Is the patient having hypertension and taking drugs like Concor? There are some drugs that decrease the heartbeats. Some diseases can also cause this like thyroid disease. If the patient has had the low pulse consistently and is not suffering from any complaints then she is used to it. If the patient has symptoms then it is mandatory to see a cardiologist to evaluate the heart thru electrocardiogram and echocardio.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.