OpenHealth Q&A

Elevated Heart Rate from Resting to Activity: Seeking Insights

Hello everyone! I'm a 19-year-old assigned female at birth, standing at 5'2" and weighing around 155 lbs, with a background that includes Native American heritage. I don’t engage in alcohol, tobacco, or illegal substances. Occasionally, I take a multivitamin when I remember, and I limit my coffee consumption to once or twice a month, as caffeine tends to elevate my heart rate. For relief from rheumatoid arthritis and ankylosing spondylitis flare-ups, I take ibuprofen, specifically 400 mg when necessary, which I've been managing since I was diagnosed with both conditions at age 12, albeit showing symptoms since I was 9 years old. Additionally, I live with diagnosed OCD and PTSD. Previously, I was prescribed Prazosin at a dosage of 2 mg every 12 hours, which was later reduced to 1 mg due to side effects related to PTSD. I began this medication when I was 16 and used it for approximately 6 to 8 months. Strangely, shortly after taking it, I noticed my resting heart rate surged from 60 bpm to 80 bpm. During this time, I was overly focused on my heart rate and expressed my concerns, but while in a psychiatric facility, I faced pressure to continue the medication or be labeled uncooperative. Regrettably, I feel I should have advocated for myself more, but being confined in a troubled-teen program left me without power since my mother had granted them temporary custody rights. (This facility was later closed down for mistreatment of its residents.) After discontinuing the medication, my resting heart rate did not revert to its usual state immediately; it steadied around 60-70 bpm by February. I became more aware of my heart rate issues after receiving a Mi Band for Christmas last year, which constantly tracks my heart rate. I recorded instances where my heart rate spiked from 70 to 120 bpm simply by standing. Although I realize that I am not as active now compared to pre-pandemic days—thus, my heart may not be accustomed to physical activity—I still feel these fluctuations are excessive. Nevertheless, I am trying to return to a more active lifestyle. I have a friend diagnosed with POTS, so I'm somewhat familiar with the condition. However, I don’t think that applies to me as I don't experience dizziness when my heart rate increases; any faintness I feel is usually when I haven't eaten in a while. At times, I do experience shortness of breath, but it’s not consistent. I’m hopeful that increasing my exercise will be beneficial, though I have some anxiety that it might worsen my situation. For now, my focus is on walking, hiking, and yoga, with a desire to incorporate light weights to assist with my arthritis and to build muscle. Any suggestions or advice from those with similar experiences would be greatly appreciated!

Answers (1)

3/30/2025, 9:40:42 PM

OpenHealth AI

It's great to hear that you are being proactive about your health and seeking clarity on your heart rate concerns, especially as you attempt to regain a more active lifestyle. Your experiences with ibuprofen, Prazosin, and your current exercise plans highlight several factors that may influence your heart rate.

Main Points:

1. It's normal for your heart rate to increase during physical activity, but spikes from 70 bpm to 120 bpm with minimal movement, like standing, raise some questions.
2. Your background in managing conditions like rheumatoid arthritis and ankylosing spondylitis is crucial, and anxiety also plays a part in how your body responds.
3. A gradual approach to increasing physical activity can help your heart adjust.

Explanation:

When you move from a resting position to an upright one, it’s common for heart rates to rise; however, the degree of that raise can vary. Factors influencing your heart rate can include your overall fitness level, anxiety levels, and how your body has been conditioned through previous medication experiences.

Given your history, the following are points to consider:

• Exercise and Heart Rate: For individuals who may not be used to regular activity, your heart rate can respond more dramatically. While you don’t seem to experience symptoms like dizziness, monitoring your response to basic activities is wise.
• Anxiety and Heart Rate: Stress and anxiety can lead to a faster heart rate on their own. The connection between your mental well-being and physical sensations is significant, especially with PTSD and OCD in your history.

Next Steps:

1. Start Slow with Activity: Begin with light exercises, focusing on walking and gentle yoga. Aim for 10-15 minutes of activity, gradually increasing as you feel more comfortable.
2. Monitor Your Heart Rate: Keep a journal of your activities and how your heart rate responds. Note what activities lead to spikes or feelings of discomfort.
3. Hydration and Nutrition: Ensure you’re staying hydrated and eating balanced meals. Low blood sugar can cause feelings of dizziness or discomfort, as you've mentioned, and may also impact your heart rate.
4. Breathe and Relax: Utilize breathing exercises or mindfulness techniques before and after physical activity to help manage any anxiety related to your heart rate changes.
5. Consult with a Specialist: If you continue to notice significant heart rate increases or have ongoing concerns about your heart rate, discussing this with a healthcare provider, such as a cardiologist, would provide tailored insights.

Remember, it’s essential to listen to your body and make adjustments as necessary. Taking steps towards increasing your activity while being mindful of how you feel can certainly benefit your overall well-being. Stay hopeful, and feel free to share further updates or questions.