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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)
A heart rate of less than 60 beats per minute (BPM) in adults is called bradycardia. What's too slow for you may depend on your age and physical condition. Physically active adults (and athletes) often have a resting heart rate slower than 60 BPM but it doesn't cause problems and is normal for them. Your heart rate may fall below 60 BPM during deep sleep. Elderly people are more prone to problems with a slow heart rate.