Slow pulse rate

[EmmyLaury12]

Recently had a heart attack in April

this year . On lots of meds including Bisoprolol. Rang Gp as I noted my pulse low and she halved my meds from 2.5-1.25.

My pulse still low 45-49. Does this happen to anyone else and is this pulse normal ? I often feel really dizzy ??especially when standing to sitting . Perhaps worrying about nothing but having the heart attack has left me feeling anxious about everything.

[EmmyLaury12]

Hi Thatwasunexpexted,

Thank you for your prompt reply .

And I feel reassured now . My bp is in normal range110/70.

It’s just everything sometimes makes me worry .

Nice to have friends here who can reassure you .

Thankyou ,

Sheilax

[EmmyLaury12]

Thank you x

[Phil_London]

Your anxiety is normal so join the club, I had a heart attack May2019and still worry, about every little twinge, it's normal and like you and plenty of others my normal pulse is high 40s when I sit at a computer or watch TV or just rest, night time is always 42 - 50 and thats since I stopped all the ACE and bioprosol about 3 months ago, that was making my Heart rate even lower and BP lower still. Day time my heart rate is about 48 - 55 with BP similar to you, I had a stent fitted and in reasonable fitness now and they say the pulse is due to the fitness level and not to worry. but you will worry, I worry my BP goes lower, (it's been about 105/62) then it goes a little higher, then I worry about that,so it's all part of the post HA but it does get less and less over time. All I am told by cardiologist and GP is dont worry about the numbers if you feel OK, only if you have symptoms, we all have a norm and it's all different, different heights, weights, body mass etc etc, but I would say it's not a problem, your in good company here.

[EmmyLaury12 in reply to Phil_London]

Thank you Phil-London for your prompt reassuring reply .

Just not coping really with the post HA anxiety . So thankful of this forum it’s really helping to know others are experiencing similar things to me .

Sending you a big Thankyou Sheila x

[Auiron]

This is three years old: ***The normal resting heart rate for adults over the age of 10 years, including older adults, is between 60 and 100 beats per minute (bpm). Highly trained athletes may have a resting heart rate below 60 bpm, sometimes reaching 40 bpm. The resting heart rate can vary within this normal range.15 Nov 2017 - Https://medicalnewstoday.com/articl...

[Charlie0603]

Hi EmmyLaury,

For the last 6 months or so I also have had a low pulse rate - normally mid 40s to mid 50s - but without any rhythm disturbance, This is known as "sinus bradycardia". I am on amlodipine 5mg for hypertension and have had CKD in the past as well as an abdominal aortic aneurysm which required urgent surgical intervention. Amlodipine has been shown to cause low heart rate - but only very rarely. The makers deny it causes this side effect.

My GP has tried (but failed) to wean me off the amodipine completely - it led to a rebound hypertension. I am now on a reduced dose and she has referred me to a cardiologist. I had a 24 hr EKG performed (2 lead holter) and this confirmed a low rate throughout (minimum 33 bpm during the night) but no heart block or disturbances of rhythm.

For the last 6 months I have been following a rather intense exercise and diet routine and have lost 30pounds. When on the treadmill I can get my heart rate up to 125 without any problem or discomfort - but it then returns slowly to mid 40s - or lower - at rest.

I suspect you will find that in the absence of any palpitations or heart discomfort and so long as you don't feel light headed, dizzy or faint, such low heart rates may not be problem - indeed top class athletes often enjoy similar heat rates - in fact a sign of a healthy heart.

However, given your heart attack this may not apply in your case. As you have had a known "heart attack" recently I would advise seeking further medical referral about this anyway - either through your GP or directly with the cardiology team who recently looked after you if they have not fully discharged you. You may need some further blood or heart tests to check this out - at least to put your mind at ease.

Kind regards

[EmmyLaury12 in reply to Charlie0603]

Thank you Charlie for your advice .