Slow Pulse | Bradycardia - How Low is Too Low for our Heart Rate?

[@ΘεοδοσηςΧαραλαμπος]

If you feel fine then a low heartbeat rate simply means a high flow capacity at each beat that satisfies the body's requirements. So nothing to worry about, be thankful!

[@thegearboxman]

In most cases yes, but not always. If you have a tendency to go light headed when you get up from a sitting position then it can be a sign of a problem.

[@akirby2886]

@@thegearboxman what problems can that be?

[@robertfitzpatrick646]

When I was 56 my heart started slowing to the point I was getting lightheaded. I was admitted to hospital where I underwent seven days of testing. No problems were found with my heart or arteries except the slow rate. At one point while resting it hit 22 bpm. My usual resting heart rate has always been around 50 bpm. I was told I needed a pacemaker. I refused that option as they could not find any issue with the electrical system in my heart apart from it slowing down. They ran more tests, on one CT scan for my aorta they found a tumour in my bladder. As it turned out I had bladder cancer. Luckily it was at stage 1. I was booked for an operation to remove the tumour. After the tumour was removed my heart rate went back to my normal. Slow by average but no longer dropping to extreme levels. The doctors couldn’t explain the connection between my slow heart rate episode and the cancer. In this case the slow heart rate probably saved my life, the cancer was caught before any symptoms appeared thanks to the testing for my heart. I have been cancer free for ten years now and my heart is just fine. Thank you for your very informative video on bradycardia.

[@venicebeachsurfer]

They admitted you to the hospital just with lightheadedness? When they took you in for 7 days, what was your BPM at that time?

[@robertfitzpatrick646]

It was awhile ago but I think it was around 36 bpm

[@ArtNew-bi2ts]

Check out the Heartfit clinic. Great program easy.

[@chandanritvik1]

Don't joke. the world record is 27 BPM

[@robertfitzpatrick646]

@@chandanritvik1 no idea about records. I was asked by a doctor how was I not passed out as my heart rate was 22 bpm. Can only tell you what I was told.

[@LanceWinslow]

58 year old - athletic type - trail runner. I sleep at 40-44 on an average night. Run my heart rate up to 185 on occasion running up hills on a trail run. So, there is a huge variation amongst humans. Superstar athletes can have super low HR for sleeping - Tour de France riders often as low as 28-35, which is incredible.

[@ketgremlin8776]

I’ve heard those rote cyclists often have to wake up in the middle of the night and get their heart rate up manually

[@carmenchaux67]

Thank dr Leif Goodwin ! Great content needed for the patients and relatives to deal with heart problems. .

[@misterbaleize]

Very reassuring - the Garmin that I wear during the night "tells me" that my resting heart rate is 42/43 beats per minute. I have none of the symptoms that you describe and so, like I say, reassuring - thank you.

[@tabonyimec2498]

Sleeping heart rate is not resting heart rate

[@MsVivian99]

Very helpful video! I was always wondering how all this worked and you have taken time to walk us through it all. Much appreciated. Thankyou!

[@paddlesmcbean2366]

When I was super fit in my 20s my heart rate was at around 34. I’m now in my 60s and it is around 45. I’m not fit now but am active. Mums heart rate was always slow and she is now 85 and in pretty good nick. I think it is a combination of an extremely active first 50 years and genetics.😊

[@sapperstang]

I am 46 and have always had a slow heart rate. These days my resting is about 40 and sometimes around 37 when sleeping. I’ve had tests for other reasons including a two week holter. I do occasionally get a little light headed upon standing but not sure if it’s related. Doctor has no problem with my heart rate. I have no problems exercising and my heart rate responds normally.

[@Bookhermit]

My normal relaxed heart rate is about 50. My dad's tends to be the same or slightly lower. When he went in for knee replacement, they had to turn off the heart rate alarm, because his sedated rate was lower than the machine's lowest alarm setting. He's perfectly healthy now, at 81, and is playing soccer on his replaced knees.

[@ElSantoLuchador]

I worked in healthcare for 25 years and the alarm can be lowered to any number (I'm assuming it was an oximeter). It's not a brilliant idea just to turn it off. Never would have flown where I worked. There are alarms for a reason. Turn it off and they won't even know if you flat line. An HR of 50 is common in healthcare. Mostly due to people on beta blockers, which is quite a few.

[@nvan78]

My resting HR was in the high 30s' to low 40's back in my club running days in university. Still in the mid to high 50's at age 68. Still maintain a form of endurance training to this day, although this mostly consists of easy running, longer walks and some basketball on the outdoor courts.

[@raystaar]

I'm 77. My resting HR is 40. I'm fine, and have been for decades.

[@DaveBoothroyd-ej5in]

Excellently presented concise information and explanation. Many thanks.

[@robertmcmahon1221]

Very informative; just what i needed to know.

