HomeAnswersCardiologypulse rateIs low resting pulse rate a concerning issue?

My pulse rate is 50 to 58 at rest. Should I be worried?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 10, 2020
Reviewed AtJune 26, 2023

Patient's Query

Hello doctor,

I have been having consistently a very low resting pulse, between 50 and 58 bpm and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried?

Hello,

Welcome to icliniq.com.

This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s during sleep. So, nothing to worry. The only thing that I would like to ask you is whether you have any symptoms such as dizziness during low pulse rate? Another thing is ECG (electrocardiogram). I want to see your ECG to see whether it is a sinus rhythm or is there any block. As your cardiac workup is done and is normal, I do not think you need any more work up but if there are occasional symptoms associated with low pulse rate as graying of vision, dizziness, etc, I would advise you to have a Holter monitoring done for 24 to 48 hours to see rise and fall of heart rate during daily activities including sleep. If you have no symptoms, just relax and do not worry.

Patient's Query

Thank you doctor,

I do not have any other symptoms like dizziness, except nausea and some very short chest pains, which I am almost sure is related to gastro issues. I do not have a recent ECG but I did order one home device online and I will run a test and send it back to you. Any specific recommendations for the test?

Hello,

Welcome back to icliniq.com.

Get an ECG done. If you are to have a treadmill test (exercise tolerance test), it is recommended to stop heart slowing medicines 2 to 7 days before the test. Since you are not taking any such medicine, so no special preparation. Only thing is take a light breakfast that day.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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