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I HAD A HEART ATTCK 9 MONTHS AGO. 2 STENTS
Question: I HAD A HEART ATTCK 9 MONTHS AGO. 2 STENTS were inserted . The apical regions were affected lvef estimated at 40%.Only the main anterior artery was affected...all other arteries were clear. iT WAS ESSENTIALLY A SILENT ATTACK...ONLY SYMPTOM WAS SLIGHT SUBSTERNAL PRESSURE...this happened during my workout when I was doing a 200 pound deadlift.
I have stayed in shape all my life, am now 78 years old. When I asked my doctors about returning to weight training they were very vague and said to stay active. Since the attack I jog 30 minutes with intervals DAILY at a moderate pace. The meds keep my bp to 90/50 and heart beat about 50. I get dizzy when I stand up. I am on entresto at 25% of the therapeutic dosage currently...100mg daily
spironolactone 12.5 mg...asa 81mg...ticagrelor 90 mg...atorrastatin 80 mg...bisoprolol 2.5 mg
My previous weight training was anaerobic and high intensity....I have received conflicting advice about anaerobic workouts after an attack. I considered returning to my old workout routine, which involve deadlifts and squats...starting at a lighter and slower pace...then I discovered the Valsalva effect which suggests that these type of exercises could be harmful or even fatal. I preferred multi muscle exercises but may now have to isolate muscle group to avoid the Valsalva effect.
Can you suggest if anaerobic high intensity is acceptable and what type of exercises should I focus on?
I LIVE IN NORTHERN British XXXXXXX and there is no cardio rehab program here and my cardiologist just tells me to stay active. He avoids questions such as this.
Thank you for your help
I have stayed in shape all my life, am now 78 years old. When I asked my doctors about returning to weight training they were very vague and said to stay active. Since the attack I jog 30 minutes with intervals DAILY at a moderate pace. The meds keep my bp to 90/50 and heart beat about 50. I get dizzy when I stand up. I am on entresto at 25% of the therapeutic dosage currently...100mg daily
spironolactone 12.5 mg...asa 81mg...ticagrelor 90 mg...atorrastatin 80 mg...bisoprolol 2.5 mg
My previous weight training was anaerobic and high intensity....I have received conflicting advice about anaerobic workouts after an attack. I considered returning to my old workout routine, which involve deadlifts and squats...starting at a lighter and slower pace...then I discovered the Valsalva effect which suggests that these type of exercises could be harmful or even fatal. I preferred multi muscle exercises but may now have to isolate muscle group to avoid the Valsalva effect.
Can you suggest if anaerobic high intensity is acceptable and what type of exercises should I focus on?
I LIVE IN NORTHERN British XXXXXXX and there is no cardio rehab program here and my cardiologist just tells me to stay active. He avoids questions such as this.
Thank you for your help
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I am sorry to hear that a physically active sport person has experienced such a health dilemma.
Regarding your concern, I would explain that not rarely it is difficult to advise a certain training program to aged individuals.
It sounds not to be completely safe, engaging in weight lifting and anaerobic exercise.
Anyway, based on several studies, it hss been shown that short periods of anaerobic exercise, could be beneficial, as it may trigger a neoangiogenesis and collateral vessel development, protecting from important cardiac ischaemia.
Coming to this point, probably weight lifting would not be the best idea and other training programs with very careful escalating workload, would be advisable.
Yoga and aerobics or cardio would be OK.
You should consult with a training supervisor for more specific details.
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
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I am sorry to hear that a physically active sport person has experienced such a health dilemma.
Regarding your concern, I would explain that not rarely it is difficult to advise a certain training program to aged individuals.
It sounds not to be completely safe, engaging in weight lifting and anaerobic exercise.
Anyway, based on several studies, it hss been shown that short periods of anaerobic exercise, could be beneficial, as it may trigger a neoangiogenesis and collateral vessel development, protecting from important cardiac ischaemia.
Coming to this point, probably weight lifting would not be the best idea and other training programs with very careful escalating workload, would be advisable.
Yoga and aerobics or cardio would be OK.
You should consult with a training supervisor for more specific details.
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
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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