Heart rate 198 on an adult - what does it mean?

198bpm
Very high

A resting heart rate of 198 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 198 bpm sits on the adult scale

Resting heart rate scale for adults with 198 bpm marked4060100120150normal 60–100198 bpmResting heart rate scale for adults with 198 bpm marked4060100120150normal 60–100198 bpm
  • Very low
  • Low (bradycardia)
  • Slightly low
  • Normal
  • Elevated (tachycardia)
  • High
  • Very high

What a resting pulse of 198 means

At rest, a sudden racing heartbeat of 198 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 198 bpm the heart beats about every 0.30 seconds — roughly 285,120 beats a day.

198 bpm during exercise

During exercise a higher pulse is expected. This table shows which training zone 198 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)198 bpm isTraining zone
20200 bpm99% of maxZone 5 · Maximum
30190 bpm104% of maxabove estimated max
40180 bpm110% of maxabove estimated max
50170 bpm116% of maxabove estimated max
60160 bpm124% of maxabove estimated max
70150 bpm132% of maxabove estimated max

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

For a reliable resting value, sit quietly for five minutes first and average a few mornings: Resting Heart Rate: What It Says About Your Health. You can also measure by tapping along on the start page.

Check another reading

Measured on

Nearby values

Measured on a child instead? See heart rate 198 in a child.

Sources: American Heart Association: All About Heart Rate · MedlinePlus: Pulse · ACSM position stand on exercise intensity (2011)

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.