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Regarding pulse rate
One month back holter done in July first week which is normal show 6 pvc before holter 4 months ago echo was also normal in March has been done and now in August since 20 days I have done exercise which i observe that 2-3 minutes exercise pulse rate reach 250-300 bpm than immediate comes down if it happens for 25 days and no symptoms at all does this high pulse rate has caused hypertrophy cardiomyopathy or not and if we do resting ECG which comes normal means no hypertrophy cardiomyopathy form due High pulse rate which happens during exercise
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Hello,
Iâve gone through your details carefully.
Holter (July) â only 6 PVCs, otherwise normal.
Echo (March) â normal.
Resting ECG â normal.
Symptoms â during exercise, heart rate shoots up to 250â300 bpm within 2â3 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 â itâs usually genetic.
High pulse rate (250â300 bpm):
This is not normal sinus tachycardia; the heart rate usually maxes around 180â200 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 â 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 â 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.
â
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 â most likely an arrhythmia that needs documentation with a stress test or extended Holter.
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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.
Next Steps
TMT
Health Tips
Cardiologist Opinion
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Kindly visit to cardiologist for further evaluation
Next Steps
ecg
Health Tips
avoid aneorobic exercises
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Need few more details
Kindly consult
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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.
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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.
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Tachycardia nothing to worry as such.
Or u can try
Cipla LA20 after breakfast.
U had gone through all superspeciality test.
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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.
Next Steps
If you want to be extra sure, you can do a treadmill (stress) test under a doctor’s supervision.
Stay well hydrated and avoid sudden bursts of heavy exercise without warming up.
Health Tips
If you ever feel chest pain, breathlessness, fainting, or pounding heartbeats, then get checked immediately.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
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
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need further evaluation. Kindly consult for further management
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Dr. Abhishek Sawalagi Math
General Physician
4 yrs exp
Bangalore
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.
Next Steps
Serial ECG ,TMT is advised ,need further details regarding age,gender,habits, lifestyle gen
Health Tips
Avoid high intensity excercises as of now,take a cardiologist opinion
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Dr. Harsh Raj
General Physician
5 yrs exp
Gorakhpur
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
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Dr. Prethiviraj Selvaraju
Cardiologist
11 yrs exp
Chennai
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
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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. Shirin Synthiya
General Physician
7 yrs exp
Kanchipuram
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
Next Steps
If you experiences symptoms such as chest pain, dizziness, fainting, or palpitations that are bothersome or frequent, he should consult a cardiologist for further evaluation
Health Tips
Chest related complaints should be investigated in hospital
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its tachycardia
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I think it is a device issue.
Next Steps
Check the device you are using, use a pulse-oxymeter for heart rate measurement, if results comes same do a 2D ECHO and TREADMILL Test and consult a cardiologist.
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Dr. Aleena Naqvi
General Physician
1 yrs exp
Aligarh
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
Next Steps
Get an Exercise Tolerance Test in case of suspicion
Health Tips
Connect in case of
1. Palpitations
2. Chest Pain
3. Dizziness
4. Shortness of breath
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