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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden High Heart Rate Reading?

I am a 24 year old female diagnosed with benign PACs/PVCs (halter and echo were normal minus the heart palps). While working out yesterday I used the heart rate monitor on the elliptical and it gave me a reading of 215 bpm. This seems really high, but I've had this issue before on such machines (where you touch the metal handles to get your heart rate). So I actually have two questions: Could the monitor be off even though it seemed to be accurate the rest of the workout? What could the cause be- Do I need to see a doctor about this?
Wed, 1 Feb 2017
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Cardiologist 's  Response
hello,
First thing do you have any symptoms during this reading, because at this heart rate one will severe symptoms like giddiness, fainting, chest pain or heaviness, shortness of breath etc. If not it's likely to be a false readings. Sometimes it can record each pulse as two and doubles the heart rate.
If you had symptoms, then it can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You can repeat 24 hour holter monitoring. Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day.
If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.
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What Causes Sudden High Heart Rate Reading?

hello, First thing do you have any symptoms during this reading, because at this heart rate one will severe symptoms like giddiness, fainting, chest pain or heaviness, shortness of breath etc. If not it s likely to be a false readings. Sometimes it can record each pulse as two and doubles the heart rate. If you had symptoms, then it can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You can repeat 24 hour holter monitoring. Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.