A 37-year-old male asked:
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i am generally fit, but have had 2 episodes in 3 months where my heart rate has spiked to over 230 bpm during exercise , should i be concerned?

2 doctor answers
Dr. Alan Lasnover
59 years experience Obstetrics and Gynecology
PAT: I would be VERY concerned about a pulse of 230 bpm, even if regular, even if "generally fit." People who feel no symptoms may have cardiovascular disease and suddenly drop dead. See a cardiologist as soon as possible.
Answered on Apr 26, 2018
Dr. Alan Heldman
32 years experience Cardiology
Exercise heart rate: During exercise it is normal for the heart rate to increase. Very high heart rates may sometimes indicate a problem, but also may represent errors or artifacts in measurement. Signs that would be more concerning include rapid heart rate WITH chest discomfort, lightheadedness/fainting, or unusual shortness of breath. For personal attention, consult a cardiologist here or in person.
Answered on Jul 13, 2018

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