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Why is My Pulse Lower Than Average?

Published in Heart Health 2 mins read

A lower-than-average pulse, especially a resting heart rate below 60 beats per minute (bpm), can be due to several reasons, ranging from excellent physical fitness to underlying medical conditions. Here's a breakdown:

Common Causes of a Low Pulse

  • High Fitness Level: Athletes, particularly endurance athletes, often have lower resting heart rates. Their hearts are more efficient at pumping blood, requiring fewer beats to circulate oxygen throughout the body.

  • Medications: Certain medications, such as beta-blockers and some calcium channel blockers, can slow down the heart rate. These are often prescribed for high blood pressure or heart conditions.

  • Age: Pulse rates tend to decrease with age.

Potential Medical Conditions

If you are not physically active, a consistently low resting heart rate (below 60 bpm) could indicate a medical issue. These include:

  • Electrical Problems in the Heart: Issues with the heart's electrical system, such as sick sinus syndrome or heart block, can cause a slow heart rate.

  • Hypothyroidism: An underactive thyroid gland (hypothyroidism) can slow down many bodily functions, including heart rate.

  • Heart Damage: Damage to the heart from a heart attack or heart disease can sometimes lead to a slower pulse.

  • Sleep Apnea: This sleep disorder can lead to drops in heart rate during sleep.

When to See a Doctor

It's crucial to consult a doctor if you experience any of the following along with a low pulse:

  • Dizziness or lightheadedness
  • Fainting
  • Shortness of breath
  • Chest pain
  • Fatigue

A doctor can perform tests, such as an electrocardiogram (ECG), to determine the underlying cause of your low pulse and recommend appropriate treatment. They will also consider your overall health, medication history, and activity level.

In summary, while a low pulse can be a sign of good health, it's essential to rule out any potential medical issues, especially if accompanied by other symptoms.

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