- male
- 30 Years
- 20/02/2025
I'm lying down and my heart rate is around 54, but when I stand up it's 86. Is it normal for the heart rate to be under 60? My echo and TMT tests came back normal, but when I get up from bed, I feel dizzy. Should I be worried or is this something that happens often?
Answered by 1 Apollo Doctors
A heart rate of 54 beats per minute when lying down can be normal, especially if you are physically fit or athletic, as lower heart rates are common in these individuals. However, the dizziness you experience when standing up could indicate a condition known as orthostatic hypotension, where your blood pressure drops upon standing, leading to dizziness. It is good that your echocardiogram (echo) and treadmill test (TMT) are normal, but I recommend discussing these symptoms with your healthcare provider. They may suggest additional tests, such as measuring your blood pressure and heart rate changes with position changes, to diagnose and manage the underlying cause of your dizziness.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding Normal Heart Rate Variations
- A resting heart rate under 60 bpm can be normal, especially in healthy adults or athletes.
- Heart rate increases upon standing due to normal physiological responses.
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Causes and Significance of Dizziness When Standing Up
- Common reasons include orthostatic hypotension, where blood pressure drops upon standing.
- This can cause temporary dizziness as blood flow adjusts.
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Interpretation of Your Test Results
- Normal echocardiogram and treadmill test results indicate good heart function.
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When to Be Concerned and Next Steps
- Seek medical advice if dizziness is frequent, severe, or accompanied by other symptoms.
- Manage dizziness by standing up slowly and staying hydrated.
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Relevant Medical Specialties and Tests
- Consider consulting cardiology or general medicine.
- Tests like blood pressure monitoring or a tilt-table test may be recommended if symptoms persist.
Recommended next steps
Consult a Cardiologist or Consult a General Physician/ Internal Medicine Specialist
Answered 10/09/2025
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