
A person's heart rate fluctuates throughout the day, influenced by factors like physical activity, emotions, and sleep. Typically, an adult's heart rate during sleep ranges from 40 to 60 beats per minute, with children usually having higher rates that decrease as they age. While a slower heart rate during sleep is normal, dropping below 40 beats per minute can be concerning and may indicate a condition called bradycardia, which can be caused by various factors, including age, medication, and heart function issues.
| Characteristics | Values |
|---|---|
| Normal sleeping heart rate for adults | 40 to 50 beats per minute (bpm) |
| Normal resting heart rate | 60 to 100 bpm |
| Heart rate during REM sleep | May speed up to a rate similar to when awake |
| Heart rate during non-REM sleep | Lower than during REM sleep |
| Low heart rate | Below 60 bpm |
| Heart rate that is too low | Below 35-40 bpm |
| Causes of low heart rate | Age, medications, malfunction in the sinus node, atrioventricular block |
| Condition caused by abnormally low heart rate | Bradycardia |
| Symptoms of bradycardia | Fatigue, dizziness, chest pain, fainting, lightheadedness, shortness of breath |
| Complications of bradycardia | Insufficient blood circulation, ischemic strokes |
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What You'll Learn

A low heart rate during sleep is normal
A low heart rate during sleep is perfectly normal. In fact, it's typical for a person's heart rate to slow down while they're asleep. This is because, during sleep, the stimulation of the nervous system is reduced, and most of the body's processes slow down.
Heart rate fluctuates throughout the day, depending on activity levels and emotions. When we're awake, our heart rate can be affected by factors such as stress, exercise, fear, anger, or surprise, which can cause it to spike. However, when we sleep, our heart rate normally slows down to between 40 and 60 beats per minute (bpm). This can vary depending on the individual and the phase of sleep they're in. For example, during the first stages of light sleep, the heart rate begins to slow down, reaching its lowest levels during deep sleep. During rapid eye movement (REM) sleep, the heart rate may speed up to a level similar to when we're awake.
While a low heart rate during sleep is usually nothing to worry about, in some cases, it could indicate an underlying issue, such as sleep apnea or heart problems. This condition is known as sleep bradycardia, and it occurs when the heart rate falls below 60 bpm during sleep. It is often a natural phenomenon due to increased vagal or parasympathetic tone, which refers to the activity of the vagus nerve that plays a role in lowering heart rate. However, abnormal disruptions in the body's mechanisms that control heart rate can lead to pathologic sleep bradycardia. If you experience symptoms such as fatigue, dizziness, or chest pain, it's important to consult a doctor for a comprehensive evaluation.
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Bradycardia is a low heart rate condition
A person's heart rate typically slows down during sleep. On average, a sleeping adult's heart rate is between 40 to 50 beats per minute (bpm), although there is variability between individuals. During deep sleep, the heart rate reaches its lowest levels.
Bradycardia is a condition where the heart beats slowly, usually defined as fewer than 60 beats per minute. The most common cause of bradycardia is a malfunction in the heart's natural pacemaker, the sinus node, which controls how quickly the top and bottom chambers pump blood through the body. Another cause is an atrioventricular block (AV block), where the top and bottom chambers do not communicate effectively, resulting in a decreased heart rate. Age is the most common risk factor for developing bradycardia, as the electrical pathways in the heart deteriorate over time. Certain medications can also increase the risk of developing bradycardia, particularly in older adults.
Bradycardia is almost always treatable and sometimes curable. If it is caused by another medical condition, treating that condition may be sufficient to resolve the bradycardia. For example, if a medication is causing bradycardia, stopping or changing that medication may be all that is needed. In cases where bradycardia causes significant problems, such as dangerously low blood pressure, intravenous or injectable medications such as atropine can be used to increase the heart rate. Daily oral medications can also be taken to improve heart function and increase the heart rate.
While it is possible to have no symptoms with bradycardia, it is important to be aware of potential warning signs. If left untreated, bradycardia can lead to serious complications. For example, if the heart rate drops into the 30s, there may not be enough oxygen reaching the brain, which can lead to fainting, lightheadedness, and shortness of breath.
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Causes of bradycardia include age, medication, and heart abnormalities
A low heart rate during sleep is considered normal, with the average sleeping heart rate for adults ranging from 40 to 60 beats per minute (bpm). However, a resting heart rate below 40 bpm may be a cause for concern.
Bradycardia is a condition characterised by a heart rate of fewer than 60 bpm, which is considered slower than typical. While some individuals may experience no symptoms and require no treatment, others may exhibit symptoms that necessitate medical attention. Causes of bradycardia include age, medication, and heart abnormalities.
