Heart Rate in Patients with Mild Angina: What You Need to Know

Heart rate per minute in patients with angina pectoris?

Last month, I was diagnosed with mild angina.
I would like to ask the doctor if heart rate is related to this condition.
During my follow-up visit, my heart rate was around 83 beats per minute, so the nurse asked me to rest a bit before measuring again.
After resting for 15 minutes, the heart rate was still the same.
The doctor mentioned that it could be because I had just climbed stairs, which might have caused my heart rate to be elevated, but I actually rested for at least half an hour before the measurement.
Later, I researched online, and many people said that a heart rate of 60 to 100 beats per minute is considered normal.
Since this is normal, why did the doctor specifically mention it, and why did the nurse ask me to measure it multiple times? (I measured again later.) Am I just overthinking this? Thank you, doctor.

Yueye, 30~39 year old female. Ask Date: 2015/11/16

Dr. Lin Jixiong reply Cardiology

Please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.
Hello: A heart rate between 70 to 90 beats per minute is generally tolerable.
If the heart rate is too fast, it may lead to discomfort.
Even mild angina can worsen symptoms when the heart rate increases, as it raises the myocardial oxygen demand.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/16

More Info

Understanding heart rate in patients with mild angina is crucial, especially when considering the implications of heart rate variability and its relationship to coronary artery disease. Angina, which is chest pain or discomfort due to reduced blood flow to the heart muscle, can be influenced by various factors, including heart rate.

In your case, being diagnosed with mild angina means that your heart is experiencing some level of ischemia, particularly during physical exertion or stress. The heart rate is a significant parameter to monitor because it reflects how hard your heart is working. A normal resting heart rate typically ranges from 60 to 100 beats per minute (bpm). However, factors such as physical activity, emotional stress, medications, and overall cardiovascular health can influence this rate.

When you mentioned that your heart rate was around 83 bpm during your visit, it falls within the normal range. However, the context of your heart rate is essential. If you had just climbed stairs, your heart rate would naturally be elevated due to the increased demand for oxygen by your muscles. The fact that the nurse asked you to rest and recheck your heart rate indicates a standard practice to ensure that the reading reflects your resting state rather than a temporary increase due to recent activity.

Your doctor’s comment about your heart rate may have been a precautionary measure, emphasizing the importance of monitoring heart rate in patients with angina. An elevated heart rate can sometimes indicate that your heart is under stress, which could exacerbate angina symptoms. Therefore, it is not uncommon for healthcare providers to be vigilant about heart rate readings in patients with a history of heart conditions.

If your heart rate remains consistently elevated at rest, it could be a sign of underlying issues that may need further evaluation. Factors such as anxiety, dehydration, or even the effects of medications can contribute to a higher resting heart rate. Additionally, if you experience symptoms like chest pain, shortness of breath, or palpitations alongside an elevated heart rate, it is crucial to report these to your healthcare provider.

In summary, while your heart rate of 83 bpm is within the normal range, the context of your diagnosis of mild angina makes it essential to monitor it closely. It is not uncommon for healthcare professionals to take extra precautions when assessing heart rate in patients with cardiovascular concerns. If you have further questions or concerns about your heart rate or angina symptoms, it is advisable to discuss them with your healthcare provider, who can provide personalized guidance based on your medical history and current condition. Regular follow-ups and open communication with your healthcare team are vital in managing your heart health effectively.

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