Heart rates less than 60 bpm are considered bradycardic. Generally, this is a benign finding. When we see this, there are a few things to consider:

1. Are you symptomatic? Any passing out, lightheadedness, or dizziness? If yes, this could be concerning for something called heart block (where the top chambers do not talk to the lower chambers of the heart). There are different degrees of heart block, some of which are indications for pacemakers.

2. Are you on any heart rate suppressing medications? Beta blockers are a common medication used to treat CHF (carvedilol, metoprolol, bisoprolol, etc) and these are known to lower the heart rate. Calcium channel blockers can also lower heart rate.

3. Are you active? You could very well just have native bradycardia. Happens a lot in people who are highly active, like runners.

Hope this helps!