[@StillAliveAndKicking_]

I am 60 with a resting heart rate of about 35 BPM. I skate and play ice hockey and before that ran 10 km cross country several times a week for decades. Apparently my heart is fine according to my doctor. I wore a heart monitor for 24 hours to check. I am just fit.

[@jbhorner]

Curious - Do you have symptoms? I have RHR of 37, and will get light headed if I get up too quickly. A couple of years younger than you. I cycle and run.

[@StillAliveAndKicking_]

@@jbhorner I also get light headed when I get up quickly, it’s common, I think we are just healthy.

[@TesterAnimal1]

Same. Been an elite level cyclist for years. RHR in the 30s. I do get lightheaded if I stand up too fast. I just get up slowly.

[@hammerridecycling7630]

​@@jbhornersame here im a cyclist/run biking 200 miles and 12k elev in one day.i noticed when i lose lots of weights thats were it start my lighthead and sometimes blackout when i get up too quick

[@skg8268]

During my 20s to 50s my resting heart rate was 34 to 36 bpm. It caused me no problem. I ran, cycled and walked every day. When at my doctors while they remarked how low my bpm was they were totally unconcerned as blood pressure was normal 115/65, weight normal for my height 5' 11" 170lbs. Now I'm 65 don't really work out anymore but and a bit more weight but still have resting bpm of 56. Doctors think I'm healthy and fit by comparison to others.

[@goforitrazz]

68 years,no athlete,50 bpm when sitting for a while,goes up after I eat,goes to 38 at night,been down to 32 according to my watch.

[@dennycannon8410]

And you trust your watch??!!

[@garylibby4227]

My heart rate is in the lower 50tys when my doctor had me on Bata blockers it was in the lower 40tys with a lot of dizziness I'm glad the doctor stopped them

[@poodles188]

Thanks for another excellent video. After my cardioversion last year I have a RHR of 36-40 overnight and around 43 daytime but it goes up and day as I move about and I have no symptoms. Your information made me feel at ease, thanks again

[@jaredschroeder9396]

I had a cardioversion two weeks ago and my heart rate is identical to the values you listed

[@shooter5028]

⁠ mine is the same but I am 64.

[@poodles188]

@@shooter5028 I am 72

[@ADRAPER1303]

I would say zero is too low.

[@tominnc315]

A cardioversion should have zero effect on HR afterwards. They may have you on a beta blkr? Metropolol or propananol or carvedilol

[@PhilippeBrent]

32 to 35 bpm on average for my resting heart rate. Seen it go to 28 before. I'm 32 years old, been doing physical jobs my whole life and now work for myself doing renovations. I enjoy running 2-3 times a week, weight lifting since high school, naturally muscular, low body fat year round without trying. My father was the same with low reting heart rate. He's now 78 and still has a low resting below 40bpm although he did have a couple stints put in his arteries due to high blockage about 15 years ago now. I recently did a sleep study and found out I have sleep apnea of 36 AHI which is considered severe. Definitely worth looking into it for anyone with low resting heart rate as there seems to be some correlations.

[@Ansonidak]

My heart rate was 30-40 for about 2 years without any symptoms. Then is started going below 30 and I started getting symptoms. That's when the cardio guy said its time for a pacemaker. It was never during exercise that I experienced symptoms it was always in the evening when I wasn't doing anything.

[@markscott4265]

Very well explained in fairly simple terms, i've had a pacemaker for around six months now and still getting the odd 38bpm at night, so you do wonder about the "settings" on these things !🤔

[@roadrunner3563]

My resting HR is around 44. I've woken up and measured as low as 39, but that's very rare. I have always had a problem with brown outs on standing up, but I've been able to vastly improve that by taking vitamin D regularly (1000IU).

[@kt1696]

I'm a 75 year old female my resting heart rate is regularly between 44 to 53. I take a brisk uphill two and half mile walk 6 to 7 days a week. I'm on the go all day till around 6pm with day to day chores, including gardening, shopping, housework ect. My BP through the day varies as in a circadian rhythm. I feel fine. however I do have attacks of svt from time to time, but have researched and now make sure my electrolytes are balanced and take magnesium Taurate which has made a huge improvement. I have been able to stop an attack of svt with the valsalver manoeuvres. I will not take pharma drugs, don't trust doctors anymore. Look after your health with nourishing food and excersize and be informed of self help methods. Online doctors are a great source of information. My BMI is 22.3.

[@toohip42]

Just to say, I'm 79 with heartbeat around 36 at rest... pleased to say swimming, cycling, walking etc no problem.

[@daleg4299]

Thank you for this comment! I am 67. Had a resting HR of 40 bpm in my 20's along with 60/40 BP. Went "normal" during my 30's to 60's. Now back at 38 with no symptoms.

[@joeordinary209]

I trained for marathons a bit younger, and when implemented hard interwall training, the resting hart rate went down. The stroke increase with hard training. It was easily under 40 bpm during rest or only sitting, and my whole body slightly moved in the rhythm of the hart beats :) Those were the days...

