if you would like to know more details about this problem, you can reach me on procto or for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect.

Hello, I’ve gone through your details carefully. Holter (July) → only 6 PVCs, otherwise normal. Echo (March) → normal. Resting ECG → normal. Symptoms → during exercise, heart rate shoots up to 250–300 bpm within 2–3 minutes, then settles down quickly, with no associated fainting/dizziness/chest pain. Important points: Hypertrophic Cardiomyopathy (HCM): HCM is a structural disease of the heart muscle. It is diagnosed by echocardiography, not just ECG. A normal echo in March essentially rules out HCM at that time. Short-term high heart rates during exercise do not cause HCM. HCM is not acquired from fast heart rates — it’s usually genetic. High pulse rate (250–300 bpm): This is not normal sinus tachycardia; the heart rate usually maxes around 180–200 bpm with exertion in young people. If what you measured is accurate, it suggests a possible paroxysmal supraventricular tachycardia (PSVT), atrial tachycardia, or another arrhythmia. Since you remain symptom-free, it may not be dangerous, but it needs proper evaluation. Resting ECG: A normal resting ECG does not rule out arrhythmias — because those episodes happen only during exertion. But yes, if the ECG is normal, it means no baseline HCM or major conduction abnormality. What you should do next: Get a Treadmill Test (TMT / Exercise Stress Test) under supervision → this will record your heart rhythm during exertion. If the pulse really goes >250 bpm, it should be captured. Consider a repeat echo after 6 months for reassurance. If episodes persist, discuss with a cardiologist (preferably electrophysiologist) for further rhythm monitoring. ✅ Summary: Your fast heart rate during exercise has not caused HCM, and a normal echo already rules that out. The main concern is to identify why the pulse is shooting up so high — most likely an arrhythmia that needs documentation with a stress test or extended Holter.

1) High Pulse rate has not caused HOCM rather high pulse rate can be due to HOCM. 2)HOCM is not detected on ECG, You can get a clear picture by Echo Only. 3) High Pulse rate during Exercise is a normal physiological phenomenon so if no other symptoms, need not to treat it. 4) Why HOLTER monitoring was done for 26yr Male ? What were the chief complaints. 5-6 VPCs in 24 hrs Holter is Normal and would not require any treatment.

Well a heart rate of more than 250 is not normal. Kindly get holter of 72 hours done. It seems to be sinus tachycardia (physiologically normal) but still you should go for TMT and get yourself an 2 carmmmmE klt opinion or share yours onion

Kindly visit to cardiologist for further evaluation

Episodic PVCs are harmless. However if frequent , they can cause left ventricular dysfunction , cardiomyopathy and even sudden cardiac arrest. You should avoid alcohol, excess caffeine, stress, both physical and mental. Start taking tab propranolol 10mg one daily in mornings and monitor your pulse  rate.

Your question is fictitious. You say that your heart rate reached 200- 250 beats per minute after 2-3 minutes of exercise. This statement seems to be exaggerated. TMT is done under the supervision of a Cardiologist and your target heart rate is about the double of your resting heart rate. To have an exercise heart rate of 200-250 your resting heart rate should be 100-120 beats per minute. With that heart rate you will be unfit for TMT. Please share the genuine data. Remember that you are only 26 years old.

Tachycardia  nothing to worry as such. Or u can try Cipla LA20 after breakfast. U had gone through all superspeciality test.

You’ve already done the right tests — Holter, echo, and ECG — and all came back normal. That’s a very good sign that your heart is healthy. About the heart rate going up to 250–300 during exercise: in most cases, this is not the actual heart rate but an error in the fitness tracker or device you’re using. It’s quite common for them to show false spikes when you’re moving or sweating. If your heart was really beating that fast, you would almost certainly feel it — things like dizziness, chest tightness, or even fainting. Since you don’t have any symptoms, it’s very unlikely to be harmful. Hypertrophic cardiomyopathy doesn’t just develop from the heart beating fast. It’s usually a structural problem you’re either born with or that shows up in the echo — and your echo was normal. So you don’t need to worry about that.

Need further evaluation. Kindly consult for further management

Hello, For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp. My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine. Take a glass of milk daily. Thanks. Dr☆MPB  , Dr Praful Mahamuni, Family Doctor, MBBS , DM . Jai hind. 🇮🇳

More than 3 pvc in a single lead is not normal , could be arrythmias,heart rate can be higher during excercise which is normal ,2d echo is normal which means they did not find any hypertrophy.

Need few more details Kindly consult

Kindly proceed with a TMT and echo Could be exercise induced arrhythmia also What we call CPVT Need more detailed history regarding the episodes Dr PRETHIVIRAJ MD DrNB (PGIMER) Consultant cardiologist

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Occasional pvc is common and occur in healthy individuals as well If u are known svt patient you shoul take rate controlling medicine which should be confirmed by cardiologist

Its tachycardia

I think it is a device issue.

What I can understand from here is that all your necessary tests came back normal and you have no symptoms which means your heart is functioning normally. The diagnosis of hypertrophic cardiomyopathy is based on findings of echocardiogram. The pulse rate in this case can be best calculated manually by a trained person , devices usually malfunction and can show higher readings

Kindly visit a cardiologist and get an echocardiography done.