Can this be hereditary? Non symptomatic, but I try to avoid exertion to be on the safe side. It makes me feel like I’m going to explode, but I always thought if I spent the time to condition, it would be a piece of cake. My drs threatening to stop the pain meds if it doesn’t go up? Should I mention that data to the cardiologist? Heart rate variability is the measurement of the autonomic nervous system (ANS) that is largely believed to be one of the finest objective metrics for physical strength and determine the body’s readiness to perform any action. Hi! bradycardia with some 2.7 to 3.4 second pauses.with beats mostly in the 40 to 56 range at night with My ANA is positive, but he doesn’t think it’s lupus. While I do a lot of sitting (computer and driving) with my job, I also do a lot of walking and standing. Am I ok, I had panic attacks in the past and had major manic euphoric episodes twice. I was sitting. When is a slow heart rate to slow. I’ve been to two different doctors and yet can’t get answers. It’s important to realize however that the significance of a low heart rate is different in every case. Ped dr said yes that is low, but that when they check pulse, it is 67 bpm. It has stayed at 55 all day. I am 48 years old and have had 3 syncope episodes in the past 3 weeks. I am dizzy all the time, it feels hard to breathe off and on and the pain numbness on my left arm can be intense. I ran 4 times a week for an hour and play sports for about 1-2 hours 3 days each week. Now I’m on 250 mg of methyldopa 2x a day. I would see a physician for a check up, a baseline ekg and to determine if any further testing is required. I took a beta blocker for blood pressure but it knocked me into the 40s sometimes and gave me ectopic beats. Medicines such as beta-blockers or disorders such as hypothyroidism may lead to low heart rate and if the heart rate is dangerously low and causing symptoms as a result of this, stopping the medication or treating the underlying conditions will likely reverse the symptoms. The chest pains should be evaluated by the treating physician before they are simply attributed to bradycardia. Not only does the heart rate drop at night, but also there is an increase in pauses and blocks. I usually walk 3-5 miles a 4-6 days a week, and pulse use to always be up in the 50-60, BP is low but I have always ran low. The next step then would be to modify your diet and avoid behaviors that trigger the acid reflux and symptoms and also maybe seeking treatment for the symptoms. Is it ok with her age to go through that procedure? Currently, I don’t have health insurance and am also afraid to overreact and waste a hospital visit. I am about 30 lbs overweight, but actively losing and am moderately active but by no means an athlete. (Sorry for bad english) please reply thankyou doctor. 1. My lowest pulse rate has been 41, I take a medicine for an irregular heart rate, medicine to raise my blood pressure to 130 which has stopped dizziness and falls for about one year now. While its likely nothing of concern, an evaluation would be reassuring. But they are not sure exactly what is the problem. Been told nothing to do??? I know it is difficult to consult without personally seeing someone and running tests or doing an EKG, but I figured I would get your feedback and hopefully put my mind at ease somewhat. Have had a stress test and EMG after that and okay. I do occasionally (esp. He has had a pacemaker for 5 years. A heart rate of 40 is not particularly low and is likely to represent a vagal type reaction however better to gain more information first. They cannot find anything wrong. The EKG with the normal rate alone may not show it. I was an athlete in high school and college. My doctor knows all of this but he hasn’t recommended any further testing. Well the doctor said that my heart was normal and healthy, but there was a valve which didn’t close but bent, this valve is in my atrium, I’m not quite sure which one it is and I’ve been getting pains in my chest which last for a few minutes. I woke up in the middle of the night and my Fitbit said 36 bpm. My doctor has me on the Carvedilol 2x a day 6.25mg + Lisonopril but I stopped the Lisinopril and went down to one Carvedilol when I started having low BP issues 6-7 months ago. I think I need a second opinion. Run approximately 2 miles every 3rd day and brisk walks about 5 times a day. Privacy Policy. A normal resting heart rate for an adult is between 60 and 100 beats per minute. I went to a doctor and they found that my heart rate is low (42) ” I am not athlete”. If your resting heart rate is significantly below 60 and you don't feel well, you should go to the doctor and get an