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FrenchBill

macrumors newbie
Original poster
Mar 4, 2021
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I have had my AW for 18 months and notice that during that time my heart beat has been very high (200bpm) on maybe only one occasion per day and can happen maybe once or twice a month and not always while exercising. I don't have any other symptoms and I'm unaware of when it is happening.
I don't seem ill and don't know if it is me (75years old) or the watch.
 
If you notice a resting pulse that high on your AW, I would immediately check my carotid pulse to verify. If your carotid pulse is in the normal range, then I would try cleaning the back of the AW and making sure it fits snugly to your wrist. If your carotid pulse confirms the high reading I would contact a doctor immediately. At any age, a resting pulse of 200 should definitely be checked by a physician. If you even suspect a resting pulse that high you should immediately seek medical advice (ie not advice from a Mac forum).
 
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It's possible it could be an erroneous reading but honestly I would not risk it. Please see a cardiologist.
 
I've found that occasionally, the Heart Rate app on the watch logs a data point as unrealistically low or high. For example, I might jog in place for a minute or two, which should bring my heart rate to just over 100 beats per minute. While it might record that over time, it might also log a single, outlying data point at around, say, 160, 180 or 200. I've hypothesized that the logic is just making a wrong guess: it might be reading my pulse at 80 beats per minute while it increases, has neither enough confidence not to discard the reading nor enough to be certain it's 80, notes using motion detection that I'm engaged in brisker activity, and decides it could be missing every second beat and concludes my pulse is twice as fast. Typically those factors give an accurate reading, but once in a while, that sort of thing happens.

There's no way those readings are correct: I can check my pulse when this happens – and I have experienced occasional ectopic heartbeats and brief accelerated palpitations in my life, which I did raise to my doctor – so I know what those feel like when they do happen.

Naturally, I can't advise you to dismiss your own watch's readings out of hand; we're clearly different ages and might have very different states of health, so I certainly would not be afraid to ask your own doctor about that, even if it's just "my watch has given these readings; could they be correct?" It's never wrong to try to get insight about the state of your health – that's one of the points of the watch, after all. Meanwhile, does the watch provide perfect readings every single time? It's miles beyond anything we've had before, but no.
 
At 75 it is all but physically impossible to have a MHR of 200 bpm. That would be about 100% for a conditioned 20 year old. For a conditioned 75 year old the MHR should be about 145 bpm and even this would be uncomfortable.

Likely erroneous readings but if in doubt see a cardiologist.
 
At 75 it is all but physically impossible to have a MHR of 200 bpm. That would be about 100% for a conditioned 20 year old. For a conditioned 75 year old the MHR should be about 145 bpm and even this would be uncomfortable.

Likely erroneous readings but if in doubt see a cardiologist.
I disagree. If you have AFib your heart rate could get to 200. A relative of mine who is 85 has recently been diagnosed with AFib after her heart rate hit 195. The OP should get checked out because if it is AFib, it could lead to a stroke. AFib can be a silent problem. Why F around with it? Go get a cardiac work up.
 
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It definitely can happen. It did to me. I woke up in the morning to a heart rate of 200 bpm and Afib. First time in my life. My watch confirmed I was in afib. Was taken to the hospital and had to undergo a cardioversion. 27 years old.
 

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Be old fashioned .. If you see a questionable bpm check your own pulse rate (2 fingers on the wrist for 60 seconds).
 
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