Aa
Only extrasystoles or something more?
Thank you for accepting my question.
I am 28 yers old, male, accountant, 3 years without much sports, no history of heart condition in the family.
A year ago I started having strange sensations in the chest area. These sensations would vary between feeling some kind of pressure, to pains (feeling of being stabbed by a knife) or skipped heartbeats, a feeling of some sort of vibration in the heart area ect.
I went to my family physician,he took my blood to check my thyroid and took an ekg of my heart. He concluded that all was normal and that my complaints were caused by stress/hyperventilation. He did however put me on a very mild betablocker because he felt that my heartrate was too high and my bloodpressure was on the edge of being too high.
I went to see a cardiologist and did a stress test, ekg and 24h holter.
The diagnose of the cardiologist was pretty much the same. From the data collected by the 24h holter they found that I had supraventricular extrasystoles. He told me I didn't have anything to worry about. He said that it was caused by stress/hyperventilation/anxiety. He suggested to go back to excercising more and visit a specialist to learn some breathing/relaxation techniques.(which I did)
This was months ago,but I really can't say that I feel much improvement. In fact I think that it got worse I still have it every day.
Now my heart sometimes starts racing after mild exercise or a heavy meal.(up to 115 b/m) At rest my heart beat is 80-85.
Is this normal and only because I'm sooo out of shape? Or should I visit the cardiologist again?
I am 28 yers old, male, accountant, 3 years without much sports, no history of heart condition in the family.
A year ago I started having strange sensations in the chest area. These sensations would vary between feeling some kind of pressure, to pains (feeling of being stabbed by a knife) or skipped heartbeats, a feeling of some sort of vibration in the heart area ect.
I went to my family physician,he took my blood to check my thyroid and took an ekg of my heart. He concluded that all was normal and that my complaints were caused by stress/hyperventilation. He did however put me on a very mild betablocker because he felt that my heartrate was too high and my bloodpressure was on the edge of being too high.
I went to see a cardiologist and did a stress test, ekg and 24h holter.
The diagnose of the cardiologist was pretty much the same. From the data collected by the 24h holter they found that I had supraventricular extrasystoles. He told me I didn't have anything to worry about. He said that it was caused by stress/hyperventilation/anxiety. He suggested to go back to excercising more and visit a specialist to learn some breathing/relaxation techniques.(which I did)
This was months ago,but I really can't say that I feel much improvement. In fact I think that it got worse I still have it every day.
Now my heart sometimes starts racing after mild exercise or a heavy meal.(up to 115 b/m) At rest my heart beat is 80-85.
Is this normal and only because I'm sooo out of shape? Or should I visit the cardiologist again?
mmfd you some kind of dr or something? You seem to think you are it seems. Did you not read med helps reminder about giving medical opinons. You didnt even state it was an opinon you act like its a fact.
Any heart rate over 100 bpm is officially considered tachycardia. But a heart rate of 120-140 would be considered a NORMAL response to exercise and I don't see how they could say it was a problem, unless it wasn't sinus tach. A person's desired target heart rate would typically be way above 120. Hope this helps.
I do not understand how a cardiologist could write that up as tachycardia. If you go on any exercise web site there will be a target heart rate for different ages.
I run at a 10 minute pace(I'm 49) on my treadmill and my heart rate is between 120 to 140 most of the time. I've been a runner all my life. I used to have a resting heart rate of around 48 when I was running quite a bit in my late 30's and training for long distance skiing and running. I would often have my heart rate between 140 and 150 for an hour. But then I was doing 7 minute miles for 6 miles, and I could run under 12 minutes for 2 miles.
I have to admit that after my ablation for AFIB last year my resting heart rate is higher. Not sure why, but it went up from about 52 bpm to 60 bpm. I'm really not pushing it at a 10 minute pace, but that's where my target rate is, so I just keep it there and work up a sweat for 40 minutes. Just trying to stay and decent shape.
I run at a 10 minute pace(I'm 49) on my treadmill and my heart rate is between 120 to 140 most of the time. I've been a runner all my life. I used to have a resting heart rate of around 48 when I was running quite a bit in my late 30's and training for long distance skiing and running. I would often have my heart rate between 140 and 150 for an hour. But then I was doing 7 minute miles for 6 miles, and I could run under 12 minutes for 2 miles.
I have to admit that after my ablation for AFIB last year my resting heart rate is higher. Not sure why, but it went up from about 52 bpm to 60 bpm. I'm really not pushing it at a 10 minute pace, but that's where my target rate is, so I just keep it there and work up a sweat for 40 minutes. Just trying to stay and decent shape.
