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What causes a high pulse rate?

Nov 2013
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Practicing since : 1994
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My pulse rate is 111 is this too high, what causes this? It goes up and down, sometimes below 100 and sometimes at 103. I am not sick with anything. Does it go higher
Posted Thu, 13 Sep 2012 in Hypertension and Heart Disease
Answered by Dr. Sudhir Kumar 2 hours later
Thank you for contacting XXXXXXX
A pulse rate of 111 per minute is slightly high. Normal pulse rate should be between 60 to 100 beats per minute. Average normal pulse rate is 72 per minute. However, pulse rate may go up normally after exercise; or when one is anxious; or during fever. When there is no obvious reason for increased pulse rate, hyperthyroidism (excess thyroid hormones) should be excluded (a blood test for T3,T4 and TSH is sufficient to exclude this condition). Rarely, rhythm abnormalities of the heart may cause increased pulse rate. But in this case, one should have palpitaitons (uncomfortable awareness of one's own heart beats).
However, if you do not have any symptoms, please keep a regular watch on your pulse rate. If it remains high for some days, you may go for above evaluations (thyroid profile blood test and an ECG).
Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
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