It's possible. Depends how long it takes to come back down again. If you have any doubt go and get a check up. You'll get a hundred different opinions here. The only one that matters is the medical professional you talk to.

As an aside, my resting is <50 gets to about 65 - 70 standing up but then drops back to mid-50s.

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Trust me I’m a doctor!
Well, I have a PhD :-)

OP, mine's about the same. Resting HR 49. Stand up and take a few steps and it will be mid 70's. I never really thought about it before, but it doesn't strike me as odd. When you're standing your heart has provide enough pressure that the blood down in your feet make it back up to the heart. I'd guess the boost in HR is what's necessary to provide that pressure.

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Ranger, does it remain in the 70's as you stand, or does it drop back down. For me, lying is 45, sitting 55 and standing 75. Remains at 75ish while standing.

Seems normal. My RHR is in the mid 40s. I'll wear my strap and get back to you. But I think the concern would be when's your RHR is elevated beyond normal.

I'll be in the high 40s sitting, and mid to high 50s standing. 5-10 bpm.

From what I have read, this is more normal

That is a big increase just for standing if it stays up like that after a couple minutes. Would be interesting to know your blood pressure. You may have orthostatic hypotension, which can be a sign that you are simply dehydrated or have other medical issues such as with your autonomic nervous system. Buy a home BP monitor, and take your BP a bunch of times including from lying flat to sitting to standing. Start there and consider seeing your PCP.

What are your health issues? IF someone is overweight I can see a bigger difference, and are you just standing or walking around? And if you look at your wifes HR I'm guessing it goes from high to just a little higher, maybe like 70 to 80?

When you sit back down does it go back to the original rate? Do you live at altitude?

Yeah, that's exactly what my wife's HR does. When I sit down, it goes back to normal. The whole time I am standing it stays in the 70's. Live at sea level, Florida.
I am 6'2 185# so not really overweight
My health issues started four years ago. I was a masters bike racer and one day hit the preverbial wall. Major hormonal issues, chronic insomnia. I went from 300w ftp one day to only being able to put out 140w at 140 HR. That was four years ago and have seen several dr's and specialists to no avail. HPA dysfunction/ overtraining/ autonomic nervous system damage have all been banded around. Who knows. I am flying to Boulder to see a specialist later this month to try to get answers. I am wondering if this HR is another symptom

Well I had the same exact thing a few times in my career, and each time it was Epstein Barr. In my day it was really hard to diagnose and wasn't til the 3rd time I got it that they were able to figure it out. Back then they did antibody tests, lets you know you had/have it but doesn't really say how severe or if already in remission.

Now they can do DNA tests for the actual virus and the loads, but you have to ask for it, not part of any regular test. Lots of athletes get this and never know it, think Cavendish is just coming off a bout of this..But if not that, could be any number of other virus's that are in the chronic fatigue family. They are so tricky and hard to pin down, but for most the cure is the same, you just have to rest "COMPLETLEY" for many many months, or even years sometimes. I have known people that have had it for decades, trying to train through it and just never letting the body put it into remission.

And you are never cured completely , but you can be back to normal. You will always be susceptible to these bugs once they took you over, so pay attention to that once you are back to normal(if that is what it is, sounds like it) My bouts took about 6 months each time, last one was almost 2 years, so it really fucks up your training life.

I am about that range too - high 40's to maybe 51-52 resting. Moving I can hit 65-80 depending on some factors. If I run a flat course I can maintain 7:30min/mile for quite a while at about 133-135 bpm if I am properly hydrated.

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Next races on the schedule: none at the moment

RHR 47
When i stand up it will go to the mid 60's then come back down to the high 50's while standing.

I just had a stress test that measured it.

Complete blood work OK??? Thyroid numbers been checked??? Better minds than here is an excellent idea. Low 30's resting for myself forever with no spike when standing but I have large volume.

My daughter has something called Postural Orthostatic Tachycardia Syndrome (POTS). Her heart rate will spike by about 30-40 bps when she stands up. The test is to take your heart rate and blood pressure while lying down, stand up for 10 minutes and take it again. They also sometimes do a test called a tilt table test.

It usually strikes teenagers, but a lot of your symptoms sound the same. It took forever to get a real diagnosis.

Good luck at the Doctor Appointment.

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-- Scott

All blood work is normal, thyroid numbers good. Mentioned it to a couple of dr's but they didn't really say much about it. There again,they have no idea what the root cause of my health issues have been.

How does it affect her day to day life. Does she have to take meds for the condition?

She is now off of meds. The general prescription are things to keep her blood volume up: drink lots of fluids (lots), high salt diet, and exercise.