Age is the most common risk factor for bradycardia. The condition is more prevalent in older adults and less common in younger adults and children due to the natural slowing of the heart rate with age. However, certain conditions present at birth, whether genetic or otherwise, can also cause bradycardia in younger individuals.
Medications, particularly those commonly used in older populations, can contribute to bradycardia. Additionally, recreational drug use, including narcotics and cannabis-based drugs, has been linked to the development of bradycardia.
Heart abnormalities, such as sick sinus syndrome and heart block, are also associated with bradycardia. Sick sinus syndrome occurs when the sinus node, the heart's natural pacemaker, fails to trigger every heartbeat reliably, resulting in a slow and irregular heart rate. Heart block refers to the impaired communication between the upper and lower chambers of the heart, leading to a decreased heart rate.
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Sleep bradycardia may be symptomless or indicate sleep apnea
A low heart rate during sleep is generally considered normal. In adults, a sleeping heart rate of 40 to 60 beats per minute is common, though this can vary between individuals. During sleep, the heart rate fluctuates, reaching its lowest levels during deep sleep and speeding up during REM sleep.
However, a persistently low heart rate, known as bradycardia, can be a concern. Doctors consider a low heart rate to be 60 beats per minute and below. While bradycardia may be symptomless, it can sometimes cause serious problems, especially if the heart struggles to pump enough blood and oxygen around the body. Symptoms of bradycardia include dizziness, fatigue, and a sense of shortness of breath.
Sleep apnea is a disorder that affects sleep quality and increases the risk of serious health complications, including stroke and diabetes. It is characterised by interrupted sleep cycles, where breathing repeatedly stops and starts. Sleep apnea has been linked to bradycardia, with over 50% of people with bradycardia also having obstructive sleep apnea (OSA). Sleep apnea causes fluctuations in heart rate, especially at night, with a drop in oxygen levels followed by a heart rate burst upon waking. Repeated episodes of bradycardia from sleep apnea can stress the heart, leading to irregular rhythms and an increased risk of cardiovascular issues.
If you suspect you may have sleep apnea or bradycardia, it is important to discuss your sleep problems with a doctor. Initial testing can be done at home with simple technology that monitors oxygen levels during sleep.
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Low heart rate may cause dizziness, fatigue, or chest pain
A low heart rate during sleep, also known as bradycardia, is characterised by a slower than normal heart rate. While it is normal for some people, especially those who are extremely fit, it can cause a range of symptoms, including dizziness, fatigue, and chest pain.
Dizziness can be a result of associated hypotension or low blood pressure, which occurs when the force at which the heart pumps blood through the arteries decreases. This can lead to inadequate blood flow to the brain, causing lightheadedness and dizziness. Fatigue, or a feeling of exhaustion and lack of energy, may also be experienced due to insufficient oxygen and nutrient delivery to the body's tissues and organs.
Chest pain, or angina, is another potential symptom of a low heart rate. It can be a sign of reduced blood flow to the heart muscle, resulting in a shortage of oxygen and nutrient supply to the heart tissue. Chest pain should not be ignored as it may indicate a more serious underlying condition, such as coronary heart disease or a heart rhythm problem.
If you experience any of these symptoms alongside a slow heart rate, it is important to seek medical advice promptly. A doctor may advise on potential treatments or lifestyle changes to manage bradycardia and alleviate associated symptoms. It can be helpful to note the times when you notice your heart beating slowly and how you are feeling during those episodes.
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Frequently asked questions
A sleeping heart rate between 40 and 50 bpm is considered average for adults, though this can vary depending on multiple factors. Doctors consider a low heart rate to be 60 beats per minute (bpm) and below.
A slower heart rate during sleep is called sleep bradycardia. It is often a natural phenomenon that occurs due to increased vagal or parasympathetic tone, referring to the activity of the vagus nerve, which plays a role in lowering heart rate. However, abnormal disruptions in the body’s mechanisms that control the heart rate can lead to pathologic sleep bradycardia. These disruptions include dysfunction in the sinoatrial (SA) node, the heart’s natural pacemaker.
A low heart rate during sleep is usually normal, but in some cases, it may be associated with other medical conditions. If you experience symptoms such as fatigue, dizziness, or chest pain, contact your doctor for a comprehensive evaluation. If your heart rate drops into the 30s, you might not get enough oxygen to your brain, which could lead to fainting, lightheadedness, and shortness of breath.











