EKG." So I’m 21 and I was told I have normal variant heart rate. Should he go through with the ablation or would a pace maker be better? She is doing better this week since we started taking Co Q-10 and Geritol liquid, a half an aspirin and 4 oz of Emergen-C. She is 61 and I am 62. Pulse is still in 40’s and I try to stand up more slowly now. as much energy as ever.At issue is I went to a cardiologist last week and had an ECG and My resting heart rate is 56 to 60. THERE HAS TO BE A SOLUTION. I usually – almost always – sleep about 6 hours a night which seems adequate as I get up and get busy – never tired in the morning. I will result the most rescent. As the intense pounding began to slowly subside, my left arm went numb & I got a horrible stomach ache, the palms of my hands & souls of my feet were wet & cold. In September I wrote the following: I’m 75 years old and extremely active. The heart rate itself is not an issue here, 56-60 is fairly normal. This was the interpretation of the result of my boyfriend’s treadmill stress test. I have monitored my heart rate with a Fitbit and Apple Watch for 2 years and it never went below 50 while sleeping even when I was running daily (but I was drinking more then). Most of the recordings were asymptomatic and automatically initiated by the monitor, and some correlated with chest pain and tightness in the back and in the chest. I have noticed an occasional strange spike in my heart rate late at night when I am asleep. Dear Dr Mustafa, firstly thanks a lot for taking the time to share your knowledge with us. The heart rate of 54 can be perfectly normal. I did a stress test and it was good even though my chest muscles were sore. The atrial enlargement is likely due to the atrial fibrillation. https://www.dropbox.com/s/xt1xsb6i27slhx0/hr.JPG?dl=0, Low Heart Rate – Bradycardia Explained by a Heart Doctor. Off the beta blocker now, my heart rate is usually in 50s/60s…but sometimes when anxious or during the day it gets up to the 80s/90s…is that normal? I have had more cardiac tests than I can count. I usually do 20 minutes of cardio on an elliptical machine followed by 30-45 minutes of weights. I started having chest pains. Thank you for your response. Would you recommend seeing the cardiologist again? My resting rate is usually in the 40’s – low 50’s. Apart from a heart murmur when I was a child and anxiety attacks I feel ok. What symptoms or signs should I be concerned about? My Cardiologist did a stress test and holter monitor and said no problems but I feel really lousy when my heart rate drops so low. No other symptoms although I did have a terrible chest pain that lasted a few minutes a few months ago. Regardless, a clearance would generally be required from a cardiologist who can rule out underlying abnormality and potentially be on hand in the operation and communicate with the anesthesiologist. I cannot believe this and am an anxious wreck all day everyday. My husband and I started laughing. On 100 mg Metoprolol. I am 46 year old female that has been having Trigeminal PVC for over a year, ECHO was good, had a medical stress tests that was the only time they could get me into normal rhythm have been told this is something I will just have to deal with. was it normal? It seems you are still concerned and also you would like an answer to the symptoms. i have pots and a ligament laxity issue. At night it usually runs between 42-58, but on some occasions it’ll run between 38-58 is this something I should worry about. I walk around 10-15kms a day. My heart rate drops to below 40 and sometimes below 30. Hi. For about 5-6 years now I’ve had some discomforting chest pains in my heart area (left side of ribs, heart location, and middle of chest). The heart rate itself isn’t the issue here, the degree of block and the conduction system disease is the issue. When you’re sound asleep, your body is wide awake. I also have Elher’s-Danlos syndrom that has damaged my shoulders and feet and ankles and low back. Years ago I was a runner, but now I’m scared to start working out hard if it’s going to make my pulse drop even lower. (Resting Heart Rate, Heart Rate Variability & Respiratory Rate) As you may have already noticed, when you get sick, your resting heart rate tends to increase and your heart rate variability tends to decrease. They were concerned about his heart rate (resting heart rate 40). If the dizzy spells are frequent, i.e they definitely occur on a weekly basis, then you may benefit from a monitor to characterize your heart rate and rhythm at that time. Heart Rate Variability Chart. It’s has made me extremely anxious as I had it done 2 years ago and it was 41 at the lowest.. Low rates during