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Senior exercise with HD
lsj1938 posted:
'm a 74 yr old male with a history of heart disease (stent, angioplasties). .I'm exercising vigorously 3 to 4 times a week. Weight training, treadmill and stepper. I feel no chest discomfort when exercising other than getting winded. In the aftermath of a hard session I was so burned out that I did nothing the rest of the day and had a feeling of exhaustion.[br>Is it possible that my medications (Diovan, amlodipine besylate, metotoprol, isosorbide mononitrate) are masking some of the response to the exercise and I am overdoing it. It's day 2 and I still feel a mild soreness in my chest.
Any advice, suggestions would be appreciated.
cardiostarusa1 responded:

"Is it possible that my medications (Diovan, amlodipine besylate, metotoprol, isosorbide mononitrate) are masking some of the response to the exercise."

Yes, it's possible.

One general example being, taking a beta-blocker, which lowers the heart rate and blood pressure by design. This class of cardiovascular drug tends to hold back or blunt the heart's response to vigorous exercise/physical activity, so no matter how hard the body is pushed so-to-speak, one might never reach the heart rate that one is trying to achieve.

One might end up overexerting, trying to reach a heart rate that beta-blockers will simply not allow. Those being on beta-blocker therapy doesn't mean that one can't exercise normally/vigorously (unless contraindicated by a doctor), it just means one can not rely on the heart rate to judge/gauge how hard one is working out.

Additionally, coronary stents (drug-eluting or bare metal) are just a Band-aid or spot treatment, as this does not address the underlying disease process and what drives the progression.

Most important, coronary artery disease (CAD) is a life-long unpredictable (which can exhibit periods of stabilization, acceleration and even some regression) condition, requiring a continuum of care.

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James Beckerman, MD, FACC responded:
While it's possible that either medications or weight training could cause fatigue or muscular chest pain, I think it's wise given your history of prior stenting to make sure that these chest pains don't represent something more significant.

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