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Why Does Heart Rate Increase When Standing

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Learn The Prevention Measures

Fast heart rate when standing up? Postural tachycardia syndrome (POTS) explained

Certain measures can be taken to prevent a sudden increase in heartbeat or it becoming a health concern.

Ablation by Radiofrequency Catheter

Catheters are made to enter the heart through blood vessels. Electrodes are present at the catheter ends they are heated and used to damage or ablate the small area of heart that is causing the fast heartbeat.


Anti-arrhythmic drugs, if taken regularly can help in preventing tachycardia. Your physician may prescribe other medicines that should be taken along with anti-arrhythmic drugs including channel blockers, such as Cardizem and Calan , or beta-blockers, such as Inderal and Brevibloc .


It is a device, which monitors your heartbeat continuously. It is implanted surgically into the chest. It detects any abnormality in heartbeat and gives electric shocks to bring back heart rhythm to normal.


In some cases surgery is required to remove an area of tissue. This is only done in cases where other therapies are ineffective or if the patient has another disorder of the heart.


Warfarin makes blood clotting difficult and is generally given to persons who have moderate or high risk of having heart attack or stroke. Though, with warfarin the risk of bleeding is raised, it is given to persons, in whom, the risk of heart attack or stroke is greater in comparison to risk of bleeding.

Where Is It And What Is A Normal Heart Rate

The best places to find your pulse are the:

  • wrists
  • side of your neck
  • top of the foot

To get the most accurate reading, put your finger over your pulse and count the number of beats in 60 seconds.

Your resting heart rate is the heart pumping the lowest amount of blood you need because youre not exercising. If youre sitting or lying and youre calm, relaxed and arent ill, your heart rate is normally between 60 and 100 .

But a heart rate lower than 60 doesnt necessarily signal a medical problem. It could be the result of taking a drug such as a beta blocker. A lower heart rate is also common for people who get a lot of physical activity or are very athletic. Active people often have a lower resting heart rate because their heart muscle is in better condition and doesnt need to work as hard to maintain a steady beat. A low or moderate amount of physical activity doesnt usually change the resting pulse much.

Tilt Table Test For Pots

During the tilt table test, you are secured on a table while lying flat. Then the table is raised to an almost upright position. Your heart rate, blood pressure and often blood oxygen and exhaled carbon dioxide levels are measured during this test.

You might have POTS if you meet all three of these criteria:

  • Your body produces an abnormal heart rate response to being upright

  • Your symptoms worsen when upright

  • You dont develop orthostatic hypotension in the first three minutes of testing

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Is A Fast Heart Rate Always A Cause For Concern

There are several different possible causes of an elevated heart rate. While some causes are more worrisome to cardiologists, there are other causes that can be addressed by making lifestyle changes. Some of these include excitement , dehydration, and even the consumption of nicotine or energy drinks.

There are times that having an elevated heart rate makes sense. For instance, if you are fighting a fever or getting over the flu, or are in the process of recovering from a surgery, a fast heart rate is your bodys way of saying it is working. Its important to monitor your heart rate during these times, but do not become immediately alarmed.

Is Pots Syndrome Life Threatening

Why does my heart beat increase when standing up?

Home Blog Is POTS syndrome life threatening?

POTS, or Postural Orthostatic Tachycardia Syndrome, can be very frightening. The condition causes the heart rate to spike when a person changes position from sitting to standing, which can lead to symptoms such as palpitations, shortness of breath and dizziness, and even back-outs and fainting .

When this happens, its natural to worry that theres something seriously wrong with your heart. In fact, its not unusual for patients to ask: Is POTS fatal or can POTS be deadly?

However, while the symptoms can be alarming, POTS is not life-threatening. The condition can be very distressing and debilitating though but theres lots we can do to help. Here, leading London cardiologist and POTS specialist Dr Syed Ahsan explains more:

Listen to a podcast featuring Dr Syed Ahsan in which he talks about everything from symptoms, diagnosis, prognosis to treatment and risk factors of POTS syndrome: Listen to Podcast.

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Proven Ways To Lower Your Resting Heart Rate

By Sarah Timmapuri, M.D.

If your heart is racing as youre sitting reading this article, its possible your body is trying to tell you something. A high resting heart rate, or a heart rate of more than 100 beats per minute, means your heart is working extra hard to pump blood through your body. And, that extra effort could result in a wide range of negative effects on your overall health, including feelings of dizziness and fatigue and most seriously blood clots, heart failure and, in rare cases, sudden death.

Normal resting heart rate is anywhere between 60 and 100 beats per minute, and its simple to check how fast yours is beating. While idle, hold your pointer and middle finger between your bone and tendon on the thumb side on your wrist until you feel your pulse, and count the number of beats for a minute that is your resting heart rate.

Certain aspects of someones resting heart rate are directly connected to uncontrollable factors, such as age and genetics, however there are certain actions that be taken to help decrease heart rate and improve overall wellbeing for those whose resting heart rate is above normal.

