Heart Rates Guide: Normal, Abnormal & When to Seek Help | Gleneagles Hospitals Malaysia
Cardiologist explaining heart rate results to patient during a consultation at Gleneagles Hospital. Cardiologist explaining heart rate results to patient during a consultation at Gleneagles Hospital.
Preventive Care
Preventive Care
Heart Health

Understanding Your Heart Rate: What’s Normal, What’s Not & When to Seek Care

22 July 2025 · 5 mins read

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Learn about the factors that influence your heart rate, when to seek medical attention, and tips to maintain a healthy heart rate.

Regular Heart Rates

A normal resting heart rate for adults ranges between 60 and 100 beats per minute (bpm). This is the typical range when the body is at rest, and deviations from it may signal an abnormal heart rhythm or underlying heart disease.

The heart is a muscular organ that pumps blood throughout the body’s circulatory system, ensuring a continuous flow of oxygen-rich blood. With every heartbeat, it maintains a steady flow that supports vital organ function and overall health.

The cardiac cycle starts when the right atrium receives deoxygenated blood from the body, serving as a reservoir that primes the right ventricle. The right ventricle then pumps blood to the lungs for oxygenation. The oxygenated blood moves to the left atrium and then the left ventricle, which contracts to push the oxygen-rich blood into the arteries, supplying vital organs with oxygen and nutrients.

The heart’s rhythmic contractions are initiated and coordinated by electrical signals from the sinoatrial (SA) node – the heart’s natural pacemaker. A healthy SA node helps maintain a normal sinus rhythm and adjusts the heart rate based on physical activity, stress, and other factors that affect cardiovascular demand.

Factors Influencing the Heart Rate

What Affects Your Heart Rate?

Your heart rate is influenced by various internal and external factors, and understanding them helps in maintaining a healthy heart rate and overall cardiovascular fitness. Here are some of the most common factors: 

  • Age: As you age, your resting heart rate typically decreases. This is due to changes in the heart's electrical system and a reduced response to hormones that regulate heart function.
  • Activity Level: Physical activity raises your heart rate to meet the oxygen demands of your muscles. Your resting heart rate is lower and serves as a baseline measurement. During exercise, your target heart rate is typically calculated using the formula: 220 minus your age. For instance, if you are 50 years old, your exercising heart rate (maximum heart rate) should ideally remain under 170 beats per minute (bpm).
  • Fitness Level: Individuals with high cardiovascular fitness often have a lower resting heart rate, typically ranging from 40 to 50 beats per minute (bpm). Regular exercise enhances the heart’s stroke volume, improving its efficiency in oxygen delivery and resulting in a slower, healthier pulse for physically fit individuals.
  • Emotional State: Stress, anxiety, and strong emotions can elevate heart rate due to the body’s “fight or flight” response, preparing for potential threats. For instance, sudden fright can trigger a surge in heart rate.
  • Medications and Stimulants: Substances like caffeine and nicotine can temporarily influence heart rate, with certain medications either increasing or decreasing it.

These and other factors, including hydration, sleep quality, and overall health, play a key role in your normal heart rate and how your body responds to different conditions.

Identifying Conditions Related to Heart Rates

Heart rate condition

Details

Too slow (Bradycardia)

Bradycardia refers to an unusually low resting heart rate, typically below 60 beats per minute in adults.

Bradycardia Causes:

  • Certain medications
  • Heart disease
  • Thyroid disorders, or inherent issues with the heart's electrical system

Bradycardia Symptoms:

Mild cases of bradycardia are generally well-tolerated and often symptom-free. In some instances, it may lead to: 

  • Fatigue
  • Dizziness, or fainting

Bradycardia Treatment:

Severe bradycardia can impair the heart’s ability to pump blood, necessitating medical interventions such as a pacemaker, which helps regulate the heart’s rhythm and restore a normal heart rate.

Too fast (Tachycardia)

Tachycardia refers to an elevated heart rate, typically surpassing 100 beats per minute in adults while at rest.

Tachycardia Causes:

  • Physical and emotional stress
  • Fever
  • Anaemia
  • Thyroid disorders
  • Other heart-related issues

Tachycardia Symptoms:

Symptoms of tachycardia may include:

  • Palpitations
  • Shortness of breath
  • Dizziness

Furthermore, it can strain the heart, heightening the likelihood of complications like blood clot formation or heart failure. 

Tachycardia Treatment: 

Treatment options vary depending on the underlying cause and severity. Mild cases of tachycardia often present without symptoms and may necessitate no treatment beyond adopting a healthy lifestyle and engaging in regular exercise.

In certain instances, particularly when accompanied by symptoms, medications or medical procedures may be employed to rectify the irregular heart rhythm.

Irregular (Arrhythmia)

Arrhythmia refers to irregularities in the heartbeat, manifesting as either a rapid (tachycardia), slow (bradycardia), or erratic rhythm.

Arrhythmia Causes:

Multiple factors can cause arrhythmia, such as: 

  • Heart disease
  • Imbalances in electrolytes
  • Thyroid disorders
  • Infections, and fever
  • Alcohol or drug use

Arrhythmia Symptoms:

Arrhythmias may occasionally result in symptoms like: 

  • Palpitations
  • Chest discomfort
  • Dizziness, or fainting 

Not all cases present noticeable signs. However, severe arrhythmias have the potential to impair the heart’s ability to pump blood efficiently, thereby heightening the risk of stroke or heart failure.

Arrhythmia Treatment:

Treatment approaches encompass medications, lifestyle adjustments, or medical interventions aimed at restoring a regular heart rhythm.

Causes of Unhealthy Heart Rates

Several cardiovascular and systemic health issues can interfere with the heart’s normal rhythm:

External factors such as: 

  • Exposure to extreme temperatures can influence heart rate, with hypothermia causing a decrease in heart rate and heatstroke potentially leading to tachycardia (an elevated heart rate condition).
  • Overexertion or overtraining during physical activity, particularly in athletes or individuals engaging in strenuous workouts, can also contribute to tachycardia due to insufficient rest and inadequate recovery.
  • Dehydration and imbalances in electrolytes, such as potassium and sodium, have been identified in studies as factors that can disrupt heart rhythm, leading to abnormal heart rates.

When to Seek Medical Attention for an Abnormal Heart Rate

If you experience any of these symptoms, seek medical attention promptly, as they may indicate a serious underlying heart condition: 

  • Persistent or recurrent chest pain or discomfort 
  • Severe shortness of breath 
  • Fainting or loss of consciousness 
  • Rapid or irregular heartbeat
  • Severe dizziness or light-headedness
  • Unexplained fatigue or weakness

These signs could be associated with arrhythmias, heart failure, or other cardiovascular conditions. Early evaluation and treatment are crucial in preventing complications and ensuring proper heart function.

Tips for Maintaining a Healthy Heart Rate

To maintain a healthy heart rate, consider the following tips:

  • Regularly engage in physical activities to strengthen your heart and lower your resting heart rate.
  • Staying hydrated supports cardiovascular health and helps maintain a steady heart rate.
  • Limit caffeine intake and quit smoking and other nicotine products to avoid elevating the heart rate.
  • Stress and anxiety may contribute to an increased heart rate. As such, try deep breathing, meditation, and yoga to manage stress.

Book a Heart Health Check-Up at Gleneagles Hospitals

Regular heart health check-ups and monitoring of heart rate can play a vital role in identifying and addressing potential issues before they escalate into abnormal or unhealthy conditions.

Get in touch with us to book an appointment today to consult with our Cardiology specialists, or find out more about our Cardiology Services at your nearest Gleneagles Hospital.

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