In event monitor readings that were taken on a treadmill, where I am walking at a brisk pace or running at 10mt pace bpm's of 120-140 were written up by the EP as tachycardia and even cited as a problem. I am light years away from the shape I was in 20 years ago but isn't a 120-140 rate normal for aerobic exercise even perhaps if you are a seasoned runner (like I was - I didn't have a heart monitor then so I have no idea what I did)
Just wanted to make sure you understood the heart rate range that you need to exercise in.
There are various ways to determine exercise tolerance and the appropriate heart rate during exercise. The maximum heart rate allowed is 220. Your are 28 so if you subtract 28 from 220 you get 192. That is your maximum exercise heart rate. You should then exercise at about 70 to 80 percent of your maximum heart rate. Therefore your maximum sustainable heart rate during exercise should be between 134 and 154. Someone your age can easily be at the 154 bpm.
That may seem high to you, but really it isn't. At 120 bpm you are really not getting much aerobic benefit.
When I was training for a half marathon I would typically have my heart rate at 150 for 6 to 10 miles. And I was in my mid 30's. Even now I am nearly 50 and often have my heart rate in the 140's. So you don't need to worry about it. If you are comfortable and you are able to talk during exercise you are doing just fine. If your heart goes into tachycardia (220) then you need to see a doctor and get it checked out. Being able to talk during exericing is a good barometer you are not overdoing it.
There are various ways to determine exercise tolerance and the appropriate heart rate during exercise. The maximum heart rate allowed is 220. Your are 28 so if you subtract 28 from 220 you get 192. That is your maximum exercise heart rate. You should then exercise at about 70 to 80 percent of your maximum heart rate. Therefore your maximum sustainable heart rate during exercise should be between 134 and 154. Someone your age can easily be at the 154 bpm.
That may seem high to you, but really it isn't. At 120 bpm you are really not getting much aerobic benefit.
When I was training for a half marathon I would typically have my heart rate at 150 for 6 to 10 miles. And I was in my mid 30's. Even now I am nearly 50 and often have my heart rate in the 140's. So you don't need to worry about it. If you are comfortable and you are able to talk during exercise you are doing just fine. If your heart goes into tachycardia (220) then you need to see a doctor and get it checked out. Being able to talk during exericing is a good barometer you are not overdoing it.
I understand your frustration with all the chatter about Hankstar. My comment to you is that 110 really isn't that fast. If you are indeed really out of shape that would not be unheard of. Have you had an evaluation at the gym to develop an exercise program for you, versus just doing some stuff on your own? Maybe you are pushing yourself too much and need to build up the exercise gradually. If that doesn't help then maybe another opinion from a cardiologist might be in order. Although if you had all those negative tests..........I would bet that the higher rate is from deconditioning. Just my opinion, of course!
I'm happy that you received 2 very knowledgeable answers to your question and I'm sorry that you felt the comments concerning hank were "hijacking". If you had read some of hank's insightful comments to other's posts you may not have been so quick to rebut as he would have responded to you in a very positive way. 'Nuff said and I hope that you will continue to improve as you learn more about your particular problem. I would certainly suggest that you see your Cardiologist for another consultation (and perhaps repeat tests) as you stated it has been months since you have seen him. All that post in this forum are suffering with PVC's, PAC's and assorted heart arrhythmia's which CAN be very frightening. We come here to try to learn a little more about our problems and to get some encouragement from the good Doctors and other fellow sufferers.
Good luck to you ................!!
Good luck to you ................!!
Thank you dquenzer for your reaction.
I have taken up exercise again at my local gym. I had visited this gym regulalry 4 years go and was still paying every month for it although I wasn't going to it anymore.
At the moment I still feel pretty miserable after doing my very mild exercise program. My heartrate reamins very high (110 beats/minute) up untill 4 hours after exercise, then it settels back to a lower rythm (80 bpm).
I would also adress all other people who chose to hiyack my post to talk about Hank.
I do not know this person or his history and I don't really care.
I would have liked some encouraging or other reactions like the one from dquenzer to my question and not some internal forum problem being discussed in replies to my question....
I have taken up exercise again at my local gym. I had visited this gym regulalry 4 years go and was still paying every month for it although I wasn't going to it anymore.
At the moment I still feel pretty miserable after doing my very mild exercise program. My heartrate reamins very high (110 beats/minute) up untill 4 hours after exercise, then it settels back to a lower rythm (80 bpm).
I would also adress all other people who chose to hiyack my post to talk about Hank.
I do not know this person or his history and I don't really care.
I would have liked some encouraging or other reactions like the one from dquenzer to my question and not some internal forum problem being discussed in replies to my question....
What are the frequency of the PAC's?
I had a similar condition, only my turned into AFIB. Thankfully I have that under control. Yours probably won't do that because of your age.
Clearly stress is a major factor. It was certainly the case with me.
The thing you must understand and you will read on this forum is that you are OK. Don't let the benign PAC's cause you further stress.
