{"id":635097,"date":"2026-02-02T09:30:44","date_gmt":"2026-02-02T14:30:44","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=635097"},"modified":"2026-04-08T11:25:55","modified_gmt":"2026-04-08T15:25:55","slug":"beta-blockers-heart-rate","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/beta-blockers-heart-rate\/","title":{"rendered":"What is an acceptable heart rate on beta blockers?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/blog\/propranolol-vs-metoprolol\/\"><span style=\"font-weight: 400;\">Beta blockers<\/span><\/a><span style=\"font-weight: 400;\"> are among the most commonly prescribed medications for people with heart conditions like high blood pressure (hypertension), heart rhythm disorders (arrhythmias or tachycardia), and heart failure. In fact, roughly 10% of Americans take a beta blocker such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metoprolol-tartrate\"><span style=\"font-weight: 400;\">metoprolol<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/carvedilol\"><span style=\"font-weight: 400;\">carvedilol<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/atenolol\"><span style=\"font-weight: 400;\">atenolol<\/span><\/a><span style=\"font-weight: 400;\">. They work by preventing the absorption of certain chemicals in your brain, which relaxes blood vessels to allow the heart to pump more easily. The two main effects are decreased heart rate and blood pressure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, what\u2019s considered an acceptable or healthy heart rate for someone taking beta blockers varies based on why<\/span> <span style=\"font-weight: 400;\">the beta blockers were prescribed in the first place. Read on to find out what to expect and when you should call your provider or cardiologist.<\/span><\/p>\n<h2 id=\"how-beta-blockers-change-your-heart-rate\"><span style=\"font-weight: 400;\">How beta blockers change your heart rate<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cBeta blockers (specifically cardioselective beta1 blockers) reduce the effects of the stress hormones adrenaline (epinephrine) and noradrenaline (norepinephrine) on the heart,\u201d explains pharmacologist <\/span><a href=\"https:\/\/tourocom.touro.edu\/do\/faculty\/shah-nilank.php\"><span style=\"font-weight: 400;\">Nilank Shah, MD<\/span><\/a><span style=\"font-weight: 400;\">, an associate professor of physiology at Touro College of Osteopathic Medicine. \u201cAs a result, the heart beats more slowly, pumps with less force, and responds less dramatically to physical or emotional stress.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on the individual, this change can manifest in different ways. Some people never notice a difference, while others could experience dramatic symptoms. \u201cI usually review the signs of slow heart rate with patients prior to starting a beta blocker,\u201d says <\/span><a href=\"https:\/\/www.memorialcare.org\/providers\/lu-chen\"><span style=\"font-weight: 400;\">Lu Chen, MD<\/span><\/a><span style=\"font-weight: 400;\">, a cardiac electrophysiologist at MemorialCare Heart &amp; Vascular Institute at Orange Coast Medical Center in Fountain Valley, California. \u201cThe most severe form would be black out episodes, or syncope.\u201d But before that, there are other, more subtle signs of a too-slow heart rate, also known as bradycardia. Per Drs. Shah and Chen, these include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced tolerance for exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cold hands or feet<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling slower than usual<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No racing heart during stress or exercise<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These symptoms could indicate a need for a dose adjustment to prevent your heart rate from being below or slower than the acceptable range.<\/span><\/p>\n<h2 id=\"what-s-a-normal-heart-rate-without-beta-blockers\"><span style=\"font-weight: 400;\">What\u2019s a \u201cnormal\u201d heart rate without beta blockers?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/normal-resting-heart-rate-by-age\/\"><span style=\"font-weight: 400;\">normal resting heart rate<\/span><\/a><span style=\"font-weight: 400;\"> for most healthy adults is between 60 and 100 beats per minute (bpm), according to the <\/span><a href=\"https:\/\/www.heart.org\/en\/healthy-living\/fitness\/fitness-basics\/target-heart-rates\"><span style=\"font-weight: 400;\">American Heart Association<\/span><\/a><span style=\"font-weight: 400;\">. However, certain factors can change your resting heart rate. For example, athletes and people who exercise regularly tend to have lower resting heart rates (some as low as 40 beats per minute). Typically, lower resting heart rates are a sign of good cardiac health, a signal that your heart is in just as good shape as your muscles.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The biggest concern with resting heart rate is that it becomes chronically high. