What to do if resting heart rate is below 50 beats per minute
Disease description:
My heart rate is only 50 beats per minute when I'm sitting still, and sometimes even lower than 50 beats per minute. What should I do if my resting heart rate is below 50 beats per minute?
Doctor's answer (1)
Dr. Tian Hongbo
When the resting heart rate is below 50 beats per minute, multiple factors must be considered comprehensively to formulate a management plan. Details are as follows:
1. A heart rate below 50 beats per minute may be caused by various factors. A comprehensive medical history and physical examination should be conducted to rule out cardiac diseases or other systemic diseases.
2. In healthy young individuals, athletes, or during sleep, a heart rate below 50 beats per minute may be indicative of physiological bradycardia and may not require special treatment. However, if symptoms such as fatigue, dizziness, or syncope are present, an electrocardiogram (ECG) should be performed to evaluate the cardiac electrophysiological status.
3. For symptomatic bradycardia, especially in patients with sinoatrial node dysfunction or atrioventricular conduction block, implantation of a cardiac pacemaker may be required to maintain an appropriate heart rate. Prompt medical consultation is necessary, and treatment and adjustments should follow medical advice.
Regular follow-up and monitoring of heart rate changes are recommended to allow timely adjustment of treatment strategies. Additionally, maintaining good lifestyle habits and emotional well-being can contribute to heart health.
