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There are many causes of slow heartbeat, and they range from mild to serious. A slow heartbeat may be caused by cardiovascular disorders or diseases such as: Cardiac arrhythmias. Cardiomyopathy (weakened or abnormal heart muscle and function) Cardiovascular disease (due to atherosclerosis, hardening of the arteries, or other causes) Sinus node disease (abnormality of the heartâs internal pacemaker)
1 Ischemia, or lack of blood flow, may also cause an abnormal EKG. 2  Heart rate abnormalities. 3  A typical human heart rate is between 60 and 100 beats per minute. 4  An EKG can determine if the heart is beating too fast or too slow. Ischemia, or lack of blood flow, may also cause an abnormal EKG. 2  Heart rate abnormalities. 3  A typical human heart rate is between 60 and 100 beats per minute. 4  An EKG can determine if the heart is beating too fast or too slow.