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Regarding pulse rate
If during exercise pulse rate goes above 250-300 bpm during 3-4 minutes of exercise than goes down immediately and have no symptoms at this pulse rate if it happens for 20 days does it lead to hypertrophy cardiomyopathy or not
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Hello,
Thank you for your query.
A pulse rate reaching 250â300 bpm during exercise, even for a short duration of 3â4 minutes, is well above the normal physiological response to exertion â especially in a 26-year-old male. The expected maximum heart rate for your age is around 190â195 bpm; anything significantly above that warrants further evaluation.
Although you mentioned no symptoms (like dizziness, chest pain, or shortness of breath) and that the rate resolves quickly, this pattern could point toward an underlying arrhythmic event, such as:
Paroxysmal supraventricular tachycardia (PSVT)
Atrial flutter with 1:1 conduction
Less commonly, ventricular tachycardia
The fact that this has been occurring daily for the past 20 days is significant.
Regarding Hypertrophic Cardiomyopathy (HCM):
HCM typically develops over time and is often genetic in origin, not caused directly by short-term high heart rates. However, sustained episodes of tachycardia and high-output cardiac stress can unmask a pre-existing cardiomyopathy or lead to exercise-induced arrhythmogenic remodeling, particularly in susceptible individuals.
My Recommendations:
To rule out arrhythmia or any structural heart disease, I would advise:
Resting ECG
24- to 48-hour Holter monitoring
Echocardiogram â to assess for any signs of HCM or other structural abnormalities
Optionally, a cardiac MRI if echocardiogram is inconclusive
Even in the absence of symptoms, the heart rate pattern you're describing is not typical and should not be ignored.
Please consider scheduling a consultation so I can review your full clinical picture and guide you through appropriate tests and next steps. Your safety during physical activity is important â especially if you're exercising regularly or at high intensity.
Warm regards,
Dr. Romain Rajan
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This high rate of pulse rate is not normal during or after exercise and you need to het an ecg and 2d echo done to know if u have hypertrophic cardiomyopathy so my advice is to consult a cardiologist.
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That's a significant high pulse rate during the exercise.Get a 12 lead ECG and echo done, consult a cardiologist in your area.
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Sustained exercise-induced tachycardia alone usually doesn’t cause hypertrophic cardiomyopathy; HCM is genetic. But persistent abnormal heart rates need urgent cardiology evaluation.
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consult me Will Happy to help
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Hi,
pulse rate and heart rate may go upto 180-200 depending on the type and intensity of the exercise. And if its not coming to your baseline after stopping exercise or associated with any usual feeling or chest pains , then needs a cardiologist evaluation by ECG and or a Holters monitoring for further evaluation.
Please consider visiting ur local physician for a 12lead ECG
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Visit a local physician for a resting 12 lead ECG
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It's quite high.
Kindly consult a cardiologist and get it checked
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250 to 300 bpm is too High for whatever exercise you are doing, kindly go see a general physician or cardiologist
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Most probably the device u used is giving wrong results, no need to be anxious you can easily consult a cardiologist Directly
Health Tips
First check again using another device
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If it's is occuring during strenous or high intense training then it may be physiological tachycardia
It subside once you take rest.
But if IN Your family your father or any one have cardiac issue like CHD OR premature death then in that case
U need to have some investigation like lipid profile, apo B 48,
Ecg, echocardiography
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If no symtom then no treatment required as it is a physiological tachycardia , if getting any symotoms like chest pain, vomitimg cramps and breathlesness then need to go for investigation written above meanwhile do moderate walking stay hydrated
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You heart rate is high. Specify the gadget with which you measured heart rate . At this heart rate of 250- 300 usually symptoms will occur . Since you dont have symptoms change the gadget with you measured heart rate . Even after changing the gadget your heart rate is high ,kindly do ecg and echocardiography. Consult cardiologist .
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It's bcoz to meet this increased demand, the body responds by elevating the heart rate. This process ensures that more oxygen-rich blood reaches the muscles, supporting their activity and improving performance
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Patient Guidance If experiencing a high pulse rate during exercise: Recommendations: 1. *Slow down or rest*: Reduce intensity or take breaks. 2. *Stay hydrated*: Drink water to maintain fluid balance. 3. *Monitor body signals*: Pay attention to discomfort or pain. Consult a Healthcare Provider: 1. *Discuss concerns*: Share exercise plans and health history. 2. *Get personalized advice*: Receive.
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Need few more details
Kindly connect.
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Please visit cardiologist once , go for TMT test and ecg test
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Consult a cardiologist physically. Because heart rate >200 is definitely abnormal and should be given immediate attention.
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Maximum heart rate during exercise is (220 - Age)
But ur exercise HR is abnormally high
Differentials could be exercise induced arrhythmias
So need further work up for diagnosis and treatment
Dr PRETHIVIRAJ MD DrNB (PGIMER Chandigarh)
Consultant cardiologist
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Connect
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That seems your pulse rate is increased too high ,I suggest you to go for an ECG nd 2D echo.
Health Tips
don't be anxious too much,first let's evaluate the cause .
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No. It won't lead to hypertrophic cardiomyopathy. However if your rate goes above 250-300/min that means there's something wrong. You need to get yourself evaluated.
If you heart rate increases above physiological limits that means your heart is not pumping well, and your heart relies on increasing your Heart rate to maintain cardiac output.
Next Steps
Get a consultation with a Cardiologist, or atleast a General Physician.
You need to get an ECG done and also a 2D Echocardiography.
After reviewing these tests we can move further in evaluation
Health Tips
Be cautious about any symptoms during exercise, such as Chest pain, Palpitations, Breathing difficulty, Giddiness, Vomitting, Blackout, etc.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Get 24 hour holter monitoring
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