Have you ever wanted to play Russian Roulette? If so; how about we make a little trade? Last night, in bed, staring at the ceiling, I listened to my heart. That’s because my “resting” heart rate was 142 beats per minute. And it had been for quite some time. That also meant that my “resting” heart rate had increased 10% in just five days.
Everyone has a “resting” heart rate which actually slows with age and the more athletic you are (as your heart gets more efficient at pumping blood) usually between 55-65 bpm. You also have a heart rate for athletic activity as well as a “maximum heart rate” also referred to as the “red line” as you are burning high energy, and straining your heart. Aerobic heart rate zone is 70%-80% of your maximum; this is serious endurance exercise like training for a marathon. Your maximum heart rate is around 220 beats per minute minus your age; I know from my stress test from my LAST heart problem six months ago that I can go up to 192 bpm.
But think about it; your heart rate is 2 to 3 times what it should be, is 70-75% of what your MAXIMUM heart rate should be, and has been that way for several hours, while you have been sitting still or lying down. Now, do you want to go to sleep and HOPE that it doesn’t go up? I mean, 130 is bad enough but now you are within 30 beats per minute of going into oxygen deprivation WHILE SLEEPING.
Now, did I fence yesterday? Yes. For 45 minutes. Yup, down from three hours to a measly 45 minutes. I only did 45 minutes because the doctor on Wednesday said something like “Don’t go fencing” or some other vague term which I couldn’t really understand. And before you go all “geez you should have known better” on me; I run, I train usually 8-9 hours of fencing three times a week, I am trying to do hiking training for a long hike this summer; I cycle with Linda and I don’t have a car. And someone tells you that you might need to sit down…for an unknown period of time. Weeks? Months?
Anyway, I woke up at 7:00 am and checked again (twice) and it was down to 110 bpm, so I said, “Thank God.” and went back to sleep. Of course walking three blocks to the library put it back up to over 140. And chest pains. Woo hoo! My blood and urine tests don’t come back until Monday earliest and if they are all negative can you say, “I’m Screwed!” (because then it will definitely be a heart problem instead an iron deficiency).
If this seems a little obsessive, it is because it is. I walked five blocks and bought a pair of shoes; then I sat down on a bench and wondered if I would be able to get all the way back home? Everywhere I go, Linda or I watch for phones in case of needing to call 911. Our sleep is interrupted by debates about going to ER (L: “You were gasping; do you think you weren’t getting enough oxygen?”; B: “Wait, let’s see if it calms down.”) Call me old fashioned but I try to restrict my ER visits to one a week.
Trying to read about what might be happening doesn’t really cheer me up: “to check the electrical patterns in the heart catheters are inserted into the arteries at the groin…” (this would be the test I’ve ALREADY procrastinated on with P.A.T. – wonder why?).
With all this uncertainty over me, I feel like I should be living every day and minute to the fullest; if I only didn’t feel like crap all the time. I take a pain pill; I do the dishes; I sit down for two hours. Woo hoo! My temptation is to find whatever pain pills it takes to mask the “post race” feeling; the feeling that someone is hanging off my heart, trying to drag it through my chest and then reclaim my life. Maybe it wasn’t that interesting or exciting a life, but I was pretty used to it; more attached to it than I thought actually. And if my body wants to burn itself up while I can’t feel it, well, how very gothic of it I suppose.
I WILL go fencing on Monday. I have a new coach. I am learning things. I will take another 45 minutes of lessons from him. I will fence practice bouts. And I will make sure a cell phone is nearby. Yesterday, while fencing Amanda, I noticed her wincing. She had a blister on one finger. “Are you sure you don’t want to sit down?” I ask her. “You’re wincing.” She plasters on a fake smile. I start to press the issue, tell her to play it smart; to take care of herself. But then I see the ghost of my doctor over her shoulder. Yeah. I shut my mouth.
If those tests come back negative, then I guess that means there are two bullets in my Russian Roulette gun; unless you believe getting TWO different heart conditions in six months is just coincidence. Damn. I wish I had a competition in a week or two, before my conditioning degenerates. I wish.... I wish.... I wish I wasn’t afraid.
6 hours ago



14 comments:
I think all I can say is that I care and very much hope it turns out to be something simple and manageable. My very best wishes to you and Linda - I'll be thinking of you both.
Hopefully the doctor will have good news. Try not to be so hard on yourself -- it's hard to change your lifestyle when these things happen, so take it one thing at a time.
My thoughts are with you. I believe you will find out what's going on, and that it can be dealt with. I totally understand that you're carrying on with the things you love.
Best wishes - I don't pray, but I'll certainly be thinking of you.
Pn the fencing front, I'm glad you found a new coach!
