HomeAnswersCardiologyheart rateWhy is there an increased heart rate while walking for an hour after alcohol consumption?

I consumed alcohol and walked for one hour, my heart rate increased. Why?

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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 October 20, 2019
Reviewed AtDecember 5, 2023

Patient's Query

Hello doctor,

I consumed wine and beer at a dinner party, followed by a one-hour walk. During the walk, my heart rate increased to 133 bpm and then decreased to 116 bpm. Upon returning home and sitting down, I observed my heart rate gradually dropping from 112 bpm to 103 bpm within a couple of minutes and eventually reaching 93 bpm after 17 minutes. Subsequently, I underwent various tests, including stress echo, echo, ECG, full blood panel, and holter monitor, with all results coming back clear. I have never previously experienced such issue.

Kindly suggest your insights.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. It is likely that the combination of alcohol, underlying anxiety, and physical activity has contributed to your situation. When we engage in activities like walking, it is normal for our heart rate to increase. However, in your case, the effect of alcohol caused a persistent elevation in your heart rate. Anxiety may also play a role in these symptoms. It's important to note that a rise in heart rate alone does not necessarily indicate any specific abnormalities. In most cases, it is a natural physiological response to various factors within the body. While alcohol can potentially lead to cardiac arrhythmias like atrial fibrillation, the gradual onset and absence of associated symptoms make it unlikely in this scenario. In cases of fibrillation, there would typically be palpitations and irregularities in heart rhythm, which are not following activities. Additional symptoms may include dizziness, chest pain, sweating, or shortness of breath. Given the information provided, there is no immediate cause for concern. However, if you consistently experience an elevated heart rate at other times as well, incorporating regular exercise to increase vagal tone and lower your heart rate may be beneficial. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for your response.

I also wanted to check one thing. I have ectopic beats for which I underwent an echocardiogram, blood test, stress test, Holter monitor, and ECG in June, and all the results came back normal. However, I would like to know what is considered a normal number of ectopic beats per day, and at what point should I be concerned if I experience a certain number of them?

Hello, Welcome back to icliniq.com.

I read your query and understood your concern. More than 30 ventricular ectopic beats per hour are associated with a higher risk, but what's more important is the presence of runs of ventricular premature contractions (VPCs). If you experience three or more VPCs in a row, it is called non-sustained ventricular tachycardia (NSVT), which is concerning and should be treated. Isolated VPCs, on the other hand, are less dangerous. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

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

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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