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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Heartbeats Rate Without Exercise?

I m 32 year female with a heart rate between 85-97bpm but every now and then it jumps to 185bpm without exercise. I can walk from room to room and feel it beating and hear the beats in my ears. I get dizzy, out of breath and after the heart returns to normal it hurts. Is this normal? I m not over weight and don t drink
Mon, 28 Sep 2015
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Cardiologist 's  Response
Hello. Welcome to HCM and thank you for your question. I understand your concern.

If seen in a digital monitor, which is used to monitor the heart rate, and if it is a single finding then comes back to normal, then it could easily be a skipped heart beat.

If this remains constant for some time, even seconds, without physical stress, then it is not a normal finding. Heart beat, as long as it is regular, can go up to 188 beats per minute when exercising or undergoing a significant psychological stress, in your case (the formula is 220-age). If this happens in resting state, then the symptoms are explainable and this is not a normal finding, or at least, warrants further tests to decide whether this is normal or not, and whether treatment is needed or not.

Therefore, I would recommend you an EKG to assess the conduction and electrical systems of the heart, on resting state; a 24-hour rhythm monitor registration, which is basically an EKG done for 24 hours continuously, which can depict these episodes and we can then evaluate them in the EKG registration. Keep in mind that, besides factors mentioned above, also caffeine-containing beverages like coffee or energy drinks, can have this effect on the heart, especially when the maximal daily dosage is exceeded.

In the end, I would also recommend you to be tested for thyroid function: TSH, fT3, fT4. Thyroid dysfunction, especially found in young female subjects, can result in this phenomenon.

I hope I was helpful.

My best regards,
Dr. Meriton
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What Causes High Heartbeats Rate Without Exercise?

Hello. Welcome to HCM and thank you for your question. I understand your concern. If seen in a digital monitor, which is used to monitor the heart rate, and if it is a single finding then comes back to normal, then it could easily be a skipped heart beat. If this remains constant for some time, even seconds, without physical stress, then it is not a normal finding. Heart beat, as long as it is regular, can go up to 188 beats per minute when exercising or undergoing a significant psychological stress, in your case (the formula is 220-age). If this happens in resting state, then the symptoms are explainable and this is not a normal finding, or at least, warrants further tests to decide whether this is normal or not, and whether treatment is needed or not. Therefore, I would recommend you an EKG to assess the conduction and electrical systems of the heart, on resting state; a 24-hour rhythm monitor registration, which is basically an EKG done for 24 hours continuously, which can depict these episodes and we can then evaluate them in the EKG registration. Keep in mind that, besides factors mentioned above, also caffeine-containing beverages like coffee or energy drinks, can have this effect on the heart, especially when the maximal daily dosage is exceeded. In the end, I would also recommend you to be tested for thyroid function: TSH, fT3, fT4. Thyroid dysfunction, especially found in young female subjects, can result in this phenomenon. I hope I was helpful. My best regards, Dr. Meriton