The standard pulse range for an adult at rest is 60-100 beats per minute. If the patient’s pulse is 132 beats per minute at rest, this must not be normal. If the pulse is so fast, consider whether atrial fibrillation has occurred, or whether the patient has hyperthyroidism, anemia, or heart failure, all of which may trigger an increased pulse or heart rate. In other cases, the pulse may be relatively normal, such as when the patient has just exercised vigorously or has been angry and has a relatively fast pulse of 132 beats per minute. This situation is often not meaningful because a person’s pulse or heart rate will be relatively faster after exercise or when he or she is emotionally excited. There are also some people who have a fast pulse, and it cannot be ruled out that it is caused by inflammatory infections or fever.