The dizziness was caused because her venous system did not tighten up when she stood up. This made her heart work harder trying to get blood to her brain. Not enough blood in her brain made her dizzy.

Good luck

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-- Scott

Anytime anyone says anything about heart rate, especially lower heart rates, the first question I ask is how accurate is the monitor. I simply don't trust any device to actually do a good job. if I do wear a monitor I can often be found wearing at least two and then use my own brain as a 3rd reconcile device. Now maybe this is because in a previous lifetime I was a pacemaker rep but I much prefer to see the electrical signals myself to get a clearer picture of what is going on. I would love to sit down with HRM companies and get a better idea of what exactly their filtering looks like on their devices. Regardless, all of the devices are filtering signals so they don't pick up rogue electrical signals. It is simple but complex system. Heck even pacemakers make mistakes and they get their electrical signals from right inside the heart where a wire is literally screwed in to the heart wall.

These days I invested $99 in the AliveCor. It is just one of my many tools in my tool box for looking at different things with the body. I have others like blood sugar (not diabetic), blood-pressure (normal blood pressure), PulseOx, etc. In the case of the AliveCor device it takes electrical signals of your body and shows them to you in a normal EKG layout, albeit a 2-lead as opposed to more advance say 12-lead you would get by going to a cardiologist.

Reading an EKG isn't hard, probably takes an hour and youtube video to do, but it can be worth its weight in gold down the line in the health care system or if you are just a natural DIYer like myself. It was developed for Afib patients, which I have no history of, nor any heart condition or arrhythmia, I just like to be confident in the data, plus I can see the exact beat-to-beat interpretation play out.The reality is that various people can have very different patterns of heart rate and while the number is very simple and easy, it doesn't tell you anything about what you heart is really doing. For instance when you stand up you could be going from a sinus bradycardia rhythm (normal sinus rhythm that is less than 60bpm) to something like sinus rhythm with PVCs. It would be equivalent in car to reading a tachometer and saying it reved to 6000rpm, but then the mechanic says, yea, but when you reved it only 2 cylinders fired in the inline 4.

Personally, I just took my resting heart while standing. I did a triathlon earlier today and it was 53bpm just now, normal resting when I am in shape should be 38-42bpm, I am far from in shape and did not take it this morning. How much should it swing? Tough to say, but that act of getting up is going to require more energy and the normal physiological response would be an increased heart rate.

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+1

I had a heart issue related to a low resting rate and it took several doctors and well over a decade before it was properly diagnosed. Granted I generally ignored it for a good chunk of that time. If it's causing problems then be persistent about finding someone who can definitively figure out what's going on. Asking around here can certainly be helpful (it helped me after diagnosis), especially since most cardiologists spend their days with much patients who are less active. But ultimately you need to figure out if it's a problem for you and what you should/need to do about it.

I have a resting HR of 40. When I start my run, I usually clock in at high 50s/low 60s. So 20beats faster.
Hope this helps

I'm pretty similar. My heartrate will go into the 50s while driving and bump to 80 before i even start running. Tempo heart rate is into the 180s and max probably still close to 200, where it seems a lot of guys posting here have low threshold heart rates.

it's pretty much useless to compare unless you have a known issue.

+30 just by getting up?! That seems like a huge jump to me. My resting HR is 38-40. If I were sitting down for a while and start moving around, it'll go up to like 45 and probably make it's way to 50ish as I move around. (My top-end is still crazy high though, like 170 I'm nearly out of breath for example and 185 is usually all out max). I'm 31 for comparison.

Now, while driving, I'll easily be close to 90 :-P!. That's SF/Bay Area traffic for ya!

Oh, and as I read others - my "tempo" rate for a run or harder bike split will be about 140-150.

Arousal and concioussness is mediated in a set of neclei in the brainstem that's called Formatio Retucilaris (eng Reticular Formation). We can increase and decrease arousal by going from lying to sitting to standing. Low arousal means lower heart rate through vagal tone. I guess, from the replies in this thread, that it's a pretty individual response with ranges from 5-40 bpm increase.

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Endurance coach | Physiotherapist (primary care) | Bikefitter | Swede

If you're talking about the momentary peak that you see after standing, I'd say that's a fairly typical HR response based on what I've seen for fairly fit folks.

I've been doing an orthostatic test every morning - 1 min supine, 1 min standing for the past 5+ years and I have my athletes do the same as a measure of over-reaching.

Here is mine from this morning - a gap actually a little higher than your own of 36bpm from the lowest point (46 bpm) to the highest point (82bpm). I see similar patterns with my athletes with often more of a gap (40+) for the really fit guys (RHR <40bpm) when they're fresh.

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Alan Couzens, M.Sc. (Sports Science)
Exercise Physiologist/Coach
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