- Vital Shift
- Posts
- Why a 'Normal' Resting Heart Rate Is Shortening Your Lifespan
Why a 'Normal' Resting Heart Rate Is Shortening Your Lifespan
Issue #17 · Read Time: 5 minutes
Simplifying Health, Amplifying Longevity, One Shift at a Time

Many health warnings come with obvious signals. High blood sugar shows in blood tests. Abnormal heart rhythms surface on ECGs.
But, your resting heart rate might be the one of the most misread vital signs in medicine. The ‘normal range’ of 60-100 beats per minute is so comically wide, that people in the upper half face dramatically different futures than those in the lower half. Here’s what your pulse knows about your mortality, and how to change the forecast before it's too late.
What Needs to Shift?
Most people only think about their heart rate when it's fast.
During a workout. After a sprint. Before a stressful meeting.
But your resting heart rate (RHR)—how fast your heart beats when you're doing absolutely nothing—plays a different game.
🟢 A low resting heart rate is proof your heart has grown strong enough to do more with each beat.
🔴 A high one is a sign that it’s compensating for weakness with speed.
A resting heart at 75 beats per minute (bpm) feels identical to someone at 55. Same energy, same symptoms (none), same daily experience. That gap isn't just "how they're wired". It’s the difference between a heart that’s working overtime, while the other is built for longevity.
Over just a few months, it quietly adds up to a few million extra heartbeats. And while you won't feel those extra beats, they're rewriting the script for how well you age.
Every Beat Counts
At first glance, it seems trivial. A few extra beats? A small tax your heart pays that seems barely worth noticing. Who cares?
Turns out, your mortality risk does.
Every 10 bpm increase in resting heart rate = 9% higher risk of death.1*
RHR >75 = double the mortality risk compared to those under 55 bpm.2**
Each 1 bpm increase over 10 years = 3% higher risk of death. Your trend matters as much as your number.2
In twin studies (average age 62), the one with the higher RHR died first more often, even with identical genes. >90 bpm = 56% higher mortality vs 61–70 bpm. This makes resting heart rate an independent marker of longevity.3^
The damage isn’t just future-based. Higher RHR today means increased risk of heart failure and cancer death.4† 5‡
The worst part? Your heart keeps its complaints to itself and works overtime in silence. A high RHR won’t trigger labour violations or union strikes.
It won’t send alerts.
❌ No shortness of breath.
❌ No tightness in your chest.
❌ Nothing to signal that your heart is putting in extra shifts.
It labors endlessly in the dark, until one day…without notice, it punches out forever.
Rating Your Resting Heart Rate
Below 60 bpm? You're building margin.
Above that? You're burning it.
While the graph shows typical ranges, anything above 60 is your heart's yellow light flashing. The lower you go, the more future you’re banking.
Image Credit: Bevel Health
I've lived above 60 myself before I fine-tuned my training. These days my RHR averages between 55-58, hunting sub-55 by year's end. My current focus is patching weak spots in strength and power, but I still decode every signal. Your heart doesn't pause its audit just because you're focused elsewhere.
What Drives Your Resting Heart Rate?
It usually comes down to two time frames. One plays out over days, the other over months of consistent work.
📈 Daily Waves
When your RHR spikes 5-10 beats for a few days or weeks, that's stress, poor sleep, or inadequate recovery saying: ‘I’m stretched too thin’. This is your body’s early warning system—a tap on the shoulder from within.
📉 Running Costs
Even if you’re zen and sleep like a baby, a resting heart rate in the 60s and 70s for months tells a deeper truth. Not about your day or your week, but about capacity—how hard your heart must work just to keep you breathing.
Each extra beat shows your heart is compensating for fundamental weakness; working harder because it hasn't been built stronger. That ability doesn't change overnight. It’s responding to the capacity you’ve trained for…or neglected.
And capacity only builds one way.
A more efficient heart is earned through months of cardiovascular conditioning that forces it to get stronger. That’s not a feeling. It’s anatomical remodelling.
With consistent low-intensity cardiovascular training, your heart does what any muscle does when challenged. It adapts.
The left chamber stretches, remodels, and strengthens🫀
This allows it to pump more blood per beat 📈
Which means fewer beats are needed to deliver the same amount of blood 📉
What once took 65 beats now gets done in 60 🎯
This is why athletes often have resting heart rates in the 40s and low 50s.
So, while stress and recovery determine whether your RHR wobbles over days to weeks, your monthly baseline reveals the long-term physiological interest rate you're paying just to stay alive.
And modern life rarely demands a better rate…until you can't afford the payments. 💸
A poor resting heart rate doesn't shout. But in the absence of an alarm bell, don't mistake silence for safety.
Your Next Move
🔍 First, Let Your Smartwatch Do the Detective Work
Your smartwatch or fitness tracker will quietly catch your heart rate during sleep or extended quiet moments.
