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@TooTallTim
Undiagnosed heart arrhythmia sufferer here. Have you ever been to the docs about it? My HR goes bonkers every now and then but especially from being ill (also had viral fatigue that's been running into nearly 2 decades) and also from being tired.
Whilst it's not really stopped me cycling, it's bloody annoying, and docs can't pinpoint the reason why so I've been using alternative methods to control it (heart conditions run in the family)
First, go to docs and make sure you're ok. Second, try holding your breath when your HR skyrockets like that. Concentrate on the beating and you may feel it 'THUMP'... then start returning to normal.