hello Dr. last Friday i visited my cardiologist for an echo and a cardiogram. He mentioned to me that my pulse rate was low-40 and that i nedd to wear a Holter  for 24h .i am a 65 yr. old male ,athletic, former runner, gym rat, always had a low resting pulse of 45-50. I am on Diovan 80mg/crestor 5mg/trilipix and lovaza! Should i be concerned here? will i need a pacemaker?
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You don't have to worry. Slow heart beat may be quite normal in young people and in well-trained persons. If you tell me that you are a former runner, athletic one than we don't have to worry. It is quite known in cardiology that athletic people have slow heart rates. As a well-trained person you have as you say a slow heart rate and this is quite normal. If you don't have any symptoms like fatigue or syncope you have nothing to worry. Of course, as you are a 65 years old its quite normal to do a cardiac check up with echo and even a holder monitoring. It will show us better your rhythm tendency during the day. But as far as you tell me, my opinion as a cardiologist is that you should not worry and of course you don't need a pacemaker. This will be obvious of course after our holder exam. Hope I was helpful. Wish you good health. Best regards.