Fast Pulse Rate (Tachycardia): Fast or irregular pulse rate is when the heart beats at more than 100 beats per minute. Coronary artery diseases, heart failure, heart muscle problems, lung diseases, electrolyte imbalances, emotional stress and high blood pressure are some of the common causes for fast pulse rate. It can lead to lightheadedness, fainting, weakness and fluttering in the chest. A high pulse rate can also indicate heart attacks, chronic lung diseases, congenital heart defects or certain heart conditions.