Heart Rate and Pulse: Should You Be Concerned? - Cardiology

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Heart rate and pulse?


Hello Doctor, I am 16 years old.
Previously, my blood pressure and pulse were around 70-80, but recently I have been measuring in the 60s, and sometimes even in the 50s, while both my diastolic and systolic pressures are normal.
A few days ago, I was playing basketball and got hit in the chest.
I'm worried about possible internal injuries, but I don't feel any significant discomfort, just occasionally experiencing a dull pain in my chest or dizziness (which I think might be due to my own anxiety).
I'm very concerned about whether something might be wrong.
Could this indicate a heart problem? Should I go to the hospital for an examination? Thank you for your response, Doctor.

Ru, 10~19 year old female. Ask Date: 2020/10/19

Dr. Wu Xueming reply Cardiology


Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2020/10/19

More Info


When it comes to understanding heart rate and pulse, especially in a young individual like yourself, it’s essential to consider various factors that could influence these measurements. At 16 years old, a resting heart rate typically ranges from 60 to 100 beats per minute. A heart rate in the 50s or low 60s can be considered bradycardia, which is defined as a slower than normal heart rate. However, in athletes or individuals who are physically active, a lower resting heart rate can be normal and even indicative of good cardiovascular fitness.

Your concern about experiencing a heart rate in the 50s, especially after a physical incident like being hit in the chest while playing basketball, is understandable. The heart is a resilient organ, but trauma can sometimes lead to complications that may not be immediately apparent. The symptoms you describe—occasional chest pain and dizziness—could be related to anxiety or stress, particularly if you feel anxious about the incident. However, they could also indicate a need for further evaluation, especially if they persist or worsen.

Given that your blood pressure readings are normal, this is a positive sign. Blood pressure is a critical indicator of cardiovascular health, and normal readings suggest that your heart is functioning adequately in terms of pumping blood. However, the combination of a lower heart rate, occasional chest discomfort, and dizziness warrants a closer look. It’s essential to differentiate between benign causes, such as anxiety or a response to physical activity, and more serious conditions that could require medical attention.

In your case, it would be prudent to consult with a healthcare professional. They may recommend an electrocardiogram (ECG) to assess your heart's electrical activity and ensure there are no underlying issues. Additionally, they might suggest a physical examination to check for any signs of trauma or other conditions that could be contributing to your symptoms. If necessary, they may also recommend further tests, such as an echocardiogram or a Holter monitor, to monitor your heart rate over an extended period.

It’s also worth noting that lifestyle factors can significantly impact heart rate. Stress, anxiety, dehydration, and even certain medications can lead to fluctuations in heart rate and blood pressure. If you are experiencing anxiety about your health, it might be beneficial to engage in relaxation techniques, such as deep breathing exercises, meditation, or gentle physical activity, which can help manage stress levels.

In summary, while a heart rate in the 50s can be normal for some individuals, especially those who are physically fit, your recent symptoms and the incident you experienced suggest that a medical evaluation is warranted. It’s always better to err on the side of caution when it comes to heart health, especially when experiencing new or unusual symptoms. A healthcare professional can provide the necessary guidance and reassurance, ensuring that you receive appropriate care and support.

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