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Hi Am A 54 Year Old Male. I Have Increased

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Posted on Wed, 10 Jun 2020
Question: Hi am a 54 year old male. I have increased the number of days I workout from 3 to 5 days a week for the past 2 months. I have also started running more. My workout s1chedule is Monday -5 K run, Tuesday - 1to 1.5 hrs of Table Tennis, Wed - Weight Training ( mostly anaerobic), Thu - 10K run, Friday - 1 -1.5 hrs of Tennis/TT, Saturday - Weights. Also since 2 months I have been under stress with job. I do suffer from GERD with bad refluxes some days. I take Nexium 40 as needed. With this background, here is my question - 1) Over the last 2 months since I began working out regularly and running more I see that my resting heartrate has constantly reduced ( as seen on my Fitbit) from being around 52 bpm to last night when it 45 bpm. 2) I do not get winded climbing up the stairs or tired easily - I can run a 5 K comfortably with ~ 10.45 min/mile. 3.) I do suffer from GERD 4). I don't feel much tired during the day, but do feel a little sleepy after lunch - a 15 minute nap or a coffee refresehes me. 5) But I do not get more than 4-5 hours of sleep, I lie down for 7 hrs though.

With the above background , Is this lowering of Resting Heartrate (Bradycardia) a good sign or something to be concerned about. The last Treadmill test about a year ago, the cardiologist mentioned that though my resting HR was ~ 53, the stress response was normal and there was no need for concern. But wanted to get an opinion now since my resting HR is ~ 42-45!
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
You can consider it a normal body response.

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that it is quite normal to have a lower heart rate when you exercise regularly. It is related to the changes that occur in your cardio- vascular system in response to regular physical exercise, and this is a normal physiological response, and shows that your body has achieved a new adaptation to physical effort.

This is what happens to all sport persons.

As you are feeling well, being active and have no symptoms like shortness of breath, palpitations or fatigue, there is no reason to worry about!

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ilir Sharka (6 hours later)
Thanks for the response and it is reassuring. Is there a lower limit of resting heart rate below which is of concern. I am very active alright, but by no means a triatholon or marathon athlete. With that do you think 45-46 average resting HR ( occasionally goes down to 39-40) is still ok?
doctor
Answered by Dr. Ilir Sharka (11 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

It is true that your heart rate is borderline low, but as long as you have no symptoms like fatigue, shortness of breath and palpitations, there is no reason to panic.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ilir Sharka (13 hours later)
Thanks. There are no excess fatigue, shortness of breath or palpitations. Only one or two days following my 5K and 10 K runs, I will be sore and a little tired. But ever since I have ramped up my exercises, I feel hungry all the time. Also I have seen my blood sugar drops to almost 70 ( one day was 57) if I do not eat for 4-5 hrs. Are all these normal with increasing exercise/physical activity.
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Follow up: Dr. Ilir Sharka (23 minutes later)
Attached are three reports from an App called Preventicus which measures HR and Rhythm using the iPhone's camera. Has good reviews. Just attaching FYI and to comment if you see anything of concern. Thanks for all your inputs!
doctor
Answered by Dr. Ilir Sharka (5 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

I reviewed your FYI and would explain that there is nothing to worry, just some isolated extrasystoles ( extra heart beats), which are quite normal during physical exercise in every healthy person.

Regarding the blood sugar fluctuations, they are quite normal during physical exercise, as the muscles consume more sugar.

Hope you will find this answer helpful !

Wishing all the best,

Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Hi Am A 54 Year Old Male. I Have Increased

Brief Answer: You can consider it a normal body response. Detailed Answer: Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that it is quite normal to have a lower heart rate when you exercise regularly. It is related to the changes that occur in your cardio- vascular system in response to regular physical exercise, and this is a normal physiological response, and shows that your body has achieved a new adaptation to physical effort. This is what happens to all sport persons. As you are feeling well, being active and have no symptoms like shortness of breath, palpitations or fatigue, there is no reason to worry about! Hope you will find this answer helpful! I remain at your disposal for any further questions whenever you need! Kind regards, Dr.Ilir Sharka, Cardiologist