Arrhythia and exercise

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blindspot

Original Poster:

316 posts

143 months

Sunday 12th March 2017
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Are we fortunate enough to have a cardiologist/sport specialist kicking around?

My NHS cardiologist is brilliant, but of course remarkably busy and with long wait times for appointments. She has given me the go-ahead to exercise after a 6 month break, but I'd ideally like a spot of guidance ref. heart rate, exertion level and so on.

The abbreviated version of events is 1 x black out in gym, blue lights to hospital and an overnighter (april). 2 mini episodes of uncontrolled heart rate (high) and light headedness. Another blue light run and overnighter following legs day, again uncontrolled high heart rate (sept).

No heart attack markers, ecg good, cat and mri scan show normal anatomy, normal function, good arteries. Doc reckons PSVT.

Taking the return to training easy, with short cardio sessions and weights well below usual. Does anyone have specific thoughts about heart rate? Given current lack of cardio fitness, it does raise quite high, and takes a while to recover.

Very grateful for any thoughts or recommendations for specialists in the field.




Cupramax

10,480 posts

252 months

Sunday 12th March 2017
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Im not a doctor but have had various random heart issues at the gym due to over doing it with weights, they could find nothing wrong with me after scans, load tests and just decided it didnt agree with me.

My advice, forget the weights until you are back to some level of fitness, 6 month sedentary is a long time, also you dont say how old you are. Very gentle cardio, start just walking then gentle cycling if youve been ok walking any distance. Dont fk with your heart.

kellyon

15 posts

86 months

Monday 20th March 2017
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Heart arrhythmia can be dangerous, consult with a doctor first. My cardiologist advised me to buy blood pressure monitor and pulse oximeter at http://bimedis.com/ and to control my blood pressure and pulse regularly after trainings. But anyway, ask your doctor what type and level of exercise is safe for you.

blindspot

Original Poster:

316 posts

143 months

Saturday 25th March 2017
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Thanks chaps, but my cardiologist has said to ease into it. She's great, but being an NHS consultant means the wait for appointments is very long, and she doesn't really have any specific advice ref. exercise. I have previously exerted myself to a vastly higher degree, whilst fatigued/dehydrated/under actual pressure. Not at risk of dropping dead unexpectedly, and presumably would have done so before now if I had one of those conditions that does for the occasional footballer (assuming cardiologist is right about type of arrhythmia).

I'm using a HRM to keep an eye on rate, and keeping below 160. What I'd really like to do is discuss with a cardiologist specialising in sports & exercise the sorts of max rate/duration I should be at. Recommendations for specialists gratefully received.

carinatauk

1,408 posts

252 months

Saturday 25th March 2017
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After my spell in hospital and having been diagnosed with cardiomyopathy and atrial fibrillation, I was sent on a NHS course of exercises at the local centre. It was then suggested that I joined a gym but I had to seek out specialised trainers with experience of heart problems.

For me the use of electronic heart monitors is useless, most of the the time it can't pick up the heart rate. At the exercise classes, they used the finger monitors; whilst everyone else's heart rate was checked to be reducing, they gave up with me as one second it was 180 then next 20 and so on.

There is some good stuff on British Heart Foundation site. Have a chat with your doctor and see what they recommend, or contact the surgery and seek out the local community cardiac rehabilitation classes, they are the best advisors.

Hope this helps