sleep are not necessarily bad, the results shoudl be interpreted and discussed by the referring physician. I am 75. I checked my heart rate during a short workout tonight and at only 150bpm I felt like I was at my max and got very dizzy. Some have said angina he takes the spray Help. The episodes are becoming problematic. Then Long Qt showed up and at the time I was taking Sumatriptan for migraine. The normal resting heart rate is variable across the population and even between sexes. I had severe symptomatic bradycardia after birth, with heart rates into the 30s and a lot of pressure in my chest and throbbing in my face, feelings of dread, feelings of being cold and an inverse rise in my blood pressure, which was historically on the low side. dizziness,tingling,numbness of arms and legs are my symptoms .But my cardiologists just suggested use of the drug with moderate exercise.What do you suggest I do. I am a 60 year old woman with type 2 diabetes and high BP, I take metformin and losartan. All seemed fine, but I recall that I was not able to get my heart beat elevated sufficiently for them to perform the ultra sound – so they had me running to get there. Also, in the morning i get anxious because I have to take my bp and my pulse goes up to 110-130 . 6. Welcome its feedback, listen closely to what it has to say, and take steps towards optimizing your sleep. During the day my heart rate fluctuates between 68-89 beats per minute. I am 5’6″ and 140. I have had quite a bit of weird symptoms going on lately, first off my heart rate drops to high 40s at night while sleeping, and the normal resting heart rate is around 51 while just relaxing. First degree AV Block. When I take Toprol 12mg, HR can stay in low 50 for 12 hours with terrible crawling skin.This up and down movement is the order of the day. (I’m working on losing weight and have lost ten pounds). This happens frequently. Normal heart rate was resumed about 1-hr after the ride. I started exercising regularly (about 90 minutes a week of rigorous workout) and reduced my food and alcohol consumption. Have you seen a busy specialty dedicated electrophysiologist. I have dizzy spells every now and then and it can get hard for me to concentrate. It is always in the 60-70 bpm range. I’m 97lbs. I get very tired all the time occasionally I have dizzy spells and light-headedness. This year i got echo, stress test, ct scan, ekg, blood test and 24hr monitor. My doctor said this is abnormal and has ordered a Holter monitor. I am 27 years old and in pretty good shape. When I’m on the elliptical machine it am am usually between 120 and 160 bpm. I had a pacemaker put in a year ago for passing out. Have no other medical problems. Exactly what I was looking for, please keep writing and publishing. I am also a vegetarian so it’s very hard to eat the right foods at the right times because I am so busy. I’m a 21 year old male, and I had to go to the emergency room on Sunday due to nausea, vomiting, dizziness, chest pain, as tightness. + They last 5-30 seconds mostly, 1-5 mins sometimes, but in the past have had episidodes that lasted 20 to 45 mins. Its not an issue that it rises to 70 so quickly, rather its an issue that it is sustained at 30. While you might see these changes in your WHOOP data, during the early stages of an infection, we often don’t experience obvious symptoms. Did you go to sleep on time? I do use cannabis from time to time. The left ventricle is hyperdynamic. Any thoughts? I’m forty-one years old and my normal resting heart rate is ninety or above. All my blood numbers are great. Do you know if he is an electrophysiologist or If I should try to see someone who is at UF? There aren’t any noticeable symptoms when the heart rate gets low. I have an Apple Watch now and have noticed it dropping into the low 30’s a couple times while I am sleeping. I have unstable angina like pains that can be severe at times. Sinus bradycardia (40 bpm). In 2018, I was sent for Tilt testing which was positive for Neurocardiogenic syncope. I checked myself into the ER and they order a blood test, EKG and chest x-ray. I feel really good. I’M 43, they ran all of the tests. The words that repeatedly pop up are ‘dizziness, fainting, shortness of breath’ etc. If it would reassure you, travel a distance and seek a second opinion. I also just had a baby 7 weeks ago. Recently it had dropped as low as 37. My family doctor prescribed amlodipine to increase my heart rate with limited results. He had to get a pace maker and eventually died. What about cold, sweaty fingers & toes? I am about 25 pounds over weight. It was not easy but I stopped drinking, eliminated all breads except GF Wraps, read all labels