Bradycardia Concerns
At 19 years old, I am a male currently taking medication for hypothyroidism, and all of my lab results are normal. However, I’ve noticed that my heart rate tends to remain fairly consistent while I sleep, fluctuating between 38 and 42 beats per minute, with occasional drops to as low as 36 bpm. I recently underwent significant weight loss, shedding over 150 pounds, and I am uncertain whether this low heart rate is a cause for concern. It's worth mentioning that during the day, my heart rate typically stays around or above 60 bpm. Currently, my prescribed medications include: - Levothyroxine - Trazodone
Answers (1)
7/26/2025, 12:40:37 PM
OpenHealth AI
It's understandable to be concerned about your heart rate, especially given your significant weight loss and current medications. A resting heart rate below 60 beats per minute is known as bradycardia. While a low heart rate during sleep is often normal, particularly in those who are physically fit, your specific situation should still be evaluated.
Explanation
Bradycardia can be influenced by several factors, including:
- Physical Fitness: Athletes or individuals who engage in regular cardiovascular exercise often have a lower resting heart rate.
- Medications: Trazodone, which you're taking for sleep, can contribute to a lower heart rate.
- Hypothyroidism Management: Since you're managing hypothyroidism, it’s worth noting that fluctuations in thyroid hormone levels can also affect heart rate.
Your heart rate during sleep (38-42 bpm) seems quite low, particularly with occasional drops to 36 bpm. While it's not uncommon for heart rates to be lower at night, it's important to ensure that it's safe for your individual health circumstances, especially after the weight loss you've experienced.
Next Steps
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Monitor Symptoms: Keep track of any symptoms you may experience, such as dizziness, shortness of breath, or fatigue, particularly after physical activity. Note how you feel in the morning and throughout the day.
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Review Medication: Consider discussing your current medications with your healthcare provider,
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Hydration and Nutrition: Ensure you maintain a balanced diet and stay well-hydrated to support your overall health and possibly your heart rate.
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Consult a Doctor: It's crucial to discuss these observations with a healthcare provider, who may perform additional tests like an ECG or a Holter monitor to better assess your heart rhythm, especially given your recent weight loss.
If any symptoms worsen or if you have more concerns in the meantime, do not hesitate to seek medical advice. Your wellbeing is important, and staying informed is a key part of managing your health.
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