Causes of Rapid Heartbeat (Tachycardia)

Introduction

A rapid heartbeat, medically termed tachycardia, occurs when the heart rate exceeds 100 beats per minute at rest. While occasional episodes may not be harmful, persistent or severe tachycardia can indicate an underlying condition that requires medical attention.

Common Causes of Tachycardia

1. Physiological (Normal) Causes

  • Exercise – The heart pumps faster to supply muscles with oxygen.
  • Stress and Anxiety – Emotional distress triggers the release of adrenaline.
  • Caffeine, Nicotine, or Alcohol – Stimulants can increase heart rate.
  • Fever and Illness – The body increases the heart rate to fight infection.

2. Cardiac Causes

  • Arrhythmias (Abnormal Heart Rhythms) – Issues like atrial fibrillation, ventricular tachycardia, or supraventricular tachycardia (SVT) can lead to a fast heartbeat.
  • Heart Disease or Heart Failure – The heart compensates for weakened pumping efficiency.
  • Previous Heart Attack (Myocardial Infarction) – Can alter electrical pathways in the heart.
  • Congenital Heart Defects – Structural heart problems may contribute to tachycardia.

3. Non-Cardiac Medical Conditions

  • Hyperthyroidism (Overactive Thyroid) – Excess thyroid hormones stimulate the heart.
  • Anemia – Low red blood cells force the heart to work harder to deliver oxygen.
  • Low Blood Pressure (Hypotension) – The heart beats faster to maintain circulation.
  • Electrolyte Imbalance – Deficiencies in potassium, magnesium, or calcium affect heart function.
  • Dehydration – Reduced blood volume leads to compensatory tachycardia.

When to Seek Medical Help

Seek immediate medical attention for rapid heart rate if you also experience: - Chest pain or discomfort - Shortness of breath - Dizziness or fainting - Palpitations that last for a long time

Conclusion

A rapid heartbeat can result from normal physiological responses or underlying medical conditions. Identifying the cause is crucial for effective management. If you experience recurrent tachycardia episodes, consult a healthcare professional for further evaluation.

Source recommendations

1. American Heart Association Guidelines on Tachycardia

  1. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate
  2. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms
  3. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  4. https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_tachycardia_200612.pdf
  5. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549

2. European Society of Cardiology Guidelines on Supraventricular Tachycardia

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://academic.oup.com/eurheartj/article/41/5/655/5556821
  3. https://pubmed.ncbi.nlm.nih.gov/31504425/
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
  5. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311

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