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What to do about a low pulse rate of 50 in an 80-year-old diabetic with a history of heart surgery?
General Medicine
Consultation #54299
72 days ago
334

What to do about a low pulse rate of 50 in an 80-year-old diabetic with a history of heart surgery? - #54299

Client_9f88ec
$3

cholesterol diabetic I am 80yo I had bypass surgery 7 years ago I have 3 stents I had angiogram procedure 2 weeks ago My pulse rate is ~50 I work 9 to 5 I don't tire easily I walk 5 to 8 k steps daily I have no chest pain no dizziness I'm diabetic n have cholesterol My concern is the pulse rate. Can u help

When did you first notice your pulse rate being around 50?:

- Longer than 6 months

How do you feel overall with this pulse rate?:

- Slightly fatigued

Have you experienced any changes in your daily routine or stress levels recently?:

- No significant changes

What medications are you currently taking for diabetes and cholesterol?:

- Oral diabetes medication and statins

How would you describe your appetite and eating habits?:

- Good — balanced diet

How is your blood sugar controlled?:

- Well-controlled with medication

Do you have a history of any heart rhythm issues?:

- No, never had any issues

Doctors' responses

Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
71 days ago
5

Hello, Given your history of bypass surgery and stents, a pulse rate of 50 (bradycardia) requires a careful approach. In Ayurveda, this is often viewed as an imbalance of Vata (governing movement) and Kapha (governing stability), which can slow the “Agni” (metabolic fire) of the heart muscle. ​While a high activity level (8,000 steps) without fatigue is a very positive sign, a heart rate of 50 at age 80 especially post-procedure must be monitored. ​ ​The heart is the seat of Ojas (vitality). A slow pulse may indicate Manda Vata (slowed movement) or be a side effect of modern cardiac medications (like Beta-blockers) often prescribed after bypass surgery. Ayurveda aims to support the Hridaya (heart) by improving circulation and strengthening the cardiac nerves. ​ ​Since you are diabetic and have stents, ensure these do not replace your current cardiac prescriptions. Consult your cardiologist before starting supplements, as they can interact with blood thinners or blood pressure meds. 1. ​Arjunarishtam ​Action: A classic cardiac tonic that strengthens heart muscles and regulates rhythm. ​Dose: 15 ml to 20 ml mixed with an equal quantity of lukewarm water, twice daily after meals. 2. ​Abhayarishtam ​Action: Often used alongside Arjuna to ensure smooth “Vata” flow and prevent abdominal pressure that can affect heart rate. ​Dose: 15 ml mixed with equal water, once daily at night. ​3. Parthadyarishtam (Arjunamritam) ​Action: Specifically processed to support heart health in elderly patients with a history of surgery. ​Dose: 15 ml twice daily after food. ​ ​Review your current Allopathic medications. Drugs like Metoprolol or Atenolol are designed to lower the heart rate and may be the cause. ​ Since you have no dizziness or chest pain, the rate may be “physiologic” due to your fitness, but 50 is the lower limit for your age. ​ Focus on warm, easily digestible foods. Avoid heavy, cold “Kapha-increasing” foods (like curd or excess sweets) which can further slow the system.


0 replies
Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
72 days ago
4.99

This is called bradycardia (low pulse) Since you have bypass + stents + recent angiogram. Ayurvedic View This reflects Vata dominance + reduced cardiac Agni (Hridya bala) with aging. Ayurveda can support heart strength, but not replace cardiac care Supportive Ayurvedic Care 1. Heart Strengthening Herbs Arjuna – best for cardiac tone & circulation Pushkarmool – improves heart function Dashmool (mild) – balances Vata 2. Gentle Daily Routine Continue walking (very good but avoid overexertion) Regular timing of meals & sleep Avoid fasting or long gaps (can lower pulse further) 3. Diet Warm, light, easily digestible food Include: garlic, small amount of ghee, whole grains Avoid: heavy, cold, stale food Lifestyle Mild pranayama (deep breathing, not forceful) Stress reduction, calm routine


0 replies
Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
72 days ago
5

Your pulse is a bit slow (around 50), which can be normal in some people. Since you’re not having chest pain or dizziness and you stay active, it’s reassuring. However, given your heart history, we should check it with a simple heart monitor and review your medicines to be safe. If you feel more tired, dizzy, or faint, let us know immediately. –From an Ayurvedic view, a slower pulse can be linked to increased Kapha or reduced Agni (metabolism). Since you feel mostly well, it may be your natural balance, but your mild fatigue suggests slight imbalance. Keep digestion strong, stay active, eat light and warm foods, and follow up regularly to ensure everything stays stable. –rx 1) Aimil Amlycure DS – 1 tab twice daily after food 2) Aimil Lipidofit – 1 tab twice daily after food 3) Aimil Madhumehari – 1 tab twice daily before food (if sugar control monitored) Advice: continue cardiac medicines, monitor pulse/sugar, regular follow-up.


0 replies
Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
71 days ago
5

1.Prabhakar vati 1 tab twice daily with water after meals 2.Lasuna tablets 1 tab twice daily with water after meals 3.Ashwgandha capsules 1 capsule at night with warm milk 4.Arjunarishta 15ml with 15ml water, twice a day after meals Vital Recommendations -Check your Medications: Look at your prescription. If you are on a Beta-blocker, a pulse of 50 is likely the intended effect of the drug. However, you must inform your cardiologist about this specific reading during your post-angiogram follow-up. -Hydration: Since you are diabetic and work 9-to-5, ensure you are drinking at least 2 liters of water. Dehydration can sometimes make a slow pulse feel more fatiguing. -Abhyanga (Self-Massage): Gently massaging your hands and feet with warm sesame oil before a bath can improve peripheral circulation and help with fatigue. -Avoid Straining: While your 8k steps are excellent, avoid sudden heavy lifting or high-intensity bursts that might strain a heart beating at a slower resting rate.


0 replies

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