Download FREE Practo app
Get ₹200 HealthCash
Regarding pulse rate
Hi my pulse rate is normal 70-80 bpm as soon as I lay in My bed i feel pulse rate coming very slowly feel pause greeter than 4 second but in oximeter pulse rate check it decrease to 50 bpm than i get panic and pulse rate increase than why there is sudden decrease in while lying as I take mild dose betablocker for pulse rate from 8 months but this never happen
Answers (14)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+139
What you are feeling is very likely normal sinus bradycardia + increased awareness of normal heart rhythm variation when lying down, made worse by anxiety/panic and the mild beta-blocker effect.
Here’s why this pattern fits perfectly:
• Lying flat → vagal tone increases (parasympathetic nervous system dominance) → heart rate naturally slows by 10–20 bpm in many healthy people (this is normal, called nocturnal bradycardia).
• Beta-blocker (even mild dose) makes this slowing more noticeable because it already lowers resting heart rate and blunts the normal compensatory increase.
• When you feel the “pause” or slow beat → you get anxious → adrenaline surges → heart rate jumps up suddenly (this is classic panic cycle).
• Oximeter reading drops to 50 bpm → likely real temporary slowing (vagal + beta-blocker), but not dangerous because it quickly corrects itself when you panic/move/sit up.
• No symptoms like dizziness, fainting, chest pain, or breathlessness during these episodes → very reassuring.
This is not a new heart block or serious arrhythmia — it is the combination of
• normal physiological slowing when lying down
• mild beta-blocker effect
• heightened anxiety making every slow beat feel like a long pause
Next Steps
1. Do NOT stop beta-blocker suddenly — that can cause rebound fast heart rate.
2. See your cardiologist or treating doctor (within 1–2 weeks, not emergency):
• Explain exactly this pattern (slowing only when lying down, panic → fast HR, oximeter shows 50 bpm briefly).
• Ask for one or both of these tests to completely reassure you:
• 24-hour Holter monitor (gold standard — will capture exactly what happens when you lie down and panic)
• Event monitor (if Holter is normal but you want longer recording)
3. Emergency only if:
• Real pause >6–7 seconds + dizziness/fainting
• Pulse stays
Health Tips
• When lying in bed and feel slow/pause — immediately do slow deep breathing (inhale 4 sec, hold 4 sec, exhale 6–8 sec) for 1–2 minutes → reduces panic surge and vagal overdrive.
• Sleep position: Try left-side sleeping or semi-reclined (extra pillow) — reduces vagal stimulation for some people.
• Avoid checking pulse/oximeter obsessively at night — it increases anxiety and makes the cycle worse.
• Limit caffeine after 2 pm, avoid heavy meals 3 hours before bed — both increase vagal tone at night.
• Reassure yourself: Oximeter reading 50 bpm for a few seconds when lying down is common on beta-blockers and not harmful if it self-corrects quickly (which it does in your case).
You are very aware of your heart rate because of anxiety + beta-blocker — most people don’t even notice this normal slowing.
A Holter monitor will give you 100% clarity and usually shows completely normal sinus rhythm with expected nocturnal slowing.
See the doctor soon for Holter — once you see it’s normal, the panic and “pause feeling” usually disappear.
For more help (share Holter result or beta-blocker name/dose), feel free to consult online.
Take care — you will feel much calmer after the monitor
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You have to check ur sleep bp iron hydration status electrolytes ecg echo holter test stress test thyroid hormone status..look for heart failure renal failure or organ dysfunction..thus cud rule out diseases and may be medicine may be the cause..controlling sympathetic activity..
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You are 28yrs and unless you have a specific heart condition that needs betablockers, you shouldn’t need to take it.
Stop the beta-blocker and see how you are.
All the best.
J G S R clinic
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need your detailed history kindly consult on practo
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes it is concerning. Better get yourself medically examined.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Why are you on beta blocker
Do you have any symptoms
Dm me for advice
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Get thyroid profile, ecg, done and share results.
Stop beta blocker for 2 toʻ 3 days and watch the pulse.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Body is relaxed during sleep , metabolism is slow down and body organs like heart and other organs do less function compared to day time.you take also beta blocker ,there function also slower the heart rate, so no worry , its happen sometime.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Kuldip
Internal Medicine
9 yrs exp
Gandhinagar
Hello
Thanks for sharing quary
B blocker priscribe by doctor and what reason? elaborate
more
Fell pluse on wrist radial artery for 1 min
If there is a missed beat then consult ur doctor
Next Steps
Ecg
Echo
Blood investigation
If all normal then go for holter monitor for detail evaluation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need to check vitals twice daily
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.