What are the symptoms of a heart rate less than 60 beats per minute, which is considered bradycardia?

Written by Zhang Yue Mei
Cardiology
Updated on September 16, 2024
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A heart rate below 60 beats per minute is clinically diagnosed as bradycardia. Bradycardia can occur in normal, healthy individuals as well as in patients with organic heart disease.

In young adults, heavy laborers, and athletes who often exercise, the heart rate is generally below 60 beats per minute without any clinical symptoms, and it does not pose a risk to the body. This slower heart rate serves as a protection for the heart.

In patients with organic heart disease, a significant decrease in heart rate can lead to clinical symptoms such as palpitations, shortness of breath, and feeling of apprehension, necessitating the adjustment of heart rate under the guidance of a doctor using effective medications.

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Written by Chen Tian Hua
Cardiology
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What are the dangers of bradycardia?

If the bradycardia is physiological, it generally does not harm the body and does not require special treatment. If the bradycardia is pathological, when the heartbeat significantly slows down, it can cause a decrease in cardiac output due to the slow heart rate, leading to symptoms of insufficient cardiac output, insufficient blood supply to the brain which can cause dizziness, visual disturbance, fainting, and other symptoms. Insufficient coronary artery supply can induce angina, and insufficient perfusion of the kidneys can lead to reduced urine output and kidney damage. Therefore, if a patient with bradycardia has a slow heart rate that leads to obvious symptoms, it is necessary to install a pacemaker for pacing treatment to increase the heart rate.

doctor image
home-news-image
Written by Zhang Yue Mei
Cardiology
49sec home-news-image

What are the symptoms of a heart rate less than 60 beats per minute, which is considered bradycardia?

A heart rate below 60 beats per minute is clinically diagnosed as bradycardia. Bradycardia can occur in normal, healthy individuals as well as in patients with organic heart disease. In young adults, heavy laborers, and athletes who often exercise, the heart rate is generally below 60 beats per minute without any clinical symptoms, and it does not pose a risk to the body. This slower heart rate serves as a protection for the heart. In patients with organic heart disease, a significant decrease in heart rate can lead to clinical symptoms such as palpitations, shortness of breath, and feeling of apprehension, necessitating the adjustment of heart rate under the guidance of a doctor using effective medications.

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Written by Zhang Yue Mei
Cardiology
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Is bradycardia with irregular heartbeat serious?

If bradycardia accompanied by irregular heartbeats occurs, whether it is serious and the severity depends on the cause of the bradycardia and the frequency of the irregularity. A slow heart rate can lead to severe insufficient blood supply to the heart and brain, causing some ischemic heart and brain diseases. Therefore, patients with bradycardia and irregular heartbeats should go to the hospital and undergo related examinations under the guidance of a doctor. If it is caused by a primary disease, it is necessary to treat the primary disease and use medications to increase the heart rate and correct the irregular heartbeat to avoid causing greater harm to the body.

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Written by Tang Li
Cardiology
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What are the symptoms of bradycardia?

The normal heart rate for an adult is between 60-140 beats per minute. If it falls below 60 beats per minute, it is generally referred to as bradycardia. Most patients with bradycardia may not have symptoms, but those who do should be closely monitored. The symptoms of bradycardia mainly arise from a reduced cardiac output, leading to insufficient blood supply to the heart and brain, thereby causing symptoms. Patients may experience dizziness, fatigue, poor mental performance, and other symptoms. Some patients may experience dizziness, transient blackouts before the eyes, fatigue, palpitations, chest tightness, and shortness of breath. In severe cases, patients may also experience fainting.

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Written by Li Xiao Lin
Emergency Department
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Can digitalis poisoning cause bradycardia?

Digitalis toxicity can cause bradycardia. Digitalis is an inhibitor of the sodium-potassium ATPase, which affects the transfer of sodium and potassium in cells, leading to electrolyte disturbances and arrhythmias. Common arrhythmias include premature beats, bradycardia, and conduction blocks, and severe cases may experience sudden cardiac arrest. Therefore, in patients with heart failure, it is important to closely monitor the blood concentration of digitalis during long-term use, and adjust the dosage of digoxin and digitalis based on its concentration to avoid toxicity. Once toxicity occurs, the first step is to stop the medication and then take appropriate symptomatic treatment to prevent accidents.