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Should I be alarmed when my heart rate is between 39 to 41 occasionaly

Posted by beckboop13 @beckboop13, 4 days ago

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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hsminc | @hsminc | 2 days ago
In reply to @jc76 "What I have seen over my 78 years and decades on heart medications is that medications..." + (show)
@jc76

What I have seen over my 78 years and decades on heart medications is that medications play a big role in heart rates. Unless your heart rate was very low before taking medications should look at medications for being so low.

The normal heart rate (HR) is 70. But that is a statistic and does not mean below or above it is a health issue. When pulse rates get to low heart arrymthmia can happen and or those who have PVCs can go up. Along with that dizzeness.

Many athletes have extremely low HR. Why? There heart is is great condition and when it pumps it provides the amount of oxygen the body needs and thus not a high PR. Many athletes wind up getting a pacemaker as there HR is so low and they do develope arrymthmia (spell) problems.

My pusle rate used to be in 60s (active exerciser) until put on Entresto and Carvididol. My pulse rate went down into 30s and many many PVCs. My EP raised my pulsing of my Pacemaker to 50 but PVCS continued and we sent to 60 and then to 70 where the PVCs went down dramatically.

A question on low HR and long life is something I cannot comment on as not medical doctor. But your heart is a muscle and it needs exercise to stay strong. A low HR means either medication or medical problem or a very strong heart. If it is because of a very strong heart then by statistics your physical heart healthy is going to be on excellent side with probably a very high ejection fraction.

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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!!!

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jc76 | @jc76 | 1 day ago
In reply to @hsminc "That is good information. A low heart rate (but maybe not as low as this patient)..." + (show)
@hsminc

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!!!

Jump to this post

@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.

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jaybee51 | @jaybee51 | 1 day ago

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.

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