Heart rate 226 on an adult - what does it mean?

226bpm
Very high

A resting heart rate of 226 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 226 bpm sits on the adult scale

Resting heart rate scale for adults with 226 bpm marked4060100120150normal 60–100226 bpm (off scale)
  • Very low
  • Low (bradycardia)
  • Slightly low
  • Normal
  • Elevated (tachycardia)
  • High
  • Very high

What a resting pulse of 226 means

At rest, a sudden racing heartbeat of 226 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 226 bpm the heart beats about every 0.27 seconds — roughly 325,440 beats a day.

226 bpm during exercise

During exercise a higher pulse is expected. This table shows which training zone 226 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)226 bpm isTraining zone
20200 bpm113%above estimated max
30190 bpm119%above estimated max
40180 bpm126%above estimated max
50170 bpm133%above estimated max
60160 bpm141%above estimated max
70150 bpm151%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 226 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.