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Is A Resting Heart Rate Of 53-55 Normal?

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Posted on Tue, 8 Sep 2015
Question: Hi,
In short, I wanted to know if 53-55 BPM (resting rate - sitting at desk at work), is normal.
I am 5'4'' male, 30 years with weight ~95 kgs. I have been trying to lose weight which comes down to 92 kgs in a month and bounces back. I try to be active as much as possible however, weekends are only days when I am able to walk ~10-11k steps. I had a blood test and stress ECG done 3 months back and all tests were normal except some triglycerides and HbA1c of 6.3 (Fasting and PP normal). I am under medication - Amovas M 5/50 and Aravast 10 since last 3 years. Doctor said I would need to lose weight and bring my HbA1c down to 6 if I wanted to avoid metformin in the longer run. I lost 3 kgs but gained back owing to excess travel due to work. I was trying to climb a wall one day as part of my exercise and I guess I hit the area below my knee. It did not feel much painful at first but post 3 weeks I had pains in the leg and was advised Inflagesic plus (alecofenac, serratiopeptaise, and paracetamol), for 10 days - 2 tabs a day. I check my BP regularly using a Omron machine which shows my BPM as well. It showed a BPM of 58 the last time I checked. I have been travelling since and my apple watch shows a BPM of 53-55 when I am working at desk. When I move, this becomes 70-90 (while walking) and at times 102 (when I climb stairs). I got off inflagesic yesterday and the resting BPM is still below 60.

BTW: I take jamun or karela juice every morning so keep sugar levels under control, and himalaya neem tablets during the day (as told by an ayurveda doc).

Is the BPM condition normal for me or there is an issue?
doctor
Answered by Dr. Panagiotis Zografakis (54 minutes later)
Brief Answer:
this is caused by amlovas M 5/50

Detailed Answer:
Hello,

amlovas contains amlodipine and metoprolol. Metoprolol is a beta-blocker. Beta-blockers cause a reduction in heart rate but whatever is above 50 beats per minute and causes no symptoms is OK. I would aim for a little higher resting rate (around 60 for example) just to be more safe against further drops which may cause symptoms of weakness and faintness.

Regarding your blood glucose issue, you seem to have a mild diabetes but at this point you don't need any drugs. You should reduce your weight, exercise daily (30 minutes of fast walking is enough, if you don't do more already) and try to eat healthy food. Healthy food means that you have to avoid saturated fat, watch the carbohydrate quality (avoid 'simple' carbohydrates like sugar, prefer more complex ones), increase the fiber content of your diet and reduce the calories, so that you could loose some weight. You'd better consult a dietitian for a better individualization of your diet.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
I did forget to take amlovas the night before last night. Plus my bpm has been down just 3-4 days I guess. It used to be 60+ before always. Is this normal?
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
yes

Detailed Answer:
This is normal, there is no reason to worry about that!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (16 minutes later)
Thank you doctor. Apologies if I am sounding finicky. It is becuase I am currently having a headache and my left hand feels heavy. I am in a remote location and a physical visit to a doc seems impossible. Should I take disprin with such a low heart rate?
doctor
Answered by Dr. Panagiotis Zografakis (2 minutes later)
Brief Answer:
you can take it

Detailed Answer:
You can take aspirin, there is no problem with your heart rate. Even if you had problems with the heart rate, you could still take aspirin.
Aspirin may harm your stomach though, so if you have any issues (like peptic ulcer) you should be very careful. If you have used it in the past, without any problems then it's considered safe.

The hand symptoms are a little concerning. You should try to visit a doctor!

Kind Regards!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Is A Resting Heart Rate Of 53-55 Normal?

Brief Answer: this is caused by amlovas M 5/50 Detailed Answer: Hello, amlovas contains amlodipine and metoprolol. Metoprolol is a beta-blocker. Beta-blockers cause a reduction in heart rate but whatever is above 50 beats per minute and causes no symptoms is OK. I would aim for a little higher resting rate (around 60 for example) just to be more safe against further drops which may cause symptoms of weakness and faintness. Regarding your blood glucose issue, you seem to have a mild diabetes but at this point you don't need any drugs. You should reduce your weight, exercise daily (30 minutes of fast walking is enough, if you don't do more already) and try to eat healthy food. Healthy food means that you have to avoid saturated fat, watch the carbohydrate quality (avoid 'simple' carbohydrates like sugar, prefer more complex ones), increase the fiber content of your diet and reduce the calories, so that you could loose some weight. You'd better consult a dietitian for a better individualization of your diet. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!