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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 Tachy-brady syndromeâ It is possible for the same person to have a slow heartbeat when the heart is in normal rhythm and periods of fast, irregular heartbeats (supraventricular tachycardias) at other times. 2  Sometimes, medications needed to control the fast heart rate can worsen the already slow heart rate.hat counts as an abnormally slow heartbeat for one person may not be the same for another. For example, a young, strong, healthy athlete may have a resting heart rate of 30-40 beats per minute, but may easily increase his heart rate to 180 beats per minute with exercise. This is normal.