[MuddyBoots]

Google is saying under 60bpm is bradycardia but it’s not really an issue until you get to like 40 (unless you’re a badass athlete) or if you have symptoms (I also love when you read these articles and it says if you lose consciousness to seek medical attention).

My watch tells me my resting heart rate is generally low 50s but has hit in the past week down to 38 while sleeping. Most nights it stays above 40 but does get to 40-45ish half the time (almost always just while sleeping for just a little bit). Once I was walking around town half the day and took a break and it went to 43 which looked weird. I’m not a badass athlete but I don’t have a car and rarely pay for the bus yet am never home and sometimes do yoga but I don’t eat much so that’s why I’m wondering for how long under what circumstances should low 40s/below 40 be a sign of a problem?

[Crazy Hitch]

I reckon a sleeping heart rate would be significantly lower than a resting heart rate. I'm not sure at what point you should be concerned because I have the opposite problem. My resting heart rate is frequently 105+ but I see that Wegovy is responsible for my increased RHR.

[forestx5]

I was getting my medical care through the Veterans Administration. My city has a local clinic which offers primary care and mental health care. I don't have a service connected disability, but they said that wasn't a problem. They were happy to treat me. After 10 years, I found out why. My private health care insurance was subsidizing their operations. When I reached 65 and transitioned to medicare, they sent me a letter stating my benefits had expired. (I no longer carried private health insurance). I had been prescribed a beta blocker and unbeknownst to me I was in Afib. I had the saphenous vein removed from my right leg as part of a CABGX5 procedure some 20 years prior. And, I sit too long at this computer. I was riding my bicycle to work 15 miles each day and one night I woke up and my calf felt like I had sprained it. I knew I had not. It was warm to the touch. I consulted with Dr Google and he said I might have a Deep Vein Thrombosis and should go to the ER. I did and they admitted me. My neighbor is a doctor and he came to visit and he brought his stethoscope. He checked me out and said my heart rate was in the low 40s which was too low. I discontinued the beta blocker. I was put on blood thinners until my pulmonary emboli resolved. I saw a cardiologist and he read my medications to me and when he got to the beta blocker I said I had discontinued it. He looked at me sternly and asked why. I said my heart rate was too low which probably contributed to the DVT. He thought about it for a second and said "that's probably a good idea." lol They wanted to put me on a blood thinner for life, but I refused. You only do that if you don't know what caused the DVT. I know what caused my DVT. Low heart rate (suppressed by beta blocker), and irregular heart beat (Afib), sitting too long at my computer with a missing saphenous vein. My heart rate is in the 160s now, and I am in sinus rhythm following an ablation.

[Blueberrybook]

I would think it's a problem and too low as you are in the throes of an ED. I'm pretty athletic, and my resting heartrate is generally around 52-55 bpm. During vigorous activity, it's up to 150 bpm, but that's really vigorous, like jogging in the heat. I really don't see how your treatment team is not getting you medical help for your ED at this point. What are they waiting for?

[MuddyBoots]

Originally Posted by Blueberrybook

I would think it's a problem and too low as you are in the throes of an ED. I'm pretty athletic, and my resting heartrate is generally around 52-55 bpm. During vigorous activity, it's up to 150 bpm, but that's really vigorous, like jogging in the heat. I really don't see how your treatment team is not getting you medical help for your ED at this point. What are they waiting for?

I think there is a specific BMI/weight that I am very close to that I believe they are waiting for me to hit because at my last pdoc appointment she said if I come in weighing less than I did that day she would hospitalize me even if that meant filling out an IEA. They're supposed to weigh me every Wednesday when I go in for med management, too, but they've done that only the day after that appointment and not since. It even said on my baggie of meds yesterday "weigh on Wed" but the nurse didn't. I don't know if I get below that number on a Wednesday weigh-in (if they ever follow through with that again) if I'm going straight to the ER or if they're going to see what I am at my next pdoc appointment (which is in about three weeks I think). But generally when they take my vitals it's only before pdoc appointments, right after walking there, usually the time when I'm at peak stimulant levels with a lot of anxiety about the appointment (and having my vitals checked) so everything comes up "good," when say last I was in the hospital when I'm used to it being done 2+ times a day my blood pressure is usually kinda low and my heart rate was like 60s.

