heart rate of 46

[Ms.RN]

i checked patients apical heart rate two times just to make sure i didnt make any mistake with counting and both times i had heart rate of 46. patient is not symtomatic, her blood pressure was normal. how can patient's heart rate be that low and not be symtomatic?

[BlessedOne]

I discharged a patient this weekend with hr of 38-43 asymptomatic. she also was in and out of afib. she was elderly and just had a carotid via the groin. it was her norm

[leslie :-D]

it's a tougher call when pt is demented.

depending on how advanced her dementia is, does she c/o dizziness?

what's her ms? loc decreased?

any cyanosis, peripheral edema, dyspnea, poor perfusion?

is she overweight?

maybe obstructive sleep apnea?

ecg's ok?

leslie

[Dolce, RN]

Remember when President Bush choked on the pretzel and passed out? They said it was probably partially related to his very low heart rate (48 at rest). He works out regularly--asymptomatic bradycardia is typical for athletes.

[AlabamaBelle]

My husband just had a procedure last week. His pre-op workup showed sinus brady (47bpm). In recovery, he was between 36 - 45. He's not athletic, but he is on a beta-blocker. He's otherwise asymptomatic.

Last March, he was hospitalized with MI-like symptoms. Spent the weekend in the hospital in SB with bigeminy with runs of trigeminy. Converted to SR (still bradycardic 50-60) on Monday am.

[RedCell]

individuals who abuse cocaine also have asymptomatic brady, particularly after coming off the drug after a binge

Doubt that the gomere is abusing nose candy or smoking crack. Probably has SA node disease,a decent stroke volume, and one hell of a high afterload. Pipes of steal. CO= HR x SV. BP= CO X SVR. Is she a patient who could code at any time? Sure, what 80 year old isn't. She will be showing positive for the ominous O sign soon to be followed up with the bag zipping Q sign in no time.