u/jasonduval98

Hello everyone. I’d like some help interpreting a behavior from my blood pressure monitor (Microlife).

I’m 27 years old and have been doing weight training for 3 years (4 times per week). Recently, I’ve been feeling anxious about my cardiovascular health because my Apple Watch detected a low heart rate. I had tests done 5 months ago (Holter monitor and echocardiogram): the echocardiogram was normal, and the Holter showed sinus bradycardia (minimum of 28 bpm أثناء sleep) and some nighttime pauses of 4 seconds, but the doctor said it was due to an athlete’s heart and that the rhythm was sinus.

Today, when I got home from work, I went to measure my blood pressure and something strange happened:

1.	The machine started deflating, but it didn’t stop at the normal value. It kept going down, down, almost reached 0, and gave an error.

2.	I repeated the measurement right after. The machine gave a reading (136/49), but the irregular rhythm/arrhythmia symbol appeared.

3.	I took two more measurements in a row, and the values were normal (120/55), and the arrhythmia symbol disappeared.

My question is: Could this error of going all the way down to zero followed by the arrhythmia symbol indicate something serious, like sudden atrial fibrillation, or is it just the machine malfunctioning?

"I have never had any symptoms.

Sou H28 e treino musculação há 4 anos (constante, mas sem ser atleta de elite). Recentemente o meu Apple Watch começou a dar alertas de batimento baixo e fui fazer um Holter para conferir. O resultado deu uma assustada:

• 28 bpm de mínima enquanto dormia.

• 18 pausas cardíacas (a maior de 4.11 segundos).

Fiz um Ecocardiograma e o coração está top, FEVE de 67% (tudo dentro dos conformes). No treino, o batimento sobe normal até aos 150 bpm e, o mais importante: não sinto absolutamente nada. Zero tonturas, zero desmaios.

O médico diz que é tónus vagal elevado por causa do treino e que, por não ter sintomas, não se faz nada agora (só vigiar se as pausas aumentam ou se aparecem sintomas para um futuro marca-passo).

A real é que fiquei meio bitolado e ansioso com isto. Alguém aqui que treina pesado também já teve esse diagnóstico de bradicardia severa e pausas? Isso evoluiu com o tempo ou o coração de vocês apenas 'estabilizou' assim por ser treinado?

Abraço e bons treinos!

Hey everyone,

I’m a 28-year-old male and I recently discovered I have bradycardia through alerts on my Apple Watch SE. I just got my Holter results back and I’m a bit freaked out: my heart rate dropped to 28 bpm while sleeping, and I had 18 pauses, the longest one being 4.11 seconds.

Here’s some context:

• I’ve been weightlifting for 4 years (consistent training, but nothing elite).

• My Echocardiogram is good, with an LVEF of 67%.

• I haven't done an official stress test yet, but my HR goes up normally during workouts, hitting 170 bpm.

• I have zero symptoms. No dizziness, no fainting, nothing.

My doctor says this is likely due to high vagal tone and doesn't want to do anything for now. She mentioned that if I develop symptoms in the future, a pacemaker might be an option, but for now, we wait.

To be honest, I’m pretty anxious about this. I’m scared something might happen to me. Has anyone else gone through this? Did your condition evolve or stay the same after 4 or 5 years? Do you think I'm headed for a pacemaker eventually?

Would love to hear your thoughts/experiences. Thanks