Increased Heart Rate

Increased heart rate at rest is called tachycardia. There are a lot of conditions that can increase the heart rate. Some of the common causes include electrolyte imbalance, alcoholism, congenital heart problems, hypertension, hyperthyroidism, some medicines, smoking, and lung problem.

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What is the cause for having an increased heart rate during pregnancy?

Query: Hi doctor, My wife is 34 weeks pregnant. She has known tachycardia and had an unsuccessful ablation at 11 years old. Around six weeks ago, using pulse oximeter I have at home, I noticed her resting heart rate had dramatically increased. It went from an average of around 100 to around 130 and 140, so...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Tachycardia, which she had, was mostly probably PSVT (paroxysmal supraventricular tachycardia) or other SVT (supraventricular tachycardia), which are usually episodic in nature. So, the reading which you had of 123 was probably not due to her old heart problem PSVT, but ...  Read Full »

I am suffering from sudden severe headaches, chest pain, and dizziness. Why?

Query: Hi doctor, I am an 18 year old female. I am suffering from sudden, severe headaches, chest pain, dizziness, fainting, difficulty in balance and blurring of vision often. Why?  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. There are two possibilities. One is anxiety episodes, and the other one is cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Do you have any palpitations ...  Read Full »

What is the reason for persistent increased heart rate?

Query: Hello doctor, My wife is 63 years old. Her heartbeat has gone up, and I got the ECG done. I have attached the reports. She usually gets on and off increased heartbeat, and it lasts for a short while. But since yesterday, her increased heart rate is persisting. Please help.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. It is PSVT (paroxysmal supraventricular tachycardia). It is an abnormal form of heart rate elevation (arrhythmia). This can be problematic if her heart rate remains elevated for a long time. This can be an age-related problem. However, the possibility of structural...  Read Full »

What causes elevated heart rate?

Query: Hi doctor, I am having neck stiffness and headache as soon as I wake up. I am feeling tired throughout the day. My Apple shows elevated heart rates today. They are 130 mm Hg, 140 mm Hg, 150 mm Hg at different times of the day like 12 PM, 3 PM, 6 PM. Is there something wrong to get worried? I have g...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. First, what you were doing when you had an elevated heart rate? Are you were walking, sleeping or exercising. Did you have any symptoms associated with this high heart beat like chest pain, dizziness or shortness of breath? Do you smoke or have alcohol. Also, upload you...  Read Full »

I get occasional sharp pain in chest and increased HR while walking. Please help.

Query: Hi doctor, My history: I am a patient of aortic regurgitation (moderate-severe) with a bicuspid valve. SB III (as per my last checkup). My question is, many times I feel a sudden sharp shooting pain in the middle and slight left of the chest which shortens the breath and gets normal within a few ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly it is a moderate to severe AR (aortic regurgitation) with normal heart function and normal LV dimension. So there is no significant damage to the heart. And also since you do not have symptoms of aortic regurgitation like palpitations or shortness of breath w...  Read Full »

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

Query: Hello doctor, I had wine and beer at a dinner party, after which I decided to go for a walk for about one hour. While walking, my heart rate increased to 133 bpm, then lowered to 116 bpm. I went home and sat down, waiting for my rate to recover under 100 bpm. It was 112 bpm after two to three minut...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. This is likely due to the effect of alcohol, coupled with your baseline anxiety and activities. Normally, the heart rate goes up whenever one does activities like walking. But due to the effect of alcohol, heart rate elevation was persistent. Also, there must be some...  Read Full »

My heart rate increases at night. Why?

Query: Hello doctor, I have a question about my heart rate when I have been sleeping. I will occasionally see on my heart rate tracker that my heart rate will spike at night to average around 130 to 160 a lot during the night. But I am still sleeping, and it does not wake me up, and I am worried something...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Are you overweight? Do you snore or have obstructive sleep apnea? Now we have to investigate whether this elevation in heart rate shown by a device is sinus tachycardia, artifacts or cardiac arrhythmia. So, you need further evaluation to diagnose. Cardiac arrhythmia ...  Read Full »

I am on Metoprolol for CHF, my heart rate is increased. Should I take extra Metoprolol to control my HR?

Query: Hello doctor,I am on Metoprolol for CHF. I have got a usual heart rate of 60 to 65 BPM, but tonight my HR is at 90 to 95 BPM. May I take extra Metoprolol to control my HR.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. At first, sit for 5 to 10 minutes comfortably, calm yourself, and recheck your pulse rate. It is not immediately life-threatening to have a heart rate in the range of 90 to 95 with no symptoms. However, if you take an extra dose of Metoprolol, BP may go down as well....  Read Full »

Can pneumonia cause prolonged QT waves?

Query: Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused i...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. How much was your QT? Pneumonia will not cause QT prolongation. Since it has resolved, it was probably due to some reversible causes like electrolytes abnormalities like hypocalcemia, hypokalemia, etc. Many drugs also cause QT prolongation, so drugs need to be...  Read Full »

Could Omeprazole cause changes in ECG and increase the heart rate?

Query: Hi doctor, Please read my query and give me your best opinion. I am currently under a cardiologist due to fears that I have had a heart attack in the past and chronic chest discomfort. My cardiologist asked me to take a Holter monitor for 24-hours and the reports he gave me last week were normal. He...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Anxiety and panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be present, are ...  Read Full »

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