Palpitaciones cardíacas durante el ejercicio

Hi, I'm a cyclist (ride about 300km a week and race) and I've started having palpitations during exercise. Some feel like they are happening almost in a row but I think there is a normal beat between them. They only occur on some rides and at about 70% max heart rate (150bpm)my heart rate monitor shows my pulse rate to remain constant. Does that rule out ventricular tachycardia? Should I be worried? Started off as just a few palps but now it usually lasts about 10 seconds! No other symptoms apart from that I can feel it beating off in my chest. Tried to feel my pulse when it was happening and felt normal-ish but I was cycling at the same time so couldn't feel it very well. Any help is appreciated

Danny

Hi Dan,

I think you need to be checked out by a cardiologist, it sounds like you are having exe induced ectopics. You might need a 24hr ECG to get more evidence of the type of Arrythmias you are having. As you know some are dangerous and some are not, best if you find out now. Let me know how you get on. Good luck. Glynis x

ps i have an infection in my heart that has led to lots of Arrythmias so I understand how it feels, don't think you have the same but check it out.

Thanks for the reply! I have had a previous Holter monitor and echo and all came back fine! The only difference is that I'm having more in a row and not just one! Might have another checkup just to be safe!

Cheers,

Danny

Hola Dan

Estoy en la misma situación. También he tenido ecos, holters y ECG. Me han dicho que son latidos ectópicos benignos. Sin embargo, sigue siendo muy aterrador, llevo viviendo con ellos durante 11 años. Tengo PVCs y PACs a diario, ambos se sienten diferentes. La sensación de PAC es como un aleteo y la de PVC como una pausa y un gran golpe. He notado que han aumentado durante mi ejercicio últimamente y no sé por qué. De hecho, el otro día tuve una carrera en la que, por un rato, se detuvo a mitad del ejercicio, lo que me asustó. A menudo causa ansiedad y lo hizo en esta ocasión. Terminé el entrenamiento y he estado ansioso por ello toda la semana.

Los médicos me dicen que no me preocupe y que haga lo que quiera, pero siento que si me esfuerzo demasiado, todo se saldrá horriblemente de control.

 

It's even worse for me as out on the bike I'm constantly pushing near my max heart rate! I only get the palpitations when I'm 30 beats off my max though! Will try feel what the ectopic beats are next time it happens, I was wondering why I get like 10 palpitations in a minute then none for the rest of the ride?! I read somewhere that there was no correlation between PVCs during exercise and health issues though

Me dijeron lo mismo Dan, de hecho esta misma mañana. Me dijeron que lo que debía vigilar era cualquier cosa sostenida, como una larga serie de palpitaciones sin descanso, no los golpes, bumps, aleteos y temblores generales. Había leído sobre problemas relacionados con las palpitaciones durante la fase de recuperación, pero ninguno de los expertos que veo parece preocuparse por eso tampoco. Mientras hayas sido revisado y la estructura de tu corazón esté bien, los llaman latidos ectópicos benignos.

Es solo tu mente la que tienes que convencer, 11 años después sigo intentando convencer a mi mente. Me ha asustado tanto que ya no salgo a montar en bicicleta por si acaso se desencadena cuando estoy en medio de la nada.

Yeh seems like as long as there's nothing structurally wrong then you're fine! Guess I'm just scared of some sort of hypertrophic cardiomyopathy, which is what it seems most of the athletes these days have cardiac arrests due too! Yeh mine usually last about 15 or less seconds and its very hard to determine if I have a string of them in a row or if theres a few normal beats in between! I would guess the latter! It's just odd that I have them all (about 8 I guess) in a short 15 second period!

Hi Dan,

Have you looked into seeing an "electrical" cardiologist. They can do specific  investigations to see which part of the heart muscle is triggering the extra 

beats and can sometimes get rid of them using laser. Ablation is the solution for some people.Take care, 

Glynis

Dan, 300 km a la semana es peligroso, creo. Al ponerte en forma estás poniendo en peligro tu salud. Correr largas distancias es igual de malo para ti. Cuanto más lejos vayas, peores pueden ser las consecuencias. Dos grupos de personas adquieren fibrilación auricular, los atletas que exageran en el entrenamiento y los obesos. Los atletas que siguen sobreentrenándose y que tienen menos de 30 años corren el riesgo de sufrir fibrilaciones cardíacas más adelante en la vida, incluso si dejan de competir. Si quieres mantenerte en forma sin peligros, entonces concéntrate en músculos fuertes practicando ejercicios de alta intensidad super lentos. Así tendrás mucho tiempo libre sin montar en bicicleta.

Hi guys! I hope you all are OK 7 years later.

And I was very much hoping to hear if any of you solved the palpitations Mystery?

I have these for last 15 years. Lately they are too annoying. Had to call ambulance today after work out.