Arrhythmia: Is My Rapid Heartbeat a Concern? - Cardiology

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Arrhythmia


Hello: Recently, my heart rate spikes above 160 while I’m sleeping, and my heartbeat feels like it’s pounding, thumping, thumping.
Is this related to puberty, or could I have some kind of illness? Thank you.

A-Liang, 10~19 year old female. Ask Date: 2015/12/13

Dr. He Dongjin reply Cardiology


Hello, a heart rate of 160 is too fast.
It is recommended to go to the hospital for a 24-hour Holter monitor for further examination.
Changhua Hospital cares about you.

Reply Date: 2015/12/13

More Info


Experiencing a rapid heartbeat, especially during sleep, can be concerning and warrants careful consideration. Your reported heart rate of over 160 beats per minute, accompanied by a pronounced "thumping" sensation, is not typical and should be evaluated by a healthcare professional. While it is true that adolescents may experience fluctuations in heart rate due to hormonal changes and increased physical activity, a consistently elevated heart rate, particularly when it occurs at rest or during sleep, could indicate an underlying issue that needs attention.

There are several potential causes for your symptoms. One possibility is a condition known as supraventricular tachycardia (SVT), which is characterized by episodes of rapid heart rate originating above the heart's ventricles. This can lead to palpitations, a sensation of the heart racing, and sometimes dizziness or lightheadedness. Other potential causes could include anxiety or panic attacks, which can also manifest as rapid heart rates and feelings of unease, especially during periods of rest or sleep.

Additionally, factors such as caffeine intake, dehydration, or certain medications can contribute to increased heart rates. It's also important to consider the impact of stress and anxiety, which can exacerbate heart rhythm disturbances. In some cases, underlying medical conditions, such as hyperthyroidism or electrolyte imbalances, may also lead to tachycardia.

Given the nature of your symptoms, it is crucial to seek medical advice. A healthcare provider may recommend a thorough evaluation, including a physical examination, a detailed medical history, and possibly diagnostic tests such as an electrocardiogram (ECG) or a 24-hour Holter monitor to assess your heart's rhythm over time. These tests can help determine if there is an arrhythmia or other cardiac condition that requires treatment.

In the meantime, there are some lifestyle modifications you can consider to help manage your symptoms. Reducing caffeine and alcohol intake, ensuring adequate hydration, and practicing relaxation techniques such as deep breathing or mindfulness may help alleviate some of the anxiety and stress that can contribute to rapid heart rates. Regular physical activity, within your comfort level, can also promote cardiovascular health and help regulate your heart rate.

In conclusion, while it is possible that your symptoms are related to normal physiological changes associated with adolescence, the severity and persistence of your rapid heartbeat warrant further investigation. Do not hesitate to reach out to a healthcare professional to discuss your symptoms and receive appropriate guidance and care. Your health and well-being are paramount, and early intervention can lead to better outcomes.

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