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Why does the pulse vary while walking and at rest?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 28 years old. My sugar level is average, TSH is 2.91 mIU/L, and cholesterol is 203 mg/dL. I am facing a problem with my pulse rate. It is between 115 to 120 beats per minute when I walk or do any activity. But when I am at rest, it ranges between 80 to 100 beats per minute. I feel lightheaded when I walk. Is it normal?

Thank you.

Hello,

Welcome to icliniq.com.

Cholesterol is in the upper borderline. It will come down with a low-cholesterol diet and exercise daily. A heart rate of more than 100 beats per minute while walking is fine. From your history, lightheadedness is the only problem. Is this lightheadedness significant? Do you feel like falling or blacking out? Monitor your BP (blood pressure) while feeling lightheaded. Measure your BP while sitting and stand after three minutes. Sometimes, people have positional hypotension. Also, Holter monitoring (24-hour ECG or echocardiogram) should be done with normalactivity throughout the day. So, we can see your heart rhythm pattern with lightheadedness and rapid heart rate.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I also monitored my BP. It is normal, and lightheadedness is not like falling or blackout. I walk and run easily.

Thank you.

Hello,

Welcome back to icliniq.com.

Fine, that is great. I think there is no need to worry. Do jogging 30 minutes every day and control your weight ((BMI (body mass index) - 23 to 25)). If the heart rate is like palpitations, it means you can feel it over the chest. At least a normal ECG (electrocardiogram) should be done. First, later, we can think of Holter. Reduce cholesterol-containing foods from your diet, such as ghee, butter, cheese, and non-vegetarian foods.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed byDr. Sneha Kannan

Published At February 1, 2016
Reviewed AtSeptember 26, 2024

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