Heart rate 118 beats per minute is not normal, beyond the normal range of values, may be caused by normal physiological factors, may also be caused by pathological factors. 1. Physiological factors: the normal resting heart rate is between 60 and 100 beats per minute, and a heart rate of 118 beats per minute is on the high side, which may occur after a strenuous workout, and large emotional fluctuations may also cause the heart rate to rise, and return to normal after a period of calm. 2. Pathological factors: heart disease may also lead to increased heart rate, palpitations, dyspnea and other symptoms. Patients with hyperthyroidism may also have a high heart rate and are prone to symptoms such as irritability, fatigue and agitation. If the heart rate stays around 118 beats per minute for a long time, you should go to the hospital in time for examination to find out the cause of the disease and actively cooperate with the doctor for treatment, do not be negligent so as not to delay or aggravate the condition.