Slow heart rate
Bradycardia means a slow heart rate, usually below 60 beats a minute at rest.
Read the guidePalpitations are an awareness of your own heartbeat: racing, fluttering, skipping or pounding. Many causes are harmless, such as caffeine, stress or extra beats. Some need treatment, such as atrial fibrillation. An ECG and rhythm monitoring help tell them apart. Dr Shady Habboush assesses palpitations at Saudi German Hospital Dubai.

Do not wait for an appointment. Call 998 or go to the nearest emergency department.
The aim is to find the cause with the fewest tests. Treatments such as medicines and ablation have benefits and risks, which are explained before any decision.
Your description matters: how it starts and stops, how fast, and what you were doing.
A 12-lead ECG, and blood tests such as thyroid function and blood count.
Rhythm monitoring matched to how often symptoms occur: a 24 to 48-hour Holter, a 7 to 14-day patch, or an event monitor.
An echo, if a structural heart problem needs to be excluded.
Many people need only reassurance and simple changes, such as less caffeine, better sleep and treating anxiety.
Atrial fibrillation needs assessment of stroke risk and treatment of rate or rhythm.
Some fast rhythms are treated with medicines or a catheter ablation by an electrophysiologist.
Most are harmless, especially short skipped beats at rest. Palpitations with fainting, chest pain or breathlessness, or with a known heart condition, need prompt assessment.
A small recorder worn for one or more days that records every heartbeat, so symptoms can be matched to the rhythm.
Caffeine, energy drinks, alcohol, nicotine and some decongestants can trigger extra beats in some people.
Some watches can flag an irregular rhythm. A diagnosis needs a proper ECG recording reviewed by a doctor.
Bradycardia means a slow heart rate, usually below 60 beats a minute at rest.
Read the guideAn ICD (implantable cardioverter-defibrillator) watches the heart rhythm and can treat a dangerous fast rhythm with pacing or a shock.
Read the guideA heart check-up with a cardiologist combines your history, an examination, an ECG and only the tests you need, followed by a clear explanation of your own risk.
Read the guideMedical facts on this page follow the sources below.
Medically reviewed against ESC and NHS guidance · Updated October 2026. General information, not medical advice.
Appointments are made through Saudi German Hospital Dubai, Hessa Street, Al Barsha 3. Consultations in Arabic, English and German.
Chest pain right now? Do not wait for an appointment. Call 998 or go to the nearest emergency department.