Sleeping heart rate: what is normal and what the dip means

A normal sleeping heart rate is lower than your daytime resting heart rate. Clinicians call a drop of at least 10% from your awake average a normal "dip"; for someone who averages 70 beats per minute (bpm) while awake, that means 63 bpm or lower asleep. In a small study of healthy women, average heart rate during sleep was 63 to 67 bpm.

The shape of the night matters as much as the number. Heart rate slows as you fall asleep, reaches its lowest levels in deep sleep, and rises toward waking levels during REM sleep, which gets longer toward morning. A smaller dip than usual is associated with worse outcomes in clinical studies, and night-to-night changes reflect alcohol, illness and recovery. For awake values, see the resting heart rate by age chart.

What is a normal sleeping heart rate?

A normal sleeping heart rate is lower than the same person's awake resting heart rate, usually by 10% or more. There is no single normal number for everyone, because resting heart rate itself ranges from about 40 bpm in trained athletes to 100 bpm. In one study of healthy women, average sleep heart rate across three nights was 63 to 67 bpm.

The best reference is your own pattern. In that same study, a person's minimum heart rate during sleep varied by about 8 bpm from night to night even when training did not change. So read a single night with care, and compare a 7-night average with your usual range.

Awake resting heart rate A 10% dip means sleeping average at or below Example
50 bpm 45 bpm Fit adult
60 bpm 54 bpm Lower part of normal range
70 bpm 63 bpm Near the US adult average
80 bpm 72 bpm Upper-middle part of normal range
90 bpm 81 bpm Upper part of normal range

Dip definition: Ben-Dov et al., Arch Intern Med 2007, nondipping = (awake minus sleep) divided by awake below 0.1. Values in the table are arithmetic from that definition.

How does heart rate change through the night?

Heart rate follows the sleep stages. It slows in light non-REM sleep, reaches its lowest levels in deep non-REM sleep, and rises to near waking levels during REM sleep. Because deep sleep comes in longer periods in the first half of the night, and REM periods get longer toward morning, the lowest values often appear earlier in the night.

Sleep stage What happens to heart rate Where in the night
Stage 1 non-REM (falling asleep) Heartbeat starts to slow Start of each cycle, a few minutes
Stage 2 non-REM (light sleep) Slows further Most of total sleep time
Stage 3 non-REM (deep sleep) Slows to its lowest levels Longer periods in the first half
REM sleep Rises to near waking levels, more irregular Longer periods toward morning

Source: NIH NINDS, Brain Basics: Understanding Sleep. A full sleep cycle lasts about 90 minutes on average.

Heart rate variability (HRV) has a night pattern too. In 24-hour recordings of 166 healthy adults, the vagus-related HRV measures peaked at night. That is why many wearables read HRV during sleep. See HRV during sleep for normal overnight HRV.

What does a blunted heart rate dip mean?

A blunted dip, or nondipping, means your heart rate falls by less than 10% from the awake average during sleep. In a study of 3,957 patients referred for 24-hour monitoring, a smaller sleep dip was independently associated with higher all-cause mortality. The lowest tenth of dip size had a 2.67 times higher hazard than the highest tenth.

That study measured patients referred for blood pressure monitoring, many with treated hypertension, so the numbers do not transfer directly to healthy wearable users. It also found that older age, higher BMI, female sex, napping, treated hypertension and treated diabetes were linked to a smaller dip. One night with a small dip means little. A dip that stays small for weeks, especially with other symptoms, is worth raising with a doctor.

What raises your heart rate during sleep?

Alcohol and illness with fever are the best-measured causes of a higher sleeping heart rate. In 4,098 adults, heart rate in the first 3 hours of sleep rose by 1.4, 4.0 and 8.7 bpm after low, moderate and high alcohol intake. During fever, heart rate stayed high even during sleep.

Factor Measured effect on sleeping heart rate
Low alcohol intake (up to 0.25 g/kg) +1.4 bpm in the first 3 hours of sleep
Moderate alcohol intake (0.25 to 0.75 g/kg) +4.0 bpm
High alcohol intake (above 0.75 g/kg) +8.7 bpm
Fever About +8.5 bpm per 1 °C rise; stays high during sleep

Sources: Pietilä et al., JMIR Mental Health 2018 (4,098 adults); Karjalainen and Viitasalo, Arch Intern Med 1986 (27 young men with acute infection).

The alcohol study also found that HRV-based recovery fell by 9.3, 24.0 and 39.2 percentage units across the same three doses. If one night stands out, check the evening before. For a pattern of high nights with feeling unwell, see heart rate when sick.

Is a low sleeping heart rate dangerous?

A low sleeping heart rate is usually normal, especially in fit people, because sleep is when heart rate is at its lowest. Trained athletes can have awake resting rates of 40 to 60 bpm, and their sleeping rate is lower still. A low rate becomes a concern when it comes with symptoms, not by the number alone.

