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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is This Normal Of Having An Average Of 54 Beats Per Minute?

Late October I had 3 stents placed at #1 PLAD #2 MLAD and MRCA. I have to say I have not taken the best of care of myself. I am 51 years old and recently been checking my pulse to get an average resting rate. Well my average is 54 beats per min. and several readings into the mid 40s. this is not normal correct? Could I have Bradycardia? I am currently taking LISINOPRIL 10 MG and Clopidogrel 75 MG both 1 time per day.
Fri, 31 Jul 2015
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Cardiologist,  's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

First, I would like to explain that the normal heart rate is 60-100 beats per minute. If you are taking only lisinopril and clopidogrel, then we can rule out that this is a heart rate with a medication origin. If you would be my patient, having a two-vessel coronary artery disease plus stent placement, I would release you from the hospital with a beta-blocker or a calcium channel blocker in your therapy. Be cautious, if you are taking any drug from these two classes then there is a probability that it can slow the heart rate. However, my opinion is that the most accurate way to find out your minimal, mean and maximal heart rate during a day is the rhythm monitor. Therefore, I would recommend you to be put on a 24- or 48-hour Holter rhythm monitor. If there is a persistent bradiardia (heart rate lower than 50 beats per minute), combined with no drugs used that can lower the heart rate and/or bradicardiac symptoms, such as fainting, near-fainting, dizziness, blurry vision, then you can discuss the pacemaker implantation option with your curing physician or cardiologist.

I hope I was of help. Best regards.
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Is This Normal Of Having An Average Of 54 Beats Per Minute?

Hello. Thank you for your question and welcome to HCM. I understand your concern. First, I would like to explain that the normal heart rate is 60-100 beats per minute. If you are taking only lisinopril and clopidogrel, then we can rule out that this is a heart rate with a medication origin. If you would be my patient, having a two-vessel coronary artery disease plus stent placement, I would release you from the hospital with a beta-blocker or a calcium channel blocker in your therapy. Be cautious, if you are taking any drug from these two classes then there is a probability that it can slow the heart rate. However, my opinion is that the most accurate way to find out your minimal, mean and maximal heart rate during a day is the rhythm monitor. Therefore, I would recommend you to be put on a 24- or 48-hour Holter rhythm monitor. If there is a persistent bradiardia (heart rate lower than 50 beats per minute), combined with no drugs used that can lower the heart rate and/or bradicardiac symptoms, such as fainting, near-fainting, dizziness, blurry vision, then you can discuss the pacemaker implantation option with your curing physician or cardiologist. I hope I was of help. Best regards.