General fitness, health and nutrition · Public discussion

Excessive heart rate and damage

Started by KH · · Last activity · 2 posts · 302 views

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General fitness, health and nutrition
Published
9 October 2003
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9 October 2003
Original author
KH
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  1. Hi all,

    I have a couple of questions but some real quick background info
    first. I'm 40, non smoker, no diabities, etc..

    I have as long as I can remember, been short of breath during physical
    activity. As a kid, playing outside all day would result in painful
    chest, burning lungs feeling, and my legs would get so swollen it was
    painful to sleep at night.

    It never really improved through adulthood, but I think my body
    learned to adapt.

    I recently decided to go in after a couple of years of really trying
    to improve my cardio performance through excecise, hiking and
    backpacking, but I never saw any improvement.

    Symtoms I get during physical activity would be shortness of breath,
    tightness in chest, shoulder pain, pain up the back of the neck,
    lightheaded feeling, swollen ankles/lower extremities.

    On the first stress test, I came back 'positive' - I hit my target HR
    in a couple of minutes, and max HR of 180 in just over 5 min. I just
    did the nuclear stress test, but won't know those results and the
    echocardiogram for another couple of weeks.

    Now, my question: When I hike or backpack, my HR when walking on
    mainly level ground is generaly at around 160, and going uphill,
    generaly 185 - 200 (or more). And this is all day. (8+ miles a day)
    Even going up one flight of stairs my HR will go up to about 150. Am I
    causing damage to my heart keeping my HR up that high for so many
    hours? Or will will it help strengthen my heart even if some parts of
    the ticker may not be ticking quite right?

    Over the years I've learned just to tough it out, just deal with it,
    but I'm now concerned that maybe I'm pushing myself a bit too hard.
    Any thoughts?

    Thanks.

  2. KH said:

    Hi all,

    I have a couple of questions but some real quick background info
    first. I'm 40, non smoker, no diabities, etc..

    I have as long as I can remember, been short of breath during physical
    activity. As a kid, playing outside all day would result in painful
    chest, burning lungs feeling, and my legs would get so swollen it was
    painful to sleep at night.

    It never really improved through adulthood, but I think my body
    learned to adapt.

    I recently decided to go in after a couple of years of really trying
    to improve my cardio performance through excecise, hiking and
    backpacking, but I never saw any improvement.

    Symtoms I get during physical activity would be shortness of breath,
    tightness in chest, shoulder pain, pain up the back of the neck,
    lightheaded feeling, swollen ankles/lower extremities.

    On the first stress test, I came back 'positive' - I hit my target HR
    in a couple of minutes, and max HR of 180 in just over 5 min. I just
    did the nuclear stress test, but won't know those results and the
    echocardiogram for another couple of weeks.

    Now, my question: When I hike or backpack, my HR when walking on
    mainly level ground is generaly at around 160, and going uphill,
    generaly 185 - 200 (or more). And this is all day. (8+ miles a day)
    Even going up one flight of stairs my HR will go up to about 150. Am I
    causing damage to my heart keeping my HR up that high for so many
    hours?

    No. Persistently elevated heart rates take weeks to months to cause heart
    failure.

    Quoted message said:

    Or will will it help strengthen my heart even if some parts of
    the ticker may not be ticking quite right?

    Regular exercise in general will do this.

    Quoted message said:

    Over the years I've learned just to tough it out, just deal with it,
    but I'm now concerned that maybe I'm pushing myself a bit too hard.
    Any thoughts?

    Would suggest you be mindful of your symptoms. Your cardiologist should
    be able to advise you on specifics.

    Quoted message said:


    Thanks.

    You're welcome.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

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