Heart Beat Per Minute



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Normally the heart beats 60 to 100 times per minute. The rate may drop below 60 beats per minute in people who exercise routinely or take medicines that slow the heart. If your heart rate is fast (over 100 beats per minute), this is called tachycardia. A heart rate slower than 60 is called bradycardia. Apply gentle pressure until you can feel a slight beat against your fingertips. Count how many beats you feel in 15 seconds. Then multiply that number by 4 to determine your child's heart rate, which is measured in beats per minute. For instance, if you feel 20 beats in 15 seconds, your child's heart rate is 80 beats per minute, a normal rate.

Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck.

You may:

  • Have an unpleasant awareness of your own heartbeat
  • Feel like your heart skipped or stopped beats

The heart's rhythm may be normal or abnormal when you have palpitations.

Normally the heart beats 60 to 100 times per minute. The rate may drop below 60 beats per minute in people who exercise routinely or take medicines that slow the heart.

If your heart rate is fast (over 100 beats per minute), this is called tachycardia. A heart rate slower than 60 is called bradycardia. An occasional extra heartbeat out of rhythm is known as extrasystole.

Palpitations are not serious most of the time. Sensations representing an abnormal heart rhythm (arrhythmia) may be more serious.

The following conditions make you more likely to have an abnormal heart rhythm:

  • Known heart disease at the time the palpitations begin
  • Significant risk factors for heart disease
  • An abnormal heart valve
  • An electrolyte abnormality in your blood -- for example, a low potassium level

Heart Beat Per Minute 105

Heart palpitations can be due to:

  • Anxiety, stress, panic attack, or fear
  • Caffeine intake
  • Cocaine or other illegal drugs
  • Decongestant medications, such as phenylephrine or pseudoephedrine
  • Diet pills
  • Exercise
  • Fever
  • Nicotine intake

However, some palpitations are due to an abnormal heart rhythm, which may be caused by:

  • Heart disease
  • Abnormal heart valve, such as mitral valve prolapse
  • Abnormal blood level of potassium
  • Certain medicines, including those used to treat asthma, high blood pressure, or heart problems
  • Overactive thyroid
  • Low level of oxygen in your blood

Things you can do to limit palpitations include:

  • Lower your intake of caffeine and nicotine. This will often reduce heart palpitations.
  • Learn to reduce stress and anxiety. This can help prevent palpitations and help you better manage them when they occur.
  • Try deep relaxation or breathing exercises.
  • Practice yoga, meditation, or tai chi.
  • Get regular exercise.
  • Do not smoke.

Once a serious cause has been ruled out by your provider, try not to pay close attention to heart palpitations. This may cause stress. However, contact your provider if you notice a sudden increase or a change in them.

If you have never had heart palpitations before, see your provider.

Call 911 or the local emergency number if you have:

  • Loss of alertness (consciousness)
  • Chest pain
  • Unusual sweating
  • Dizziness or lightheadedness

Call your provider right away if:

  • You often feel extra heartbeats (more than 6 per minute or coming in groups of 3 or more).
  • You have risk factors for heart disease, such as high cholesterol, diabetes, or high blood pressure.
  • You have new or different heart palpitations.
  • Your pulse is more than 100 beats per minute (without exercise, anxiety, or fever).
  • You have related symptoms, such as chest pain, shortness of breath, feeling faint, or loss of consciousness.

Your provider will examine you and ask questions about your medical history and symptoms.

You may be asked:

  • Do you feel skipped or stopped beats?
  • Does your heart rate feel slow or fast when you have the palpitations?
  • Do you feel a racing, pounding, or fluttering?
  • Is there a regular or irregular pattern to the unusual heartbeat sensations?
  • Did the palpitations begin or end suddenly?
  • When do the palpitations occur? In response to reminders of a traumatic event? When you are lying down and resting? When you change your body position? When you feel emotional?
  • Do you have any other symptoms?

An electrocardiogram may be done.

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If you go to an emergency room, you will be connected to a heart monitor. However, most people with palpitations do not need to go to an emergency room for treatment.

If your provider finds you have an abnormal heart rhythm, other tests may be done. This may include:

  • Holter monitor for 24 hours, or another heart monitor for 2 weeks or longer
  • Electrophysiology study (EPS)

Heartbeat sensations; Irregular heartbeat; Palpitations; Heart pounding or racing

High Heart Beat Per Minute

Fang JC, O'Gara PT. History and physical examination: an evidence-based approach. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 10.

Miller JM, Tomaselli GF, Zipes DP. Diagnosis of cardiac arrhythmias. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli, GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 35.

Heart Beat Per Minute

Olgin JE. Approach to the patient with suspected arrhythmia. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 56.

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Heart Beat Per Minute

The heart's electrical system

The atria and ventricles work together, alternately contracting and relaxing to pump blood through your heart. The electrical system of your heart is the power source that makes this possible.

Your heartbeat is triggered by electrical impulses that travel down a special pathway through your heart:

  1. SA node (sinoatrial node) – known as the heart’s natural pacemaker. The impulse starts in a small bundle of specialized cells located in the right atrium, called the SA node. The electrical activity spreads through the walls of the atria and causes them to contract. This forces blood into the ventricles. The SA node sets the rate and rhythm of your heartbeat. Normal heart rhythm is often called normal sinus rhythm because the SA (sinus) node fires regularly.
  2. AV node (atrioventricular node). The AV node is a cluster of cells in the center of the heart between the atria and ventricles, and acts like a gate that slows the electrical signal before it enters the ventricles. This delay gives the atria time to contract before the ventricles do.
  3. His-Purkinje Network. This pathway of fibers sends the impulse to the muscular walls of the ventricles and causes them to contract. This forces blood out of the heart to the lungs and body.
  4. The SA node fires another impulse and the cycle begins again.

At rest, a normal heart beats around 50 to 99 times a minute. Exercise, emotions, fever and some medications can cause your heart to beat faster, sometimes to well over 100 beats per minute.

How fast does the normal heart beat?

How fast the heart beats depends on the body's need for oxygen-rich blood. At rest, the SA node causes your heart to beat about 50 to 100 times each minute. During activity or excitement, your body needs more oxygen-rich blood; the heart rate rises to well over 100 beats per minute.

Medications and some medical conditions may affect how fast your heart-rate is at rest and with exercise.

How do you know how fast your heart is beating?

Minute

You can tell how fast your heart is beating (your heart rate) by feeling your pulse. Your heart-rate is the amount of times your heart beats in one minute.

You will need a watch with a second hand.

Heart Beat Per Minute Normal

Place your index and middle finger of your hand on the inner wrist of the other arm, just below the base of the thumb.

You should feel a tapping or pulsing against your fingers.

Count the number of taps you feel in 10 seconds.

Multiply that number by 6 to find out your heart-rate for one minute:

Pulse in 10 seconds x 6 = __ beats per minute (your heart-rate)

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When feeling your pulse, you can also tell if your heart rhythm is regular or not.

Normal Heart Beat

1. The SA node sets the rate and rhythm of your heartbeat.

2. The SA node fires an impulse. The impulse spreads through the walls of the right and left atria, causing them to contract. This forces blood into the ventricles.

3. The impulse travels to the AV node. Here, the impulse slows for a moment before going on to the ventricles.

4. The impulse travels through a pathway of fibers called the HIS-Purkinje network. This network sends the impulse into the ventricles and causes them to contract. This forces blood out of the heart to the lungs and body.

5. The SA node fires another impulse. The cycle begins again.