Hello to all!  Lisa could please give me a little insite HRR(heart rate recovery). It appears ALL THE FOCUS ON HRR is based on

A: a pulse within 80-100% of your MAX HR

B: rest 1 MINUTE after reaching the 80-100% MAX HR

c: CHECK THE NUMBER AFTER THE 1 MIN

iF YOU ARE ATLEAST 18+ DROP THEN THAT GOOD OF COARSE AVERAGE WOULD BE IN THE 20'S AND high drop THE BETTER..

My question is  am a 36yo male who is in average shape.. When I do CARDIO fro 30 mins and I check my HRR all is well(I get it to 160HR for 20-30secs, then LOW down to a lite walk and my HR goes to 125 within 1 mins and is UNDER 120 within 3 mins.. So guess i am okay there , BUT WITH ABIG BUT my HR NEVER

returns to NORMAL RESTING for HOURS.. My HR will stay between 85-95 for HOURS after exercise or heavy yard work.. My cardio sai my HEART is structually fine(did a echo, ekgs, etc a few months ago)  He said I am one of the poeple who has autonomic issues(i do get PANIC attacks evey few months). He wants me to try lexapro, but I just dont want to get into MEDS unless i have no choice.. If u can give me your opinion i would be greatly appricated

thanks

DOn

dax0007 at hotmail

Hello Lisa,  Thanks so much for even taking the time to respond.. I hope its not tomuch to ask to review my situation?  If u can comment that would be wonderful! .. Okay my situation:

I am a 36 yo white male, 5'11, 215lbs, in better than average shape.. Here are my facts:

1) grandfather had a stroke in his 70's(no one else with heart diease- my father

is 63 and mother is 62 (no issues)

2) I played college/high school football

3) I have done 2 STRESS TEST(ECHOS- non thalium)

4) ALL BLOOD WORK WAS GOOD to great (Cholestrol ratio was 3.30LDL-135little high, but HDL was 76-tri's 130 - homocysteine 8.5, c-reactive .3)

5) I hAVE HAD NUMEROUS EKG'S OVER THE PAST 2 YEARS ALL IS GOOD..

My short story:o).. I gt married at 30 and stop working out and etc.. The sometime around 32 I "guess" stress got to me??, but i did not feel right -i felt like my mind was spinning, shortness of breath,  chest tightess,rapid heart rate etc. Went to the ER and they ran all the normal stuff(xrays, blood cpk, ekgs) all was perfect except my HR while they were doing the EKG was 105hr.. They released me as a panic attack.

Oh well life went on i was told stop stimulants and etc.. So then i went on a health food kick( i have never been overweight, but i am stocky, semi musclar build from sports)..  I started t do lite jogs.. then one day after a 3 mile jog I started to "hyperventalate" IT WAS HORRIBLE!  well i was 33yo at this time.. I was able to catch my breath, but i felt horrible for hrs and hrs.. HR was around 100 , shoulders felt weak, body felt cold, just run down.. SO WENT TO THE ER AGAIN.. ALL THE NORMAL TEST WERE FIND, BUT BLOOD PESSURE LITTLE HIGH IN THE ER 150/100, ABOUT 1 HR IN THE ER MY BLOOD PRESSURE DROPPED (NATURALLY TO 130/80).. HEART RATE IN ER WAS 110, THEN DROPED TO 90'S.

ANYWAYS I WAS RELEASED

WELL CARDIO DOC AND reg doc wanted me to take anti anexity meds(which i tried xanax), but i just did not want to get on something everyday( i hear good and bad things) I ended up getting a phobia about pushing my self durig cardio cause i am scared to hypeventalate... Well at 36yo-recently I had another "hyperventaling" after cardio (ITS ALWAYS WHEN I AM SLOWING DOWN ON MY CARDIO- like i am getting a PAPILATION that throws me into this mode).. Well i stayed calm and caught my breath.. I have since run a bunch of TEST with my CARDIO and he said its your anexity..  My main syptoms are DAILY STUFF like:

1) shortness of breath(NOT REAL BAD) doing normal stuff, but I can still do medium intensity cardio with out ay issues(the hyperventalation is RARE as u can tell only twice in 5 years)

2) weakness in body for no reason

3) sticking MILD CHEST PAINS with FEELING OF FOOD IN MY THROAT, INDIGESTION --> This is OFTEN-- DOCTOR THINKS I HAVE GERD

Anyways this is what brings me to my HEART RATE question...  You see I figure since I have all the problems above , but my DOCTORS say I am fine I figure i would try to get in the best shape possible..  So I decided to start with my HEART RATE.. 

