Heart rate 280 on an adult - what does it mean?

280bpm
Very high

A heart rate of 280 bpm is above any expected maximum heart rate, even during the hardest exercise. Check the reading first (devices can miscount); if it is real, it needs urgent medical care.

Where 280 bpm sits on the adult scale

Resting heart rate scale for adults with 280 bpm marked4060100120150normal 60–100280 bpm (off scale)Resting heart rate scale for adults with 280 bpm marked4060100120150normal 60–100280 bpm (off scale)
  • Very low
  • Low (bradycardia)
  • Slightly low
  • Normal
  • Elevated (tachycardia)
  • High
  • Very high

What a resting pulse of 280 means

At rest, a sudden racing heartbeat of 280 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: Re-check the reading by hand or with a chest strap. If it is real, 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 280 bpm the heart beats about every 0.21 seconds — roughly 403,200 beats a day.

280 bpm during exercise

This table compares 280 bpm with the common estimate of maximum heart rate (220 minus age). Individual maximums can differ by 10–20 bpm.

280 bpm is above the estimated maximum heart rate at every age in the table. It is above any expected maximum, even during the hardest exercise.

AgeEst. max (220 − age)280 bpm isTraining zone
20200 bpm140% of maxabove estimated max
30190 bpm147% of maxabove estimated max
40180 bpm156% of maxabove estimated max
50170 bpm165% of maxabove estimated max
60160 bpm175% of maxabove estimated max
70150 bpm187% of maxabove 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 280 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.