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    Related ArticlesCardiac RehabilitationAfter a Heart Attack (VSports app下载)"VSports app下载" Doctor Discussion

    What Happens to Heart Rate During a Heart Attack?

    Medically reviewed by Dr. Payal Kohli, M. D. , FACC — Written by James Roland — Updated on April 14, 2023Heart rate changes (V体育ios版)During an attackTypes of heart attacksEffect of medication (V体育平台登录)Effect of conditionsBlood pressureSymptomsRisk factorsTalking with your doctorTakeaway

    Key takeaways

    What happens to your heart rate during a heart attack can vary. Heart rate may increase, decrease, or remain the same. Reactions can also depend on the type of heart attack, medications used, and underlying medical conditions. During a heart attack, your heart’s muscle receive less blood V体育安卓版. As well as changes in heart rate, this can also lead to symptoms like chest pain or tightness, shortness of breath, and sweating. Managing risk factors such as high blood pressure, high cholesterol, and smoking can help reduce the risk of heart attacks. Your heart rate changes frequently. This can be due to factors ranging from how active you are to the temperature of the air around you. A heart attack, also known as a myocardial infarction, can also trigger changes to your heart rate. .

    In some cases, a person’s resting heart rate can signal a higher risk of a heart attack. It’s one of several important risk factors — some of which are manageable, while others are beyond your control V体育ios版. .

    Knowing your specific risk factors, as well as the common signs of a heart attack, can help protect against the life threatening consequences of a heart attack.

    Keep reading to learn more about what happens to your heart and heart rate during a heart attack.

    "V体育2025版" What happens to heart rate during a heart attack?

    Your heart rate may change during a heart attack, although it may also not change at all.

    Certain types of right coronary artery infarctions can affect the electrical systems of the heart and cause a slow heart rate during an attack.

    In addition, if you are taking medications that slow your heart rate, such as beta-blockers, your heart rate may remain at this lower pace during a heart attack.

    By contrast, if you have tachycardia, which is when your heart beats abnormally fast, your heart rate may stay high during an attack.

    Your heart rate is the number of times your heart beats per minute VSports. A typical or “healthy” resting heart rate for an adult is between 60 and 100 beats per minute. In general, the lower your heart rate, the more efficiently your heart is pumping.

    Your heart rate at the time of treatment can be an indicator of how well you will recover from an attack. For example, a study found that people with a heart rate above 80 beats per minute at the time of treatment had a higher risk of dying from their heart attack VSports app下载.

    However, having a fast heart rate is not always a sign or symptom of a heart attack, according to the American Heart Association.

    V体育2025版 - What happens to the heart during a heart attack?

    During a heart attack, your heart muscles receive less blood.

    This can be because one or more arteries are unable to deliver a sufficient flow of blood to the heart muscles V体育安卓版. Or, the cardiac demand (the amount of oxygen the heart needs) is higher than the cardiac supply (the amount of oxygen the heart has) available.

    Blockages and artery spasms can both restrict blood flow to the heart V体育ios版. This reduction in blood flow can start causing damage to heart muscles within minutes.

    This lack of oxygen leads to the breakdown of the heart muscle at the cellular level. As the oxygen depletion continues, this damage continues VSports最新版本.

    The following can affect how much damage your heart will take during an attack:

    • how quickly you receive treatment
    • how much blood flow the blockages stop
    • the size of the area the blockage affects

    Since the heart muscle cannot easily regenerate itself, the heart heals after an attack by forming scar tissue. The heart tissue not affected by the oxygen loss may get bigger over time, and the heart may change shape. VSports注册入口.

    How different types of heart attacks affect heart rate

    By definition, a heart attack is a disruption of blood flow to the heart muscle that damages heart muscle tissue. However, the nature of that disruption and how the heart responds can differ. V体育官网入口.

    There are three types of heart attacks, and each can affect heart rate in different ways:

    • STEMI (ST segment elevation myocardial infarction)
    • NSTEMI (non-ST segment elevation myocardial infarction), which has many subtypes
    • coronary spasm

    The ST segment is part of the pattern on an electrocardiogram (ECG). This is a test that measures your heart’s electrical activity and displays it on a monitor as a continuous line. A person’s ST segment will typically appear as a flat period between peaks.

