What causes the heart beat rate to lower?
Patient: I am 50 yr I am taking tenolol 50 plus amtas 5 for the last 7 years . I walk briskly for 45 minutes daily. For the last about 6 months my heart beat is generally 60 p/m . My bp is absolutely ok . Why heart beat is down . Should I think of some alternative medicine Doctor: dont worry,  as you are having good exercise capacity , your heart rate around sixty is acceptable. your heart rate is slightly low due to tenolol. but you can continue same drugs as your bp is normal , having good exercise capacity with slightly low but accptable heart rate.