Heart rate 158 on an adult - what does it mean?

158bpm
Very high

A resting heart rate of 158 bpm is very high. During hard exercise it can be expected (see the training table below) — at rest, a pulse this fast needs urgent medical attention.

Where 158 bpm sits on the adult scale

Resting heart rate scale for adults with 158 bpm marked4060100120150normal 60–100158 bpm
  • Very low
  • Low (bradycardia)
  • Slightly low
  • Normal
  • Elevated (tachycardia)
  • High
  • Very high

What a resting pulse of 158 means

At rest, a sudden racing heartbeat of 158 bpm is usually not ordinary sinus rhythm. Typical causes are supraventricular tachycardia (SVT), atrial flutter or fibrillation, and — less often but more dangerous — ventricular tachycardia.

Also double-check the reading: wrist devices can lock onto your movement cadence during exercise and report it as heart rate.

What to do: If this is a resting reading, seek urgent medical care now — call 911 (US) or your local emergency number if you have chest pain, shortness of breath, dizziness or feel faint.

Ranges apply to adults and children aged 10 and older, measured at rest (American Heart Association). By the numbers: at 158 bpm the heart beats about every 0.38 seconds — roughly 227,520 beats a day.

158 bpm during exercise

During exercise a higher pulse is expected. This table shows which training zone 158 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)158 bpm isTraining zone
20200 bpm79%Zone 3 · Moderate
30190 bpm83%Zone 4 · Hard
40180 bpm88%Zone 4 · Hard
50170 bpm93%Zone 5 · Maximum
60160 bpm99%Zone 5 · Maximum
70150 bpm105%above estimated max

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 158 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.