    Learn more about ECGs here. (V体育ios版)

    V体育ios版 - STEMI heart attacks

    STEMI is what you think of as a traditional heart attack. During a STEMI, something completely blocks a coronary artery.

    Heart rate during a STEMISymptoms
    Heart rate usually increases, especially if the front (anterior) part of the heart is affected.
    However, it may slow due to:
    1. beta-blocker use
    2. damage to the conduction system (the special heart muscle cells that tell the heart when to contract)
    3. the back (posterior) part of the heart being involved
    Chest pain or discomfort,
    dizziness or lightheadedness,
    nausea,
    shortness of breath,
    palpitations,
    anxiety,
    fainting or loss of consciousness

    "V体育平台登录" NSTEMI heart attacks

    An NSTEMI reduces blood flow to the heart but does not cut it off completely. As a result, these types of heart attacks are not as severe as STEMIs but are still serious.

    There are different types of NSTEMIs.

    In type I NSTEMIs, a plaque rupture or erosion causes a partial blockage of an artery. Whereas in type II NSTEMIs, other factors such as artery spasms or dysfunctions cause a blood supply-demand imbalance.

    In all NSTEMI types, no ST segment elevation appears on an ECG.

    Heart rate during an NSTEMISymptoms
    Heart rate is similar to those associated with STEMI.

    Sometimes, if another condition in the body, such as sepsis or arrhythmia, is causing the heart rate to increase, it can cause a supply-demand mismatch. This is where the demand for oxygen of the heart muscle increases due to fast heart rate, and supply is limited because of blockages in the blood vessels.
    Chest pain or tightness,
    pain in neck, jaw, or back,
    dizziness,
    sweating,
    nausea

    "VSports app下载" Coronary spasms

    A coronary spasm occurs when the muscles within one or more coronary arteries suddenly constrict, narrowing the blood vessels. This limits blood flow to the heart.

    A coronary spasm is less common than STEMI or NSTEMI.

    Heart rate during a coronary spasmSymptoms
    Sometimes, there’s little or no change in heart rate, though a coronary spasm can cause tachycardia. Brief (15 minutes or less), but recurring episodes of
    chest pain, often while asleep at night, but can be so strong it wakes you;
    nausea;
    sweating;
    feeling as though you may pass out

    Effect of medications

    Certain medications can affect heart rate during a heart attack or assist in preventing one from occurring.

    These include:

    • Beta-blockers. These block the effects of adrenaline and help reduce heart rate.
    • Nitrates. Nitrates help keep blood flow high by relaxing and widening arteries.
    • Antiplatelet agents. This type of medication can help stop potentially dangerous blood clots from forming.
    • Anticoagulants. Like antiplatelet agents, these help stop clots from forming, but by different means.
    • Calcium channel blockers. These medications can reduce blood pressure and help treat abnormal heart rhythms.

    Learn more about heart attack medications here.

    Effect of medical conditions

    Tachycardia, a condition in which your heart always or frequently beats abnormally fast, can cause your heart rate to remain at unusually high rates during a heart attack.

    Bradycardia can have the opposite effect. This condition results in an abnormally slow heart rate, which may continue during a heart attack.

    Other conditions, such as sepsis, can also increase your heart rate before, and during, a heart attack. It can also increase your heart rate unrelated to a heart attack.

    How a heart attack affects blood pressure

    Blood pressure is the force of blood pushing against the inside walls of your arteries as blood circulates. Just as heart rate changes are unpredictable during a heart attack, so are blood pressure changes.

    A heart attack can damage the muscles of the heart. This can mean that it may not be able to pump as strongly as it normally does, lowering your blood pressure.

    A heart attack may also trigger a response from your parasympathetic nervous system, causing your heart and the rest of your body to relax while your heart struggles to keep blood circulating. This can also cause a dip in blood pressure.

