Lockhart07
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Lockhart07, May 28,  2018  7:23pm EST

When is a heart rate too fast?

When is a heart rate too fast? I was just sitting on the couch reading a book when suddenly I had shortness of breath. I check my Apple Watch and my heart rate was 98 bpm. But what’s too high? I’m on 50 mg of Metoprolol. 

6 Replies
  • Edhammer
    Edhammer, May 28,  2018  8:45pm EST

    Generally “normal” pulse is 60-100. If I have questions like this I always feel pretty comfortable calling my EP or cardiologist and putting the question to the nurse. Usually, they are familiar with your records and are more than happy to help.

  • NancyMarieG
    NancyMarieG, June 3,  2018  7:53am EST

    When I went into my AFib the other day that landed me in the ICU.  I was looking at my fitbit and it was says 110. I called 911.  The Emt said it was pushing 200.  It was 160 when we reached the hospital.  Those heart rate things in the watch lie.  They don't calculate a irregular heartrate.  That was what they told me at the hospital..  Good thing I listened to my body.  I knew it was bad.  I was converted back the next day.  Tons of medications and now blood thinners forever.  

  • mdlagas
    mdlagas, June 4,  2018  8:32am EST

    I wouldn't rely on a wrist-based heart monitor for detecting AFIB.  Most of these are not constant monitors and only update about once every 3-5 minutes.  Because of that, they are very slow to respond to changes in heart rate.  When I am in AFIB, my rate constantly varies by as much as 60 bpm.  My wrist-based monitor might show an average of that reading but most likely it is going to be at the low end.  If you are in AFIB, using your fingertips on your wrist you should be able to detect that, but even in a doctor's office, they were unable to get a pulse rate on me using my wrist and had to go the a stethoscope on my chest to get an "estimate"  of what the rate was.  It took connecting chest leads and the more sophisticated equipment to show the constant rate changing (120-180bpm).  There are a few blood pressure monitors that will show possible AFIB when you use them because they are checking your pulse constantly while checking your blood pressure but even then the rate won't be 100% accurate.  If you are 160-200 you are close to or above your maximum (220-your age is considered average max rate) and unless you are in strenuous exercise that shouldn't happen.

  • bshersey
    bshersey, June 6,  2018  4:41pm EST

    After I first had my afib ablation on Feb. 28, I was getting palpitations up to 110 for anywhere from 2 minutes to 3 hours. I asked my EP and my PCP who said doctors don't really care until they hit about 150. Didn't make me feel any better. Thankfully, after three months, they have largely gone away. Now when I get them, they stick around for maybe 5-10 seconds. BTW, I agree about Fitbits and other wrist-based monitors. I invested in a chest strap monitor and it's worth the peace of mind. My Fitbit would show me going from 60 to 120 from walking across the room. My chest monitor barely registers a change. Up to maybe 62 or 63,

     

  • Crawdaddct
    Crawdaddct, June 10,  2018  2:55pm EST

    Mine was between 120 and 150.  It's funny the expensive watches don't really catch it very well.  I have a cheap watch I bought off eBay for 10 dollars, that does a instant EKG.  Using it was how I found my problem.  I knew there was sonsometh going on, but when I saw just little bumps on my watch, I knew what it was.  I was able to show it to my doctor.  I helped I was in A-Fib when they did a real EKG as well.  

  • djstudt
    djstudt, June 10,  2018  5:02pm EST

    I'm new to this site; but not new to AFib. I've had chronic AFib since 2007. None of the medications seemed to work. I took Flecainide for a while and it quit working. I had an ablation in 2014 with complications; two weeks later, I had to have a pericardiectomy because of the complications. The ablation helped but did not totally do the trick. I recently went into AFib and was constant the whole month of May. I was convinced that I should have another ablation.I was in the hospital May 3 & 4, and again May 13 through 18th with AFib. I had a cardioversion that helped for a couple of days.  I was sent to Dr. Osorio at Grand View Medical Center in Birmingham, AL. on May 22 and he did the ablaltion; which he says I was a challenge for him. After going home the next day, I woke up with severe abdominal pain and had to go back to ER and it was colitis (possibly caused from a medication). I was in the hospital another five days. I came home and a few days later came to Daphne, AL for a follow up with my primary care doctor. My heartrate soared to 156 and wouldn't come down; she sent me to ER where I had to have another cardioversion. I'm doing good, still in sinus rhythm but I do have a problem with fluid build up. I'm weak from so much hospital stay and AFib. I don't do well on medications and seem to have side effects so I'm praying that this last ablation will work. I feel for anyone who goes through this. 

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