Low pulse rate.

James said:

Been checking blood pressure over than last few days, and got the following results,

Sys Dia Pulse 132 72 38

112 55 35

136 66 41 137 68 38 114 67 34

The blood pressure appears normal, but the pulse seems very slow? Is this OK?

.....................

Depends.

The pulse is pretty normal for a long distance runner at rest, long distance cycler at rest, or long
distance swimmer at rest.

In some cases it might be abnormal and require attention. Best bet in any event is to check with
your primary care physician, who knows you better than any of us out here in cyber-space! :-)

smn

James said:

Been checking blood pressure over than last few days, and got the following results,

Sys Dia Pulse 132 72 38

112 55 35

136 66 41 137 68 38 114 67 34

The blood pressure appears normal, but the pulse seems very slow? Is this OK?

No. Would suggest you inform your doctor.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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Quoted message said:

Quoted message said:

The blood pressure appears normal, but the pulse seems very slow? Is

this

Quoted message said:

Quoted message said:

OK?

No. Would suggest you inform your doctor.

For a bit more info.

I have a heart murmur from birth, but after extensive tests (echo, ecg etc) it was conculded
that the murmur was innocent (small excess on heart flap) and no further follow up was needed
after I was 15.

I have only started checking BP at home this week after a visit to the doctors (antibiotics). Whilst
I was there he did a routine check on BP, which he felt was high "154/88 p43" and repeated the test
with similar result after a few mins. He did not mention the low pulse rate, but was concerned that
the BP was "a little high for someone my age (30)" and recommended that I visited nurse in 5 weeks
to test if it was still high.

I have been through this before (aparantly high BP) and had a 24 hr test done which concluded that
BP was normal and I have "white coat hypertension"

My pulse has always been on the slow side (45ish) but only recently has it gone down to the lower
levels. I have no other symptom. I do visit the Gym a couple of times a week, but I am by not
particulary fit (just about average) and carry too many pounds.

I will visit the docs again after 5 weeks as recommended and mention this, but a) could it be
normal? b) if not normal. what might it be?

It seems to me I heard somewhere that James wrote in article
<[email hidden]>:

Quoted message said:

Quoted message said:

Quoted message said:

The blood pressure appears normal, but the pulse seems very slow? Is

this

Quoted message said:

Quoted message said:

OK?

Quoted message said:

For a bit more info.

Quoted message said:

I have a heart murmur from birth, but after extensive tests (echo, ecg etc) it was conculded
that the murmur was innocent (small excess on heart flap) and no further follow up was needed
after I was 15.

Quoted message said:

I have only started checking BP at home this week after a visit to the doctors (antibiotics).
Whilst I was there he did a routine check on BP, which he felt was high "154/88 p43" and repeated
the test with similar result after a few mins. He did not mention the low pulse rate, but was
concerned that the BP was "a little high for someone my age (30)" and recommended that I visited
nurse in 5 weeks to test if it was still high.

Quoted message said:

I have been through this before (aparantly high BP) and had a 24 hr test done which concluded that
BP was normal and I have "white coat hypertension"

Quoted message said:

My pulse has always been on the slow side (45ish) but only recently has it gone down to the lower
levels. I have no other symptom. I do visit the Gym a couple of times a week, but I am by not
particulary fit (just about average) and carry too many pounds.

The gym visits may not be contributing much to your lowered pulse rate--I think aerobic exercise is
more apt to be associated with slow pulse. I agree with Dr. Nadler that no one can say that a pulse
rate in the 30s or 40s is abnormal for someone doing aerobic exercises enough to maintain a rather
good level of fitness; elite endurance athletes have a wide range of resting and active pulse rates.

Like you, I have a naturally slow pulse and many years of running have lowered it even more--
routinely into the 30s when I am at complete rest and in the 40s at "active" rest such as reading
the paper or watching TV.

Has there been any significant change in your pulse rate? I think that would be more telling than
merely having a slow rate.

Quoted message said:

I will visit the docs again after 5 weeks as recommended and mention this, but a) could it be
normal? b) if not normal. what might it be?

Without other symptoms and with the regimen you describe I'd guess that it's within normal limits -
I am not a doctor, but an experienced runner and a heart patient, so I've had occasion to pay
attention to some of these issues. Nevertheless, if I were you I would discuss it with my doctor but
would not be surprised to be told it is not a problem. Good luck, and let us know what happens.
--
Don [email hidden]

James said:

Quoted message said:

Quoted message said:

The blood pressure appears normal, but the pulse seems very slow? Is

this

Quoted message said:

Quoted message said:

OK?

No. Would suggest you inform your doctor.

For a bit more info.

I have a heart murmur from birth, but after extensive tests (echo, ecg etc) it was conculded
that the murmur was innocent (small excess on heart flap) and no further follow up was needed
after I was 15.

I have only started checking BP at home this week after a visit to the doctors (antibiotics).
Whilst I was there he did a routine check on BP, which he felt was high "154/88 p43" and repeated
the test with similar result after a few mins. He did not mention the low pulse rate, but was
concerned that the BP was "a little high for someone my age (30)" and recommended that I visited
nurse in 5 weeks to test if it was still high.

I have been through this before (aparantly high BP) and had a 24 hr test done which concluded that
BP was normal and I have "white coat hypertension"

My pulse has always been on the slow side (45ish) but only recently has it gone down to the lower
levels. I have no other symptom. I do visit the Gym a couple of times a week, but I am by not
particulary fit (just about average) and carry too many pounds.

I will visit the docs again after 5 weeks as recommended and mention this, but a) could it
be normal?

A heart rate of 34-41 is not normal.

Quoted message said:

b) if not normal. what might it be?

Junctional escape, accelerated idioventricular, sick sinus syndrome, SA nodal wenkebach to name a
few possibilities.

Again, would suggest you inform your doctor. S/he may want to refer you to a cardiologist if your
heart rate is truly that low especially if your EKG is more abnormal than just the slow rate.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
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