[@falconhawker]

Welcome: I too was a marathon runner never could attain a heart rate higher than 130 bpm ; in the mornng 45 bpm Yes those WERE the days ...

[@cinto_denai_indak_baharago]

Ditto about marathon training, but for me, it's been nearly 20 years. And at one point, I had (likely unreasonable) Olympic aspirations. My resting heart rate was routinely in the 32-40 range. On more than one occasion, I recorded 24 bpm, for two minutes straight, just to be sure it was not a fluke. At lactate threshold pace, I could maintain 185-190 bpm for several minutes, even into my 40's. Now in my 60's, and nearly 100 lbs. heavier, and with not a spare minute for intentional, recreational exercise, my resting heart rate never drops below 56, and is typically in the 68-74 range. Those were indeed the days - feeling exhilaration, strong, powerful, almost invincible, those days before ...

[@KristinaMarie463]

I’m 60 and I don’t quite understand bradycardia I’ve was told years ago I had this but never treated I don’t understand the difference in the heart rate vs. blood pressure. My bp is usually very low and when it is low my body is letting me know it’s low. I feel absolutely horrible like I am going to pass out any moment. I usually try to lay down until it passes. However, more often then not these symptoms return as soon as I stand up and start moving around again. I don’t know why this occurs and the only thing medical professionals say about it is “ don’t get behind the wheel and drive” whenever you feel that way! My father had CHF and terrible afib he had several strokes and heart related issues prior to his death in 2021.

[@GlitterCity]

Currently going through this and just turned 35. My heart rate has been as low as 20bpm. Entirely exhausted and cannot stay awake for the life of me.

[@carmenchaux67]

Thank Prof. Peter Barlis By heart matters . ! Great content ! needed for the patients and relatives to deal with heart problems. . This comment was intended for you only . Your name went so fast, thad I had to come back to beginning to find it.

[@thegearboxman]

Me, 57 year old, RHR: 41 (on occasion as low as 35 overnight), 16 year old son, resting HR: 47. We're both trained athletes, but it raises eyebrows if we ever have to go see the quack LOL. All that bothers us is that we can still hit max HR, 175 for me and 205 for the lad. Incidentally my dad (now 95) had a pacemaker fitted for bradycardia, but I was never convinced it was necessary because he never had any symptoms and he was also quite athletic as a younger man. I guess genetics has a big part to play on HR as it does on athletic ability.

[@texasflood1295]

Wow, accurate information on the internet. Remarkable!

[@janedubourg4837]

Life changed after pacer operation.Minimum heart rate now 60 bpm. Properly oxygenated during sleep now. Use to wake up feeling I could sleep for another 8 hours. 62 years old ex rower who thought I knew better.

[@venicebeachsurfer]

Is that sleeping, or just relaxing, sitting up?

[@imkaneforever]

I wonder if that's part of my reason for always being tired and rarely feeling well rested.

[@dontaylor4230]

Thank you for a clear accurate and reassuring video. Having an ICD where the atrial lead failed within 10 months, my rhr went from 65 to 40bpm the lower rate set by the second icd lead. The health advice was just to take it easy, and it took two weeks to get to feel OK about the situation while the cardiologist tries to figure out what next. Your video was very reassuring that being aware of possible symptoms, life can carry on fairly normally. Thank you.

[@markthompson9764]

Brilliant explanation, been in hospital for six days when I had a heart beat of 34bpm and the going to 130bpm. Did have cryoablation 18 months ago for Afib.looks as if I am going the other way.

[@alexmorgan3435]

My heart rate is typically 42 bpm at rest. I used to feel light headed, fainting when kneeling down or standing up. I changed my diet by eating A LOT more protein and now eat a carnivore diet. No longer experience these symptoms. Have never felt better. I'm pushing 60, but feel like I am 24 years old again. I am pretty active, cycling and running.

[@Rosethatwantstomove]

Thanks for the info

[@DanJammers]

actually I went carnivore twice and it went worse. 12 hours after I added the greens and some fruits again, remaining keto-ish, it went back to my normal. Which is 53 when resting and sleeping at 45 - 46 with some low at 41. But I expected to be better on carnivore, I have a CGM for 5 months now - I change them every 14 days - and I kind of seen a relation between my heart working well (well in my terms) and the glucose level in the blood. Being actively loosing weight and omad and keto now, I might have to re-do the test when I get to my goal and stabilise the thing. Anyway, my point being that as I looked closely, painfuly colsely, to my CGM, my heart monitor on my watch, what is going on during sleep and during treadmill hours, there is a correlation if not causality between food intake and heart rate. I write all this so that is maybe useful to somebody as I have found comments that were speaking to me more than the video itself. Which I am very thankfull for!

[@AveenB]

I’m not an athlete but relatively active. My resting heart rate has always been low, sub 50 for more than 10 years now. I don’t have any of the symptoms unless I’m working through the night or drinking too much.

