Stop and get medical help
If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise.
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; severe difficulty breathing; someone who faints while exercising; palpitations that don't go away, or come with chest pain, shortness of breath or feeling faint; or a headache that starts suddenly and is extremely painful, especially while lifting or straining, or comes with numbness or weakness, difficulty speaking or loss of vision. The NHS says a bleed on the brain may be more likely when lifting something heavy. Don't drive yourself to A&E.
Sources 33, 23, 34
A fast or irregular heartbeat: call 999 (911 in the US) if
- You have a fast or irregular heartbeat now with chest pain, shortness of breath, sweating, feeling or being sick, fainting, feeling dizzy or falling over, a severe headache, weakness or numbness on one side of your face or body, blurred vision or loss of sight, or confusion or difficulty speaking.
- You have palpitations that don't go away, or palpitations with chest pain, shortness of breath, or feeling faint or fainting (or go to A&E).
- You've been diagnosed with supraventricular tachycardia (SVT) and an episode has lasted longer than usual, or you have a fast heartbeat with shortness of breath, chest pain or feeling faint.
- Someone has fainted while exercising or while lying down, or has fainted and has chest pain or a pounding, fluttering or irregular heartbeat.
Sources 23, 31, 35, 1, 36
Palpitations that have stopped
If you've had palpitations with chest pain, shortness of breath or feeling faint but they've now stopped, ask your GP surgery for an urgent appointment, call 111 or use 111 online. The BHF says to talk to your GP or call 111 if palpitations are frequent or last a long time, or come with chest pain or dizziness.
In the US, contact your doctor or urgent care.
Source 23
See a GP if
- Your heart rate is consistently fast, slow or irregular, especially if you feel faint or dizzy too.
- Your pulse is slow and you feel faint or have fainted, feel very tired or lack energy, or feel dizzy.
- Your heart rate is fast for no obvious reason, or when you're at rest.
- You keep getting a fast heartbeat, or palpitations keep coming back, happen more often or last longer than a few minutes, or you have a heart condition or a family history of heart problems.
- You've fainted.
- Dizziness comes with changes to your pulse, fainting or collapsing.
- You have signs of an overactive thyroid, such as an irregular or unusually fast heart rate.
Sources 2, 13, 23
A fit person's slow pulse
If you're usually fit and healthy and have no symptoms, the BHF says to try not to worry if your heart rate drops below 60. The same number with dizziness, faintness, fainting or unusual tiredness needs a GP. The AHA advises calling the emergency services if your heart rate is suddenly very high or very low for you, especially with symptoms.
Source 13
Atrial fibrillation: see a GP if
- You think you may have symptoms of AF.
- You have heart palpitations that keep happening or are getting worse.
- You've been diagnosed with AF and treatment isn't helping your symptoms.
Source 31
Chest pain that comes and goes
Get help from NHS 111: pain or tightness in your chest, neck, shoulders, jaw or arms that comes and goes, often brought on by exercise, stress, emotion or cold and easing after a few minutes' rest. It can be angina, a sign of a heart problem. If you've been diagnosed with angina, get help from NHS 111 too if it feels worse than before, is happening more often, lasts longer or happens when you're resting.
In the US, contact your doctor or urgent care.
Ask for an urgent GP appointment or call NHS 111
Ask for an urgent GP appointment or get help from NHS 111 for a headache that's triggered or made worse by coughing, sneezing, bending down or exercising. In the US, contact your doctor or urgent care.
During any session
Stop straight away if you feel any pain or become unwell, the NHS says, and contact 111 if your symptoms worry you or don't go away.
A resting rate that stays higher than usual
If your resting rate stays several beats above your usual for a few days with no obvious reason, such as a cold, a late night, alcohol or a hot spell, swap hard sessions for easy ones, and see a GP if it stays raised or comes with the symptoms above (our suggestion).
Sources 9, 2
Check first
Speak to a GP first if you haven't exercised for some time, or if you have a medical condition or concerns. Get advice first, too, if you have a health problem, an injury or symptoms, have recently had a heart attack or an operation, or are pregnant or have recently given birth.
Source 8
A heart condition
If you have a heart condition, follow your cardiac team's advice on how hard to work, and stop for the warning signs above. People with long-term conditions may wish to ask their specialist before starting. With uncontrolled high blood pressure, avoid straining against a held breath; the high blood pressure guide has more.