Well, I got a call this morning to go in and be fitted for a holter monitor in a few days and though my doctor won't tell me the blood results over the phone (becuase it isn't billable) so no for sure until tomorrow - he said that he wouldn't book any heart appointments until he had seen the blood results - I think this means that everything came back negative (since if it was anemia or glucose I wouldn't be having my heart monitored 24/7) - Cheers though - Yesterday I walked up a flight of stairs and it went up to 160 - so I am curious how high it goes during fencing tonight
jeez.
you don't think it could be at all anxiety-related?...
No, I've never heard of a panic attack that lasted a week and could elevate your heart rate to twice resting level while sleeping. The thing is, if it was anxiety related, eventually the adrenals give out and you crash (like a lie in bed for two days crash).
Besides, I went fencing tonight. Lance Armstrong has trained 8 years in a special way to push his Maximum heart rate to 200 beats per minute (Lance Armstrong won the tour de france) - his trainers claim there are only 100 athletes in the world who can consistantly get to 200. Okay...
I warm up: 150 beats per minute
I start light fencing: 170 BPM
I fence for 20 minutes and feel really good: 180 BPM.
I continue and do some lunge training then take a break, after a few minutes break: 210 BPM
I do some more foot exercises; and am starting to approach Oxygen-dep which should be about 80% of my Max - after I finish I check my heart rate: 240 BPM (this is not the rate while actually exercising but in my "cool down" period).
Linda convinces me to head drink water and sit down, after 10 minutes of rest we go to leave: 186 BPM.
An hour later and I am still buzzed from the exercise, I feel good, I am in a "fencers high": 150 BPM.
I have searched medical records and have not found anyone who sustained over 210 beats per minute for a 15-20 minute period as exercise and certainly no one who said they felt "good" (there was one woman with a recognized heart condition who hit 240 during labour briefly).
My feeling is that if I had continued for another 45 minutes, I would have fallen over - not because the endorphins weren't doing thier job (they are! For some reason they just keep releasing!) but because I would not have been able to cool off my body fast enough (assuming the heart didn't do something too).
Linda for some reason thinks it is only my extreme fitness that has kept me going. She wanted to know what I thought my max exercise heart rate would be if she hadn't stopped me - I couldn't say, at least 260, it was hard to say if it was just rising and rising or if I was hitting the oxygen deprevation zone then I should have been able to go to 290 based on percentage. Seems a bit high, no?
I'd join you in bed, but Linda would kill me.......
kathy wc
ps....I mailed you a letter today
I enjoy your blog, and I'm sorry you are sick. However, I can't agree with your reasoning.
The implicit part re: Lance Armstrong is that he is one of the few athletes who can consistently push his heart rate over 200 AND NOT BE AT RISK FOR DYING.
You are being tested for a heart condition. You are not one of a select group like Armstrong (nor anything remotely like Terry Fox who you compare your situation to in an earlier post), you are one of a rather large group of folks who do serious damage to themselves by ignoring advice like "Your resting heart rate is dangerously high, stop vigorous exercise" or "your blood sugars are much too high, stop eating carbs and sugars".
oh pish posh, bringing in trival things like mortality. Besides, the likelihood is that I have been fencing at an elevated level since I first fell down six weeks ago (and went to my doctor - who did not seem concerned before returning to my doctor the day before my two tournaments, and reported falling down again, who still did not seem concerned) - and who when asked, "Should I fence?" says, "No." but then tells me that it would be "helpful" if I could replicate the falling down after strenous exercise - I think NOW, at the fourth visit - he might be getting concerned. I was using lance armstrong as a guide stick, not saying I was at fit as Lance - just, his was the highest maximum BPM I could find - which seemed odd. But thanks for your concern (as for Terry - I am pretty certain he wasn't always following doctor's orders)
Got the news from the doctor - all the urine and blood is normal - now going to a cardiologist - as of the last Holter Test when the P.A.T. was discovered (six months ago) my resting heart rate was 54 bpm (ha! Look at how in shape I am - woo hoo! - I bet it should be lower after all the training I did) - and the highest was 154 - so there have been some "changes" - so now, I am on a waiting list to see a cardiologist and my doctor who felt it was "fine" to do two back to back tournaments two weeks ago is now saying, "Please don't even do footwork training." - yeah! Get me a big ASS cushion for the couch please - I am medically recommended to couch potato - After my Holter Test on Thursday I will get the results on Tuesday likely (which may or may not be "Come to the hospital")
Glad to hear there is progress.
kathy wc
This is progress? I always though a car with back massager chair or a new vibrator was "progress" - since the next test after the Holter is very similar to one Leonardo Da Vinci did 500 years ago to a cadaver, I'm not sure it counts as progress. Still, thanks for your encouragement.
Of course it's progress, silly! He can rule out some stuff and take the cardiac stuff more seriously.
I'm just proud of you for being able to get the tests done. And, I'll be keeping both you and Linda in mind while we all (and I do mean, ALL) await the test results.
kathy wc
Post a Comment