Resting pulse of 123

Having resting pulse of 118-123. Moving around-just under 140. Cardiologist not showing concern as not dizzy or having SOB. Just very tired. Can pacemaker be acting up? No warnings from Merlin machine. Any thoughts? Thanks


3 Comments

Rapid pulse

by Good Dog - 2024-10-13 11:04:37

While your rate is indicative of tachacardia, it certainlly is not high enough to cause concern.I am wondering if you have rate response turned-on. Do you know? That may very well be the problem and should be able to be adjusted. Keep in mind that your PM cannot slow your rate. It can only increase it and maintain it above the low setting.  

BTW: We had once resided in Lancaster County (Ephrata) and absolutely loved it there. I think it is one of the nicest places to live in the entire country. I envy you!

Hi and welcome!

by Lavender - 2024-10-13 18:36:56

Lancaster-ahhhh-so beautiful especially this time of year with the trees changing color In brilliant hues! Love Amish country, the sight n sound theatre, all the great food! 

This link from an older mayo clinic article offers some insight into rates as you described, copy and paste:

https://newsnetwork.mayoclinic.org/discussion/elevated-heart-rate-most-likely-caused-by-medical-condition/

An excerpt from that article:

We see patients who are concerned because their heart rate stays elevated in the range of 100 to 130 beats per minute. Almost always, there is a medical reason that the sinus node keeps signaling for the faster rate. Possibilities include anemia, an underlying infection, elevated thyroid hormone, or reaction to medication. Addressing those conditions would likely bring the heart rate back to a normal rate. Other factors may be involved, too, such as overdoing caffeine. For example, I saw one patient who was eating several chocolate bars a day. The caffeine in the chocolate was elevating her heart rate.

Rarely, the sinus node can jump-start the heart rate with no apparent cause — no stress, illness or high activity level. This is termed inappropriate sinus tachycardia. About half of the time, this phenomenon occurs after recovery from a serious illness, usually a viral illness...

Inappropriate sinus tachycardia doesn't cause heart damage, though patients may feel uncomfortable with the elevated heart rate. Some patients may have other associated symptoms such as fatigue, headache, chest discomfort, shortness of breath or light-headedness. When symptoms are problematic, treatment can include beta blockers that block the action of adrenaline and help slow the heart rate. Very rarely, the heart may maintain very high rates of 160 to 180 beats per minute. 

For some patients, the elevated heart rate is the only symptom. Some have a lifelong history of sinus tachycardia in the 110 beats per minute range, and they lead a normal, healthy life. And often the inappropriate sinus tachycardia will improve in time without treatment.

We encourage patients with prolonged sinus tachycardia to improve their overall fitness level. The more fit you are, the lower your resting heart rate. The elevated heart rate could slow with improved conditioning.

 

high rate

by Tracey_E - 2024-10-14 10:16:53

The pacer is a gas pedal, not a brake, so if your heart goes faster than the minimim setting it's just going to watch. I would go back and talk to your doctor again. If you felt good and they said it's fine, then I'd leave it alone, but you don't feel well so perhaps it's time to push back a bit. 

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