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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Normal To Have A Very High Heart Rate While Exercising?

Hi, I've recently started going to the gym to work out and each machine has an approximate bpm monitor on the handles of the machine so that while I'm working out I can see my average heart rate. Well I never thought anything of it but my heart rate can sometimes reach well over 200 and when resting my heart rate is 130 (about.) The problem is, while I'm working out I'm not struggling at all. I'm breathing evenly through my nose and very rarely do I run out of breath, although I do push myself. I used to think this was normal, in face I've always been like this even in high school (I'm about to turn 19) but it wasn't until my parent's showed concern that I seriously began to worry.
Mon, 20 May 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

The heart rate and blood pressure must rise with exercise – a disproportionate rise however needs further investigations. If there is no symptom of chest pain or breathlessness, it may not be due to heart or lung problem, but you need further investigations... generally it is due to lack of exercise or imbalance of the Autonomic System or adrenal hormones.

A thorough history and physical examination is the first step - ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination. / HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for irregular beats. / ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse); heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality), clots... / TMT - Treadmill exercise ECG, may be with thallium isotope - is necessary to evaluate ischemia (reduced blood flow - Coronary Artery Disease) – it can assess the heart rate and BP during exercise...

     You may have to see a Cardiologist first / if no clues, then an endocrinologist and neurologist..

Take care
Wishing speedy recovery
God bless
Good luck
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Is It Normal To Have A Very High Heart Rate While Exercising?

Hi friend, Welcome to Health Care Magic The heart rate and blood pressure must rise with exercise – a disproportionate rise however needs further investigations. If there is no symptom of chest pain or breathlessness, it may not be due to heart or lung problem, but you need further investigations... generally it is due to lack of exercise or imbalance of the Autonomic System or adrenal hormones. A thorough history and physical examination is the first step - ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination. / HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for irregular beats. / ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse); heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality), clots... / TMT - Treadmill exercise ECG, may be with thallium isotope - is necessary to evaluate ischemia (reduced blood flow - Coronary Artery Disease) – it can assess the heart rate and BP during exercise... You may have to see a Cardiologist first / if no clues, then an endocrinologist and neurologist.. Take care Wishing speedy recovery God bless Good luck