[@rombohnallavan1861]

The higher you raise your heart rate due to exercise or activity consistently the lower you resting your heart rate will become as heart becomes very efficient in pumping blood and the arteries become efficient in relaxation

[@1eingram]

I had 50 resting and was fit. when it finally got to 29, my doctor ordered a pacemaker. I had always had a right bundle branch block.

[@Truthdosentexist69]

My resting heart rate is generally in the eighties. When I trained years ago it was normally in the sixties. Either or, I feel good.

[@peterhallam2764]

very useful...as always! thanks very much

[@daveoatway6126]

I'm 79. My resting HR is 51-56. I walk 5-10 miles almost every day. No symptoms!

[@kevin-nl7vb]

shut up grandpa

[@FEWGEE1]

​@@kevin-nl7vbwhy don't you.

[@mondocjenson-dy8zd]

​@@kevin-nl7vb L😂L

[@lloydhlavac6807]

During my 25+ years as an amateur bicycle racer, my resting heart rate was regularly in the 40s. Now many years past that, and nowhere near as active, it's in the high 50s up to 70 sometimes.

[@exxzxxe]

I have always had a low pulse rate (many years of running starting at age 4). However, now my blood pressure has also decreased (long story why, but result of efforts to improve health). I have seen 87/56 blood pressure with 46 pulse rate. No symptoms I can detect. I am 84 years old.

[@DineshKumar-bt4sp]

Gd mng sir, my 4 yrs female child also having slow heart beat 40-80. may i get any suggestion..pls

[@exxzxxe]

Hello; my lo heartbeat was caused by my running miles and miles when I was a young boy in West Texas. Is your child athletic?

[@tomektomaszewski1928]

I am 48. My rest heart rate is 32. My max is 192. I run every day for 40-50 minutes. Despite my age I can still run 10k below 38 minutes. After years of trying to figure out why my heart beats so slow I gave up. Probably it is a combination of sport and genetics. One doctor said that I would probably die years ago if this would be some kind of heart disease

[@rjtrisurfer]

😅I was an active triathlete for over 40 years and watched my heart rate slowly get slower and slower, after some runs going as low as 29-30BPM. After a bad bout with hay fever my breathing started to get affected so I went to my cardiologist just to be sure and he put a Halter monitor on me and low and behold my heart was actually stopping for 6-9 seconds at night. He thought it would be a good idea for a pacemaker. The only problem was the lowest they could adjust it for was 50 BPM, annoying at night, my heart felt like it was racing. Three years later it feels ok. My cardiologist said he found some studies have shown this overly low rate more and more prevelant with older atheletes that have been into heavy training for 30 years plus.

[@bh9262]

My heart rate when resting and sleeping is in the 50s and even in the 40s during sleep. I Only had light headedness once recently.

[@asphalthedgehog6580]

I still don't understand why they call bradycardia a 'condition' because many don't have problems with it. It's like calling people who are not obese underweight in my opinion. My heart rate is almost impossible to get above 100BPM, and then it feels like end of life. My sleeping BPM is around 30. In rest and awake mostly between 39 and 47. Cardiologist isn't worried. He even isn't worried with my BP that easily raises to 200/100 (yes even when measured at home) but comes down to 140/72 after 15 minutes. Once we tried Beta blockers, and that appeared to be a very bad idea. When I start running, I'm exhausted after 2 minutes. Heart rate is still under 50, have to wait/walk for it to raise over 70 and then: no problems.

[@RichardDKneller]

I was concerned at 33 bpm, went to hospital where it was 29bpm, transferred to heart hospital and reached the table at 17 bpm with 10 mins to spare as the pacemaker was fitted! Phew!

[@ianwoods1384]

Hello my friend, I just read your message. In 2017, I suffered a couple of fainting do's. The second, I was sawing a piece of wood and fell face down on concrete. I was a mess. My heart rate went down to 25 bpm. I was fitted with a pace maker and never looked back. I'm a postie. I walk 10/12 miles a day and obviously carry weight. At the moment, I have no issues. I'm now 53 years old. Never smoked and drinking isn't part of my life and obviously no drugs. Great respect to our doctors and nurses, they're amazing. Best wishes.

[@RichardDKneller]

@@ianwoods1384 Ian. We almost share the same name and obviously the same dodgy type of heart! I could not agree with you more. Two years ago at Bart's hospital, they saved my life (again) by pumping my heart by hand (two surgeons in rotation) until it restarted after a valve change operation. I have just begun playing (bad) golf again!. PS I was born Richard Wood.

[@ianwoods1384]

@RichardDKneller Hello Richard, Thank you for your reply. My father's father was christened Richard Woods. Quite a coincidence! I'm glad you're well again and doing what you enjoy. Take care, my friend.

[@darphillips2671]

I am so happy you made it.

