The heart rate has been around 50 beats per minute for 5 or 6 years. Whether it is normal or not depends on the patient. The normal heart rate for adults is between 60 and 100 beats per minute. If the patient’s heart rate is around 50 beats/minute, it may be a case of bradycardia. If the person is an athlete and has had that heart rate for 5 to 6 years, it is normal. Bradycardia is also most often seen in healthy people who have been doing physical labor for a long time, all of which are normal and not cause for undue concern. However, bradycardia may also occur due to conditions such as hypothyroidism, elevated intracranial pressure, obstructive jaundice, and overconsumption of digitalis, quinidine, or cardiac glycosides. Therefore, if you are not an athlete and have not been doing physical labor for a long time, a heart rate of about 50 beats per minute for 5 to 6 years is abnormal. It is recommended that patients with abnormal heart rate should first exclude physiological factors, and if it is caused by pathological factors, timely medical treatment is also needed.