Question 1

I'm trying to understand a recent exercise test result and have some worries. During the Bruce Protocol, I lasted for just over 7 minutes and reached 10.10 METs. My heart rate hit 179 beats per minute, which is apparently 95% of what they'd expect as my maximum. They stopped the test at that point, saying I'd hit my target heart rate. There was no usual chest pain, but I'm still concerned about whether stopping because of the heart rate is normal. Does this result suggest any potential heart issues I should be aware of?

Accepted Answer

The patient's exercise performance on the Bruce Protocol is impressive, reaching a workload of 10.10 METs and achieving a peak heart rate of 179 beatsminute, which is 95% of the predicted maximum. Since the exercise was terminated due to reaching the target heart rate without experiencing classical angina, it indicates good cardiovascular fitness. For the blood pressure response, it would be ideal to monitor the patient's blood pressure during exercise and recovery to assess their cardiovascular health comprehensively. In this case, considering the patient's exercise capacity and heart rate response, it would be beneficial to continue monitoring their blood pressure during physical activity to ensure safety and optimal performance. As for medication, based on the information provided, I would recommend discussing with a healthcare provider for personalized advice on any necessary medications or adjustments to the current regimen.

Question 2

I'm recovering from Covid and sometimes I feel my heart racing, so my doctor wants me to get some tests done. I've already finished my ECG and Echo, and I'm wearing this Holter monitor today. Do I need to just hang out at home and keep an eye on things, or can I go about my normal day, like going to work, having meetings, and driving around? If keeping up with my usual routine is doable, is it necessary or could I just relax at home if I wanted to? Let me know what you think!

Accepted Answer

While the Holter machine is fitted on your body, it is recommended to continue your regular daily activities as usual. You can go to the office, attend meetings, drive, and carry on with your daily routine. There is no need to stay at home and observe yourself during the Holter monitoring. It is important to maintain your usual activities to get an accurate representation of your heart's activity throughout the day. Thank you for providing the information.

Question 3

I've been feeling a bit under the weather with a cold recently, and I've been on antibiotics for it. When I checked my blood pressure, it was at 160100, which has me a bit worried. I did take a tablet called Stardol for muscle pain a few days ago. Should I be concerned about my blood pressure or anything else? Would love some guidance.

Accepted Answer

Get your pressures checked again.  If high meet doctor and start medicines . Avoid extra salt. Get a 2DEcho and Ultrasound abdomen.

I'm curious about my pulse after exercising. I did a brisk walk for about 3 kilometers, which took me around 30 minutes, and when I checked my pulse rate right after, it was between 130 and 135. Is this considered normal? My resting pulse usually sits between 70 and 80. Should I be concerned?

A pulse rate of 130-135 after brisk walking is within a normal range, especially considering your resting pulse is 70-80. As long as you do not experience any symptoms such as chest pain, dizziness, or shortness of breath, this pulse rate is considered normal for your level of physical activity.

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