What causes heart palpitations with a pulse rate 51?
Patient: husband h1s 58 has chronic hep c for 20 years never did treatment.  Drinks two cocktails daily,wine or beer.  His is getting heart palpatations at night and his tongue looks purple?  His pulse tonight was 51 bp 155/95 he will not see a dr.  Are any of these things to worry about Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Yes, there are many things in your husband's case times worry about. He is taking alcohol. So possibility of alcohol induced heart damage is more. His blood pressure is high, pulse rate is low, so possibility of heart block is more. He is also having purple tongue at night. This might be due to cyanosis. Cyanosis is due to reduced blood supply to the organ. And it is commonly seen in heart block. So all these are danger signs in him and these need evaluation by cardiologist. So consult cardiologist and get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). Ask him to quit alcohol as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.