Delayed response to over-exercise

[sciman]

Just wondering if it's typical for patients with cardiomyopathy to exercise too much and not feel the effects until they go to bed. It's hard to know how much to exercise when you feel fine during the event and then have some shortness of breath when sleeping. How can I know when I'm overdoing it if the symptoms don't show up until later?

[sciman]

Can't exercise increase the thickness of the ventricles and improve ef (assuming the heart is not dialated or hypertrophic already)
Thanks for your input

[kenkeith]

I take coreg (beta blocker 2X).  I beleive that is the recommended protocol.

Do you mean SOB when lying down?  That can happen if there is some systole dysfunction (pumping phase).  Fluids leak into the lung tissues as gravity has less effect when laying down, and sitting up, standing or elevating your upper part of your body provides relief when sleeping.

[NTB]

Hi. Maybe it's just that your BB is suppressing your heart rate too much overnight. What time do you take it? Maybe you can shift it to first thing in the morning, if you're not already doing that.

[Encephalomalcia]

If you have cardiomyopathy, you will need to be careful not to overdue it with exercise.  You do not want to wear out your heart muscle.  Cardiomyopathy is disease of the heart muscle.  Exercise does not make it better according to studies.  Exercise makes people feel better, but does not make the heart any healthier once there is a diagnosis of cardiomyopathy.