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Medical Forum / General / Cardiology / February 2005

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Spike in Heart Rate

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ron - 25 Feb 2005 01:54 GMT
Hi...I'm almost 60 and have been running for a long time.  4 months ago
I broke some ribs riding my bike and have just started up running
again.  For the past month, I've been working out on an elliptical
trainer to try and get back into shape.  For my runs, I walk to the
trailhead and my pulse is about 80 when I start running.  I'm actually
running pretty slow and after about a minute my pulse is up to 150-160.
After another minute it's down to 135 where it more or less stays for
the rest of the run, tending up to the 140s towards the end.  Again,
when I start running I'm going pretty slow.  I take verapamil for
headaches, no other meds.  I've never noticed the spike in my pulse
before I broke my ribs, although it's possible I just didn't notice it
(I've only had the heart rate monitor for about a year).  Anyone have
any thoughts on what the spike means, if anything?  Thanks for your
help, Ron
Grinch - 25 Feb 2005 02:16 GMT
Ron,
Good on you for running at 60 years old.  I can tell you a few things.
First off make sure that if you have any problems, speak to your
physician.  Ok, now that that's out of the way let me tell you a few
things you might or might not be aware of.  First, you have to be aware
that the drug verapamil is what's refered to as a "calcium blocker"
It's a drug given primarily to those who have high blood pressure
(hypertension), coronary artery spasm (some forms of angina) and not
infrequently are given to bring the heart rate down.  Going on the
presumption that you have no real medical problems, the increase in
heart is do to excercise. Next, I assume you have no pain, dizzyness,
nausea, or you don't feel light headed when you are running.  If these
are the facts, it's most likely you did not notice those spikes in your
heart heart previously, as we usually cannot tell to what extent our
heart rate is increased to when we are permorming any exercise.  The
heart rate fluctuates on a daily bases, on a hourly bases, and even
minute-to-minute, it fluctuates.  Also, drug verapamil, will act
differently depending on a few factors; if it's the extended release or
immediate release and the dosage you take and the milligrams.
Sometimes the dose is too high for you and you might have a type of
suppresion of your heart rate when you excercise.  You also have to
know what your heart rate was like before you started taking the
verapamil and would excersice.  So all in all, I think  (FROM WHAT YOU
WROTE) you probobably don't have a problem, but again if you have a
concerns speak with your physician.  That's what I would want my
patients to do.
Grinch
. - 25 Feb 2005 13:49 GMT
> Ron,
> Good on you for running at 60 years old.  I can tell you a few things.
[quoted text clipped - 23 lines]
> patients to do.
> Grinch

You begin your work out with a normal heart rate.  You start and your
body says  hey we are working more her and we need more oxygen in my
legs, arms, spleen, liver so your heart rate picks up to meet the
demands.  After your body has gotten the increased supply of oxyen and
blood flow it decreases to a more normal level in the 130's.  Pain also
makes the heart rate increase.  Getting up to 150-160 is not an
appropriate rate for you.  The heart is beating so fast its not getting
enough time to fill.  I would recommend slowing down your warm up.
Take the time to get back into your previous cardiovascular health. Or,
Maybe your heart rate monitor is receiving some incorrect signal, check
your pulse yourself before you believe the 150-160, then check your
self, if your feeling okay and not too out of breat then carry on.
Henk J.van Dijk - 28 Feb 2005 10:13 GMT
[.]
<cut>
>I would recommend slowing down your warm up.
> Take the time to get back into your previous cardiovascular health. Or,

I read over it, but indeed, a warming up of say one minuut is realy to short
(in fact, that is not a warming up at all) and just that will give a boost,
a spike in heart rate (...)
(Very bad training!)

> Maybe your heart rate monitor is receiving some incorrect signal, check
> your pulse yourself before you believe the 150-160, then check your
> self, if your feeling okay and not too out of breat then carry on.

Yes, possible. In wintertime you need to wet the contacts of the transmitter
because if not wet it wil often give incorrect readings...

Henk
Bill - 25 Feb 2005 02:32 GMT
> Hi...I'm almost 60 and have been running for a long time.  4 months ago
> I broke some ribs riding my bike and have just started up running
[quoted text clipped - 10 lines]
> any thoughts on what the spike means, if anything?  Thanks for your
> help, Ron

Do you use an automatic device to take your pulse or do you do it manually? If
manually, it could be a problem getting an accurate reading during the first
min. or so.

Bill
Andrew B. Chung, MD/PhD - 25 Feb 2005 04:23 GMT
> Hi...I'm almost 60 and have been running for a long time.  4 months ago
> I broke some ribs riding my bike and have just started up running
[quoted text clipped - 9 lines]
> (I've only had the heart rate monitor for about a year).  Anyone have
> any thoughts on what the spike means, if anything?

Would suggest you inform your doctor who likely will want to refer you
to a cardiologist for possible stress testing.

> Thanks for your
> help, Ron

You are welcome :-)

At His service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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Henk J.van Dijk - 28 Feb 2005 09:38 GMT
[Andrew B. Chung, MD/PhD]
> Would suggest you inform your doctor who likely will want to refer you
> to a cardiologist for possible stress testing.

Always a good advice.

Also to take in acount, when stopped running for a few months you have to
start almost as a beginner. And depending on the state before stopping
progres can be quicker (after a while) or wil take the same time as a
beginner needs to take.
In the beginning your HR will be not as stable as you used to have.

Taking a stress testing is also advantageous because then you know also your
max-HR. And knowing that you can better interpret what good  heart rates are
for you to train safely.
(The max heart rates are nog always "220 - age" and training in the right
zones is essential for good and healthy results.
My max-HR is, for exampel, 190 and I'm almost 62.  I took a stress testing
and that reading came out.  Magic.  By the way, it was very strange day so
because at the very end of the test a got a reading of 189 and immediately
thereafter at ones 225 or so. I was advised to see a cardiologist  AND at
the same time was allowed to run even at a  more rapid pace, or better said:
in higer HR-zones)...  Happily, all was alright, no restrictions in running.
Ok?, because I had already for a long time a high blood pressure a got a
year later the advise to use a light dose of Verapramil.)

Kind regards,

Henk J. van Dijk
Don Kirkman - 25 Feb 2005 23:41 GMT
It seems to me I heard somewhere that ron wrote in article
<1109296493.329622.88650@l41g2000cwc.googlegroups.com>:

>Hi...I'm almost 60 and have been running for a long time.  4 months ago
>I broke some ribs riding my bike and have just started up running
[quoted text clipped - 10 lines]
>any thoughts on what the spike means, if anything?  Thanks for your
>help, Ron

Ckmiller raised the possibility of erratic HRM readings.  My HRM is
sensitive to interference from high tension lines, especially on dry
windy days that generate static.  On those days I pretty much have to
ignore the readings.

With Grinch's assumption that you have no "real" medical problems, if
you really are spiking now and weren't before your layoff, it may just
be from a slight loss of conditioning; running, particularly on trails,
is a different beast from treadmills and ellips.  I find it takes me a
fairly set distance to hit a steady HR, usually around a mile and a
half.  Up to that point I usually ramp up fairly smoothly but there are
days when I overshoot and then drop back, without any perceived
difference in exertion or pace.  At 76 I don't push much so I rarely see
those 150-160 readings any more, but I can do it when motivated.  I
normally cruise about where you do, 135-140.
Signature

Don
"I do not feel obliged to believe that the same God who has endowed
us with senses, reason, and intellect has intended us to forgo their
use.                                --Galileo Galilei

 
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