Over The Hill

[middle-aged-heart]

I’m curious about how your heart handles exercise. Do you ever record it or listen to it during a workout?

I've never recorded it during/after exercise (logistics nightmare) but I have listened to it.

It pounds wildly hard (the hypertension) and its rate skyrockets quickly but plateaus around 150 or so. Or maybe I'm just too unconditioned to continue and push it higher.

I don't miss beats during exercise but I do get ectopy during recovery (which takes longer than it would for someone fit).

Generally, it works too hard too fast and takes just a little too long to calm down.

[middle-aged-heart]

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It's been a while.

Still waiting for a follow up to discuss results from the two week monitor and updated echo. Meanwhile, here's five minutes of my heart absolutely slamming in my chest despite the highest dose possible of my ACE inhibitor gushing through my veins.

Got a funny feeling my LVH might have progressed. Feels like he's banging away, squeezing violently.

[cardiophilicx-deactivated202311]

HR: 118

[nowuseemee13-deactivated2023092]

yo lets start a chain, my cardio brethren

92bpm for me

[heartbeater168]

89 for me. 💓

[middle-aged-heart]

107 over here, at rest

[middle-aged-heart]

Finally got a proper cardiologist to check me out. Waiting on results from two weeks with a holter and a fresh echo. Trying to find out what these frequent flutters are.

Meanwhile, my BP med dose was quadrupled because my readings on the original dose were 150s/100s. I also finally got on a statin, since my triglycerides were in the high 300s and my HCL was barely 35.

Also on the search for a new PCP because my heart should not have been neglected like this for five years.

[cheeseburgersinparadise]

back on my “you better be masturbating to my content” shit bc you better be!!! or I’ll be sad. 🥺

[middle-aged-heart]

What is your blood pressure normally, with and without meds?

With the meds, I clocked in at 124/68 yesterday.

Without the meds, I was getting readings at rest around 166/100.

[lapvonaa-deactivated20260721]

[middle-aged-heart]

Had a little episode at work yesterday. I get palpitations (feels like skipped beats, probably PVCs) frequently--I feel 5-35 a day so I'm sure there's more going on I'm not aware of.

However this was different. Out of the blue, it felt like my heart wasn't beating so much as quivering. It felt wobbly in my chest, and I felt two or three irregular, very soft thumps.

This couldn't have been more than a 3 or so seconds--I turned around and walked a few meters--but it felt so much longer. I remember expecting my heart to reset and then worrying when the familiar thump never came and the wobbly feeling continued.

Anyone have any thoughts on what might have happened?

[middle-aged-heart]

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Struggled to get a decent recording at tricuspid, so here's three minutes of my apex instead.

Any murmurs, extra sounds, or rhythm disturbances?

[middle-aged-heart]

How old are you and what is your height and weight?

Just turned 40. About 5'10" (178cm) and somewhere between 230 and 250lb (104 - 113kg)

[middle-aged-heart]

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One big skip at the end of the file. Let me know your thoughts, please. Comments here or in my ask are strongly encouraged.

Anyway, I kept track of his stumbles again tonight: 1638 1723 2021 2022 x 2 2024  2048 x 2 2052  2128 2132 2146 2159 2216 (exertion) 2224 2226 2227 2236 2243 2246 2315 2347 0225

He was fine until lunch, and then missing beats like mad after 2000. Only calmed down now, when I have time to record him.

[middle-aged-heart]

Had an average amount of caffeine today (large cold brew with breakfast, ~8oz of drip coffee with lunch), but my heart was immensely irritated.

Skipped beats today:

1620 1730 - couplet 1753 - couplet, possibly a run of 3 1757 1857 1859 2008 (tachycardic; HR 120BPM) 2009 (tachycardic; HR 120BPM) 2045 (during exertion) 2050 (during recovery) 2053 2055 2103 2108 2150 2217 2244 2313 2319 2331 2345 2359 0045 (roughly; I was in the shower)

That's 25-26 skipped beats so far today.

[middle-aged-heart]

I started tracking my palpitations this afternoon: 1830: Felt one skipped beat. HR 80. At rest.

1930: Felt two skipped beats in a row. HR 86. At rest; had just finished eating.

2130: Felt one skipped beat. HR 112. Had just finished some mild activity.

2145: Felt one skipped beat. HR 95. At rest.

2350: Felt two skipped beats in a row. HR 80. Driving home; no stress, no traffic.

Started keeping track late in the day, and this is obviously just what I felt--I wasn't wearing a monitor. Seven noticeable skipped beats in six hours; I wonder how many happened I didn't feel.

[middle-aged-heart]

0427: One skipped beat. HR 60. At rest.

0521: One skipped beat. HR 82. Folding laundry.

[middle-aged-heart]

I started tracking my palpitations this afternoon: 1830: Felt one skipped beat. HR 80. At rest.

1930: Felt two skipped beats in a row. HR 86. At rest; had just finished eating.

2130: Felt one skipped beat. HR 112. Had just finished some mild activity.

2145: Felt one skipped beat. HR 95. At rest.

2350: Felt two skipped beats in a row. HR 80. Driving home; no stress, no traffic.

Started keeping track late in the day, and this is obviously just what I felt--I wasn't wearing a monitor. Seven noticeable skipped beats in six hours; I wonder how many happened I didn't feel.

[middle-aged-heart]

What's wrong with your heart?

Not sure, really.

The only "diagnosis" I have is hypertension. I'm taking medication for that.

An echo from a few years back indicates the walls of my left ventricle are slightly stiffer and thicker than they should be, and don't relax properly between beats.

My ejection fraction as of 4 years ago was 50%.

I was never referred to a cardiologist or treated in any way beyond my blood pressure medication, so I'm not sure where my heart is at currently.

[middle-aged-heart]

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He's thudding so loud tonight. What do you hear? Please drop your thoughts and diagnoses in my ask box.

[middle-aged-heart]

I don't think that 92 is accurate; he was skipping pretty hard