    Heart attack symptoms (V体育平台登录)

    A rapid heart rate is one of many possible symptoms of a heart attack. However, it is usually not the only sign of trouble if your heart is truly in distress. The most common symptoms of a heart attack include:

    • chest pain that may feel like a sharp pain, tightness, or pressure on the chest
    • pain in one or both arms, chest, back, neck, and jaw
    • cold sweat
    • shortness of breath
    • nausea
    • lightheadedness

    If you think you or a loved one may be having a heart attack, call 911 immediately.

    The sooner you can get diagnosed and treated, the less damage the heart will endure. You should never try to drive yourself to the emergency room if you’re having heart attack symptoms.

    Risk factors for a heart attack

    Around half of all Americans have at least one of the main three risk factors of a heart attack. These risk factors are:

    • high blood pressure (hypertension)
    • V体育平台登录 - high cholesterol
    • smoking

    Some other common conditions that raise your risk for a heart attack include:

    • advancing age
    • having obesity
    • diabetes
    • family history of heart disease
    • personal history of heart disease or stroke

    A person’s resting heart rate is thought to be a factor in determining a person’s risk of a heart attack.

    For most people, a heart rate that’s consistently above or below 60 to 100 beats per minute should prompt a visit to a doctor for a heart health evaluation.

    Regular exercise can help lower your resting heart rate and improve your aerobic capacity. Some exercises that can improve heart health are:

    • brisk walking or running
    • swimming
    • bicycling
    • other aerobic activities

    "VSports在线直播" Talking with your doctor

    A doctor can work with you to help lower the risk of a heart attack. They can help you identify ways to improve your heart health, such as lifestyle changes or medications.

    The American Heart Association says people should ask their doctor every question they have about heart health. While that’s not easy for everyone, it can be an important step for getting the information you need.

    If you are experiencing the signs or symptoms of a heart attack, don’t wait. Call 911 immediately.

    Takeaway

    Multiple factors can influence your heart rate during a heart attack. In many cases, your heart rate will increase, but several conditions and medications may cause it to stay at the same pace or even slow down.

    However, a high resting heart rate can sometimes be a risk factor for developing heart attacks.

    Maintaining a healthy resting heart rate and a normal blood pressure are two factors you can usually manage with lifestyle changes and medications if necessary. These steps can help preserve your heart health and reduce your risk of a serious heart attack.

    If you or someone around you is showing heart attack symptoms, call local emergency services immediately.

     

    How we reviewed this article:

    Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
    • All about heart rate (pulse). (2015).
      https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse
    • Bradycardia: Slow heart rate. (2016).
      https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/bradycardia--slow-heart-rate
    • Heart attack symptoms, risk, and recovery. (2021).
      https://www.cdc.gov/heartdisease/heart_attack.htm
    • Heart-to-heart: Talking to your doctor. (n.d.).
      https://www.heart.org/en/health-topics/consumer-healthcare/doctor-appointments-questions-to-ask-your-doctor/heart-to-heart-talking-to-your-doctor
    • Jensen MT, et al. (2018). Heart rate at admission is a predictor of in-hospital mortality in patients with acute coronary syndromes: Results from 58 European hospitals: The European hospital benchmarking by outcomes in acute coronary syndrome processes study.
      https://academic.oup.com/ehjacc/article/7/2/149/5932661
    • Ojha N, et al. (2021). Myocardial infarction.
      V体育平台登录 - https://www.ncbi.nlm.nih.gov/books/NBK537076/
    • Tachycardia: Fast heart rate. (2016).
      https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate
    • Warning signs of a heart attack. (n.d.).
      "V体育安卓版" https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack
    • What is a heart attack? (2016).
      https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks (V体育2025版)
    • Zhang D, et al. (2016). Association between resting heart rate and coronary artery disease, stroke, sudden death and noncardiovascular diseases: A meta-analysis.
      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056889/

    Share this article

    Medically reviewed by Dr. Payal Kohli, M.D., FACC — Written by James Roland — Updated on April 14, 2023

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