Is Dieting Causing My Low Blood Pressure and Slow Heart Rate? - Cardiology

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Consulting a physician: Is it serious if dieting leads to low blood pressure and bradycardia?


Hello, I am a 20-year-old male.
I have been dieting for three weeks, and recently I started experiencing symptoms of bradycardia and low blood pressure.
My heart rate has been around 45-50 beats per minute (recorded on three different days), and my blood pressure today was 100/54.
I occasionally feel chest tightness.
Is this concerning? Since I still have two weeks until my dieting goal, is it okay to continue like this? (I also go jogging in the evenings, adjusting my pace according to how my body feels, without overexerting myself.
Is that acceptable?)

Mu Haha, 10~19 year old female. Ask Date: 2015/11/26

Dr. Lin Jixiong reply Cardiology


Hello: A heart rate of 45-50 beats per minute should be evaluated in context.
If this occurs while sleeping or resting, there is usually no cause for concern.
However, if your heart rate consistently measures 45-50 beats per minute during normal activities, it may be considered too slow.
It is best to consult a professional nutritionist regarding dieting, as overly strict fasting can be harmful to your health.
Dr.
Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/26

More Info


Dieting can indeed lead to various physiological changes in the body, including low blood pressure (hypotension) and a slow heart rate (bradycardia). In your case, experiencing a heart rate of 45-50 beats per minute and a blood pressure of 100/54 mmHg after three weeks of dieting raises some concerns that should not be overlooked.

Firstly, it's important to understand that a normal resting heart rate for adults typically ranges from 60 to 100 beats per minute. A heart rate below 60 is considered bradycardia, and while some athletes may have lower resting heart rates due to their fitness levels, a heart rate consistently in the 40s, especially in someone who is not an athlete, can be a sign of an underlying issue. Similarly, low blood pressure can lead to symptoms such as dizziness, fainting, and in severe cases, shock.

The symptoms you describe—occasional chest tightness and the low heart rate and blood pressure—could be related to inadequate caloric intake or nutritional deficiencies resulting from your dieting. When the body does not receive enough nutrients, it can lead to decreased metabolic function, which may manifest as bradycardia and hypotension. Additionally, dehydration, which can occur during dieting, may also contribute to low blood pressure.

Engaging in physical activity, such as jogging, while experiencing these symptoms can be risky. While it's commendable that you are adjusting your exercise intensity based on how you feel, pushing your body during a time of caloric restriction and low energy can exacerbate your symptoms and lead to further complications. It's crucial to listen to your body and prioritize your health over dieting goals.

Given your current symptoms and the potential risks associated with them, it is highly advisable to consult a healthcare professional. A doctor can perform a thorough evaluation, including a physical examination and possibly an electrocardiogram (ECG), to assess your heart's rhythm and function. They may also recommend blood tests to check for electrolyte imbalances or other nutritional deficiencies.

In the meantime, consider the following recommendations:
1. Reassess Your Diet: Instead of continuing with a restrictive diet, focus on a balanced intake of nutrients. Ensure you are consuming enough calories to meet your body's needs, including carbohydrates, proteins, fats, vitamins, and minerals.

2. Stay Hydrated: Drink plenty of fluids, especially water, to prevent dehydration, which can contribute to low blood pressure.

3. Monitor Your Symptoms: Keep a close eye on your heart rate and blood pressure. If you experience severe symptoms such as fainting, persistent chest pain, or extreme fatigue, seek medical attention immediately.

4. Avoid Strenuous Exercise: Until you have consulted with a healthcare provider, it may be wise to limit high-intensity workouts and focus on gentle activities like walking or stretching.

5. Consult a Professional: A registered dietitian can help you create a sustainable eating plan that supports your health and fitness goals without compromising your well-being.

In conclusion, while dieting can lead to changes in heart rate and blood pressure, your current symptoms warrant a careful evaluation by a healthcare professional. Prioritizing your health and well-being is essential, and making informed dietary choices will help you achieve your goals safely.

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