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Your heartbeat getting up to 200 during exercise could be an indication of a heart issue. I wonder if you could be having "exercise-induced" fast heartbeats, which doctors call tachycardias. If your heartbeat is fast and irregular (feels like butterflies in your chest, or a flopping fish), that could be atrial fibrillation (afib).

Afib "fakes out" heart rate monitors, so your heart rate could actually be faster (or slower) than what is recorded, but since afib decreases the oxygen that gets distributed to the body, it makes you feel tired or exhausted.

If your doctor did your EKG while you were stationary, it wouldn't have picked up an exercise-induced heartbeat issue. You may want to ask about a treadmill stress test or to wear a Holter monitor for a day or two to capture what happens when you work out, especially if your heart seems to race out of control.

If this is a heartbeat problem, it needs to be diagnosed and treated since heartbeat issues (such as atrial fibrillation) can be very serious stuff.

Here's where to learn more about afib - especially check out the section on Why is afib a problem: Get Started Learning About Atrial Fibrillation: http://stopafib.org/newsitem.cfm/NEWSID/277

Mellanie True Hills

August 24, 2010 - 8:01am

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