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Getting fitter?

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Getting fitter?

Post by pjs74 on Wed Apr 15, 2015 9:22 am

Hey All,
Just checking in. Finally Spring has come to NJ and the snow has melted. I have started to run without treadmills and pumped the tires up on my TT bike (for moderate exercise that is!).

I am running 3-4 miles and did a steady 10 miles on the bike. My swimming is coming along now getting in 1500-2000 yds/swim depending on time, but steady swimming for 45 min doing all strokes.

One thing I am noticing is a trend for my heart rate to continue to decrease as the weeks tick on. During workouts now it is hard to get in to the 120's without really gunning it. I have to run faster than 6 mph to get up there for over half an hour. Also, my around the house heart rate is about 50 and easily dips in to the 40's as soon as I sit down. Resting heart rate is low 40's. Just wondering if this is a sign of increased fitness and a chance to maybe ask the doc to reduce that beta blocker? Did you guys notice any similar trends during your recoveries? I just celebrated 8 months since my MI and stenting of the LAD.

Enjoy the Spring training,

Phil.

pjs74

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Re: Getting fitter?

Post by RoadKillBill on Wed Apr 15, 2015 6:39 pm

Hi Phil

It's good to see you are doing so well. You're definitely getting fitter. I believe that the resting target zone for post MI patients is 50-60 BPM -- but let's see what other forum members have been advised. Some elite athletes have very low resting rates (eg in the 30's), but for the general population rates that low pose heart risks. When your resting rate dips into the 40's, is it high 40's or low 40's?

I think it's worth asking about at your next Dr visit. You might be able to get by with a lower dose.

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Re: Getting fitter?

Post by LMRun on Wed Apr 15, 2015 8:34 pm

pjs74 wrote:I am running 3-4 miles and did a steady 10 miles on the bike.  One thing I am noticing is a trend for my heart rate to continue to decrease as the weeks tick on.  During workouts now it is hard to get in to the 120's without really gunning it.  I have to run faster than 6 mph to get up there for over half an hour.  Also, my around the house heart rate is about 50 and easily dips in to the 40's as soon as I sit down.  Resting heart rate is low 40's.   Just wondering if this is a sign of increased fitness and a chance to maybe ask the doc to reduce that beta blocker?  Did you guys notice any similar trends during your recoveries?  I just celebrated 8 months since my MI and stenting of the LAD.

Enjoy the Spring training,

Phil.
Hi Phil,
your doing great with your training, keep it up.  The beta blockers will keep your heart rate low and won't let your heart rate go up during exercise.  I don't like beta blockers, not on them now, but when my arrhythmia acts up, I have them on hand if needed.  I'm sorta a 'pill in the pocket' patient, take when needed.  My heart rate takes a long time after exercise to settle back down, my resting heart rate without bbs at one time was in the mid to low 50s.  As my fitness returns, I expect my resting heart rate to go back to the 50s.  Check with your cardiologist as RoadKillBill suggested.  Maybe it's time for an adjustment to the dosage.

Are you planning on any races or events over the next couple of months?

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Re: Getting fitter?

Post by Dave Tuttle on Thu Apr 16, 2015 6:38 am

Congratulations on the 8 month anniversary Phil and on your great progress  

I think it's pretty standard to prescribe BBs for at least one year after an MI and they caused me a lot of problems as I my training load increased... I believe the studies indicate that the benefit declines significantly after a year. My cardiologist is very supportive of my running and worked with with me to find a type/dose of BB that didn't have my heart slowed down to the point of being tired all the time or nearly passing out. He eventually changed me to the Calcium Chanel Blocker I am currently on and I like it a lot better. It keeps my BP in check but it also allows my HR to adapt as needed.

I'm glad you're doing so well... Keep it up!!

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Re: Getting fitter?

Post by pjs74 on Thu Apr 16, 2015 10:31 am

Thanks all for the responses. I talked with the cardiologist and he wants me to reduce my beta blocker. Instead of 50mg each day of Metoprolol, we will alternate 50mg/25mg doses so cut the tablet in half every other day. See how that goes for a couple of weeks. Happy to be reducing this drug of all the meds they put me on.

To answer Bill, my resting heart rat was 44 in the morning, so getting in to the low 40's now.

As for racing, I will probably do a local 5K sometime in the summer for fun. I was going to wait until my 12 month anniversary before really bugging my cardiologist to let me take the breaks off.

One thing for sure, switching to outside running and biking from the treadmill I have re-discovered some muscle aches!

Thanks again for the feedback, makes me feel that reducing the BB at this stage is a worthy call.

Phil.

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