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/does-coffee-dehydrate-you\/\"><span style=\"font-weight: 400;\">Dehydration<\/span><\/a><span style=\"font-weight: 400;\">, fever, caffeine, and stress can cause temporary <\/span><a href=\"https:\/\/baptisthealth.net\/baptist-health-news\/what-your-resting-heart-rate-says-about-your-health\"><span style=\"font-weight: 400;\">increases in heart rate<\/span><\/a><span style=\"font-weight: 400;\">, while certain medications and conditions like anemia or an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/january-thyroid-awareness-month\/\"><span style=\"font-weight: 400;\">overactive thyroid<\/span><\/a><span style=\"font-weight: 400;\"> (naturally hyperthyroid or excessive thyroid medication) can raise your resting heart rate and keep it elevated.\u00a0<\/span><\/p>\n<h2 id=\"what-s-a-normal-heart-rate-on-beta-blockers\"><span style=\"font-weight: 400;\">What\u2019s a normal heart rate on beta blockers?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThere is no single normal heart rate for everyone on beta blockers,\u201d Dr. Shah says. \u201cRather than focusing on a specific number, clinicians consider how the person feels, their overall heart function, blood pressure, and the reason the medication was prescribed.\u201d That last factor plays perhaps the biggest role in what to expect with your heart rate on beta blockers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe target different heart rates for different conditions,\u201d Dr. Chen says.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<tbody>\n<tr class=\"header-row\">\n<td><b>Condition<\/b><\/td>\n<td><b>Resting heart rate on beta blockers<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Heart failure\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">50 to 60 bpm<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Atrial fibrillation (irregular heartbeat)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">110 bpm<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"when-to-be-concerned-and-what-to-do\"><span style=\"font-weight: 400;\">When to be concerned and what to do<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While serious complications are uncommon, they may occur from taking beta blockers, Dr. Shah says. They may include:<\/span><\/p>\n<h3 id=\"excessively-slow-heart-rate\"><span style=\"font-weight: 400;\">Excessively slow heart rate<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cBeta blockers can certainly slow down the heart rate and significantly slow down the communications between the upper and lower chambers of the heart,\u201d Dr. Chen explains. If this is the case, he adds that it will most likely present as black out episodes, persistent dizziness or lightheadedness, or extreme fatigue.<\/span><\/p>\n<h3 id=\"inability-to-raise-heart-rate\"><span style=\"font-weight: 400;\">Inability to raise heart rate<\/span><\/h3>\n<p><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/chronotropic-incompetence\"><span style=\"font-weight: 400;\">Chronotropic incompetence<\/span><\/a><span style=\"font-weight: 400;\"> is the technical term for the inability to increase your heart rate during physical activity or stress, which is a common side effect of beta blockers. Beta blockers can also make it more difficult to increase your heart rate during exercise, \u201can effect that is often expected and intentional,\u201d Dr. Shah says. Typically, you calculate your maximum heart rate when working out by subtracting your age from 220.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because beta blockers limit the amount your heart rate increases, you may not be able to rely on your heart rate to check your effort or exertion during a workout. Instead, use a <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/high-blood-pressure\/expert-answers\/beta-blockers\/faq-20058369\"><span style=\"font-weight: 400;\">perceived exertion scale<\/span><\/a><span style=\"font-weight: 400;\">, noting how hard you\u2019re breathing or how much effort you\u2019re exerting to determine whether you\u2019re reaching your goal intensity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chronotropic incompetence can become a concern, Dr. Shah notes, when it translates to \u201ca reduced ability of the heart to speed up during illness or emergencies.\u201d This could mean that your heart isn\u2019t able to pump blood through the body and to the brain quickly enough in a medical emergency, which can lead to potentially dire outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Heart Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h3 id=\"rebound-fast-heart-rate\"><span style=\"font-weight: 400;\">Rebound fast heart rate<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dr. Shah says that if you were to stop taking beta blockers suddenly, you may experience a rebound effect, like a dangerously fast heart rate or high blood pressure. Symptoms of a <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/tachycardia\/symptoms-causes\/syc-20355127\"><span style=\"font-weight: 400;\">high heart rate<\/span><\/a><span style=\"font-weight: 400;\"> include palpitations, chest pain, and shortness of breath. A too-high heart rate can cause lightheadedness and fainting, just as a too-low heart rate can.