Heart Rate

[Dogmad2]

Hi

Just curious about others heart rates.

I have had a flutter diagnosed and waiting for an ablation (could be a while 🤷‍♀️)!!!

My average resting HR (acc to applewatch) is around 65 but think this is brought down due to dips of 45-50 at times. Realistically it’s more like 78.

When I walk recalls uphill or briskly this goes up to around 125 although it comes back down.

Does everyone think this is ok?

Lesley

[Buzby62]

When in arrhythmia, AF or AFL then the optical heart rate monitor in these devices can be pretty inaccurate as they are giving an instantaneous HR over a few seconds which will be different from beat to beat so not really a rate at all. In AF you should count beats over a full minute to get the average or use the ECG function if you have it which will give average over 30 seconds electrically instead of optically.

Apple explain the different ways HR is captured on this link support.apple.com/en-us/120277

Best wishes

[SamAdmin]

Good afternoon

Thank you for your post on the Atrial Fibrillation support forum.

Your heart rate sounds normal at 78, the normal range for an adult is 60-100 beats per minute, it would depend on the medication you are taking if this is normal for you.

If you are concerned please contact a medical professional who will be able to help you advise you further.

Please see below a leaflet to download 'Know your pulse'

api.heartrhythmalliance.org...

If you would like any further advice please contact our Patient services team on:

heartrhythmalliance.org/aa/...

Kind regards

SamAdmin

Leaflet

[bean_counter27 in reply to SamAdmin]

Sam

I'm not a medical professional but my understanding is a normal resting heart rate is generally what is normal for the person in question. Mine is usually in the low 50's and this is normal for me. So, if my resting heart rate increased to 85bpm then that is not normal for me even though 85bpm is in the range of what is usually considered normal.

Having stated that there are a number of reasons why my resting heart rate could be temporarily elevated e.g. caffeine, poor sleep, stress etc so although not representative of my normal resting heart rate I would consider explainable temporary changes as normal for me too.

[SamAdmin in reply to bean_counter27]

Good morning

Thank you for your reply, as we all know the heart rhythm can fluctuate through out the day depending on our activity.

We would expect a normal heart rhythm of 60-100 bpm, however this can vary on an individual basis and some individuals 'normal maybe just outside of them parameters'

If you are particularly concerned please contact your GP.

Kind regards

SamAdmin

[Ppiman]

I had flutter and was told the rate is odd because, unlike with other arrhythmias, it is always a fixed and stepwise ratio of the atrial flutter rate of around 300bpm. 1:1 ratio conduction would cause the ventricles to beat at 300bpm, therefore (which is unsustainable and unusual:, then there is 2:1, which I had, and so on. There is no "in-between" rate, just the steps caused by the ratio.

And yet your heart rates don't seem to be fixed in this way. Have you had this explained to you?

Steve

[Dogmad2 in reply to Ppiman]

No this hasn’t been explained.

[Ppiman in reply to Dogmad2]

If your resting ventricular rate is around 60bpm, and you have atrial flutter, this would be called "5:1 flutter conduction". Either side of this would be 4:1 (75bpm) and 6:1 (50bpm).

Atrial flutter uniquely fixes the ventricular rate, which becomes stepwise rather than linear, shifting between fixed ratios, with the most commonly met ratio being 2:1 (150bpm). The flutter itself is in the right atrium and it causes that to beat at a fixed ~300bpm. The heart's "second pacemaker", the atrio-ventricular or AV node safely prevents 1:1 conduction almost always. Flutter is rather resistant to drug treatment, and bisoprolol, even 10mg did nothing much for me at all. A member here recommended digoxin and, what seemed like a miracle at the time, that reduced my heart rate to a more comfortable 60bpm. Luckily, I soon had an ablation and the flutter was no more.

Some of the heart rates you mention don't seem like typical flutter rates, which would be unusual, but not, from what I have read, unheard of.

Steve

[Dogmad2 in reply to Ppiman]

Thank you Steve. I suspect, but no one has actually said, that I may have atrial fibrillation too. GP seemed to think that but the cardiologist and EP have stuck with flutter 🤷‍♀️

[JOY2THEWORLD49]

Hi

You are ideally fine.

That would be a healthy heart. Its the falling to normal for you and how long it takes is the crucial bit.

cherio JOY. 75. (NZ)

[Buffafly]

When I’m well my resting heart rate is (according to my fitness tracker) 65bpm, average 73, lowest 50 and highest up to 125 depending on what I’ve been doing. Your numbers sound ok to me.