Understanding and Managing Irregular Heartbeats: When to Worry and What to Do

Have you ever experienced a heart rate that gets up into the 130-200s BPM, even with sophisticated heart rate monitoring devices like those from Garmin, Apple, or other wearables? This can be alarming and may lead to a wide range of emotions, from concern to frustration when doctors downplay your symptoms. In this article, we will explore the reasons behind such high heart rates, the possible underlying conditions, and what steps you should take to receive proper medical attention.

Checking Your Heartbeat Manually

First, consider whether the readings you receive from your device are accurate. Sometimes, the data from heart rate monitors can be influenced by technical errors or positioning. For instance, if you wear a chest strap or a heart rate monitor from the back of your watch, it is possible that the readings might not be as precise as they should be. To ensure that the heart rate readings are correct, take your pulse manually the next time you see a high reading. This can help determine if your heart rate is truly racing or if the device is malfunctioning.

Common Causes of High Heart Rate

Of course, a racing heart can indicate an underlying problem. The following are some common causes that doctors may consider:

Medication or Illegal Drugs: Certain medications or illegal substances can cause an increased heart rate. Anxiety or Panic Attacks: Emotional stress and anxiety can lead to a rapid heartbeat. High Blood Pressure: Elevated blood pressure can result in a higher heart rate.

If you are experiencing a heart rate that consistently exceeds 100 BPM and do not have a valid reason for it, you should consult a cardiologist. A cardiologist is a heart specialist who can provide a thorough examination and determine if your heart rate is within a normal range or if there is a need for further investigation.

Supraventricular Tachycardia (SVT)

Supraventricular Tachycardia (SVT) is a common condition characterized by rapid heartbeats that originate in the upper chambers of the heart. It is usually treatable and can be managed with appropriate medical care. To diagnose SVT, your doctor may recommend a 24-hour Holter Monitor, which is a portable device that records your heart's electrical activity over an extended period. This can help identify patterns and irregularities in your heart rate.

When to Seek Medical Attention

Before you decide to see a cardiologist, it is important to gather detailed information about your symptoms. Here are a few questions that can guide your conversation with your healthcare provider:

Frequency and Intensity of Symptoms: Are the high heart rates a regular occurrence or do they happen suddenly? Do you feel this way most of the time, or is it more sporadic? Symptom Detection: How do you detect your heart rate? Are you using a device or doing it manually? Rhythmic Patterns: Is your heart rate regular or does it vary unpredictably? Additional Symptoms: Do you experience any other symptoms such as shaking, chest pain, shortness of breath, dizziness, sweating, or a headache during these episodes? Prior Medical Consultations: Have the doctors you have consulted asked you any of these questions? If so, what were your responses?

A normal resting heart rate ranges from 60 to 100 beats per minute (BPM). If your heart rate consistently exceeds 100 BPM, it is advisable to consult a cardiologist. The maximum heart rate for an individual can be estimated by subtracting your age from 220. For example, a 60-year-old person's maximum heart rate would be around 160 BPM. If your heart rate is significantly higher than this, it may indicate an underlying issue.

In conclusion, while high heart rates can be concerning, understanding the reasons behind them and seeking appropriate medical attention is crucial. Consulting a cardiologist and undergoing necessary tests can help in diagnosing and treating any underlying heart conditions. Remember, your health is important, and it is always better to err on the side of caution when dealing with irregular heartbeats.