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Heart Disease (Expert Forum)
Heart Rate, Skipped Beats,Tests, Exercise
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve, Pacemaker, PAD, Stenosis, Stress Tests
Heart Rate, Skipped Beats,Tests, Exercise
by josemanuelcruz, Jul 07, 2002 12:00AM
I’m a 37 yo man, BMI=22,2, BP usually in the range 130-140/80-85. Pulse in rest and calm (mind and physic) usually under or equal 80 (After wake up usual under or equal 70).
I have some questions about blood pressure, exercise, heart health and exams:
- In peek exercise, how much could the BP diastolic and systolic values reach, without problems, in a healthy person?
- After that, what’s the average time till those BP parameters reach their normal values (under 140/90)?
- Could fine results in an echocardiogram (normal echo) did nearly 2 years ago and also fine results in annual EKG (all years normal EKG and sinus rhythm under 100 bpm – 2002 values-> AFreq=VFreq=96bpm), blood and urine tests (all parameters in reference range, for example, 2002 exam results, Cholest=164, HDL=71, Triglicerids=48, Glucose=79, …) are enough to rule out heart diseases, so I could don’t concern (be in peace) when I have premature beats or sporadic resting tachycardias, but some anxious, (the max HR=128 bpm, but usually less in 110’s range) that are short time long (max some minutes)?
- In general terms, what’s the advantage to ask a Dr. to order a stress test (Is it advisable in my case since I did the above mentioned exams that were all ok?), how is it done and what are usual normal results for it ? – Is it a risk less exam?
- Could PAC/PVC occur both in slow or fast HR ? – Do anxiety rise it occurrence too?
- Is there a way, at home, during a tachycardia episode, to decide if it’s benign or not? (the only other symptom than fast HR is perspiration or a premature beat)
Thanks
I have some questions about blood pressure, exercise, heart health and exams:
- In peek exercise, how much could the BP diastolic and systolic values reach, without problems, in a healthy person?
- After that, what’s the average time till those BP parameters reach their normal values (under 140/90)?
- Could fine results in an echocardiogram (normal echo) did nearly 2 years ago and also fine results in annual EKG (all years normal EKG and sinus rhythm under 100 bpm – 2002 values-> AFreq=VFreq=96bpm), blood and urine tests (all parameters in reference range, for example, 2002 exam results, Cholest=164, HDL=71, Triglicerids=48, Glucose=79, …) are enough to rule out heart diseases, so I could don’t concern (be in peace) when I have premature beats or sporadic resting tachycardias, but some anxious, (the max HR=128 bpm, but usually less in 110’s range) that are short time long (max some minutes)?
- In general terms, what’s the advantage to ask a Dr. to order a stress test (Is it advisable in my case since I did the above mentioned exams that were all ok?), how is it done and what are usual normal results for it ? – Is it a risk less exam?
- Could PAC/PVC occur both in slow or fast HR ? – Do anxiety rise it occurrence too?
- Is there a way, at home, during a tachycardia episode, to decide if it’s benign or not? (the only other symptom than fast HR is perspiration or a premature beat)
Thanks
Doctor's Answer
by CCF-M.D.-RCJ, Jul 07, 2002 12:00AM
josemanuelcruz,
For the answers to your blood pressure (BP) questions, I will refer you to my response to your question in mid-June. I will add, however, that a persons BP can take up to 30-60 minutes to normalize after exercise.
A person can have a totally normal BP, pulse, stress tests, lab tests, and echo and drop dead of a heart attack without warning. The most recent example is Derrick Kyle, the 32 year-old pitcher from the St Louis Cardinals. It's a dangerous world; all we can do is live right and hope for the best.
I've read some of your other questions that you posted in June. Many of your symptoms could be accounted for by autonomic dysfunction, a supraventricular tachycardia, or an anxiety disorder. It is not possible for me to distinguish which via the internet. You seem to have enough concern to warrant further investigation. I would recommend that you see your internist and discuss your concerns. Possible tests to discuss would include a stress test or a tilt-table test.
Try www.acponline.org or doctorsforadults.com to find a board-certified internist in your area if you don't have one already.
I've included some references below to describe autonomic dysfunction and possible treatments.
Hope that helps.
Ref:
Grubb, BP, Karas, B. Clinical disorders of the autonomic nervous system associated with orthostatic intolerance: An overview of classification, clinical evaluation, and management. Pacing Clin Electrophysiol 1999; 22:798
Robertson, D, Robertson, M. Causes of chronic orthostatic hypotension. Arch Intern Med 1994; 154:1620.
For the answers to your blood pressure (BP) questions, I will refer you to my response to your question in mid-June. I will add, however, that a persons BP can take up to 30-60 minutes to normalize after exercise.
A person can have a totally normal BP, pulse, stress tests, lab tests, and echo and drop dead of a heart attack without warning. The most recent example is Derrick Kyle, the 32 year-old pitcher from the St Louis Cardinals. It's a dangerous world; all we can do is live right and hope for the best.
I've read some of your other questions that you posted in June. Many of your symptoms could be accounted for by autonomic dysfunction, a supraventricular tachycardia, or an anxiety disorder. It is not possible for me to distinguish which via the internet. You seem to have enough concern to warrant further investigation. I would recommend that you see your internist and discuss your concerns. Possible tests to discuss would include a stress test or a tilt-table test.
Try www.acponline.org or doctorsforadults.com to find a board-certified internist in your area if you don't have one already.
I've included some references below to describe autonomic dysfunction and possible treatments.
Hope that helps.
Ref:
Grubb, BP, Karas, B. Clinical disorders of the autonomic nervous system associated with orthostatic intolerance: An overview of classification, clinical evaluation, and management. Pacing Clin Electrophysiol 1999; 22:798
Robertson, D, Robertson, M. Causes of chronic orthostatic hypotension. Arch Intern Med 1994; 154:1620.