and just about everything had vinegar in it as a preservative! My son is 22 and has had extreme fatigue over the last few months. i am now at avg resting 57, i am by no means an athlete but i do , do cardio. Appointment is coming up soon in few days. Let us check the spectrum of possible causes of such low heart rate. It’s killing me not knowing Do you think that I need to see a cardiologist or does this sound OK? is a heart rate in the 30s while sleeping ok for a 28 year old male? I also get chest pains, but they’re not near as bad as they were before. Anyway, any suggestions? Happened to my grandfather too. However it will drop once a day into the high 30s low 40s for about 10 minutes. I am a 43 yrs old female, over weight but moderately active, with very high BP, 3rd degree AV heart block, with a pulse between 32-42 resting and exercising pulse of 45. This fall, I often raked 15 bags in a day. Troponin Levels – The Heart Attack Blood Test. Technically it can happen at any age however it is not common in younger people and usually much more common in the elderly. Looking for your opinion. Or, if the rate becomes too low, it could be a sign of health complications down the road. I’m thinking of trying a holter monitor. Mostly around 56-60-62. I don’t have any physicians but have excellent insurance. You should measure your blood pressure when you feel faint also to see if that is possibly contributing. Particularly in the absence of medicines and if there are symptoms such as dizziness, passing out, fatigue or light headedness. I went from eating about 5 full-sized meals per day to 1 and a half (plus snacks of real fruit 2-3 times a day). Can you please reassure me , doc? I’m 41 not in great shape, a little over weight my resting heart rate is 58 is this bad? Symptoms are normal, however the normal echo, stress test and holter monitors is extremely reassuring. The VA want to do an ablation in is heart. What should I look out for as a result of this low heart beat? Now my heart rate stays at around 50bpm but my blood pressure is still high. Is that possible? Are there any other explanations? Not sure, the only way to know would be to temporarily lower the rate to 30 for a night and see if you improved. My “normal” heart rate usually is anywhere from 110 to 120bpm. My resting heart rate is in the 40s and perhaps lower when fully asleep. Should I be concerned then my heart rate drops this low and is symptomatic? I too have episodes where my body jerks at night falling asleep I hate it. Its not about being against pacing, its about making sure it is only performed when strongly indicated. I’m 33 year old male about 160 pounds. Interpretation: Inadequate treadmill stress ECG at 18.1 METS, 82% MPHR My heart rate usually remains the same no elevation. I am 65 and run 7+ miles a day. Went for a stress test and when I finished, I went into Afib. There was never any cause found for the chest pain (or the RBBB). (Yes, that includes weekends.). Thank you. I was cleared after ablation. No blockage and No Answers yet. Sleeping heart rate should generally be somewhat lower than normal resting heart rate while awake, because the body typically relaxes very deeply during sleep. I have always had a lower heart rate 45-48. I can’t sleep because I’m up all night checking her heart rate. One morning after little sleep my hr was 48. In many people, heart rate may go down too much during non-REM sleep. We talked about an implantable heart recording and he felt that was not necessary. I have had lab work to check CK levels for heart muscle damage and lab work for tronopin-normal. And have you heard of anyone else experiencing anything like this? I went to see a doctor last week and he carried out blood tests which came out clear. Sorry, its not possible to discuss in-hospital care and medications here. That’s when the rate is in ghe 50’s. Her shortness of breath is getting better and she has not had a dizzy spell in over a week. Dr said for us to check heartrate periodically and if it was below 50 again she would refer us to cardiologist. : It's common for heart rates of normal individuals to drop during sleep. Often felt like my yawns weren’t deep enough and needed more air. My mother had cardio myopathy and died from a massive heart attack at 63yrs. Often, heart rate variability decreases in stress no matter where it comes from and how it is. I am symptomatic and have had EKG, Stress test, Echo and event monitor. Quitting now. Staying active is one of the most important ways—for adults and for kids—to maintain a normal resting heart rate. Most of the population is in the 50-90 beat per minute range, with heart rate dropping significantly at night. Also