See a doctor if a low heart rate comes with daytime dizziness, fainting, unusual tiredness or shortness of breath, or if a partner notices pauses in breathing, loud snoring or gasping during sleep. Also see a doctor for an irregular pulse or palpitations at night. A wearable can show a pattern but can not diagnose a rhythm or breathing problem.

Does sleeping heart rate show recovery?

Sleeping heart rate is a useful recovery signal because it is measured in similar conditions each night: lying still, asleep, without posture changes. A higher than usual sleeping heart rate, together with lower HRV-based recovery, appeared after alcohol in a study of 4,098 adults, and fever keeps heart rate high during sleep.

This is why many recovery scores use the overnight low or a sleeping average as the resting heart rate input. The recovery score guide explains how heart rate, HRV and sleep combine, and the sleep score guide explains the sleep side.

How do you track sleeping heart rate?

To track sleeping heart rate you need a device worn overnight: a watch, ring or chest strap that writes heart-rate samples during sleep. A phone on the nightstand can not measure it. Wear the device snug, keep the same device and look at 7-night averages rather than single nights.

  • Fit: A loose band gives gaps and false spikes.
  • Same device: Different sensors give different values. Start a new baseline after a device change.
  • Context: Log alcohol, late meals and illness, so a high night has an explanation.

How Svanu uses your sleeping heart rate

Svanu reads resting heart rate from Apple Health. When a watch does not write resting heart rate, the app derives it from your heart-rate samples as the lowest 30-minute average during your main sleep, and compares derived values only with derived values.

That value feeds the recovery score, which compares this morning's HRV and resting heart rate with your own recent baseline, plus sleep. The baseline is provisional after 3 nights and full at 7. The sleep score, from 0 to 100, uses duration (50%), stage quality (30%) and bedtime consistency (20%). Every score shows its inputs and what moved it. See how the sleep and recovery scores work in Svanu.

Frequently asked questions

What is a normal heart rate while sleeping?

For most healthy adults, sleeping heart rate is below their daytime resting heart rate. A drop of at least 10% from the awake average is the standard definition of a normal dip. In a small study of healthy women, the average heart rate during sleep was 63 to 67 bpm.

Is a sleeping heart rate of 45 normal?

It can be, especially in fit adults whose daytime resting rate is in the 50s; well-trained athletes often sit at 40 to 60 bpm while awake and at rest. A low rate with pauses in breathing, waking up gasping, daytime dizziness or fainting needs a doctor.

Why does my heart rate spike during sleep?

Short rises are normal in REM sleep, when heart rate and blood pressure climb to near waking levels, and with brief awakenings or movement. Repeated spikes with snoring, gasping or choking, or with palpitations, are a reason to talk to a doctor.

Why is my sleeping heart rate higher than usual?

The best-measured reasons are alcohol and illness with fever. Alcohol alone was associated with a 1.4 to 8.7 bpm higher heart rate in the first 3 hours of sleep, depending on the dose in a study of 4,098 adults.

Is sleeping heart rate the same as resting heart rate?

No. Resting heart rate is measured awake and still, often sitting. Sleeping heart rate is measured during sleep and is usually lower. Some apps derive resting heart rate from the lowest part of the night, so check which one your device shows.

Sources

  1. NIH NINDS. Brain Basics: Understanding Sleep
  2. Ben-Dov IZ et al. Blunted heart rate dip during sleep and all-cause mortality. Arch Intern Med, 2007
  3. Waldeck MR, Lambert MI. Heart rate during sleep: implications for monitoring training status. J Sports Sci Med, 2003
  4. Pietilä J et al. Acute effect of alcohol intake on cardiovascular autonomic regulation during the first hours of sleep. JMIR Mental Health, 2018
  5. Karjalainen J, Viitasalo M. Fever and cardiac rhythm. Arch Intern Med, 1986
  6. Bonnemeier H et al. Circadian profile of cardiac autonomic nervous modulation in healthy subjects. J Cardiovasc Electrophysiol, 2003
  7. MedlinePlus (NIH). Pulse

This article is for general information and is not medical advice. Svanu is not a medical device.

More on heart rate

Resting heart rate by age: chart for men and women

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Why is my resting heart rate going up?

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Heart rate when sick: how wearables spot illness early

Elevated heart rate when sick is common: fever adds about 8.5 bpm per 1 °C. See how heart rate, HRV and temperature change and when to see a doctor.

Check your heart rate on iPhone without an Apple Watch

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Heart rate recovery: what is a good number

Heart rate recovery is how fast your pulse drops after exercise. A drop above 12 bpm at 1 minute is the usual cut-off. See ranges and how to measure it.