[@ianwoods1384]

@darphillips2671 Hello, Sir. Thank you for a lovely, thoughtful message. I honestly feel blessed for kind thoughts from people. I'm a big believer in fate, and what will be, will be. Though not religious and nothing against it, Im a big believer in kind thoughts and prayers too. There were people in other towns, lighting candles for me, people I didn't know, though cared for me. It was very humbling. I feel blessed and very lucky. That said, I also politely believe everyone has a time, a time to do what they are meant to, then go somewhere else. I may be right, I may be a million times wrong. That's what I feel in my bones. Thank you, Sir, and thank you for your kind thoughts and for thinking of me. Take care, Ian.

[@sandeewood2948]

He really explains everything very well great video I’m wearing a heart monitor now for the next two weeks my heart beat bouncing all over the place mostly in the thirties I have been light headed and dizzy spells when I was in the doctor office yesterday getting my monitor my beats per minute were down in the thirties and then jumped up to the seventies by the time I got home back in the thirties…looks like I’m a candidate for a pacemaker will see what the monitor shows in two weeks but that’s my guess probably will need a pacemaker…really good doctor in the video.

[@DrewP525]

Hello doctor, I have a resting heart rate in the low 50s, I am 34 years old , sometimes it will dip into the high 40s when I’m very relaxed or sleeping, I’m not an athlete, I stopped drinking over a year ago and started eating better, being more active and exercising at least 2 or 3 times and week. I had an ecg work up done back in Sept and they said it looked fine but I was not completely relaxed at the doctors office. I do not have any symptoms at least I don’t think so, and the only reason I have become aware of this is because I bought an Apple Watch and started wearing it frequently. Note: my heart rate does goes up when I walk and exercise

[@tharraar8276]

Hi I sail in the same boat.

[@jesusalejandro1616]

Same here any updates?

[@JT-wq9gz]

Literally same situation!!

[@trevorpowis3577]

This is a great video 👏. Tks again Prof Peter. Trev Powis 🎉

[@elizaann1888]

Very informative, thank you.

[@misskay2538]

My resting rate is sometimes 55 and sometimes 60. I have heart palpitations at least twice a sweet. They last less than 30 seconds. I don’t have dizziness or fainting. I have an appointment with a cardiologist next week.

[@brucedeo1981]

I have ultra low heart rate. 35-36, in my sleeps (i have used a 24h holter) it goes at 30bpm. No "block" or anything, i have dont multiple ECGs and Triplex and treadmill stress tests all these years. Im 42y.o. male. I am athletic, runner, normal BMI, etc. I have a very mild hypertension, controlled during winter months, with the lowest possible dose of ARB (10mg of olmetec), during the summer months i skip it and my BP stays normal. I can run as hard as i want, not even suspicion of fainting, or lightheadness or anything. However, i'm lazy. I am hesitant to push myself above 130-140bpm (i run with with a chest strap), it just feels very hard, but not due to light-head, not due to cardio-respitory stress. Simply my body doesn't want to do it. For most of the day, i'm ultra lazy concerning physical activity. While in bad physical shape, or in very hot & humid conditions, my HR, reaches a maximum of 168-170. While in good shape, my HR, no matter how hard i push doesn't go above 162-163. I check my thyroid TSH3-4 now and then everything is fine. Though i would share.

[@goforitrazz]

120 ,,I’m maxed out,

[@brucedeo1981]

@@goforitrazz no way !

[@antonymcneillis]

Great explanation. What about a combination of Bradycardia and Central Sleep Apnea which can lead to irregular rhythms?

[@CSGATI]

If you don't get dizzy you are good.

[@justliberty4072]

My brother's resting heart rate is less than 40. He's in his late 50's and has been an exercise machine since his early 20's.

[@lynedionne6215]

What if the heart rate all of a sudden goes slower than it normally is? I’m usually between 60 and 70 but today it went to 50 and I felt tired which is what prompted me to check my pulse.

[@primrose64au]

Thank you for your video. My concern about my rate has greatly reduced. I found your video not omly helpful but extremly interesting.

[@Carma.Carisma]

My RHR is 35-38 at night. Been low for many years without symptoms. Im 49.

[@alansommer]

Mine is 45 sometimes lower, i get scared as hell. Should I?

[@deirdrelewis1454]

I’m 75 years old, sedentary lifestyle all my life and I have sick sinus syndrome. My normal heart rate is around 50…always has been. As this video says, the only concern is whether you have symptoms or not.

[@eileendunkley4373]

Excellent video. I take metoprolol which slows my heart, and lowers my blood pressure.

[@tomrobertson3236]

I've always had a basil pulse of 50 Prove by blood donation paperwork Now 67 my Dr ordered a stress test No problem

[@jimmiller6704]

My heart rate until recently has been 55-60, I figured that was good for me I'm 5'8" 130 pounds. I've had cold feet throughout my life, felt colder than others who have been in the same area with me, are those symptoms of this?

