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Chest Pain during Exercise
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Chest Pain during Exercise

I am 61 years old and have a Stent. I am an avid bike rider riding 40 to 100+ miles per week.with a substantial amount of hill climbing. Sometimes when I start out I get chest and ack of the arm pain but not always, I am careful to warm-up for about 30 minutes of slow riding keeping my heart rate around 120-130. I all cases after about an hour or so the pain will subside. When I have a good day I can ride at a sustained heart rate of 140-145 with no problem and on a tough climb hit 185. My heart rate generally drops after heavy exertion back down to the 130's to 140's within a minute. Is the chest pain due to the Coronary Artery Disease I was treated for with the stent? Should I be concerned?
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242508_tn?1287427246
It may be.  The only way to know for sure would be to do a stress test, an exercise one, to bring your heart rate up to those parameters and see if there are any ischemic changes noted.  It's good that you exercise, however, if you are having ischemic pain lasting for that long, I would probably investigate it before continuing at that pace.  As you know stents can grow scar tissue aroung them.  You could also have disease elsewhere.
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