Heart Rhythms: What's Normal Versus Cause for Concern? (2024)

Our hearts pump blood through our bodies for the duration of our lives, through an electrical system that coordinates each and every beat. It is, truly, like a well-oiled machine.

Heart Rhythms: What's Normal Versus Cause for Concern? (1)

The heart’s system is not unlike the electrical system in a car, which times the pistons that help to spin the car’s wheels around. New research has made strides in better understanding how heart rhythms are moderated at a cellular level.

Usually the heart’s electrical system works flawlessly, and we rarely notice it—though some people are more naturally attuned to their heart rhythms, particularly at night when other things are quiet and still. Disruptions in heart rhythms can happen, however, and when we’re aware of them it can be alarming. How can you tell if a trip of the heart requires a trip to the doctor?

Changes in Heart Rhythms Are Usually Harmless

Our heart rate adapts to our body’s need for energy throughout the day, whether it’s for walking up the stairs or a bout of strenuous exercise. These tempo changes based on physical activity are perfectly normal.

Other common situations can trigger changes in heart rhythms too. Mild dehydration can cause the heart to beat more quickly; that’s the body’s way of trying to maintain the flow of blood when there’s less available for every beat.

A change in medication, or an interaction between medications, can trigger a temporarily abnormal heartbeat — another reason to always share medication and supplement routines with your health care team. And while the resolution can be simple (such as resting, rehydrating, or changing medications), it’s sometimes beyond our ability to understand why we feel a change in our heart rhythms or if it’s the symptom of a more urgent medical situation.

How can I nurture healthy heart rhythms?

The experts stress that things you can do to support heart-healthy rhythms are the things you’d do to support general health and cardiovascular health. Live in moderation. Get enough sleep. Control risk factors like hypertension, diabetes and cholesterol. Engage in regular physical activity. Don’t smoke or drink too much alcohol. And eat a balanced diet.

When Changes in Heart Rhythms Warrant a Physician’s Attention

Though most fluctuations in heart rhythms will likely be harmless, there are times your first response should be to seek medical advice.

  • Your symptoms are sudden and abnormal. If there’s a clear first time that you notice a rhythm change in your heart, it’s a good idea to alert your doctor. You should also call your doctor when a change in heart rhythms corresponds to chest pain, losing consciousness or a prolonged sense that you might pass out. Likewise, contact a medical professional if a rhythmic abnormality persists.
  • Your history involves other heart issues.If you were born with a malformation; if you’ve had heart surgery; if you’ve had aheart attackor long-standing, untreatedhigh blood pressure; or if there is something otherwise abnormal with your heart and you notice abnormal heart rhythms, you should see your doctor.
  • Your family history puts you at increased risk.Your doctor may ask you to attend more closely to changes in your heart rhythms if your family has a history of heart disease or sudden death.
Heart Rhythms: What's Normal Versus Cause for Concern? (2024)

FAQs

Heart Rhythms: What's Normal Versus Cause for Concern? ›

If your heart rate is consistently above 100 bpm or below 60 bpm and you're not a competitive athlete, it may be cause for concern. Reach out to your doctor if you have symptoms such as: Chest pain or discomfort. Fainting or feeling faint.

What heart rhythms are concerning? ›

At Mount Sinai Fuster Heart Hospital, the concerns we see most often include:
  • Atrial Fibrillation. ...
  • Atrial Flutter. ...
  • Bradycardia. ...
  • Tachycardia. ...
  • Supraventricular Tachycardia. ...
  • Ventricular Arrhythmias. ...
  • Wolff-Parkinson-White Syndrome. ...
  • Ventricular Arrhythmias.

What is the difference between a normal and abnormal heart rhythm? ›

For athletic individuals, a normal resting heart rate may be as low as 40 to 60 bpm. Abnormal heart rhythms can be described as a heart beating too fast (above 100 bpm) or slow (below 60 bpm), a fluttering sensation in the chest area or the skipping of a heart beat.

What is a normal heart rhythm? ›

A normal resting heart rate for adults ranges from 60 to 100 beats per minute. Generally, a lower heart rate at rest implies more efficient heart function and better cardiovascular fitness. For example, a well-trained athlete might have a normal resting heart rate closer to 40 beats per minute.

What are the three life threatening cardiac rhythms? ›

Other abnormal rhythms are more serious and can be life-threatening if left untreated. Abnormal rhythms are classified by their rate and rhythm: fast heartbeat (tachycardia), slow heartbeat (bradycardia) or irregular heartbeat.

What is the most common EKG abnormality? ›

The most common ECG changes are nonspecific ST-segment and T-wave abnormalities, which may occur because of focal myocardial injury or ischemia caused by the metastatic tumor.

What is the most common abnormal heart rhythm? ›

atrial fibrillation (AF) – this is the most common type, where the heart beats irregularly and faster than normal.

What are the four lethal heart rhythms? ›

You will need to be able to recognize the four lethal rhythms. Asystole, Ventricle Tachycardia (VT), Ventricle Fibrillation (VF), and Polymorphic Ventricle Tachycardia (Torsade de pointes). Use this study guide and other resource books to review ECG interpretation.

When to worry about heart palpitations? ›

Palpitations that are infrequent and last only a few seconds usually don't need to be evaluated. If you have a history of heart disease and have palpitations that occur frequently or worsen, talk to your health care provider.

At what heart rate should you go to the hospital? ›

If you're sitting down and feeling calm, your heart shouldn't beat more than about 100 times per minute. A heartbeat that's faster than this, also called tachycardia, is a reason to come to the emergency department and get checked out. We often see patients whose hearts are beating 160 beats per minute or more.

What is a good pulse rate for a 70 year old? ›

Normal resting heart rate for adults
Age range (years)Average resting heart rate (bpm)
51 to 6073.9
61 to 7073.0
71 to 8074.2
Over 8078.1
4 more rows

Should I worry about abnormal EKG? ›

Not all abnormal EKG results are serious. Some abnormal EKG findings may be harmless or only temporary. However, it's important to have any abnormal EKG results evaluated by a doctor to rule out any underlying health conditions. EKG results can change over time.

What are the two heart rhythms you Cannot shock? ›

Rhythms that are not amenable to shock include pulseless electrical activity (PEA) and asystole. In these cases, identifying primary causation, performing good CPR, and administering epinephrine are the only tools you have to resuscitate the patient.

Which cardiac rhythm has the poorest prognosis? ›

Asystolic patients (as opposed to those with a "shockable rhythm" such as coarse or fine ventricular fibrillation, or unstable ventricular tachycardia that is not producing a pulse, which can potentially be treated with defibrillation) usually present with a very poor prognosis.

What rhythm causes sudden cardiac death? ›

The most common cause of sudden cardiac arrest is an irregular heart rhythm called ventricular fibrillation. Rapid, erratic heart signals cause the lower heart chambers to quiver uselessly instead of pumping blood.

What are four signs your heart is slowly failing you? ›

You may have trouble breathing, an irregular heartbeat, swollen legs, neck veins that stick out, and sounds from fluid built up in your lungs. Your doctor will check for these and other signs of heart failure. A test called an echocardiogram is often the best test to diagnose your heart failure.

Which is worse, AFib or SVT? ›

Atrial fibrillation can be more serious because, for some patients, it can lead to blood clots and increase stroke risk. The other types of SVT, those that occur in people with normal hearts, commonly develop in childhood or young adulthood.

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