I'm really surprised they don't order labs more often or make me set up appointments with my PCP ever. I don't think I've seen my actual PCP since December--I saw someone filling in for her maybe a little over two months ago? They were supposed to do a GI referral but that took until two days ago to get a call back and I said I don't think I need to see anyone now because I don't get severe pain after every thing I eat anymore.

[unaluna]

Forestx5 - heartrate in the 160's??? I hope you meant 60's.

[MuddyBoots]

I think the max I’ve ever seen my HR was like 178 and that was in the middle of an insane 30 minute HIIT session. Resting 160s just sounds awful.

[Discombobulated]

My HR has always tended to low, we had to time it in biology class and the teacher told me I mustn’t have done it right but I now know I did. I was still prescribed a beta blocker for migraine and that pushed it down further, so I went from 50ish bpm average to under 40. I didn’t feel ill though and presume I’m okay as my ecg was fine. It’s a good idea to have your heart checked out to be careful though although I wouldn’t be too worried.

[MuddyBoots]

Originally Posted by Blueberrybook

I really don't see how your treatment team is not getting you medical help for your ED at this point.

Today I figured out it's because my therapist thinks I'm improving because I said I do eat every day, even though I clarified my definition of "eating" might be one brussel sprout boiled and chopped up that takes eight hours to finish the whole "soup" or a pickle with mustard. Because she asked what I've been eating and I said "depends on the day--I typically think of a meal and then eat that for over half my meals until it's gone and then go to the next. Like

Possible trigger: food specifics

last night I made stir fry out of a black bean burger, broccoli, cauliflower, carrots, and some chili sauce and that was my lunch/dinner, breakfast, and probably will be my lunch and dinner today too." She said it's good that I can do that. It's good I can turn one "defined serving" of a veggie burger and four of a frozen bag of mixed veggies with a couple spoons of chili sauce into five meals I'll have over two days.

I guess swallowing something every day even if the whole week adds up to what I need in a day or two is better than having at least half of what you're supposed to get a day, but skipping a day or two of anything solid?

[unaluna]

Mud, but it sounds like you are not having "refeeding" issues? At least you are not stating that this eating is physically painful. Maybe slow and steady wins the race.

[MuddyBoots]

Originally Posted by unaluna

Mud, but it sounds like you are not having "refeeding" issues? At least you are not stating that this eating is physically painful. Maybe slow and steady wins the race.

I don't think I am anymore. I think that swelling problem and not feeling awesome otherwise was just because I ate quite a bit for myself for 3 out of 4 consecutive days Fri-Mon. I cut back down to "pre-Friday's binge and then the days of (pretending to) work on recovery" average amounts but more consistently close to average since Tuesday and things are looking/feeling better (other than getting even more panicky now every time I think about what I ate/am eating/will eat).

[forestx5]

Originally Posted by unaluna

Forestx5 - heartrate in the 160's??? I hope you meant 60's.

I did mean 60's. Can it be edited?

[unaluna]

Originally Posted by forestx5

I did mean 60's. Can it be edited?

I think that you were alive to respond here is proof enough! But now i need the paddles! CLEAR!

[forestx5]

Originally Posted by unaluna

I think that you were alive to respond here is proof enough! But now i need the paddles! CLEAR!

I had the cardioversion procedure a while back.
They use it to put a patient in sinus rhythm for a period prior to an ablation surgery which hopefully is a more permanent fix. It was painless.
I used to use the cardio machines at the
YMCA. Max Heart Rate is 220-Age. Training Heart Rate for vigorous training is 70-85% of MHR. When you are on Beta Blockers, all that goes out the window.

[unaluna]

Oh yeah, im on beta blockers. I feel like i move like a sloth.