Heart rate 122 on an adult - what does it mean?

122bpm
High

A resting heart rate of 122 bpm is clearly too high for an adult at rest. After exercise it can be normal; at true rest it needs medical attention if it does not settle within a few minutes.

Where 122 bpm sits on the adult scale

Resting heart rate scale for adults with 122 bpm marked4060100120150normal 60–100122 bpm
  • Very low
  • Low (bradycardia)
  • Slightly low
  • Normal
  • Elevated (tachycardia)
  • High
  • Very high

What a resting pulse of 122 means

If you just climbed stairs, exercised or are very anxious, a pulse of 122 can be a normal response and should fall within minutes. A fast rate that persists at rest can come from fever, dehydration, blood loss or anemia, an overactive thyroid, or a heart rhythm disorder such as atrial fibrillation, atrial flutter or supraventricular tachycardia (SVT).

An irregular pulse at this speed is a typical sign of atrial fibrillation, which raises stroke risk and should always be evaluated.

What to do: Rest and re-measure. If it is still above 120 after 10–15 minutes of rest, contact a doctor the same day. Call 911 (US) or your local emergency number with chest pain, fainting, severe shortness of breath or confusion.

Ranges apply to adults and children aged 10 and older, measured at rest (American Heart Association). By the numbers: at 122 bpm the heart beats about every 0.49 seconds — roughly 175,680 beats a day.

122 bpm during exercise

During exercise a higher pulse is expected. This table shows which training zone 122 bpm corresponds to, based on the common estimate of maximum heart rate (220 minus age). Individual maximums can differ by 10–20 bpm.

AgeEst. max (220 − age)122 bpm isTraining zone
20200 bpm61%Zone 2 · Light
30190 bpm64%Zone 2 · Light
40180 bpm68%Zone 2 · Light
50170 bpm72%Zone 3 · Moderate
60160 bpm76%Zone 3 · Moderate
70150 bpm81%Zone 4 · Hard

How the zones work: Heart Rate Zones: The 5 Training Zones by Age.

How to get an accurate resting reading

  1. Sit or lie quietly for 5 minutes. No caffeine, nicotine or exercise in the 30 minutes before.
  2. Place two fingertips (not your thumb) on the inside of your wrist below the thumb, or gently beside your windpipe on one side of the neck.
  3. Count the beats for 30 seconds and double it — or count a full 60 seconds if the beat feels irregular.
  4. Repeat on a few mornings before getting up and use the average.

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Measured on

Nearby values

Measured on a child instead? See heart rate 122 in a child.

This page explains a single reading in general terms. It is not a diagnosis. Heart rate alone cannot tell whether the rhythm is regular or whether the heart is healthy — if you are worried, talk to a doctor.