<\/span><\/p>\n<h3 id=\"when-to-seek-medical-attention\"><span style=\"font-weight: 400;\">When to seek medical attention<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Contact a healthcare professional immediately or call 911 if you experience any of the following serious symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fainting or blacking out<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent dizziness or lightheadedness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shortness of breath at rest<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart palpitations<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extreme fatigue<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cEmergency care is needed for collapse, severe chest pain, or difficulty breathing,\u201d Dr. Shah adds. These could be signs of a heart attack or worsening heart disease.<\/span><\/p>\n<h2 id=\"monitoring-your-heart-rate\"><span style=\"font-weight: 400;\">Monitoring your heart rate<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Compulsively checking your heart rate while on beta blockers can sometimes do more harm than good, creating unnecessary stress. That\u2019s why Dr. Chen says that keeping an eye out for symptoms like those above can be the best way to recognize that your heart rate has dropped too low without ever checking your pulse. Still, if you have a device that can check your heart rate, such as a blood pressure monitor, wearable health tracker, or smartwatch, it can be helpful to take readings occasionally, especially if you aren\u2019t feeling like yourself.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.heart.org\/en\/health-topics\/high-blood-pressure\/the-facts-about-high-blood-pressure\/all-about-heart-rate-pulse\"><span style=\"font-weight: 400;\">American Heart Association<\/span><\/a><span style=\"font-weight: 400;\"> notes that if you\u2019re starting to take beta blockers, your healthcare provider may ask you to monitor and log your blood pressure and heart rate at set intervals to help you determine if you\u2019re on the right medication at the right dose. Most providers suggest checking once a day, at different times of day. Patients should check their blood pressure and pulse anytime they feel symptomatic with dizziness, weakness, or chest pain.\u00a0<\/span><\/p>\n<h2 id=\"living-with-beta-blockers\"><span style=\"font-weight: 400;\">Living with beta blockers<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cFor patients with heart conditions that require beta blockers, the specific recommendations are individually based,\u201d Dr. Chen says. However, they often include many of the same lifestyle strategies that people who are not taking beta blockers may aim to incorporate into their daily lives to improve their heart health. Dr. Chen recommends the following strategies:<\/span><\/p>\n<ul>\n<li><b>Eating a balanced diet<\/b><span style=\"font-weight: 400;\">, like the Mediterranean diet, which <\/span><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCRESAHA.118.313348\"><span style=\"font-weight: 400;\">has been shown<\/span><\/a><span style=\"font-weight: 400;\"> to be beneficial for cardiovascular health<\/span><\/li>\n<li><b>Getting 150 minutes of moderate- to high-intensity exercise<\/b><span style=\"font-weight: 400;\"> (as tolerated) per week<\/span><\/li>\n<li><b>Limiting alcohol intake<\/b><span style=\"font-weight: 400;\"> to less than 2 alcoholic drinks\/day for men or less than 1 alcoholic drink\/day for women<\/span><\/li>\n<li><b>Avoiding all nicotine products<\/b><b><\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For many people, beta blockers are a life-changing medication. However, like with any medication, each individual reacts differently. It is important to work closely with your healthcare provider to make sure you are on the right dose and the right beta blocker, which means monitoring and reporting any side effects you experience\u2014especially those that could be caused by changes in your heart rate.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beta blockers are among the most commonly prescribed medications for people with heart conditions like high blood pressure (hypertension), heart rhythm disorders (arrhythmias or tachycardia), and heart failure. In fact, roughly 10% of Americans take a beta blocker such as metoprolol, carvedilol, or atenolol. They work by preventing the absorption of certain chemicals in your [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":635174,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[737,8905],"coauthors":[20980],"class_list":["post-635097","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-heart-health","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Decoding your heart rate on beta blockers: What\u2019s normal?<\/title>\n<meta name=\"description\" content=\"What is considered an acceptable heart rate on beta blockers varies by patient. 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