IF I DO ANYTHING OF CARDIO INTENSITY OR HEAVY YARD WORK - my normal pulse with is usually 75(when i wake up its low 60's) MY PULSE WILL RAISE as normal- EVEN IF I DO A HEART RATE RECOVER TEST and get my HR to 160, then "rest a minute" my HR WILL EASILY DROP to 130, then it will be under 120 within the 2-3rd minute, BUT MY HR WILL STAY IN THE 90's for hours(it will drop to the 80s if i lay down)-- It will not get backto the 70' for HOURS and HOURS.. I also feel little AMPED UP or high strung.. My cardio doc says my autonomic system is off and I will have to learn to deal with it or take BETABLOCKERSor LEXAPRO.. I have only been doing cardio for 6 weeks steady so maybe i am just out of shape..   I just dont want to have any isses and NOT KNOW ABOUT THEM.. I do have a FEELING OF SKIPPED HEART BEAT SOMETIMES, but not often ,maybe once  amonth.. CARDIO said dont worry about it..

Sorry for the long email, but even a little input would be nice "if u made it this far"!!

THANKS !

Don

I had a very similiar experiece to Don.   I think it all boils down to being out of shape and your body trying to adjust to your new level of activity.  I'd say listen to your body and back off when you don't feel right but keep at it.....for over time the body will adjust and these symptoms will vanish.

Thanks Mike for the responce.. I must agree I am not the same man i was a few years ago.. I remember when i was in my 20's and I would stop working out I could just start running HARD in the sun for a few weeks and be back to normal, now if i did that I would just be a mess... I will try to be consisitent and get back to a descent level..

take care

don

Don,

I sometimes get that when I exercise and I found out that I have a thyroid problem. I would suggest getting your thyroid tested. If you have even borderline hyperthyroid that can cause anxiety and heart rate issues. The thyroid is the master gland that sets the tone for the other glands. It controls temp, heart rate, hormones etc.

As far as getting in shape, just remember not to overdo it - even the pros know their limits and take a day off. Hydrate well because dehydration can cause heart rate and those other feelings that you mentioned.

I am not sure where you are working out but a serious allergy can also cause those symptoms. I was actually hospitallized because they thought that I was having a heart attack and it turned out to be a severe pollen, grass, and mold allergy which I had never had before. My bp was up, heart rate, breathing etc. without any of the regular symtoms (nasal etc.) 

Anxiety and physical problems are a cyclic chain reaction. You said that you were worried about hyperventilating when you exercise so then that can lead to a fear of overdoing it and if you notice something even mildly physical you can start thinking "oh no, it is happening again!" which then triggers anxiety and so on.

I commend you on seeking help. I agree about the medications. They may cause more problems (heart rate etc.) I have found that there are many safer ways to fix anxiety. Biofeed back or neuro therapy is a very good way. Doing meditation in the am and pm sets a natural calmness to your body's rythm. Using these 2 techniques you can actually learn to instntly stop anxiety and lower your heart rate and breathing with just your mind.

I speak from the experience of being someone who has suffered a tremendous amount of anxiety. Anxiety that is not from the side effects of medication or some other organic cause is usually based on feeling a loss of control in your life (real or perceived). It could be anything from a boss treating you badly but you feel that you can't leave the job, being inadequate in some aspect of your life, a relationship that is troubled, not feeling like you are where you want to be at this point in your life, and being a perfectionist.

Talking to someone in therapy could help to get to the root of the problem. I suggest someone who does hypnotherapy or a type of therapist who uses the body as much as the mind to get to the source of the problem.

I hope that this helped,

Rhonda    

Rhonda , Thanks for taking the time to respond!! WOW u hit the nail on the head when answering my quetion... I could ever explain it like u did, but wow u nail it..

I will definately look into the therpys u brought up..   I think the root cause is something is just messing with my autonomic system.. Because when I wake up feeling a certain way..I am cool and calm, which turns out to a normal cardio session,.. But it i wakeup in the am or something triggers something i am somewhat of a mess and feel like crap on exercertion..

Thanks so much for your info!!
Don

You should talk to your cardio doc about having a echo done to check your valves it sounds like a valve maybe leaking or clogging up a little bit. This would be a step in the right direction especially with a history of sports.

Hey Dr.John, Thanks for the reply.. I did have a ECHO when they did my stress test. Atleast i think i did.. They MADE me do a threadmill stress test, then after aboout 13-15mins when my heart rate got HIGH enough they made me LAY DOWN ON THE TABLE and used a ultrasound machine(they had a EKG hooked up to me during this whole session) Do u think that was sufficent?  HE said my valves look good.. I guess my question is i did the stress test along with EKG before and after and RIGHT AFTER they termiated the STRESS test the Doctor made me lay down QUICKLY do my HEART RATE WAS high enough to do a ultrasound..  Does that sound right?

Thanks

I have the same issue. After a vigorous session at the gym, it takes my heart almost 1 hour to return to normal. My resting BPM is 58 to 65. I also suffer from the ocassional anxiety and panic attacks.

i get sudden spells where my heart rate drops in the 49bpm and then i exercise alittle i goes up to 90 for olny a second or two and goes right back down i dont no why it is very scary feeling im only 30 years old not very autletic my md said im fine and my cardio but i dont feel fine any helpful answers