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What Causes Fluctuating Heart Rate?

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Posted on Wed, 2 Dec 2015
Question: Why does my heart rate constantly change by as much as 30 beats per min even at total rest. can go from 75 to 105 within mins.
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Answered by Dr. Ilir Sharka (33 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would like to explain that as long as you heart is in normal sinus rhythm, nothing to worry about heart rate variability.

Heart rate may speed up by several triggering factors, such as physical and psychological stress, eating, standing up from lying position, smoking, taking heavy alcoholic drinks, caffeine, anemia, hyperthyroidism, etc.

If your observation is incidental and you don't have any complains (palpitation, weakness, dizziness, etc), you don't need to undertake any further step to further investigate on this issue.

Just try to avoid any of the above present triggering factors and follow the routine scheduled medical check up.

But, if you have current complains, I recommend consulting with your attending physician for a fast medical check up, including a careful physical examination coupled with a resting ECG and several lab tests, like:

- complete blood count,
- thyroid function test,
- blood electrolytes,
- orthostatic intolerance tests, like Tilt testing (if suspicions are raised),etc.

If nothing abnormal is concluded by all the above investigation, then an anxiety disorder should be sought.

You need to discuss with your attending doctor about the above mentioned issues.

Hope to have been helpful to you!

In case of further uncertainties, feel free to ask me!

Greetings!

Dr. Iliri




Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Fluctuating Heart Rate?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would like to explain that as long as you heart is in normal sinus rhythm, nothing to worry about heart rate variability. Heart rate may speed up by several triggering factors, such as physical and psychological stress, eating, standing up from lying position, smoking, taking heavy alcoholic drinks, caffeine, anemia, hyperthyroidism, etc. If your observation is incidental and you don't have any complains (palpitation, weakness, dizziness, etc), you don't need to undertake any further step to further investigate on this issue. Just try to avoid any of the above present triggering factors and follow the routine scheduled medical check up. But, if you have current complains, I recommend consulting with your attending physician for a fast medical check up, including a careful physical examination coupled with a resting ECG and several lab tests, like: - complete blood count, - thyroid function test, - blood electrolytes, - orthostatic intolerance tests, like Tilt testing (if suspicions are raised),etc. If nothing abnormal is concluded by all the above investigation, then an anxiety disorder should be sought. You need to discuss with your attending doctor about the above mentioned issues. Hope to have been helpful to you! In case of further uncertainties, feel free to ask me! Greetings! Dr. Iliri