The lowdown on a low heart rate

A heart rate below 60 beats per minute, called bradycardia, is fairly common in people older than 70. The most common permanent cause is age-related degenerative changes in the heart’s conduction system. Previous heart problems, including a heart attack or heart surgery, make the problem more likely. Medical issues including sleep apnea, hypothyroidism, and certain medications can also cause bradycardia. People experiencing a low heart rate and symptoms such as feeling dizzy, lightheaded, fatigued, or breathless should seek medical care right away.