excercise target range

"Bill" <[email hidden]> wrote in message news:<[email hidden]>...

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<[email hidden]> wrote in message
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Newbie here. First heart attack on 51st birthday 6 months ago.
Moderate, right hand posterior artery, angioplasty 4x20 mm express
stent. Been thru cardiac rehab. Lisinopril and atenolol for cardo
meds. Had a little issue on a while back, extreme fatigue,
breathiness,,anyway had my second stress test yeaterday. Try to
workout out daily on my treadmill (3 miles at 3.5 mph at 1 degree
elevation, 51 minutes) The issue? Cardiac rehab told me my target
pulse range should be 66-84 the cardiologist doing my stress test
yesterday told me by his measure (?) thats on the slow side (he told
me he pushed me during the test and there were no abnormalities,he did
not tell me the max rate I was at) Now during my workouts I get a
little tired, but never near unable to breathe( or talk) in a
controlled fashion. Question, What should my target range be for
excercise? I feel I could go more but am somewhat apprehensive. My
GP (also a heart patient) says that I have a large amount of reserve
left in my heart and thinks a much higher rate would have to be
attained (he was not advocating excercising at this rate however)
before I encountered a bad prob.. (my own cardiologists doesn't have
a lot to offer on this) any suggestions?

The 66 to 84 does sound low. What is your reasting pulse rate? If that is very
low, that can effect the target. Perhaps the cardiac rehab person ment this as
an initial target to be increased every week or so?

Bill

My resting rate like laying down vegging 49 or so, in general in the
50's. The rehab folks told me in in no uncertian terms "don't
exceed". I can't accept this figure, and now either can 2 Drs.. (I
forget the equation/variables that he calcualted it on but I know it
had something to do with area around the damaged section of heart.)
If I did accept this workouts would be plodding efforts trying not to
fall asleep. Basically I'm exceeding the set rate all the time, once
as high as 108 (polar moniter) generally in the 90's however. Oddly
enough the tech told me yesterday that my BP (relaxed) was 94 over 70
and asked me if I felt okay, and I felt fine. Pre-siezure would be 130
or 140 over 84. Guess the meds are surely doing what they're supposed
to! I did increase my speed today to 3.6. (with no visible impact on
pulse) Ironically I'm just hoping that I have not caused any harm but
not accelerating my workout program at a more "substantial" pace.
Oddly I have found that on days when your dragging (workout) pulse
rate can be down yet on days when feeling physically strong( whatever
that measure is) pulse rates can be up. I would think this would be
opposite. My GP tells me that this perception is essentially artifact
as the true measure of "strength" or lack there-of comes from deeper
physiological inputs,,,makes for an interesting contradiction as I see
it.

<[email hidden]> wrote in message
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"Bill" <[email hidden]> wrote in message

news:<[email hidden]>...

Quoted message said:

Quoted message said:

<[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Newbie here. First heart attack on 51st birthday 6 months ago.
Moderate, right hand posterior artery, angioplasty 4x20 mm express
stent. Been thru cardiac rehab. Lisinopril and atenolol for cardo
meds. Had a little issue on a while back, extreme fatigue,
breathiness,,anyway had my second stress test yeaterday. Try to
workout out daily on my treadmill (3 miles at 3.5 mph at 1 degree
elevation, 51 minutes) The issue? Cardiac rehab told me my target
pulse range should be 66-84 the cardiologist doing my stress test
yesterday told me by his measure (?) thats on the slow side (he told
me he pushed me during the test and there were no abnormalities,he did
not tell me the max rate I was at) Now during my workouts I get a
little tired, but never near unable to breathe( or talk) in a
controlled fashion. Question, What should my target range be for
excercise? I feel I could go more but am somewhat apprehensive. My
GP (also a heart patient) says that I have a large amount of reserve
left in my heart and thinks a much higher rate would have to be
attained (he was not advocating excercising at this rate however)
before I encountered a bad prob.. (my own cardiologists doesn't have
a lot to offer on this) any suggestions?

The 66 to 84 does sound low. What is your reasting pulse rate? If that is

very

Quoted message said:

Quoted message said:

low, that can effect the target. Perhaps the cardiac rehab person ment

this as

Quoted message said:

Quoted message said:

an initial target to be increased every week or so?

Bill

My resting rate like laying down vegging 49 or so, in general in the
50's. The rehab folks told me in in no uncertian terms "don't
exceed". I can't accept this figure, and now either can 2 Drs.. (I
forget the equation/variables that he calcualted it on but I know it
had something to do with area around the damaged section of heart.)
If I did accept this workouts would be plodding efforts trying not to
fall asleep. Basically I'm exceeding the set rate all the time, once
as high as 108 (polar moniter) generally in the 90's however. Oddly
enough the tech told me yesterday that my BP (relaxed) was 94 over 70
and asked me if I felt okay, and I felt fine. Pre-siezure would be 130
or 140 over 84. Guess the meds are surely doing what they're supposed
to! I did increase my speed today to 3.6. (with no visible impact on
pulse) Ironically I'm just hoping that I have not caused any harm but
not accelerating my workout program at a more "substantial" pace.
Oddly I have found that on days when your dragging (workout) pulse
rate can be down yet on days when feeling physically strong( whatever
that measure is) pulse rates can be up. I would think this would be
opposite. My GP tells me that this perception is essentially artifact
as the true measure of "strength" or lack there-of comes from deeper
physiological inputs,,,makes for an interesting contradiction as I see
it.

