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Medical Forum / General / Cardiology / July 2006Chronic Anxiety and Exercise, how does it effect the heart ?
Initially, my doctor thought I have acute anxiety, but now we both seem to think it's actually chronic. In addition, it appears that I may be mildly bipolar. My doctor says that my heart is beating too fast as measured with holter monitor, so her prescribed Seroquel. Since being on the Seroquel, I have worn an aerobic heart monitor and my heart rate is overall faster than before in resting phase. I also compared the results before with the same monitor and my heart rate was slower. In addition, I am reluctant to do any exercise like jogging or using the treadmill because my heart rate is high. I am thinking that it is better if I just rest since my heart works so hard at work or when I go out. My doc has not suggested any relaxing techniques or referred me to anyone else he can help with behavioral modification. Comments? Thanks > Initially, my doctor thought I have acute anxiety, but now we both seem > to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 15 lines] > > Comments? ask your doctor about the exercise ... if not contraindicated, it might be of some help ... trying relaxation techniques surely cannot hurt anything; this is something you could try on your own if you don't want to or can't see a professional ... we don't necessarily need a doctor for *everything* : ask your doctor about the exercise ... if not contraindicated, it : might be of some help ... I asked him and his response was if I had any attacks while exercising. I told him no, then it *should* be ok. However, common sense tells me that if you start stressing an overworked muscle then you're asking for trouble. : trying relaxation techniques surely cannot hurt anything; this is : something you could try on your own if you don't want to or can't see : a professional ... we don't necessarily need a doctor for *everything* Recommendations on techniques? Perhaps links with illustrations? I hear people talking about it, but I have yet to see anyone actually do it properly. So essentially, what I'm garnering from this is that your physician has given you a thumbs up on exercising. You are, on the other hand, reticent to overwork your heart. That doesn't seem like an entirely unreasonable thought, but one can certainly get some activity without overworking anything. Get a walkman, make a CD, tape, whatever (mp3 is for those born after some date, unknown to me...) and put all your favorite tunes on there. Seriously, pick all the ones you really like, and put them on there. Then walk up your street, assuming you don't live in Fort Apache, for about 10 minutes or so (wear a watch, have your cell phone alarm on vibrate mode - whatever it takes to get YOU to know that ten minutes has elapsed) and then walk back. While you're walking, consider nothing but what you feel like thinking about while listening to some tunes. This can be remarkably helpful, and you don't even have to walk fast - just consuming your brain with an activity that is not anxiety-provoking, has a possibly fun element - that will give you respite from being "constantly" stressed. No one should be constantly stressed, and if you find that you can't change that, I'd take a very serious look at how your life is set up - because it's a set-up to put you in a box WAY too soon. I realize it doesn't get any more blunt than that, but being stressed out all the time, having cardiac complications from it - not much sucks more than that - so I'd seriously contemplate how I was going to totally ditch that entire situation; it is unacceptable, no matter how much they're paying you. Incidentally, I speak from experience (plenty) and did not just read this in some book. G > : ask your doctor about the exercise ... if not contraindicated, it > : might be of some help ... [quoted text clipped - 3 lines] > that if you start stressing an overworked muscle then you're asking for > trouble. so much for that advice .. is he a cardiologist ? > : trying relaxation techniques surely cannot hurt anything; this is > : something you could try on your own if you don't want to or can't see [quoted text clipped - 3 lines] > people talking about it, but I have yet to see anyone actually do it > properly. none here ... I just make 'em up as I go along; Google it .. there's probably a million or two web pages discussing it http://www.anxieties.com/panic-step5c.php > : ask your doctor about the exercise ... if not contraindicated, it > : might be of some help ... [quoted text clipped - 11 lines] > people talking about it, but I have yet to see anyone actually do it > properly. > Initially, my doctor thought I have acute anxiety, but now we both seem > to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 5 lines] > than before in resting phase. I also compared the results before with > the same monitor and my heart rate was slower. A high resting heart rate (more than 90 beats per minute for an adult) can be caused by many things other than anxiety. > In addition, I am reluctant to do any exercise like jogging or using the > treadmill because my heart rate is high. I am thinking that it is [quoted text clipped - 5 lines] > > Comments? Would suggest you seek a second opinion and possibly a referral to consult with a cardiologist. > Thanks You are welcome. All thanks and praises belong to GOD, Whom I love with all my being. Prayerfully in Christ's amazing love, Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/TheTruth : : A high resting heart rate (more than 90 beats per minute for an adult) : can be caused by many things other than anxiety. My doc has been quite good