Should I be alarmed when my heart rate is between 39 to 41 occasionaly
I have afib and sleep apnea and take Eliquis and Flecanide.
Recently, for several mornings, my pulse rate was between 39 to 41 in the a.m. for several hours. I didn’t have any symptoms, but was concerned. Upon calling my doctors office, the machine said if this is an emergency call 911, can you speak to a nurse , dial 8, which I did.
I got an answering machine, which said they would call me back within 24 hours. Please leave a message. I just describe my problem and did not hear from anyone.
A few hours later, I took my blood pressure machine and went to their office, to check my machine or see if they could at least take my blood pressure.
My only response from them was they could not see me until May 6.
Two days later, I got a call from the nurse and she said she was sorry that happened.
I would like to know your opinion about this situation. I am ready to look for a new cardiologist. She also told me that I should go to the emergency room when my heart rate is that low.
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That is good information. A low heart rate (but maybe not as low as this patient) can be good in a very “fit” well exercised individual. If not, see an electrophysiologist. He or she may prescribe a Holter monitor to wear for a week or month or …? You need to know how low your heart rate can go. Zero is not good!!!
@hsminc
Had to laugh when I read your post where you said "Good to know how low your heart rate goes down and Zero is not good." Yep that would be a real issue.
A person aerobically fit will normally have a lower pulse rate. It shows why when I have HF with a 25% EF and my wife has normal heart with a EF of 60% that I can walk up several flights of stairs and she cannot without huffing, puffing and stopping.
It shows how important to keep exercising (with doctors approval) and it's benefit on heart and mental health.
My heart rate often goes to 30-32 bpm. Mostly when sleeping but not always. My Apple Watch and implanted loop monitor always record and report the events but I do not feel any symptoms. After many occurrences with no symptoms, my cardiologist does not seem concerned.
My pulse is low in the mornings too. I wear my Apple Watch to monitor. My cardiologist said if I start getting dizzy, extremely tired or out of breath, I will need a pace maker. Currently, I don’t have any of those fore mentioned symptoms. But everyone is different and figure eventually I’ll need one down the road.
@livinthedream
If your cardiologist wants to implant a pacemaker do not fear it. It is an outpatiend surgery and most go home same say.
I never had any out of breath with my low pulse rate but did get dizzy when standing to fast. My low pulse rate and low BP was caused by medication I was put on.
MY EF had gone down to 30 and cardiologist recommended ICD. I went to Mayo Jacksonville for second opinion and my EP there said would recommend both a ICD and pacemaker. He referred me to a HF specialist who recommended changing my medications. It was that change of medications that brought down my pulse and blood pressure.
My EP and HF worked together to find a good pulse rate (controlled by pacemaker) that reflected my activity level, what would reduce PVCs, etc. We found pacing at 70 bpm was best. I have had a ICD/Pacemaker (on my 3rd device) since 2006.