Why Do I Still Have High Heart Rate And Skipped Beats When I Exercise?

Posted on Fri, 21 Mar 2025

Question: I have tried to do everything healthy.. exercise daily, cut out sugar, do stretches, eat mostly vegetables maintain my weight (little overweight) , regular checkups .. why do I still have high heart rate and skipped beats when I exercise? It is so frustrating because I work so hard at keeping myself healthy! All my blood work is good.. echo is ok, cholesterol is a little high (genetics?) what else can I do ? Thanks!

Answered by Dr. Diwashish Biswas (1 hour later)

Brief Answer:
Yes, high cholesterol could be genetic.

Detailed Answer:
Hello,
I have gone through your question, I understand your concern.
look if your echocardiography is normal, your blood reports are normal, but your cholesterol is normal then there should be one target and that is, to control your blood cholesterol levels.
Now as you said you are doing regular exercise and everything and yet your blood cholesterol levels are high, that means it could be genetic as you said and in that case you need to start lipid lowering drugs like rosuvastatin 20 MG.
Now as you said you feel increased heart rate and skipped heart beat that could be some abnormality but this type of abnormality cannot be identified over echocardiography and to confirm this type of abnormality you must get holter monitoring done. Holter monitoring is 24 hour electrocardiogram recording of heart. and this can identify any abnormal electrical activity inside heart.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Diwashish Biswas (2 hours later)

I had the holter monitor done and it showed that I had skipped heartbeats mostly during exercise they were not the harmful kind but I just started getting them during exercise.. I have exercised for many years and never had them..I have tried to live a healthy life .. no drinking or smoking exercising everyday.. what am I doing wrong to cause these? It is scary when I have them .. it makes me want to stop exercise..does having a fast heartbeat cause these? Will having a fast heartbeat wear out my heart?

Answered by Dr. Diwashish Biswas (43 minutes later)

Brief Answer:
Yes, heart rate should be less than 100 at rest.

Detailed Answer:
Hello,

Look, if your resting heart rate is 68, then it is ok.
But if on your holter monitoring, there is skipped beat, then you need beta blocker...that is for sure.
Now how much dose of beta blocker is needed for you, that has to decided.
You said your blood pressure falls to 100/58 mmhg.
So tell me how much dose and which beta blocker you took?

Then i could suggest you correct dose.
And yes long term resting heart rate more than 100 can be harmful.
But if your heart rate is 68, then you do not need to worry.
You just need to worry about skipped beats.

Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Diwashish Biswas (2 hours later)

I took attenenol 12 mg.. I would break in half a 25 mg tablet and my blood pressure would drop to 100/58 .. normally my blood pressure is around 120/82.

Answered by Dr. Diwashish Biswas (53 minutes later)

Brief Answer:
Atenolol is not a cardioselective drug.

Detailed Answer:
Hello,
I have gone through your question, I understand your concern.
Atenolol is not a cardiac selective drug.
Tablet metoprolol 12.5 mg sustained release tablets at bed time would not reduce your blood pressure at all.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Diwashish Biswas (0 minute later)

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj