I just created an empty class that's using btIDebugDraw interface, when I set the debug draw mode to btIDebugDraw::DBG_DrawWireframe, I get very slow rendering, 4-6 frames per second, otherwise I don't have this problem.
// Init Physics
debugDrawer = new DebugDrawer(device);
debugDrawer->setDebugMode(btIDebugDraw::DBG_DrawWireframe);
mDynamicsWorld->setDebugDrawer(debugDrawer);
// Rendering
float ms = GetTickCount();
mDynamicsWorld->stepSimulation(ms / 1000.0f);
mDynamicsWorld->debugDrawWorld();