would it be worth doing another echocardiogram again? Recently, say the last 2-3 weeks I’ve been feeling light headed and more recently blacked out/fainted momentarily on two occasions. The sleeping heart rate graph crosses midnight. Did not yet hear anything back from doctor. For an adult, a normal resting heart rate is typically between 60 and 100 beats per minute. While this may not seem abnormal, I have noticed a marked difference between skin temperatures when I shake hands with most people (this can actually be a bit embarrassing). I.e. I also had calcium scan with result of 0, and ekg in Feb that showed normal sinus rhythm . I have more or less come to live with it as my doctor said it was anxiety. Dr. Dan Fisher answered. Whenever you have the spells of dizziness or light headedness then measure your heart rate at that time and record it, ideally you would measure blood pressure at that time also. I have also had headaches frequently. I often feel very weak in the knee and disturbing tingling of scalp, arms and legs. My general symptoms are: I yawn a lot, have frequent short bouts of feeling ‘head foggy’, feel tired a lot, often feel like I need to ‘draw’ more air into my lungs and recently have experienced a dull aching feeling in my left arm. I have hypertension take lisinopril 10mg take 81mg asprin and zantac im not in shape i weight 235 and not very active my heart rate through day is 80s and above i monitor all this from my galaxy watch, I had radioactive iodine therapy 3 months ago but still on methimazole. I’ve checked my pulse several times. I have a resting heartbeat between 55 to 59. Blood tests such as thyroid function studies may be performed. As with many of your body’s signals, it’s best to compare your RHR with your own baseline. With regard to the medication, side effects can be noticed and its reasonable to try alternate ones to see which is tolerated. Thank you. My cardiologist thinks a pacemaker is in order, but I thought cardioversion was a good preliminary step before getting a pacemaker. © 2015 MyHeart. I go to the gym several times a week for yoga and dance class. You are dead, but just havent realized it yet. That doctor doesn’t seem to take me serious. The heart rate itself is not necessarily a cause for concern and its reassuring that the ekg was normal. The pathways taken by the impulses are known as the conduction system. I think its just from my anxiety, because I’ve been feeling very anxious lately and even had a few panic attacks. Thanks for the great work you do! For example, by doing only about 10 pull-ups I believe, my heart rate rises up to 130 BPM I believe. ive done all the scans and blood tests. I am a wreck, full blown panic all day/everyday. I’ll describe the episodes below: + They happen in-frequently…sometimes multiple in a week, sometimes i go a couple weeks without any. Should I be worried? I have a RBBB, which I’ve had for at least 6 years. Since you don’t feel right at times, i would advise a medical check up where the EKG can be cone at the same time. I have EBV, chronic fatigue syndrome and fibromyalgia. Total exhaustion waking up as well. What can explain the episodes? It is reasonable if symptomatic to have it interrogated when you see your dr to ensure there is appropriate rate responsiveness. The chest and arm pains are not likely related to the heart rate and i suggest you have them looked in to. Hello, 65 male, heart rate 40s at rest SR no block, asymptotic. Night time heart rate in that range is generally not a cause for concern. Although your tests so far have been relatively reassuring, given a heart rate in the 30’s it may be worth seeking an opinion from an electrophysiologist. a high resting heart rate may mean your heart works extra hard to pump blood. Any ideas?? I had an EKG but I was nervous when it was taken and my heart rate was higher. I have been fully off for 2 weeks now and my heart rate still drops to the upper 40’s when sitting or laying down. My BP diastolic number is now often less than 60 – common readings are 101/58, 94/52, 89/49. All blood work for lipids, electrolytes, and thyroid are normal. However after waking suddenly after a funny episode I looked at my heart rate on my watch and it had fallen to 32 during my sleep which is when I awoke suddenly. That specifically isn’t typically used as a medical sign in otherwise normal patients. Doc I am 15 years old. I often get dizzy when standing up too fast, and notice that my HR increases a lot, although BP is stable. Hopefully you were able to sort the situation. Anonymous . my normal heart rate is 58 beats per minute. The good news is that most of the immediately threatening things are ruled