per minute (BPM) can be considered within the normal range, particularly if it is not persistent and occurs occasionally. The normal resting heart rate for adults typically ranges from 60 to 100 BPM. Factors such as physical activity, emotional stress, caffeine intake, and even certain medications can influence heart rate.
If your heart rate fluctuates between 90 and 100 BPM occasionally, especially during periods of stress or after physical exertion, it may not be a cause for concern. However, if you consistently experience a heart rate above 90 BPM at rest, or if you notice other symptoms such as chest pain, shortness of breath, dizziness, or palpitations, it is advisable to consult a healthcare professional.
In the context of your question, it is important to consider the following points:
1. Transient vs. Persistent Tachycardia: A transient increase in heart rate, such as during exercise or emotional stress, is generally normal. However, if your heart rate remains elevated (tachycardia) at rest, it could indicate an underlying issue that warrants further investigation.

2. Symptoms to Watch For: If you experience additional symptoms like chest pain, lightheadedness, or significant fatigue, these could be signs of a more serious condition, and you should seek medical attention promptly.

3. Underlying Conditions: Certain medical conditions, such as hyperthyroidism, anemia, or heart disease, can cause an elevated heart rate. If you have a history of heart problems or other health issues, it is crucial to monitor your heart rate and consult with a healthcare provider if you notice any changes.

4. Diagnostic Tests: If your doctor recommends tests such as an electrocardiogram (ECG), echocardiogram, or blood tests, it is essential to follow through with these recommendations. These tests can help identify any potential heart issues or other health concerns.

5. Lifestyle Factors: Consider your lifestyle habits. Factors such as stress, lack of sleep, dehydration, and excessive caffeine or alcohol consumption can contribute to an elevated heart rate. Making lifestyle changes, such as regular exercise, stress management techniques, and a balanced diet, can help maintain a healthy heart rate.

6. Follow-Up: If your healthcare provider has advised you to return for follow-up tests or monitoring, it is important to adhere to their recommendations. Regular check-ups can help ensure that any potential issues are addressed early.

In summary, a heart rate of 90 BPM can be normal under certain circumstances, but it is essential to pay attention to the context in which it occurs. If you have concerns about your heart rate or experience any concerning symptoms, do not hesitate to reach out to a healthcare professional for guidance. They can provide personalized advice based on your medical history and current health status.

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