[@KristinaMarie463]

I am a 60 year old female two years ago I was diagnosed having bradycardia and at the time I was not experiencing any strange symptoms. However, in 2023 I started having periodic episodes of dizziness, sweats with nausea and jitters while standing. At this point it’s the first month of 2024 those episodes have definitely increased I have this daily and if I take my bp it reads on the low end and pulse generally is normal I think but I am feeling as if I could faint if I don’t sit or lay down. My doctors are aware of this but are not concerned about it. Is this not an emergency unless I start passing out? I do begin to feel faint and I will sit or lay down but if it does get worse; will I know, I’m about to blackout or not?

[@MatoNupai]

65+ resting heart rate 59 BPM before Covid

[@kevinwilliamson1883]

56yo triathlete with a 40 RHR but I have seen it as low as 33 before. It's genetic as my RHR was in the low 50s when I was 20kg heavier and totally out of shape.

[@BGIFS]

Sir, During the unfortunate covid infection, my heart rate decreased to 40 for 2 days and gradually increased after that. At age 25 now Its around 90 now which is my normal. Sir please guide How dangerous this is after COVID? I have a tendency to gain weight even eating less and weight remains around 100.

[@kumartamil6]

🎯 Key points for quick navigation: 00:23 *⏱️ The normal heart rate range is 60 to 100 beats per minute; anything below 60 bpm is considered bradycardia.* 01:32 *🚩 Bradycardia becomes concerning when it leads to symptoms such as lightheadedness, dizziness, or fainting due to inefficient blood and oxygen circulation.* 04:06 *⚡️ The heart's electrical system, including the sinus node (natural pacemaker) and conduction pathways, ensures proper heart rhythm and contraction.* 07:04 *💊 Certain medications like beta blockers or calcium channel blockers can slow down heart rate and cause bradycardia.* 08:00 *🚶‍♂️ Symptoms of bradycardia may include lightheadedness, fatigue, or inadequate heart rate response during physical activity.* 09:52 *💔 Heart blocks, including first, second, and third-degree blocks, can disrupt the heart's electrical signals and cause bradycardia; severe cases may require pacemaker implantation.* 13:46 *📳 Pacemakers are devices implanted under the skin to regulate heart rhythm and contraction, often used to treat bradycardia when medications are ineffective.* Made with HARPA AI

[@Keyboardje]

Not really what this video is about, but it is something I am still mad about. When I was in school, our sports teacher told us that when we were doing sports and our heart rate went up, that meant something BAD! She, for what reason ever, really thought that, and she made all the students worry about it for years. And although this is many years ago, those four years with her telling me and us this, I still find myself worrying about my heart rate when I'm doing active things, eventhough I now know better, and that it actually is the whole reason for doing sports and so on, to get your heart rate UP. How can a school keep a sports teacher that has these idiotic notions, making hundreds of children too afraid to do anything which raises the heart rate?!

[@cherylyoke4872]

How about a video on concentric remodeling of the left ventricle? My heart rate is 60 bpm.

[@annelisemostert3667]

Good afternoon Dr, my name is Annelise from South Africa. I have a question. I’m 62 years old have high blood pressure. My heart rate is today (56). Did happen seldom. Can you advise me please. Thank you

[@buckrogers2828]

When i was younger, my resting pulse was in the 20's with 90/60 bp didn't go really high either around 187 was max? using polar HR monitor and hr was back under 40 with in an hour after a hard ride on bike. Caused havoc when ever had to go visit GP's/Hospitals like when had op on elbow it never went over 50 whole time in there. and once when had to have a check for the Families bowl cancer thing it kept dropping under 40 bpm.they found i also have a larger heart than normal but said no issues?. Miguel Indurain, Tour de France Winner his resting plus was low 20's and he had a large heart but it does make you prone to chest infections if not kept warm as he always had a long sleeve top handed to him once finished. Claudio Ciapucci had a smaller heart and higher BPM plus he was shorter than Indurain. Heart not only a muscle it's a pump bigger heart slower pulse smaller heart higher pulse for same given amount of effort if on equal amount of fitness. Even now in 60's and have an illness and type 2 my pulse is still around 50.

[@simplysoulenergy7248]

I am 34 resting heart rate of 40. I had terrible symptoms such as fainting, virtigo, shorteness of breath, palpitations. Nowadays I cannot even function I am exhausted and my heart sometimes hurts. I don't get it why my cardiologist doesn't want me to get a pacemaker. I don't only have symptoms when I am active even when I am on a sofa doing nothing. I have hashimoto disease and doctor didn't prescribe medication. I have been told I have atrial flutter which also is weird with bradycardia. I have been put a loop recorder. I just want a doctor to take this feeling away because I just cannot live with these symptoms any longer, it's scary and disheartening

[@JT-wq9gz]

Praying for you!! Maybe you should get the opinion of numerous specialists

[@Fatbum11]

My thyroid causes my low heart beat, I’m on a low dose of medication, and at times it’s still low. Diagnosis depends on reference ranges mine 2011 ft4 12 to 22, 2015 ft9 to 19, and there’s a different range in 2023, there’s also a tsh range but I’m not sure what it is. This disease can be be genetic from either both parents or one, and further down the lineage of families

[@marky5493]

Hey have you got Addisons diease? My mom has that, was thinking I might get it at some stage

[@neshiah4747]

I am 60. I’ve always stayed in shape. I work as a groundsman and am constantly active all day through the working week, and do yoga every other day. Had a 45 resting heart rate for decades.

