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Harvard Medical School
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General Medical Questions
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Q: I am a 66-year-old woman. My heart rate is in the fifties at times. Is this normal?
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The Trusted Source
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Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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March 16, 2010
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A:

Yes, a heart rate of 50 and above is quite normal. Many young people who exercise regularly have a resting heart rate that is often in the fifties.

However, before you accept that everything is fine, there are some basic questions that need to be asked.

  • Do you have any symptoms when your heart rate is slower than usual?
    Call your doctor if you have chest pain, shortness of breath or lightheadedness with a slow heartbeat.
  • Does your heartbeat feel regular, like a clock ticking?
    If the answer is yes, that is very reassuring. If it feels like it is skipping around, you may have a mild arrhythmia. Usually this won't need any special treatment. But you should get an electrocardiogram to identify the type of arrhythmia.
  • Are you taking a beta blocker or calcium channel blocker?
    These drugs slow the heart rate and a rate of 50 to 59 is fine. Sometimes doctors want the heart rate to stay in that range.
  • Do you have more fatigue than usual?
    A slow heart rate can be a sign of an under active thyroid (called hypothyroidism). Hypothyroidism in females is quite common. A simple blood test can determine if you have it.
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