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Avatar universal

Pulse rate concern

Hi there,
I was diagnosed with sarcoidosis of the lymph system just over a year ago. since then I developed dizzyness but not light headed dizziness. I was referred to a vestibular specialist and the exercise given helped for a while but never eradicated the wobbly feeling. I had a brain mri and it was normal.
I then went for a routine check up with my sarcoid doc and the nurse picked up that my pulse was 44. she asked me if I had dizzy spells and I said I did but not light headed dizziness. They checked my pulmonary function and it was all ok. Since then I've had 2 ecg's and a heart ultrasound as they were looking at sarcoid of the heart affecting my pulse. Since then I've had chest pains and lightheadedness (which I did'nt get prior to them highlighting possible heart issues). I used to be a pro athlete and have trained at a high level of fitness for almost 25 years (i am now 39). The ecg's and ultrasound were all ok, I wore a holter monitor for 24 hrs 6 weeks ago but they haven't yet told me the results. I did no exercise for 5 weeks and my pulse went up to about an average of 55-58 bpm. Since then I've done light exercise and all of a sudden my pulse is ranging from 48-56 bpm. I woke up this morning and it was 58bpm but then mid morning it went down to 50bpm. I thought I always had a strong heart as when training a few years ago my pulse was 41-44bpm but now I'm not so sure and I'm worried about the sarcoid but getting not getting answers. I can go for a run and I'm fine. Just before they scared the crap outta me with the heart tests I had told my wife that I was running 5km better than every before and was recovering from runs very quickly.
Mark
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Avatar universal
MEDICAL PROFESSIONAL
Hi Mark, what was the heart rate mentioned in the monitor or ECG? Sometimes weak beats may not be picked up while manually feeling the pulse. This could also be the case if the vessel walls are thickened. The dizziness could be due to inner ear disorders, this could be confirmed with tests like Electrocochleography (ECOG) and videonystagmography (VNG). These help diagnose inner ear problems. As long as you are able to exercise well and are happy, don't worry too much and enjoy life. Warm regards.
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Avatar universal
Hi there,
Thanks for your message. The cardiologists report from the holter monitor readings said no evidence of sinus dysfunction no Av block or arrhythmia including during times where I said I'd suffered chest pain and dizziness.
Mark
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

Athletes are known to have slower heart rates, as the heart pumps more efficiently. Normal is 60 - 100 and generally it slows as we age. The slower your resting heart rate, the more efficient your heart is. An ideal resting heart rate would be around 60 - 70. But values in the range of 40s are very low. It could be due to rhythm disorders like nodal blocks. Sometimes rhythm disorders may not be picked up by routine EKGs. You will have to wait for your 24 hrs holter monitor results to know the cause.

Hope this helped and do keep us posted.
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