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Heart Health

When Should You Worry About Your Heart Rate?

We track blood pressure, but what about your heart rate? With cardiac rhythm issues affecting many Indians, knowing what’s normal — and what’s risky — can be a lifesaver.

Jul 7, 2025

3 min read

Written by Iffat Fatima

Medically reviewed by

Dr Sujata Chakravarti

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When Should You Worry About Your Heart Rate?

Think about it — your heart never takes a break, constantly working to keep you going. While many Indians focus on blood pressure, understanding heart rate is just as vital. Studies show cardiac rhythm abnormalities affect 1.6%-7.4% of rural and 1%-13.2% of urban populations in India.

Knowing when your heart rate signals trouble can be life-saving. This guide breaks down normal vs dangerous heart rates in the Indian context, helping you stay informed and proactive about your heart health.

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13.2%

Cardiac rhythm abnormalities affect up to 13.2% of the urban population.

The steady beat: Deciphering normal resting heart rates

For most adults, a normal resting heart rate falls between 60 and 100 beats per minute. However, athletes often have lower rates due to better heart efficiency.

According to the Indian Heart Association, factors like India’s tropical climate can influence heart rate. Dietary and environmental factors also play a role. When at rest, your heart pumps efficiently, using minimal energy to keep things running smoothly. 

Want to check yours? Just place two fingers on your wrist or neck, count the beats for 15 seconds, and multiply by four to get your heart rate!

Interesting Insight

India’s tropical climate can influence heart rate.

Age matters: Adult heart rate patterns 

For adults (18-65 years), a normal resting heart rate is 60-100 BPM, but several factors influence it:

  • Urban vs rural: City dwellers tend to have higher heart rates due to stress and sedentary lifestyles.

  • Men vs women: Women’s heart rates are typically 2-7 BPM higher than men’s.

  • Fitness levels: Regular exercisers and athletes may have resting rates as low as 40-60 BPM, showing excellent heart health.

Knowing your normal range helps spot any unusual changes early.

Little hearts: Reading children's heart rate

Anchor Text: Children's heart rate 

Children’s hearts beat faster than adults', adjusting to their growing bodies' oxygen needs:

  • Newborns: 100-160 BPM

  • Toddlers: 80-130 BPM

  • School-age (5-12 yrs): 70-120 BPM

Parents, take note: A child’s heart rate can spike during play or fever, which is normal. But persistent elevation? Time to check with a doctor. Routine check-ups help track what’s normal for your child.

The heart's response: Influential factors

Several factors influence your resting heart rate, especially in India’s diverse climate zones:

  • Temperature: Hot weather can increase heart rate by 10-20 BPM, especially in tropical regions.

  • Exercise: Regular workouts lower resting heart rate, improving heart efficiency.

  • Stress and emotions: High stress levels, common in urban India, can cause temporary spikes.

  • Hydration: Dehydration, especially in summer, can raise heart rate by 10%-15%.

  • Air pollution: Exposure in cities can elevate heart rate by 5-8 BPM.

  • Altitude and health conditions: Higher altitudes and certain medical issues also play a role.

Understanding these influences helps in maintaining a healthy heart rate.

Did You Know?

The normal resting heart rate of an adult is 60-100 BPM, and hot weather can increase it by 10-20 BPM.

Peak performance: Maximum heart rate limits

Knowing your maximum heart rate (MHR) helps you exercise safely:

  • Formula: 220 minus your age (e.g., for a 30-year-old, ~190 BPM).

  • Indian considerations: Research suggests MHR may differ for the Asian population.

  • Genetics and fitness impact: MHR can vary by ±12 BPM based on these factors.

Safe exercise zones:

  • Beginners: Stay at 50%-70% of MHR for moderate intensity

  • Athletes: Can push to 70%-85% for endurance and performance

Monitoring heart rate ensures safe exertion, especially in India’s hot climate.

Danger zone: Determining critical heart rates

Heart rates vary, but some levels demand urgent attention:

At rest:

  • Above 120 BPM (for non-athletes) is concerning.

  • Below 50 BPM (unless you're highly fit) needs monitoring.

Critical zones:

  • Above 150 BPM or below 40 BPM at rest → Seek immediate medical help!

During exercise: Watch for warning signs like:

  • Dizziness

  • Severe shortness of breath

  • Chest pain (even if heart rate seems normal)

Pre-existing health conditions can make lower heart rates risky, so know your personal baseline and stay alert.

Heart rate elevators: Common triggers

Several everyday factors can push your heart rate into overdrive, especially in India’s climate and lifestyle:

  • Caffeine overload – Urban India’s love for coffee can spike heart rate by 15%-30%.

  • Stress and anxiety – City life brings high stress, leading to persistent elevated heart rates.

  • Dehydration – Common in Indian summers, dehydration can cause dizzying spikes.

  • Medications  – OTC cold meds and medicines used in thyroid treatment may trigger abnormal heart rhythms.

  • Spicy foods  – Believe it or not, certain spices can increase heart rate by 8%-15%!

  • Heat and humidity  – Common in many Indian regions, these naturally raise heart rates.

Being mindful of these factors helps keep your heart in check and prevents unnecessary strain.

Quick Fact

Exercise and running can all get your heart rate to a natural frenzy of 140-180 beats per minute, but for Indians, a resting heart rate above 100 bpm may be considered a cause for concern.

Finding answers: Diagnostic approaches

Pinpointing the exact cause of an abnormal heart rate isn’t always straightforward — it often requires detailed evaluation. Most modern Indian medical facilities begin with:

  • A test to monitor the electrical activity of your heart. This quick and painless procedure helps detect irregular rhythms, unusual heart rates, or underlying conditions.

  • Blood work – Identifying possible deficiencies or imbalances in one’s blood.

  • Lifestyle and medical history review – Evaluating medications, stress levels, and hereditary factors.

A thorough check-up helps uncover potential causes and guides the best course of action.

A hearty welcome to good heart health 

Understanding your heart’s normal rhythm is key to maintaining cardiovascular health. Whether you’re an athlete or working long hours, knowing your usual range helps you recognise warning signs early. Regular monitoring, especially in India’s extreme climate conditions, can highlight concerning changes before they become serious.

Consult a healthcare provider for personalised advice — what’s risky for one person may be normal for another. Stay informed, stay healthy, and keep your heart beating strong.

Frequently Asked Questions

Q1: How would you know when to go to the emergency department?

A: If your resting heart rate exceeds 120 BPM or drops to less than 40 BPM, accompanied by dizziness or chest pain, seek immediate medical care.

Q2: Is a 120 heart rate normal? 

A: A resting heart rate of 120 BPM is above normal. While acceptable in exercise, sustained increased rates at rest require a medical evaluation. 

Q3: Is 150 bpm bad? 

A: For adults, 150 BPM at rest is concerning. While normal during exercise, sustained rates this high without physical activity need urgent medical assessment. 

Q4: Is a heart rate of 200 dangerous? 

A: Yes, 200 beats per minute is dangerous. This extreme elevation requires emergency care right away because it may cause severe complications. 

Q5: What is a high heart rate? 

A. A resting rate greater than 100 beats per minute (BPM) is generally too high for most adults. Rates during physical activity should ideally not exceed 85% of the age-predicted maximum.

Click here for medical advice disclaimer

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