Hi,
Noted the history about your husband who had heart surgery 12 years ago, started nose bleed with normal blood pressure but pulse rate of 89 which is usually low for him.
The most probable reasons can be as follows:
It is possible that he is on anti platelet medicines like
Aspirin or Deplat-A and thus can be cause.
Local nasal thinning of mucosa, popping blood vessel which ruptured.
Hence I Would advise you the following:
Rush to ER or nearby hospital for evaluation and nasal
endoscopy to see for the exact cause.
Blood tests like
Bleeding time, clotting time, prothrombine time and other tests.
Stop anti-platelet medicines.
May need packing the nose if the bleeding is more or not controlled.
Further management as per the findings.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, ENT & General Surgeon