about getting me tested. Anxiety is definitely, a key component to my high heart rate; however, the Seroquel has an increased heart rate as a side-effect which worries me. : Would suggest you seek a second opinion and possibly a referral to : consult with a cardiologist. I will ask him when he gets back into town, he's on holidays right now. Is a cardiologist necessary even though the day monitor showed no anomolies except high heart rate (always under stress), I am [virtually] always under stress or anxiety. > : : A high resting heart rate (more than 90 beats per minute for an > adult) [quoted text clipped - 11 lines] > anomolies except high heart rate (always under stress), I am [virtually] > always under stress or anxiety. It would be wise. Prayerfully in Christ's amazing love, Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/TheTruth > : : A high resting heart rate (more than 90 beats per minute for an > adult) [quoted text clipped - 11 lines] > anomolies except high heart rate (always under stress), I am [virtually] > always under stress or anxiety. Seeing a cardiologist just to make sure would not be a bad idea. Skipping the Seroquel (unless you have psychotic anxiety) and replacing it by a betablocker such as propanolol or atenolol might should then take care of your heart rate. Philip "Comments?" I have no comments, but do have a few questions, if you'd not mind answering... What is your resting heart rate now? What was it before initiating this treatment? Is it causing you symptoms? What is your resting heart rate after 15 minutes supine on a recliner or similar position of comfort? What type of medical specialty is this physician who is treating your heart rate? G > Initially, my doctor thought I have acute anxiety, but now we both seem > to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 17 lines] > > Thanks I have a chronic social anxiety condition. I have been on seroquel for about 2 yrs. The seroquel only works for about 2 weeks max before you need a higher dose. Now I cant sleep if i stop seroquel. I would avoid all anti-anxiety meds if your anxiety is chronic. Dont take a label like mildly bipolar seriously. It has no meaning. When you are anxious that is sort of like being high so your highs will be higher and your lows will be lower than a normal person. Instead of lows you might just have insomnia or a general malaise. What is causing your anxiety. Breathing and meditation are helpful. You need to know you can control your anxiety. Jogging etc is fine but take it easy in the beginning. If you are anxious you have the tendency to run faster than you should in the beginning. Walking is the best if you just want to calm yourself. Get used of the fact that the doctors know zero. > Initially, my doctor thought I have acute anxiety, but now we both seem > to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 17 lines] > > Thanks > I have a chronic social anxiety condition. I have been on seroquel for > about 2 yrs. The seroquel only works for about 2 weeks max before you > need a higher dose. Now I cant sleep if i stop seroquel. I would avoid > all anti-anxiety meds if your anxiety is chronic. For chronic anxiety Cognitive Behavioral Therapy* is the therapy of choice but if necessary it can very well be combined with medication. > Dont take a label like mildly bipolar seriously. It has no meaning. Of course it has. Whether it's the right diagnosis in this case is impossible to tell for anybody over the internet. > When you are anxious that is sort of like being high so your highs will > be higher and your lows will be lower than a normal person. Instead of > lows you might just have insomnia or a general malaise. Anxiety is not at all like being high IMO & IME. > What is causing your anxiety. Breathing and meditation are helpful. You > need to know you can control your anxiety. Jogging etc is fine but take > it easy in the beginning. Exercise, breathing exercises, meditation, yoga, tai-chi, haptonomy etc.etc. can all be helpful along with nutritional supplements such as omega-3 fish oil etc. but in most cases they won't do enough. > Get used of the fact that the doctors know zero. Although some of them indeed tend to give that impression as a blanket statement this is nonsensical. There is knowledge and experience out there and with the right pdoc and cb-therapist a brighter future is in store for you. Philip >>Initially, my doctor thought I have acute anxiety, but now we both seem >>to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 17 lines] >> >>Thanks You are just regurgitating all the falacy filled crap you have found on the net . Cognitive behavioral therapy. give me a break. learn to think on your own because you are spreading misconceptions. > > I have a chronic social anxiety condition. I have been on seroquel for > > about 2 yrs. The seroquel only works for about 2 weeks max before you [quoted text clipped - 53 lines] > >> > >>Thanks I heard Tai Chi, the ancient exercise techniques, is good for those who have heart problem. It require less aerobic fitness. Too bad, I don't have any links or whatsoever. Hope you'll get it, anyway. Cheers, La Agua Fresca http://aguafresca.healthifica.com > Initially, my doctor thought I have acute anxiety, but now we both seem > to think it's actually chronic. In addition, it appears that I may be [quoted text clipped - 17 lines] > > Thanks > I heard Tai Chi, the ancient exercise techniques, is good for those who > have heart problem. It require less aerobic fitness. > > Too bad, I don't have any links or whatsoever. It will help. Do it. http://www.taichichuan.co.uk/ http://www.taichiamerica.com/Introduction.htm |
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