Is a Heart Rate of 50 BPM Normal for an 18-Year-Old? - Cardiology

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Bradycardia with an average heart rate of 50 beats per minute?


I am 18 years old, and my average heart rate is 50 beats per minute.
Is it concerning for a young person to have such a slow heart rate? (There is a family history of heart disease on my mother's side.) Additionally, I often feel my heart beating strongly enough that my whole body shakes.
Is this a cause for concern?

Xiao Ye, 10~19 year old female. Ask Date: 2018/07/16

Dr. He Dongjin reply Cardiology


Hello, natural is best.
If your heartbeat has always been like this, it's okay for a young person to have a slow heartbeat.
Just coexist peacefully without any need to be anxious.
Changhua Hospital cares about you.

Reply Date: 2018/07/16

More Info


A heart rate of 50 beats per minute (BPM) in an 18-year-old can be considered bradycardia, which is defined as a heart rate that is slower than normal. For most adults, a normal resting heart rate ranges from 60 to 100 BPM. However, it is important to note that athletes or physically active individuals may have lower resting heart rates due to increased cardiovascular efficiency. If you have been physically active or are an athlete, a heart rate of 50 BPM may not be concerning.

Given your family history of heart disease, it is prudent to approach this situation with caution. Family history can play a significant role in your cardiovascular health, and it is essential to monitor any symptoms you may experience. The sensation of your heart beating strongly enough to make your body feel like it is shaking could be a sign of palpitations, which can occur for various reasons, including anxiety, stress, or even caffeine intake. However, it is crucial to differentiate between benign palpitations and those that may indicate an underlying heart condition.

If you frequently experience a heart rate of 50 BPM along with strong palpitations, it would be wise to consult a healthcare professional. They may recommend a thorough evaluation, which could include an electrocardiogram (ECG) to assess your heart's electrical activity, an echocardiogram to visualize the heart's structure, and possibly a Holter monitor to track your heart rate over a 24-hour period. These tests can help determine if there are any underlying issues that need to be addressed.

In addition, it is essential to consider other factors that could contribute to your symptoms. Stress and anxiety can significantly impact heart rate and rhythm. If you find yourself feeling anxious or stressed, it may be helpful to engage in relaxation techniques such as deep breathing, meditation, or yoga. Lifestyle factors, including diet, hydration, and sleep, also play a crucial role in heart health. Ensuring you have a balanced diet, adequate hydration, and sufficient sleep can help support your cardiovascular system.

In summary, while a heart rate of 50 BPM can be normal for some individuals, particularly athletes, it is essential to consider your overall health, family history, and any accompanying symptoms. Consulting with a healthcare professional for a comprehensive evaluation is the best course of action to ensure your heart health is monitored and managed appropriately.

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