The pulse rate can be calculated independently, it normal results in men 60-100 in 1 minute(according to WHO criteria). An increase in the pulse is manifested by a sensation of a heartbeat, it is tolerated in different ways, which is associated with the individual characteristics of people's perception.

The most common cause of increased heart rate in young men is physical lack of training, it accounts for more than 80% of visits to the doctor. This can be connected with the way of life, intellectual labor activity. A large number of patients have paroxysmal tachycardia during panic attacks. Less often, episodes of tachycardia are detected, due to additional pathways, other heart diseases.

Older men are more likely to have an association with increased heart rate and (CHD), heart failure, non-cardiac problems (eg, alcohol, smoking, caffeine intake, drugs). All treatment recommendations begin with advice on lifestyle changes, a training regimen of physical activity. It is always possible to reduce the pulse after eliminating the cause of its increase, if you act on the advice of a doctor.

natural causes

Normally, an increase (increase) in the pulse can be:

due to emotions (positive, negative).

The degree of increase in heart rate during physical activity depends on the intensity of work, its duration, the degree of training of the body of a man, and age.

An important standard is the rapid disappearance of tachycardia after the cessation of physical effort.

This time should take from 3-6 minutes for a trained man to indefinite for a person who does not have the skill of physical work or who has performed a load that does not correspond to his physical data.

Any emotions (and stressful situations) are accompanied by tachycardia. Unlike physical exertion, there are no standards for increasing the heart rate with emotions. This is due to different types of the nervous system of people, the peculiarities of their reaction to emotional stimuli, upbringing, and other personal characteristics of men.

Cardiological pathologies

An increase in the pulse occurs when any shell of the heart is damaged - the internal (endocardium), middle (myocardium), external (pericardium), and violations of the structure of the conduction system. Tachycardia appears with inflammation of any of these membranes. The reason for the increase in heart rate is associated with the pathology of the heart, when there is:

• direct damaging effect on the myocardium (trauma, poisoning,);
• overload of the heart with blood volume (heart defects) or pressure ();
• the outcome of pathological conditions with the development of heart failure;
• congenital feature of the structure of the conduction system (additional pathways), other types of arrhythmia, the reaction to which may be different.

Rice. 1 - Cardiac pathologies are often the cause of a high pulse in men.

If an increase in heart rate appears for the first time in a man “closer to 40”, accompanied by chest pain, makes you stop working for 20-30 minutes, you need to call an ambulance. The cause of pain, tachycardia must be determined urgently. With the sudden appearance of a strong heartbeat in a young man (with a pulse rate of more than 130 in 1 minute), you should not be scared. You can try to stop it by straining, call "03" on failure. Heart failure, in addition to an increase in heart rate, is accompanied by shortness of breath with lack of air, its other manifestations (edema, cyanosis of the skin, general weakness), it requires a visit to a doctor, the selection of a planned treatment.

Other causes of tachycardia

An increase in heart rate accompanies many diseases that are not associated with direct damage to the heart. At the same time, there are signs of disease in other systems and organs. For example:

1. Any acute inflammatory diseases (ARI, pneumonia, bronchitis, arthritis, tonsillitis) with fever.
2. Damage to the thyroid gland (increase in its function -) is often accompanied by an increase in heart rate.
3. Injuries, any pain of various localization reflexively increases the frequency of the heart.
4. Oxygen starvation of tissues for various reasons. Staying in a stuffy room in people sensitive to a lack of oxygen causes tachycardia. An example of general oxygen starvation is anemia (acute blood loss or chronic iron deficiency).
5. Psychological causes are associated with the development of neurosis, panic attacks.

Poisoning with nicotine, alcohol causes an increase in heart rate. Taking many medicines works the same way, this is indicated in their instructions. Drinking drinks containing caffeine will lead to the same effects. Men experience palpitations in similar situations.

How to deal with the cause, what to do?

It happens that the reason for the increase in heart rate is obvious. It can be drinking alcohol, coffee, strong tea, tonic drinks, smoking, pain, bleeding. Other cases require identification of the problem. The best solution would be to see a doctor. You can start the examination with a visit to the therapist; if there is a suspicion of cardiac pathology, it is necessary to visit a cardiologist.

Doctors are interested in the conditions for the manifestation of tachycardia (whether it has a paroxysmal character, connection with provoking factors, persistence or frequency of occurrence, other features). Assigned general blood and urine tests reveal an inflammatory process (sometimes hidden) or anemia. A blood test does not specify the state of its function.

Rice. 2 - General blood and urine tests are necessary to diagnose inflammatory processes, detect anemia and other causes of increased heart rate.

Instrumental studies determine the type of tachycardia, its cause, which determines the method of therapeutic interventions. It is always necessary to record an ECG episode of an increase in heart rate that worries a man. Several diagnostic methods are used:

1. ECG at rest, its varieties. You can record a paroxysmal increase in heart rate, evaluate its characteristics with a daily or multi-day ECG recording, called Holter ECG monitoring (HM ECG).
2. In unclear cases, electrophysiological research methods are used. They are based on the provocation of tachycardia attacks, ECG recording, subsequent analysis.
3. To detect heart failure, heart defects, an echocardiogram (echocardiography or ultrasound) is prescribed. They study the characteristics of blood flow, the ejection fraction of the left ventricle, as the main indicator.
4. The degree of physical fitness determines the VEM (veloergometry), it also helps in the diagnosis of coronary artery disease. Normally, the increase in heart rate with standard physical activity reaches 85% of the maximum (the difference between the number 200 and the age of the man). There are modifications of this test with physical activity, for example, treadmill, stress echocardiography.

Cardiologist E. N. Kuklina