[@barriewilliams4526]

You've been dead fore decades, you've just not realised it🙃

[@neshiah4747]

@@barriewilliams4526 😂 … I’ve just made a consistent effort to keep my body in good shape.

[@tomrees4812]

@@neshiah4747so have I but I’m 66 and a few years ago needed a cardioversion and I feel I might need another one. Count yourself lucky.

[@etmax1]

I used to have a resting heart rate around 49-53 but since being moved from atenolol to bisoprolol it has slowly increased to 60-65. When it was low I must say I never had dizzy spells etc.

[@_Obi-Wan_Kenobi_]

So why did you use medication against it? What‘s wrong with efficient rest?

[@etmax1]

@@_Obi-Wan_Kenobi_I had a combination of heart attack and quad bypass surgery and because of the damage to my heart the recommended course of action is to us beta blockers to prevent the heart from over exerting itself. Without it I might climb a mountain and when the body demands more oxygen the heart will automatically beat harder via the sympathetic nervous system. As the bypass was done with veins that are not as strong as arteries the excess strain could result in tears and death. Basically don't argue with your cardiologist 🙂

[@MW-xm1rc]

Before I got my pacemaker when I fell asleep my rate would go as low as 37 BPM causing me to wake up out of breath.

[@ketgremlin8776]

I’m sorta active, 10k steps most days and gym with a tiny bit of cardio a week and my resting heart rate has dropped down to 55 and hits 40 when I sleep. I get lightheaded and a falling sensation but when I had my ecg done I was a bit nervous and my heart rate was 70 so obviously the cardiologist didn’t see

[@bh9262]

Happens to me mostly when in bed sleeping or in bed in the mornings. 47, 48, 49. Not the entire night. Sporadically. The light headed, vertigo happened once.

[@admincheong414]

I’m 68 yrs old,had 2 stents implanted,on 2.5mg bisoprolol,50mg losartan, 40gm atvorvastatin,90mg ticagrelor. Recently during evening BP down to 90/50, HR 50-60.headache and dizziness, is it a concern?

[@jp7357]

Excellent presentation. How about a video on left axis deviation please. I’m a 65yo runner, apoB:45 mg/dl/ldlc:35(1mmol/L) run 6mi/day, vo2max:50, “no vessel disease” cac:0 cimt age equivalent :50 … so ncredibly healthy but recently my ecg has shown LAD .. cardiologists says not to worry but it’s pissing me off as it seems to be a sign of old age looming.

[@HeartMatters]

Thank you for sharing! in some cases, scans like echocardiograms are useful to assess presence of heart size and function that may be more accurate than the ECG

[@satjosh5183]

I have resting heart rate is between 52 to 56 and normal rate is around 60. I have no other issues and not taking any medicines. Recently I just passed out and hit the table very hard,without any warning, when I was sitting with my friends after lunch and fully engaged in conversation. I got tested for echo of the heart, carotid arteries, CT scan of brain, holt’s monitor, carotid sensitivity test. W Everything came out normal. Next test my cardiologist advised is tilt table test. Will you be able to shade some light on this matter? I am 70 years old , retired and physically active person. Would you be able to see me? Where is your practice? Thank you.

[@TheQueensWish]

Had you been drinking any alcohol when this happened?

[@joeahopelto8032]

Currently I have a wireless pacemaker that is installed in one of my ventricles. There is no discomfort and this week the battery life was predicted to be longer than 8 years . I am 78 years old, so the pacemaker should outlast me.

[@sk33tv51]

You will probably make it to 92 it you made it to 78

[@open_water2411]

Hopefully not. Stay healthy.

[@lorettacarroll6015]

I was OK until the past year. Then, I started getting symptoms. Mine gets down to 33 and a monitor over 12 days showed I spend 75% below 60. I have had cancer and after chemo found other issues. My chemo apparently does damage veins, arteries, and my heart along with all of the other damage I have to deal with.

[@dansmith540]

I am a fairly fit 59-year-old male and occasionally have dips with slow heart rate of between 32 and 29 this can go on for a couple of days every 2 to 3 months the last time it happened my wife thought I was dead in the chair. She phone the ambulance and they took me to hospital. The cardiologist said I was okay it’s perfectly normal ????

[@jasminejiles1061]

My normal is 41 bpm sometimes it drops to 30 but my cardiologist said I’m totally fine.