Here are six proven ways to lower your resting heart rate:

5. Be Mindful of Your Breathing: On the topic of medication, another quick and easy way to lower your heart rate is to practice mindful breathing exercises. Inhale slowly for five seconds and then exhale slowly for 15 seconds. Try dedicating five minutes to this each day.

Box 1 Diagnostic Criteria For Pots4

  • Sustained heart rate increase of 30 beats per minute or more within 10 minutes of standing or head up tilt in the absence of orthostatic hypotension

  • Standing heart rate is often 120 beats per minute or more within 10 minutes of standing or head up tilt

  • Orthostatic tachycardia may be accompanied by symptoms of cerebral hypoperfusion and autonomic over-activity that are relieved by decumbency

  • Criteria not applicable for low resting heart rate.

PoTS tends to affect people aged 1550 years and is four times more common in females. This may relate to peripheral vasodilator effects of female sex hormones and vasoconstrictive effects of testosterone. The prevalence in the UK is unknown but probably under-estimated due to overlap with other pathologies such as chronic fatigue, post-viral syndromes, and limited availability of knowledgeable healthcare personnel.

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What Are Everyday Ways To Help Manage Pots

Diet and nutrition

Monitoring POTS

Taking and writing down your vital information can give you insight and better control over your POTS, and helps your doctor fine tune your treatment.

Check blood pressure and pulse at the same time daily . Its very helpful to do this for the first few months of your diagnosis. Also check blood pressure and pulse when you aren’t feeling well.

Heart rate/pulse

Measuring heart rate can give you insight as you deal with POTS. Other facts about heart rate and POTS:

  • A normal heart rate is between 60 to 100 beats per minute.
  • A fast heart rate over 100 beats per minute can be a condition called tachycardia.
  • A slow heart rate under 60 beats per minute is called bradycardia.
  • High or low rates can cause symptoms of POTS.

Blood pressure

Blood pressure is the pressure of the blood in the blood vessels in the circulatory system. Blood pressure is related to the heart beating and the diameter and elasticity of the artery walls.

Exercise and physical activity

Exercise and physical activity are key to managing POTS. Here are important things to know as you undergo an exercise program such as cardiac rehab, as well as other physical activities. Talk with your healthcare provider for specific instructions on these exercises.

As you do better with your POTS, more fitness and exercise regimens may be started.


What Causes Low Blood Pressure With A High Heart Rate

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Written byMohan GarikiparithiPublished onOctober 24, 2017

Having a condition characterized by low blood pressure and high heart rate may be cause for concern, prompting a visit to your local physician. Tachycardia, also known as a high heart rate, is a term used to refer to a pulse rate greater than 100 beats per minute and may be a reflex when the body senses a fall inblood pressure. This is generally considered a normal transient physiologic response that occurs to help correct an abnormality in blood pressure.

However, there are pathological conditions causinglow blood pressureand high heart rate, such as when the neural connections between the heart and the brain become dysfunctional, often leading to fainting spells. This condition, as well as others, should be assessed by a trained physician to find the underlying cause.

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What Are The Possible Causes

Tachycardia is usually caused by anything that creates a problem with the electrical impulses, which control rate of the pumping action of the heart. There are multiple things that can disrupt the electrical system of the heart. Some of these are:

  • Damage to tissues of the heart due to heart disease
  • Anemia
  • Congenital disease or abnormality of heart
  • Electrical pathways that are not normal and present in the heart at birth
  • Exercise
  • Low or high blood pressure
  • Sudden stress, for instance fright
  • Smoking
  • Drinking excessive caffeine containing beverages
  • Side effects of medicines
  • Recreational drug abuse, such as cocaine
  • Hyperthyroidism
  • Electrolyte imbalance

In certain cases, the cause of sudden increase in heart rate cant exactly be found.

Risk Factors

The risk of getting tachycardia is increased by any condition, which strains the heart or causes damage to the tissues of the heart. Medical treatment or lifestyle changes may lower the risk that is increased by the below mentioned factors:

  • High blood pressure
  • Underactive or overactive thyroid gland
  • Diabetes
  • Use of drugs of recreation

Certain other factors, which may raise your risk of getting tachycardia, are:

  • Older age: Elderly are at an increased risk of getting tachycardia due to wear and tear of the heart related to age.
  • Family: Positive family history of heart rhythm disorders and tachycardia in particular increases your risk.

Medical Tests

Diagnosis Of Low Blood Pressure And High Pulse Rate

A condition involving low blood pressure and high pulse rate is often transient in nature and not likely to be diagnosed during a routine doctors visit. However, if it is due to an underlying condition, it may be reproducible through testing or have certain markers that can be identified. The following are various testing modalities that help doctors reach a diagnosis.

  • Blood testing: Can provide information about blood constituents, disease markers, and other abnormalities that can affect overall health.
  • Electrocardiogram : Measures the electrical activity of the heart and can identify arrhythmia such as atrial fibrillation.Echocardiogram: An imaging test that allows doctors to view the size, shape, and relative function of the heart.
  • Cardiac stress test: With the use of a treadmill and ECG, the heart can be stressed to varying degrees, looking for changes in heart rate and blood pressure.
  • Tilt table test: Allows for careful measurement of the heart rate and blood pressure in response to varying degrees of tilt while laying down on a table. It is often used to investigate the causes of repeated and unexplained fainting.