Wear it consistently (especially during sleep).
Note: Apple Watch catches resting heart rate while awake, while Garmin and WHOOP measure during deep sleep—running 20-30% lower.
⚠️ Temporary Spikes?
2-5 bpm spikes over days to weeks? They're usually about stress and recovery. It reflects an audit of your recent life choices:
Poor sleep (yes, Netflix counts) 🥱
Stress (your body doesn't care if it's "good" stress) 🧠
That extra glass of wine 🍷
Eating within 3 hours of bedtime 🍽️
Your heart keeps receipts of your daily choices. Use it as a recovery cue, not a cause for panic. Breathwork helps. So does meditation and sleep.
🫀 Consistently High?
You don’t need to obsess over every beat. But if your RHR is sitting in the high 60s or climbing over months? That’s not just stress or recovery. That's your heart's performance review, showing you what it can (and can’t) do.
You can’t out-meditate this.
You can’t out-recover this.
There's only one path: progressive cardiovascular training. It must receive what every muscle needs—the right type of stress, consistently applied.
📉 Lower Your Operating Cost
The most powerful lever for improving your resting heart rate is low-intensity steady state cardiovascular conditioning (previously discussed, also referred to as zone 2 training).
Incline walking on a treadmill (4-5% grade)
Easy cycling
Slow outdoor runs
⚡Pace Test: You can talk, but it’ll feel annoying to do so. Constant pace. Not stop and go.
📅 Frequency: 30-60 minutes per session, 2-3 times per week.
💰Pay-off: 2-5 bpm lower RHR in 3-6 months6§. Yes, that's months, not days. You're remodelling your heart, not giving yourself a dopamine hit.
Your Shift In Review
Know the difference. Temporary spikes = stress or poor recovery. RHR >60 month after month = your heart is undertrained for the job.
Each extra beat isn’t free. Every 10 bpm increase = 9% higher risk of death.
You won’t feel a high RHR. But your heart pays the price in silence.
The most effective action is months of low-intensity (zone 2) cardiovascular conditioning to structurally remodel your heart.
Your heart isn't just resting. Every beat is a negotiation with your lifespan.
A resting heart rate at 70 bpm is paying premium rates for basic life support. A resting heart rate at 50 bpm got the bulk discount on longevity. The good news? You can renegotiate this contract.
Your heart’s been keeping time since before your first breath. The least you could do is notice when it's working overtime. Because when it runs out of margin, it won't ask permission to clock out.
How’s Your Pulse on This Edition? |
I'm a Toronto doctor caring for older adults in hospitals and nursing homes, while spending my spare time digging into longevity science. I'm here to share what I'm learning. No fancy jargon, just practical insights to help you read your body’s early signals. Think of me as your friendly guide, figuring this out alongside you. Medicine has changed, but how we practice it hasn't caught up. That's why I'm here: to help you edit your health story while the early drafts are still open.
1 Resting heart rate and all-cause and cardiovascular mortality.
*46 cohort studies; N = 1.2 million; ~3–40 years follow-up. Associations held after adjusting for other risk factors.
2 Impact of changes in heart rate with age on all-cause death and cardiovascular events in 50-year-old men.
**Swedish cohort study of men born in 1943 (n ≈ 800); RHR measured at ages 50, 60, and 71; 21-year follow-up. Mortality risk adjusted for blood pressure, BMI, cholesterol, smoking, and physical activity.
3 Heritability of resting heart rate and association with mortality in middle-aged and elderly twins.
^Danish Twin Registry study; n = 4,282 twins (1,233 complete pairs + 1,816 solo twins); avg age 62 (range ~50–73); median 16-year follow-up. Analyses adjusted for age, sex, BMI, diabetes, hypertension, lung function, smoking, and physical activity.
4 Resting Heart Rate and Risk of Cancer Mortality.
†Cooper Clinic cohort (n = 50,108; avg age 44); followed ~15 years. RHR ≥80 bpm linked to 35% higher cancer mortality vs <60 bpm, independent of cardiorespiratory fitness. Risk highest in unfit individuals with elevated RHR.
5 Resting heart rate and incident heart failure in apparently healthy men and women in the EPIC-Norfolk study.
‡PIC-Norfolk study (n = 22,126; ages 39–79); RHR tracked in healthy adults over ~13 years. Risk of heart failure rose with higher RHR. 11% increase in risk per 10 bpm, independent of coronary disease.
6 Effects of Exercise on the Resting Heart Rate: A Systematic Review and Meta-Analysis of Interventional Studies.
§ Meta-analysis of 191 studies (n = 12,952; published 1971–2018); participants were healthy adults in exercise trials lasting 2 weeks to 2 years (median: 12 weeks).
Reply