I am a healthy 21-year-old who is not overweight and works out out 3-4 times per week, running 2-3 miles each time. I do not smoke and only drink on weekends.
I have had high blood pressure in the past, but have gotten it under control through natural methods like diet and exercise. It usually sits around 124/82 now, and my pulse is 55-60 at rest.
in the past month or so, I've had some scares when running. when reaching the 1.5 or 2 mile mark, I will start to hear my heartbeat in my head. it goes 1-2-3-pause-------1-2-3-pause------- every single time. my chest doesn't hurt, but I can definitely feel my heart acting funny... as if it dropped or is trying to run away. despite the lack of pain, I get so freaked out that I have to stop running immediately. I am positive that I am keeping hydrated while running, by the way. I do not feel fatigued AT ALL... it's just that the way my heart feels is abnormal, so I stop. it was a foreign feeling up to a month or so ago, when it first started. as I said, I'm in good shape so no other parts of my body are feeling fatigued.
for the next 10-15 minutes following the work-out, these irregular heartbeats are very prevalent. I have an Omron BP monitor, and taking my pulse through that shows an irregular heartbeat EVERY TIME within 10-15 minutes of working out. I am able to view the pulse with that as well, and it shows just how I hear it in my head - three heartbeats, then a pause for two seconds, and then a stronger heartbeat. this occurs consecutively without any breaks. my pulse is shown at this time as 130 or 140. the irregular heartbeat usually does not disappear until after 10-15 minutes, as I said, when my pulse is down to the high 80s/low 90s.
oddly enough, my diastolic BP raises significantly during the same time I am having these irregularities. when taking my BP directly following exercise, it is often something like 135/100. now I understand the 10 point increase in systolic after working out is normal, but I've read that your diastolic is supposed to stay stable during and after exercise. is diastolic raising 15-20 points during exercise odd? what could this be a sign of?
I've been to my cardiologist frequently the past few months, but he just took an EKG and brushed it off as nothing wrong. I was not experiencing these irregular heartbeats at the precise moment he was taking the EKG though, so how would he know?
this is all very new to me. I've been working out for years and this just recently started happening. I very rarely get these sensations when I'm not working out.
what should my next step be? to see my cardiologist and demand a stress test and echo-cardiogram? should I avoid rigorous exercise until my appointment?
I would do just as much exercise running etc, as I feel comfortable with until seeing the cardiologist. And yes you should see him again, and asking for all tests.
I always did a little more then I should have, but none of those were killing me, but was working for my benefit on the last term . I won’t be a healthy 60 years old, if I was cut back on anything. But sure you must listen to your own body, whatever feels right for you. If you feel funny stop immediately as you said you did, it was smart.
Good luck !
Your resting pulse and BP is normal. I do not believe that diastolic BP stays exactly as at rest when exercising. Even if your goes up to 90 something or a 100 it isnt dangerous for the short duration of your activity and a while afterwards
A normal ECG and resting pulse are good . However, if the heart beat does odd things you could always ask for some more testing, I think they might start with a holter monitor and record your heart for at least 24 hrs
It is possible that for physiologically insignificant reasons you have become hyper aware of your heart activity. The more you think about it, the more anxious you will become, and more likely the awareness of the beats, and of early beats
The docs appear to be content with their evaluation. If you remain concerned, ask for more advice or even a 2nd opinion.
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