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What Impact Does Pots Have

POTS can potentially affect anyone but is most common in young women in their teens, 20s and 30s. The severity can vary but it can have a big impact. As well as the acute symptoms triggered by standing, people with POTS often experience ongoing tiredness and fatigue too.

Anxiety is also common for people with POTS this can be a factor in triggering or exacerbating symptoms, but can also arise as a response to the condition. Understanding more about POTS can help alleviate some of this anxiety. Our Postural Orthostatic Tachycardia Syndrome Conditions page explains more. You can find lots of information in our POTS information video playlist too.

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Under normal conditions, a healthy adults heart rate range from 60 to 100 beats per minute. There may be a sudden occasional increase in heart beat, which resolves in a couple of minutes. The condition is referred to as tachycardia and is generally harmless. However, if your increased heart beat is recurring or persistent or if other symptoms are also present, then you should consult a physician.

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How Is Postural Orthostatic Tachycardia Syndrome Treated

POTS is a chronic problem. So doctors try to prevent and manage the things that cause it. That way, a child or teen doesn’t have to take medicines for a long time.

Helpful treatments include:

  • more water and salt intake
  • better and longer sleep
  • a slow increase in exercise, starting with seated, reclined, or horizontal exercises
  • wearing compression stockings
  • raising the head of the bed so some pressure stays in the blood vessels in the legs during sleep
  • psychological counseling to help manage stress and choices that trigger symptoms

The autonomic nervous system is involved in many body functions, so managing all the symptoms related to it can be hard. Sometimes, patients try a few different treatments to find what works well without unpleasant side effects. Multiple doctor’s visits may be needed to find the best combination of treatments that improve symptoms.

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What is sinus tachycardia? What causes it? How is it treated?


Sinus tachycardia is the term used to describe a faster-than-normal heartbeat a rate of more than 100 beats per minute versus the typical normal of 60 to 70 beats per minute. Well over 99 percent of the time, sinus tachycardia is perfectly normal. The increased heart rate doesn’t harm the heart and doesn’t require medical treatment.

The term sinus tachycardia has nothing to do with sinuses around the nose and cheeks. Rather, it comes from the sinus node, a thumbnail-sized structure in the upper right chamber of the heart. This structure controls the heart rate and is called the heart’s natural pacemaker.

The sinus node signals the heart to speed up during exercise or in situations that are stressful, frightening or exciting. For example, a 10- to 15-minute brisk walk typically elevates the heart rate to 110 to 120 beats per minute. Also, the sinus node increases the heart rate when the body is stressed because of illness. In all of these circumstances, the heart rate increase is a normal response.

Likewise, the sinus node signals the heart to slow down during rest or relaxation.

For some patients, the elevated heart rate is the only symptom. Some have a lifelong history of sinus tachycardia in the 110 beats per minute range, and they lead a normal, healthy life. And often the inappropriate sinus tachycardia will improve in time without treatment.

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When To See A Doctor About Pots

There are lots of conditions that can cause the same symptoms as POTS. Some of these are more serious than others, so see a doctor as soon as possible if you have any of the symptoms listed above.

You should go to a hospital or emergency department immediately if you have any of the following symptoms, as they may be a sign of a more serious condition:

  • heart palpitations or a fast heartbeat that last for more than a few minutes
  • fainting or almost fainting
  • feeling confused or having trouble understanding what others are saying
  • weakness of 1 side of your body, trouble balancing and/or changes in your vision
  • any shortness of breath and chest pain
  • your existing symptoms suddenly get worse, feel very bad or you feel very unwell

Blood Pressure Differences Between Arms

Why does my heart beat so fast when i stand up?

Finding blood pressure differences between arms can be a sign of atherosclerosis, which is basically plaque buildup in arteries. Finding a difference in pressure between sides of the body tells doctors that they need to investigate further to see if atherosclerosis is in the main blood vessel leaving the heart or in other parts of the body.

One study published in the medical journal The Lancet stated that a blood pressure difference of 10 to 15 points between arms increases the risk of dying from heart disease or a stroke.

A small difference in blood pressure between arms is nothing to panic about. A large difference could signal health problems that include not only plaque buildup, but also kidney disease, diabetes, and heart defects.

Related: Fluctuating blood pressure: Causes and treatments

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Are There Any Other Symptoms

As well as dizziness, patients can sometimes experience fainting, though this is not very common. The heart rate might be elevated when standing or you might experience palpitations.

PoTS can also cause a range of symptoms unrelated to the circulatory system. Some people might experience bloating, constipation, tummy pain, and sometimes a change in bowel habits. It can affect your attention span, memory, and your ability to complete tasks. It can even result in joint aches and pains, tendency to sprain ligaments, a tendency to easy bruising, and a tendency to scars that heal poorly. More recently, we have come to recognise increasing symptoms of anxiety and depression in patients with PoTS syndrome.

All in all the symptoms can be quite distressing and its important to get specialist help with their management.

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