Bradycardia is an arrhythmia (heart rhythm disorder) characterized by a slow heartbeat. For most people, a resting heart rate of 60 to 100 beats a minute is normal. The exceptions are young people and athletes who naturally have a lower heart rate due to their age and conditioning. But for many people, a heart rate below 60 beats per minute can be a sign that the heart’s natural pacemaker isn’t working properly – or electrical pathways in the heart are being disrupted.
Symptoms
- Slow or irregular heartbeat when your pulse is taken
 - Dizziness or lightheadedness
 - Loss of breath, feeling winded
 - Tiredness
 - Chest pain or palpitations
 - Confusion or trouble concentrating
 - Blood pressure drop
 
Causes
- Changes in the heart due to aging
 - Heart disease
 - Heart infections such as endocarditis and myocarditis.
 - Low thyroid level (hypothyroidism)
 - Electrolyte imbalance
 - Heart and hypertension medications (beta-blockers, antiarrhythmics, and digoxin)
 
Diagnosis
- Physical exam
 - Medical history
 - Electrocardiogram (EKG or ECG).
 - Holter monitor - a lightweight, wearable device that records your heart rhythm while you go about your daily routine.
 
Treatment
- Using a pacemaker if there is damage to hearts electrical system.
 - Treating underlying conditions if you have hypothyroidism or electrolyte imbalance
 - Adjusting or prescribing a different medication if medicine is causing your heart to beat slowly
 
Contact us to learn more about our Electrophysiology team that provides patient treatment and physician training for bradycardia and a range of heart rhythm disorders.
Erlanger Cardiology
Erlanger Medical Mall
979 East 3rd Street
Suite C-520
Chattanooga, TN 37403
423-778-5661