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There are many causes of slow heartbeat, and they range from mild to serious. A slow heartbeat may be caused by cardiovascular disorders or diseases such as: Cardiac arrhythmias. Cardiomyopathy (weakened or abnormal heart muscle and function) Cardiovascular disease (due to atherosclerosis, hardening of the arteries, or other causes) Sinus node disease (abnormality of the heartâs internal pacemaker)
A very slow heart rate may cause you to: 1  Feel dizzy or lightheaded. 2  Feel short of breath and find it harder to exercise. 3  Feel tired.  Have chest pain or a feeling that your heart is pounding or fluttering 1  (palpitations). Feel confused or have trouble concentrating.  Faint, if a slow heart rate causes a drop in blood pressure.