Bradycardia: Slow Heart Rate

arrhythmia

Bradycardia is a heart rate that’s too slow. What’s considered too slow can depend on your age and physical condition. Elderly people, for example, are more prone to bradycardia.

In general, for adults, a resting heart rate of fewer than 60 beats per minute (BPM) qualifies as bradycardia.

But there are exceptions. Your heart rate may fall below 60 BPM during deep sleep. And physically active adults (and athletes) often have a resting heart rate slower than 60 BPM.

View an animation of bradycardia.

Causes of bradycardia

Causes for bradycardia include:

  • Problems with the sinoatrial (SA) node, sometimes called the heart’s natural pacemaker
  • Problems in the conduction pathways of the heart that don’t allow electrical impulses to pass properly from the atria to the ventricles
  • Metabolic problems such as hypothyroidism (low thyroid hormone)
  • Damage to the heart from heart disease or heart attack
  • Certain heart medications that can cause bradycardia as a side effect

Symptoms of bradycardia

A heart rate that’s too slow can cause insufficient blood flow to the brain. Symptoms of bradycardia include:

  • Fatigue or feeling weak
  • Dizziness or lightheadedness
  • Confusion
  • Fainting (or near-fainting) spells
  • Shortness of breath
  • Difficulty when exercising
  • Cardiac arrest (in extreme cases)

Complications of bradycardia

Left untreated, severe or prolonged bradycardia can cause:

  • Heart failure
  • Fainting (syncope)
  • Chest pain (angina pectoris)
  • Low blood pressure (hypotension)
  • High blood pressure (hypertension)

Treatment of bradycardia

Borderline or occasional bradycardia may not require treatment.

Severe or prolonged bradycardia can be treated in a few ways. For instance, if medication side effects are causing the slow heart rate, then the medication regimen can be adjusted or discontinued.

In many cases, a pacemaker can regulate the heart’s rhythm, speeding up the heart rate as needed.