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What could be the reason for the low heart rate at rest?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 19-year-old male, no known health problems. My only symptom is a slow resting heart rate. I have seen it as low as 45. I feel perfectly fine, no syncope or dizziness.

I am not an athlete, so I do not know why it is so low.

  1. Is this cause for concern?
  2. With a heart block, the heart rate does not increase with exercise, correct?
  3. My heart rate is low at rest but increases as expected with exercise. Does this rule out a problem?
  4. If I had clinical bradycardia, wouldn't I feel bad as well?

Please give your suggestions.

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Normal heart rate should be between 60 to 100 beats per minute. You are having bradycardia. It can be idiopathic without any cause. But it is better to get physically examined, and if needed, an appropriate investigation can be planned.

Rule out hypothyroidism by serum TSH (thyroid-stimulating hormone) estimation.

Rule out any cardiac cause if present by EKG investigation. Check sodium, potassium, and calcium levels if needed. If no cause is found, then no need to worry. Consult a physician for examination.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 20, 2018
Reviewed At October 16, 2025

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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