Conditioning does make a difference in the heart rate. Clearly you need to begin doing some kind of exercise, even if it is just walking quickly for 30 to 40 minutes a day. You are young enough that the benefits will show up very quickly. I have been a runner most of my life, and when I am consistent with my aerobics it makes a huge difference.
I don't know if you have any health clubs available, but I would recommend getting evaluated and a program of exercise developed specifically for you. You will be amazed how the aerobic exercise will help with your stress and just give you a better all around feeling about life. But it takes time. In most people it will take 6 to 9 weeks to see significant conditioning affects.
Second of all I would make an evaluation of your life as a whole. Ask yourself what is causing the anxiety. Is what is causing the anxiety worth it, can it be avoided, can my response to it be different? In my case I made a career change. I was 40 at the time and it was pretty dramatic, but it was the best thing I could have done for my health.
You are young enough to easily make those kind of choices. Don't wait until your 40. It's far more difficult.
I had a similar condition, only my turned into AFIB. Thankfully I have that under control. Yours probably won't do that because of your age.
Clearly stress is a major factor. It was certainly the case with me.
The thing you must understand and you will read on this forum is that you are OK. Don't let the benign PAC's cause you further stress.
Conditioning does make a difference in the heart rate. Clearly you need to begin doing some kind of exercise, even if it is just walking quickly for 30 to 40 minutes a day. You are young enough that the benefits will show up very quickly. I have been a runner most of my life, and when I am consistent with my aerobics it makes a huge difference.
I don't know if you have any health clubs available, but I would recommend getting evaluated and a program of exercise developed specifically for you. You will be amazed how the aerobic exercise will help with your stress and just give you a better all around feeling about life. But it takes time. In most people it will take 6 to 9 weeks to see significant conditioning affects.
Second of all I would make an evaluation of your life as a whole. Ask yourself what is causing the anxiety. Is what is causing the anxiety worth it, can it be avoided, can my response to it be different? In my case I made a career change. I was 40 at the time and it was pretty dramatic, but it was the best thing I could have done for my health.
You are young enough to easily make those kind of choices. Don't wait until your 40. It's far more difficult.
miss Hank too. He is very helpful to everyone on this forum. it is ashame that he was asked to leave.
Darlene
Darlene
Bummer! About Hanks apparent 'exile'.
I cannot begin to count the number of times
Physicians have let me down, Cardios as well.
Although I did find Physicians who much later
corrected the errors of judgement of their
like brethren. Errors of judgement!
I looked forward to Hanks prespectives as I've
learned to be highly proactive in my own medical
circumstances and I am open to the thoughts and
opinions from those who have something informative
to offer - in context; Hank did that with caveats.
ALL expressed views from this forum are/should be
taken with a grain of salt of course. Can't imagine
then why an obviously informed individual as Hank who
to this individual came across as wanting to educate
from his own experience and apparent extensive
readings, why an asset like this is foreclosed from
others. Not right.
VC
Haven't been in here for a couple of weeks and I wanted to say that I'm sorry that Hank won't be heard from (for awhile?). I always enjoy his comments and he'll be missed.
Hank would like his forum friends to know that he has been asked not to post on the forum, but that his heart is still with the group. He is respectful of the wishes of the forum administrators and will honor their request.
Hey, you still with this group?
VC
VC
Forgot to mention that I quit the betablocker a few months ago because the cardiologist and docter said that it didn't really have a point to continue taking it.
I'm not taking any other form of medication a part from a cortisone based emultion for a ever returning skin rash that I have been using once or twice a month for the past years.
I'm not taking any other form of medication a part from a cortisone based emultion for a ever returning skin rash that I have been using once or twice a month for the past years.
Hyperon,
Yes this can be normal for some people. It is hard to say what causes it. Some people are very sensitive to caffine, stress, alcohol, tea, and I have heard some people say food, causing changes in their heart rate. We don't know if this is from the differences in heart tissues, response stress, deconditioning or lack of exercise.
You are a young person. If I were you, I would want to try to avoid medication and procedural fixes to this problem. I would work on stress management including a consistent exercise regiment. I little conditioning will decrease your resting heart rate and probably make you feel better. Start slow and work your way into it. I would emphasize aerobic activity over weight lifting.
I hope this helps. Good luck.
Yes this can be normal for some people. It is hard to say what causes it. Some people are very sensitive to caffine, stress, alcohol, tea, and I have heard some people say food, causing changes in their heart rate. We don't know if this is from the differences in heart tissues, response stress, deconditioning or lack of exercise.
You are a young person. If I were you, I would want to try to avoid medication and procedural fixes to this problem. I would work on stress management including a consistent exercise regiment. I little conditioning will decrease your resting heart rate and probably make you feel better. Start slow and work your way into it. I would emphasize aerobic activity over weight lifting.
I hope this helps. Good luck.
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