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Heart Disease  (Expert Forum)
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Blood Pressure response to 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 Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Blood Pressure response to exercise

by Mieke, Apr 17, 2004 12:00AM
I have MVP with mild regurgitation and have suffered with PVC's for twenty years, sometimes as many as 10,000 in a 24hour period, but more recently they have settled to about 2% of beats in 24 hours. I can feel every one of them! interestingly, on holter monitor they disappear when I am asleep and start up again as soon as I wake, is this normal with most people with PVC's?

Recently I had a stress exercise test and although I did 9 minutes and got my heart rate up to 173 my blood pressure did not rise with my heart rate it stayed stable on 120/80. On the report it said "Blood Pressure - very poor response to exercise". The doctor said not to worry but I cannot find anyone to tell me what this means.

I am 50years old, weigh about 120 pounds, do not smoke or drink and am not on any medication, and have not gone through menopause yet. What does it mean? Should I exercise? is this anything that I need to be concerned about?

I would also like to ask if having a general anaesthetic with PVC's and MVP is likely to cause any problems as I have to have surgery on my ovary in the near future.

I live in Australia and was amazed to find this site, it is so comforting to know that you are not alone with these symptoms, thank you so much.

by CCF-M.D.-RCJ, Apr 17, 2004 12:00AM
mieke,

Thanks for the post.

Q1:"is this normal with most people with PVC's"

Every one is different.  This pattern may indicate that your PVCs would be more likely to be suppressable with beta-blockers.

Q2:"What does it mean? Should I exercise?"

I would like to know the results of an echo.  If the echo showed no significant abnormality, then the lack of response is unusual, but not unheard of.  If the echo shows an abnormality, such as mitral regurgitation or LV cavity obliteration, this might explain the lack of increase in blood pressure.

Having never met you, I can't give you sound advice about exercising.

Q3:"I would also like to ask if having a general anaesthetic with PVC's and MVP is likely to cause any problems as I have to have surgery on my ovary in the near future."

PVCs and MVP are not associated with adverse outcomes with general anesthesia in the setting of an otherwise structurally normal heart.

Hope that helps.

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