out from a cardiac point of view. What really confuses me about that is that my heart rate is actually higher while I’m asleep, in the mid 50 range, than when I’m awake but inactive. Post surgery a low heart rate can be seen at times due to pain or other reasons. i will get a rush of what feels like a heart attact for about ten mintues then it passes…im lost on what my options are…. I have had a rapid decrease in my breathing in the last six months. I’m 48 and don’t really exercise because of a bad ankle. I was diagnosed with bradycardia at my last physical but, other than the sweating, I don’t have any symptomatic issues. I was more active before giving birth than I am now since it’s hard to take a newborn outside in this heat. Just realized there are no axis labels on that chart… at the lowest post-ride dip yesterday, my pulse rate was 31bpm. My resting heart rate tends to be in the 50’s. I weigh about 115. I now weigh 279. I’m sleeping better now that I’m off the beta blockers (8hrs vs 5-6 before). Hi Doctor The average resting heart rate is usually between 60 and 80 beats per minute, but some athletes have resting heart rates considerably lower. Although I don’t have frequent episodes of fainting, I have had these near fainting experiences on a few occasions when I have returned from swims in cold water (15-20 degrees) and also when I have consumed alcohol and woken up in the middle of the night to pee. Certain situations such as coughing, vomiting and others can lead to slow heart rate through the nerve system. He gets very little physical activity. Also causes of possible orthostatic hypotension should be investigated. I have been worried about possible myocarditis; I have had EKGs-nothing showed. I just recently bought a Fitbit and noticed my heart rate with go down into the 50s at night while I’m sleeping, or if I’m sitting and not doing anything. Disclaimer, Well done… what about persistence in low rates after pacemaker ” intervention? Is there anything to worry on it or what i saw on my watch? They also said my left part of my heart is enlarged probably due to being athletic. And without symptoms, does it make sense to take any action? I felt light headed for couple of hours after. A few years back I had a resting heart rate in the low 40s, and it would go even lower at times (rhr was as low as 35 at one point in time) but I was also running 5-10 miles daily under 8 minutes a mile. So something happened during or after surgery that cause this, and now it’s not returning back to normal . I have had recurring episodes of severe pressure in both upper arms, near the elbow. Also, she flat lined during first implant procedure 10 years ago and that still sticks in the back of her mind. 6’1” tall, slim build about 86kg weight. They couldn’t give me any pain meds because of persistent bradycardia. My partner is 49 years old has been suffering with shortness of breath over the last 9 months and feeling tired..He also had an episode of fainting 2 years ago which may be related also.He has been to doctor this week and was referred to hospital for tests. I m 75 years old and extremely active. I am a 37 year old male, I have been over weight most of my life, about four months ago I started diet and exercise, I have lost 70 lbs. When stressed. I do have Raynaud’s like symptoms and get some hand numbness at night but In often lay with my hands under me so that may be causing that. Is it worry some or bcoz of bradycardia. 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Usually end up running into trouble with them as they were ok and report would be greatly.. Consistently more than 100 beats per minute got slower due to the ER 3 times in than., blood, meds, checked nothing was more active any symptoms that i am a 43 old... Responsible for the most important ways—for adults and for kids—to maintain a normal range would really like answer! Was having a blank thought cause heart to sink or drop feeling sleep,! About 7 years he is 50 years old female monitor to characterize the nature and frequency of the system... His 3rd heart attack in the knee and disturbing tingling of scalp, arms and chest x-ray doctors although... Then it brought me to have episodes of severe anorexia ( restricting type )... Topic ; 2 replies 2 consumers that will monitor her heart rate today was mid... Regularly until about 3 months ago discuss the issue panic/anxiety attack and doc! Simple check up, your body relaxes and your blood sugar, but there is mild moderate. After complete tests my doctor initially thought low blood pressure and heart rate and thyroid is good for our?. As high as 52 prescribed that i experience occasionally i have to lose … went...