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9 Reasons Your Heart Is Racing—that Are Completely Normal

A racing heart may seem like a troublesome problem, but in most cases, it's a normal response to something else going on in the body.

Why is my heart racing?

Considering the incredible job your heart does—keeping you alive by pumping blood to provide your body with the oxygen and nutrients it needs—you probably don’t often think about how hard it works every second of the day. To be precise, your heart beats from 60 to 100 beats a minute. (That’s between 86,400 and 144,00 beats a day.) If your heart beats more than 100 times per minute, it’s known as tachycardia. It might sound serious, but it’s unlikely to be a sign of a heart attack. Here are nine possible reasons your heart is racing.

hand squeezing red stress heartSorakrai Tangnoi/Shutterstock

Stress

When stress triggers the release of hormones like adrenaline or cortisol, they drive up heart rate and blood pressure, which results in an elevated pulse, explains South Florida cardiologist Adam Splaver, MD, from NanoHealth Associates. This is a normal response to stress and resolves itself when you deal with the stress. Try relaxation exercises, deep breathing, yoga, and tai chi to quell the anxiousness. Here are more ways to prevent stress and ward off heart disease.

stethoscope on replica of a red heartJarun Ontakrai/Shutterstock

Too many stimulants

Stimulants like caffeine, alcohol, nicotine, and medicines for ADHD can also increase blood pressure and give you a racing heart. If these are triggers for you, stick to a healthy diet and limit your intake of caffeine. The U.S. Food & Drug Administration recommends that healthy adults consume no more than 400 milligrams of caffeine a day—the equivalent of four cups of coffee, 10 cans of soda, or two energy drinks.

toy heart leaning against glass of waterOnchira Wongsiri/Shutterstock

Dehydration

When you are dehydrated, what’s known as your effective blood volume decreases, which can lower blood pressure and in some cases, raise it. Either way, it can increase the strain on your heart as the muscle tries to compensate. To recover from dehydration, stop what you are doing and rest in a cool place, such as in the shade or an air-conditioned room. Put your feet up, remove extra items of clothing, and drink water, juice, or a sports drink to replace fluids and minerals. Drink two quarts of cool liquids over the next two to four hours and continue to drink plenty of fluids in the next 24 hours. To stay hydrated next time, try coconut water, hydrating fruit pops, or milk when you’re tired of water.

plastic heart with stethoscopeS_L/Shutterstock

Anxiety

Anxiety disorders are the most common mental illness in the United States, according to the Anxiety and Depression Association of America, affecting an estimated 40 million adults. Anxiety increases stress hormones that increase heart rate and blood pressure, explains Splaver. Here are tips for understanding and managing an anxiety disorder.

red heart pillow on bedAfrica Studio/Shutterstock

Lack of sleep

One common cause of a racing heart is poor sleep. Lack of sleep increases stress hormones, which drive up your heart rate and blood pressure. The National Sleep Foundation recommends seven to nine hours of sleep per night for adults. Need help getting a good night’s sleep? Here are some bedtime changes you can make for better sleep.

Heart toy with band-aids and stethoscopeBlurryMe/Shutterstock

Pain

According to an article published in Mayo Clinical Proceedings, acute pain triggers a stress response that can lead to increased blood pressure, faster heart rate, dilated pupils, and higher blood levels of the stress hormone, cortisol. Whether the pain is caused by a fracture, a sprain, an open wound, a burn, or a condition like appendicitis or pancreatitis, treating the underlying cause should return the heart to its normal rate. Look out for these signs you could be heading for a heart attack.

pregnant woman holding heart-shaped pillows by bellyTekkol/Shutterstock

Pregnancy

During pregnancy, a woman’s heart is under increased demands due to the needs of the fetus. According to an article published in the Merck Manual, by the end of pregnancy, the uterus is receiving one-fifth of a mother’s blood supply, and cardiac output (the amount of blood pumped by the heart) increases by 30 to 50 percent. This results in a pregnancy heart rate of 80 to 90 beats per minute, and it’s usually perfectly normal. If you have any concerns, however, make an appointment with your ob-gyn to get the all-clear.

Heart-shaped stethoscopeDin Mohd Yaman/Shutterstock

Thyroid problems

Your thyroid gland pumps out a variety of hormones that control and direct your major organs. Insufficient thyroid hormones (hypothyroidism) can slow your heart rate, while excess thyroid hormones (hyperthyroidism) increase your heart rate. Check to see if you have any other silent thyroid symptoms you should watch out for. A wide range of medications are available to treat hyperthyroidism; beta-blockers can be prescribed specifically to deal with a quick heart rate.

thermometer with heartBewzester/Shutterstock

Cold or fever

If you have signs of a cold or flu, like a high temperature, sneezing, and coughing, your heart rate may increase. This is because your body needs to work harder than usual to fight the infection. As soon as you the cold passes, your heart rate should return to normal. Be sure you don’t ignore these signs that you actually do have an unhealthy heart.

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