Quoted message said:I have not been here for a while, I had a heart attack four weeks ago.
Quoted message said:A big hangover from the heart attack is trust, or a lack of it.
Now my heart has let me down I am waiting for the next failure
even tho the doc says I will be fine).
My recent one (two years ago) was fairly minor, but the cardiologist
suggested that a very major incident about ten years ago which was
then diagnosed as superventricular tachycardia had been misdiagnosed,
and it was actually a heart attack. He suggested I might have been
misdiagnosed because I had started out with an unusually strong heart,
and it had recovered unusually fast and well, leading them to think
things like "if he can walk up those stairs so soon after it couldn't
have been a heart attack".
I show no EEG abnormalities until after 150bpm on treadmill (I'm
62). Cardiologist and all docs suggested I could happily exercise
myself up 140bpm, but be very careful not to get competitive, and slow
down immediately anything feels odd. As my GP put it, I had
to stop trying to overtake young girls up hills.
I rather cautiously tried a few steep uphills on foot, and found that
135bpm felt fairly good, whereas 140bpm felt strained, so I made
135bpm my general maximum. I used to use a Polar monitor to check
heart rate, but I've now learned enough of what it feels like to do
without it most of the time, except for a recalibration check now and
then. When I'm really warmed up I can feel fine at 140bpm.
Exercise will improve (or maintain) the capacity of your
cardiovascular system and reduce the risk of further attacks. If you
start sitting around and losing fitness you'll increase your risk.
Quoted message said:I don't know how this leaves me with hill walking, do I want to
be miles from help where mobile phones don't work...
Good point. That's why I got a mobile phone with two SIMs with
complementary coverage in Scottish hills. Note too that texts still
work in conditions where voice doesn't, so make sure your emergency
contact can handle texts. An extension aerial (in phones with sockets)
will help to extend range.
Quoted message said:I usually walk alone but am not happy with that idea anymore but
is it fair to saddle a walking partner/group with the responsibility
that would arise if I had a heart attack on a mountain?
Take some aspirin with you and whatever else is advised as immediate
interim treatment. And are you really a higher risk than some fat
forty year old who's just decided to lose some of the flab by walking
up a hill for the first time in twenty years?
I think you need to be a bit more selfish about this. If you have a
heart attack up a hill it might spoil the walk for others. But you
might die. I think that's a bit more important than spoiling someone
else's walk.
Quoted message said:Is it time to find another leisure pursuit?
Or is there a walking club for the damaged...
How damaged are you? At 135bpm max I can outpace anyone up a hill
except a hill walker, athlete, or 12 year old girl :-)
Get a heart rate monitor. Get a blood pressure monitor. Notice how
your heart feels, exercise cautionusly at first. Trust will come. My
heart feels better when I take more exercise.
And don't forget it's all risky, including doctor's diagnoses. A
friend of mine thought he had a minor heart attack, went for a check
up, was told there was absolutely nothing wrong, fit as a fiddle, and
dropped dead of a heart attack as he walked out of the hospital.
A true story. You've got to get used to laughing at things like
that. Laughter is good for the heart :-)
--
Chris Malcolm [email hidden] +44 (0)131 651 3445 DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]