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@TooTallTim
I'm having tests done at the moment for a possible heart condition (or two, lucky me!) and mine regularly jumps up to 170, then beats very irregularly. I've learnt to deal with it, but trust me, if your heart is doing 220+ you will fucking know about it.
I was in the resus at hospital once and a guy walked in, cool as a cucumber, got hooked up to a monitor, claimed he felt "a bit lightheaded" but would be alright in a minute. The panic on the nurses faces when they looked at the BPM reading of 200 was pretty amazing. Turns out the dude was having a heart attack, but had walked to the hospital and said he'd felt like this a couple of times before! If ever there was a reason of when you should stop complaining and HTFU, this man was it.