Bradycardia, characterized by a heart rate below 60 beats per minute, can be a sign of underlying health issues, particularly in older adults. Dr. Nityanand Tripathi, a cardiologist at Fortis Hospital in Delhi, explains that while a slow heart rate can be normal for athletes or during sleep, persistent bradycardia accompanied by symptoms like fatigue, dizziness, and confusion should not be ignored. Older adults, especially those over 65 years, are more vulnerable due to age-related deterioration of the heart's electrical system and chronic conditions such as diabetes and hypertension. Diagnosis typically involves an electrocardiogram (ECG), and treatment may range from medication adjustments to pacemaker therapy for symptomatic cases. It's crucial for individuals experiencing these symptoms to seek medical advice promptly to ensure proper evaluation and management.