HomeAnswersCardiologyarrhythmiasIs heart rate above 200 normal during heavy workouts?

During heavy workouts my heart rate goes beyond 200. Is it normal?

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During heavy workouts my heart rate goes beyond 200. Is it normal?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At November 15, 2017
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

I am a 47-year-old female, 1.64 m and 147 pounds. My heart rate is 52 beats a minute when I wake up in the morning. During the day, my resting heart rate is 75 to 82 beats/minute. When I do a 5 km (37 min) walk, it is 195 to 200 beats per minute, and during a high-intensity exercise, it will go as high as 205 beats per minute. I suffer from delayed onset muscle soreness from two to three days after a big exercise session. I am often fatigued and suffer from lightheadedness and tremors after exercise, and exercise is hard work. I do have anemia and take ferrous fumarate (ferritin is 30 to 35 ng/mL), but all the other blood work does not show anything. A cardiogram did not show anything. Is there any specific dietary aspect I should pay attention to? What is your exercise and heart rate zone opinion? Any specific tests I should ask for?

Hello,

Welcome to icliniq.com.

The whole picture is of exercise intolerance, as you should not have a rate of 200 plus when you exercise. The main cause is anemia here. So, you have to rectify that before commencing any sort of exercise program. Also, the muscle soreness you experience is probably due to rhabdomyolysis (muscle destruction due to very intense exercise). In addition to an anemia workup, I suggest a thyroid profile as that, too, can cause myopathy (muscle disease). Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek S Narayan Pillai
Dr. Vivek S Narayan Pillai

Cardiology

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