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Heart Rate In 200's???


Iamcertain
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That's pretty high. Were you using a HR monitor or manual palpation?

If you search for POTLUCKS posts I think he had a thread about HR after exercise where he was noting he was going pretty high, but I don't think THIS high.

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Hi Iamcertain,

I did have a sustained HR of 220 bpm at rest after 30 min or so of vigorous physical exercise (biking). At that point I was in the hospital's cardiac rehab clinic and the doctors who were called to help me were more panicked than I was :D . It definitely wasn't a funny picture - them trying to figure out how to help and me trying to explain to them about my condition. The episode was captured on the monitor and it showed atrial tachycardia in my case. One of the cardiologists I spoke to after it happened said that it could have been sinus tachy, but the p waves on the ECG were hidden as they were too close together (doctor talk :blink: ). I was on several meds that were supposed to reduce my HR at that time (propranolol, mestinon and florinef); my water intake was at about 1 gallon a day and I was on a high salt regimen as well.

They gave me a 1L bag of saline IV and one of the docs massaged my carotid (a technique I won't recommend as it is dangerous). My HR lowered shortly after that and when my POTS specialist came to see me a couple of hours later he said that it could have happened to anyone, and that I should reconsider exercising (or exercising too vigorously) for a while. I admit that I have chickened out and refrained from doing anything extremely strenuous ever since.

I hope this helps.

Alex

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that's just terrible. I have a rather high resting heart rate, so I average (with medications ) 110-130. However, it has shot up to 220. It always goes back down but on my "bad days" i bounce around.. Of course even when I just stand up it goes up.

Everyone is different. If this isnt normal for you maybe you should call your doctor.

Good luck,

Sarah

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I think it depends on the person, as to whether this is OK or not, so you need to talk to your dr. If it goes away, that is much better than having a sustained heart rate that high.. I would also make sure you are counting your pulse and relying on the monitor b/c the signal can get screwed up.

It's interesting, because swimming is in the horizontal position so I am surprised that your HR would get that high from it. I have inappropriate sinus tachycardia, so I get a higher HR from swimming, but not nearly that high. I could see (and have had) a 200 HR when trying the eliptical machine - which is why I don't do it anymore! :)

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Naomi,

just imagine a hummingbird flapping its wings inside your chest - that's the closest description I can give you. I only experienced this once, but it's really not something I'll be able to forget easily. It's really unbelievable what the human body is made to endure sometimes.

Alex

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Sarah, does your HR get that high without exercise? My upright HR is usually 110-150, depending on the day, but a few times a month it'll get up to 210-220, just from being upright/walking around.

I've had a thorough cardiological workup and been told I'm fine as long as it goes down when I lay down (and it always does). But it still kind of weirds me out. My resting HR is in the 50s so it's quadrupaling. I mean...how does it get that high?! I'm just curious...if this happens to you too without any exertion, I'm wondering if you've ever gotten an explanation.

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I was sharing this post during a debate last night and it got some serious information out guys!

While the people that were with me were well aware of "my" condition, they were not aware of the higher end extreme of the tachy and several were shocked. I could see them, hands on their chests, eyes round, imagining what that would feel like LOL

Always teach whenever you can!

Made me show my age by blurting out....

And now you know

And knowing is half the battle

G.I. JOE!!!!

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when I exercise it def. gets up to 180's range, but sometimes just throughout the day it'll start bouncin away. Laying flat is all I can do to help it but I really just have to wait for it to be over.

I do try exercise a few times a week but haven't made it past 3 days at 10-15 min intervals w/ the recumbent bike.

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When you get into the higher range it's important to check with your dr to make sure you don't have

supraventricular tachycardia (SVT). POTS involves sinus tachycardia which is generally a lot safer than SVT - but you can have both. Sinus usually involves a lower HR.

When I ride the bike at the gym and my HR goes to 150 I get migraines/side effects for a few days after. If your HR goes to 300 and calms down after swimming and you feel back to "normal" that's great!

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My heart monitor doesn't work in the water, I check my pulse manually when swimming. After a few minutes it calmed down after 5 minutes or so to 180 and then reduced from there. My resting heart rate is usually in the 80's but any exertion at all makes it spike. I'll ask my doctor about it next time I see her but generally I feel okay after so I don't worry about it. I have passed out when my heart rate is lower like 140 after standing for a long time. When I'm in the pool I haven't had any problems besides the tachycardia.

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Alex,

You described the feeling like a huminbird in your chest so perfectly. I've used the term butterfly, but i like yours so much better!

It's a terrible feeling.. but honestly, I've learned to adjust to such a higher rate that when/if i drop lower, i tend to feel so much worse. I rarely drop low but when I do i can't help but stand up and pace trying to get it higher again.

Frustrating <_<

LeJones,

I do get that high from standing up on my pretty bad days, and upon exerercution is similiar. I've had tons of holters, echo's, stress tests, ekg's, 3d mri/angio of my heart and there is slight enlargement of the left ventricle but i'm not symptomatic of that at this time. Its probable cause for slightly enlargement is the hypertension/tachy. I've never gotten ananswer other than I have a higher resting heart rate and that it's the postural adapation and hormone surges i experience that can cause it to increase.

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Sarah,

I can't help but wonder - have the doctors ever captured one of your episodes on a monitor - given that you had so any tests? The EP I was referred to after my 220 bpm episode told me that when the HR is higher than 160 ( if I remember right) it's quite difficult to tell if it's sinus tachycardia or some other type of arrhythmia. Have you seen an electrophysiologist for this? I don't mean to worry you, but such elevated rates may not be a good thing.

Alex

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Hey Alex,

I've seen 2 EP's and the high numbers have been recorded on the holter monitors so many times. Only suggestion by one was a sinus node ablation which after getting the pots/hyperpots diagnosis would actually make me worse. In the beginning it was thought to be innappropriate sinus tachycardia.

I know my elevation numbers are alarming. I've always had a much higher resting heart rate. Unmedicated it ranged around 130-140 most of the time. It was terrible.. the medication combo I received after being properly diagnosed has resulted in much lower numbers majority of the day. It's when my medication wears off that i notice more of an increase but long acting and extended release medicatications have little to no effect on me. I was on Lebetalol 2,400mg every day and couldnt understand why i was getting worse -- it's actually an alpha beta blocker and a pure peta (propanolol i'm on now) was what ultimately was needed.

Your not worrying me, thank you for caring. I appreciate it.

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