Blood pressure and exercise

Your Heart Health in a Heartbeat – Episode 5

Document mentioned: 

Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 6: Hypertension

Transcript:

Hello everyone and thank you for joining me.

I’m Dr. Accad, medical director of Athletic Heart of San Francisco, and today I would like to talk about high blood pressure in relationship to exercise.  I am doing this in light of a document recently published jointly by the American College of Cardiology and American Heart Association that makes some recommendations for competitive athletes who have blood pressure concerns.Read more

The proper management of high blood pressure

 

If you have a high blood pressure concern, or you are on treatment for hypertension, you may wish to watch this video.  The transcripts are below, but let me also point you to this medical journal article, called On Redefining Hypertension.   I wrote it with my colleague Dr. Herbert Fred and you may find it informative.

 

TRANSCRIPT:

Hello everyone

Today I’d like to talk about high blood pressure management, because I think this is one area where there is a lot of confusion, even among doctors.  Just in the last couple of years, there have been studies and recommendations that conflict with each other about what constitutes high blood pressure, how to treat it, and so forth.

I will talk briefly about what high blood pressure is, why there is confusion about it, and what I think is the proper way to deal with people who have blood pressure concerns.Read more

Aortic aneurysms in simple terms

 

Please note: this article is for general information only and should not be taken as specific medical advice. Should you have any symptoms or concerns, please seek medical attention or contact us for further evaluation. If you feel you are having a medical emergency, contact 9-1-1 immediately.
Case report (part 1 – diagnosis)

A 57-tear-old man made an appointment for an Athletic Heart SF screening.  He was feeling well.  His exercise routine included lifting weights, but also doing some light treadmill activity at the gym several times a week.

He played competitive football and basketball in high school, and played various other sports throughout his life.  He played full court basketball until 4 years ago but had to stop due to mild knee arthritis.  He had been coaching sports for many years.  For the last 1-2 years, he had noted some mild shortness of breath walking uphill.

He had no prior history of heart disease.  He was advised by his primary care physician to take blood pressure and cholesterol-lowering medications, but he declined.  He had no other chronic illnesses except for mild knee arthritis and occasional tension headaches.  He considered himself in good overall health.

During the Athletic Heart SF screening, we confirmed that his blood pressure was elevated.  We also discovered a significant aneurysm of the ascending aorta.  Left undetected and unattended, this aneurysm could rupture and lead to very serious complications: stroke, heart attack, paralysis, kidney failure, or death.Read more

Introducing the Coronary Health Starter Kit!

 

Dear Friends,

In an effort to make heart scans more widely available, I am delighted to introduce a new service:  AHSF’s Coronary Health Starter Kit.

This service consists of an affordable telephone consultation focused on a cardiac prevention.  As part of this service, I order the famed “mammogram of the heart“, the coronary heart scan that can detect the presence of coronary artery plaques in their early stage, before they cause complications such as heart attacks and sudden cardiac arrest.

I recommend this service for men over age 40 and for women over age 50 (or younger women  if they had premature menopause).  You may consider obtaining the service at an earlier age if you have strong risk factors, such as a family history of coronary disease at a young age. This is a screening service, so it assumes that you feel generally well and have no specific symptoms to report.

I cannot think of a better investment for your heart health than to take advantage of this service and obtain a heart scan.  Please do not delay.  It is as simple as picking up the phone and calling 1-415-567-1014 between 9a-3p to make time for a telephone consultation.Read more

Q&A about high blood pressure during exercise

 

Please note: this article is for general information only and should not be taken as specific medical advice. Should you have any symptoms or concerns, please seek medical attention or contact us for further evaluation. If you feel you are having a medical emergency, contact 9-1-1 immediately.
www.volganet.ru

Image attribution: www.volganet.ru CC.BY.SA.3.0

The adverse effect of lack of exercise on the blood pressure is well known.  A sedentary life frequently leads to chronic hypertension, and in turn, high blood pressure can lead to heart, brain, and kidney damage.

We will address the topic of chronic hypertension in a separate article.  Today, we will discuss a phenomenon called “hypertensive response to exercise” which can occur in seemingly healthy subjects who have no history of hypertension but whose blood pressure during exercise seems to increase “too much.”Read more

Is your job affecting your heart?

 

I-love-my-work

Image attribution: Iconshock CC BY-SA 3.0

Is your job putting you at risk of a heart attack?

As you can imagine, this question has preoccupied epidemiologists and public health specialists for decades.  But despite years of research, straightforward or clear answers are not always available for specific job descriptions.  The medical literature is usually guarded in its assessment of occupational factors leading to heart disease.

Also, if a certain job is linked to an increased risk of heart disease, the job itself may not be the cause of the problem.  For example, risk factors for heart disease (such as smoking) may be more common in certain occupations than in others, making it seem like the job itself imparts the risk.

With this in mind, below are 8 findings that have emerged from years of research:

 

Read more

Can you ever exercise too much?

Can you exercise too much

Image attribution: Julian Mason/Flickr.

Professional athletic trainer and sports journalist Ian MacMahan asked us that question as part of an article he published in The Atlantic Monthly magazine.

McMahan reported on recent research that raises concerns about ultra-endurance sports carried to an extreme level for many years.  Such an exercise regimen increases one’s chance of having arrhythmia, such as atrial fibrillation, and may also cause scarring in the ventricle of the heart.

Some cardiologists have sounded alarm bells, comparing such exercise regimens to a “toxin.”  In my opinion, it is not yet clear if long-term, high-intensity exercise alone is the cause of the problem, or if those affected have other factors that come into play.  Nevertheless, the research should not be dismissed.   Here are some highlights:Read more

Wishing you…NOT a “Holiday Heart!”

Heart Ornament

We don’t mean to be Scrooges here!  While we certainly wish you a festive and wonderful Holiday Season, we also want to remind you that more of a good thing is not always better.  We are referring here to the effect that “large” quantities of alcohol ingestion may have on the heart, even on a healthy heart.

The term “holiday heart” was coined in the late 1970’s by doctors who studied patients admitted to the hospital for arrhythmia and who were also intoxicated with alcohol.  The admissions occurred more frequently on Sundays and Mondays, and there was a peak in incidence during the week between December 24 and January 1.  None of these patients had evidence of other heart problems, and the arrhythmia—usually atrial fibrillation—typically resolved as the alcohol intoxication resolved.  The doctors therefore suspected that the cause of the arrhythmia was binge-drinking on weekends or during Christmas week.Read more

Cardiomyopathy

 

Please note: this article is for general information only and should not be taken as specific medical advice. Should you have any symptoms or concerns, please seek medical attention or contact us for further evaluation. If you feel you are having a medical emergency, contact 9-1-1 immediately.

Cardiomyopathies are very common causes of exercise-related cardiac arrest in youth and young adults, but can occur to anyone at any age.  An unfortunate example is the case of a 45-year-old seasoned runner who collapsed during a marathon last November in Tennessee.  The autopsy revealed an unsuspected cardiomyopathy.Read more

Coronary artery disease in simple terms

 

Please note: this article is for general information only and should not be taken as specific medical advice. Should you have any symptoms or concerns, please seek medical attention or contact us for further evaluation. If you feel you are having a medical emergency, contact 9-1-1 immediately.
What are the coronary arteries?

The coronary arteries are the blood vessels that run on the surface of the heart, bringing blood, oxygen, and nutrients to the heart muscle.  As you can see on the image below, each coronary artery has a name that corresponds to its location on the surface of the heart.Read more