Have you challenged the person who gave you the original target with your
concerns and the Drs'. opinions and what does he say in response? Is this an
initial target that might increase after a week or so or is it a long term
target?
There are a whole lot of variables here. If you are not satisfied, I would go
back to the cardiologist for a target - which will typically be lower than
what he pushes you to on a stress test.

What you are doing now (51 min., 3.5 mph, 1 degree) is fairly good - though
your weight enters into it too. You are supposed to be able to talk during
exercise etc. I don't wish to be a nag, but I hope you are also doing a little
warm up and cool down (about 5 mins. each) and stretching.

Again, it is your cardiologist that should have the final say on your target
heart rate.

Bill (not a Dr.)

The beta - blocker you're on can cause a slow pulse rate, I believe.
In your shoes I'd pester the rehab people about increasing exercise.
I'd be searching the web for info about rehab - try the AHA website.
Besides exercise, there is a lot you can do with proper nutrition.
The AHA rec, for example, everyone with CHD get one gram of Omega 3
fatty acids. The "good" news is that with today's medicine you may be
able to live a normal lifespan.

[email hidden] wrote in message news:<[email hidden]>...

Quoted message said:

"Bill" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

<[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Newbie here. First heart attack on 51st birthday 6 months ago.
Moderate, right hand posterior artery, angioplasty 4x20 mm express
stent. Been thru cardiac rehab. Lisinopril and atenolol for cardo
meds. Had a little issue on a while back, extreme fatigue,
breathiness,,anyway had my second stress test yeaterday. Try to
workout out daily on my treadmill (3 miles at 3.5 mph at 1 degree
elevation, 51 minutes) The issue? Cardiac rehab told me my target
pulse range should be 66-84 the cardiologist doing my stress test
yesterday told me by his measure (?) thats on the slow side (he told
me he pushed me during the test and there were no abnormalities,he did
not tell me the max rate I was at) Now during my workouts I get a
little tired, but never near unable to breathe( or talk) in a
controlled fashion. Question, What should my target range be for
excercise? I feel I could go more but am somewhat apprehensive. My
GP (also a heart patient) says that I have a large amount of reserve
left in my heart and thinks a much higher rate would have to be
attained (he was not advocating excercising at this rate however)
before I encountered a bad prob.. (my own cardiologists doesn't have
a lot to offer on this) any suggestions?

The 66 to 84 does sound low. What is your reasting pulse rate? If that is very
low, that can effect the target. Perhaps the cardiac rehab person ment this as
an initial target to be increased every week or so?

Bill

My resting rate like laying down vegging 49 or so, in general in the
50's. The rehab folks told me in in no uncertian terms "don't
exceed". I can't accept this figure, and now either can 2 Drs.. (I
forget the equation/variables that he calcualted it on but I know it
had something to do with area around the damaged section of heart.)
If I did accept this workouts would be plodding efforts trying not to
fall asleep. Basically I'm exceeding the set rate all the time, once
as high as 108 (polar moniter) generally in the 90's however. Oddly
enough the tech told me yesterday that my BP (relaxed) was 94 over 70
and asked me if I felt okay, and I felt fine. Pre-siezure would be 130
or 140 over 84. Guess the meds are surely doing what they're supposed
to! I did increase my speed today to 3.6. (with no visible impact on
pulse) Ironically I'm just hoping that I have not caused any harm but
not accelerating my workout program at a more "substantial" pace.
Oddly I have found that on days when your dragging (workout) pulse
rate can be down yet on days when feeling physically strong( whatever
that measure is) pulse rates can be up. I would think this would be
opposite. My GP tells me that this perception is essentially artifact
as the true measure of "strength" or lack there-of comes from deeper
physiological inputs,,,makes for an interesting contradiction as I see
it.

In article <[email hidden]>, Don says...

Quoted message said:

Quoted message said:

times is to take the atenolol after my run instead of before. This was
driven home for me again a couple of days ago when I absent-mindedly
took atenolol with my other "breakfast" meds and ran with a heart rate
ranging from 110 to about 125 when it normally would have been about 120
to 135 for the same distance and pace.

I still suspect the atenolol may be the main reason I can't build
endurance for longer runs, though aging may be another factor. Other
than that, I can't relate any other effects to atenolol.

I'm the same way. Before atenolol (the only Rx I'm on) I could run my heart rate
on the exercise bike up to 145 bpm.

Now that I'm on 25mg 1x daily of atenolol (due to a few fainting spells), my max
heart rate with the same effort on the bike is 125-130 bpm...

It has to be the atenolol

Mark