[@gohrt9139]

My heart is 35bpm in sleep and between 40 48 in the day resting I am fit athletic calisthenics trainer hospital tested me said its my normal body because of my training since bring 12y

[@unksoldr]

RHR for me is 55-60 bpm, all my life, 67 now.

[@nicholasgriffin1743]

Amazing Video! I'm a new subscriber who was recently diagnosed with Apical Hypertrophic Cardiomyopathy in January. I was wondering if you had any plans for a video on ICDs? I have a consultation soon to talk about getting one implanted. Thank you for your education on Cardiac matters!

[@lvlv1225]

What could of caused this?

[@captainkickoff3565]

Mine the past 4 night have been between 34-37 and I have been very light headed

[@TheJennflip]

80 years old...emphysema and on oximeter.. quite often 40s-30s-and even 20s but no symptoms...whats up with that??

[@jamesarnett4129]

I ran 10 miles a day, 6'2" 185 pounds had waist 28 inch heart rate was 47

[@abualhashim575]

Please make a video on DK - Crushing Technique.

[@RaysDad]

Some very fit athletes have low heart rates. Tennis player Bjorn Borg had a resting rate of 29 beats/minute when he was young.

[@tomrees4812]

I understand how a pacemaker can ensure a minimum regular heart beat of say 60, but what happens when you want to exercise quite hard and normally in those circumstances your heart rate might be 150+?

[@bhmcl4131]

Modern pacemakers respond and raise the rate.

[@tbugher62]

A straight line on the monitor is too low I heard

[@giljusino]

My heart rate dips to 34 bpm when I sleep. This is normal for my family.

[@weety82]

I workout daily for years I gotta two ekg test and I have a low heart rate I’m 42 years old I feel great run over a mile at least 4 times a week and have very intense exercises and eat a lot of fruit in my diet I’m wondering what wrong now I’m scheduled for a echocardiogram

[@DamirUlovec]

Not bragging or anything, just facts: doing easy, moderate and tempo runs about 40 to 70 kilometers (25 to 45 miles) per week. Doing it over last 15+ years and my RHR is about 41 to 45. No problems at all.

[@tomrees4812]

It is interesting to hear your experiences and I don’t want to be a wet blanket but as far as I know I did nothing wrong I.e. good diet, regular exercise (cycling to work every day plus recreational rides once a week), normal weight. Then I noticed I was having to use a lower gear on a small incline on a road I used often, and had done for decades. I just didn’t seem to have any oomph. Also if a ran across a road or walked up stairs I would feel slightly breathless. Basically my heart rate wouldn’t increase to match the effort. After a lot of tests I was given a cardioversion. That was about 4 years ago when I was 61. I felt normal again, although my resting pulse was still only 30. Unfortunately the symptoms appear to have recurred and I am waiting to see a cardiologist- 2 months wait with our cash strapped NHS. Thank you Torys! Meanwhile I will continue to lose fitness that I am unlikely get back.

[@DamirUlovec]

​@@tomrees4812 My HR also tends to be a little "lazy" in terms of initial effort, but not that much. After about 10 minutes of activity the HR increases to where it should be (in my opinion). Note that I start running without a serious warm-up, so this may be the reason for my case. For example, yesterday I had a tempo run. With an initial 15-minute warm-up, HR started at 96 and reached 125 after 10 and a half minutes of jogging. For the next 20 minutes, despite a relatively steady tempo pace for me (4:26/km - 7:08/mi), my HR increased from 132 to 148 within the seconds, and then gradually up to 162. 51 here, soon will be 52...

[@annaclaire9927]

Following sudden complete heart block I was rushed into hospital and immediately fitted with a pacemaker. The only medication I'd been on for 5 years was 2.5 mg felodopine. Was this the cause of my heart block?

[@HeartMatters]

Wishing you the very best! Medicines like felodipine belong to a class of drug called calcium channel blockers. This particular type (e.g. felodipine, amlodipine, lercanidipine) does not lower the heart rate. Others like diltiazem and varapamil do.

[@markmoore1042]

You can just use and OXIMETER and if you feel light headed then Your low pulse rate would also be showing low Oxygen usually.

[@gramps5157]

Had Afib so I had an Ablation procedure. I then had a nice 62 BPM. Two weeks after the Ablation my BPM dropped down into the 40's. Then I had to get a Pace Maker. Have you ever heard of this happening to other people?

[@keithharrison1453]

Yes, a relative. Basically they have munged up the natural pace maker when doing the Ablation when trying to fix the AFib.

[@e.miller8943]

I am 80 with bradycardia, My pulse will drop into the 50's at night or after sitting a while When exercising, my pulse donesn't want to get much over100. My main symptoms are dizziness and, rarely, fainting when walking uphill. I also have orthostatic hypotension, which can also cause fainting. Viigorous exercise seems to help bradycardia but makes orthostatic hypotension worse.