Sports cardiologist

[MTBer]

Hi all.

 

I am looking for a good sport cardiologist in the JHB area, I have some questions about my ticker while I am cycling. I have this problem of my heart spiking up to 180/190 bpm. On day 1 of Sani this happened about 10 times and for the following days I had no issues

 

Thanks

[flymango]

Sometimes my Polar has gone to 220 plus. Admittedly it's only been on one or two occasions and very briefly. Not trying to be condescending at all, but are you sure the problem isn't rather with your monitor than with your ticker?

Edited May 23, 2013 by flymango

[brad890]

you sure its not the HR monitor?

 

although it would still be a good idea to have it checked if your worried

[KABOUS]

I don't think you get a specific sport cardiologist. Any cardiologist should be able to perform a stress test with ECG for you - Not too complex. Plenty of GP 'S should be able to help you as well.

Hope you well !~

[gummibear]

Hi all.

 

I am looking for a good sport cardiologist in the JHB area, I have some questions about my ticker while I am cycling. I have this problem of my heart spiking up to 180/190 bpm. On day 1 of Sani this happened about 10 times and for the following days I had no issues

 

Thanks

 

What's your blood pressure like?

[Dumpykym]

Agree with comments above....go to your Dr and get a full ECG done, this way you will know what your min/max heart rate is. Aslo be able to pick up on blocked arteries etc. My polar also spiked at 220 even at rest rate, best advice I got was to wash the strap with non-scented soap and rinse thoroughly...hasn't spiked since I did that.

[eeeek]

Hi all.

 

I am looking for a good sport cardiologist in the JHB area, I have some questions about my ticker while I am cycling. I have this problem of my heart spiking up to 180/190 bpm. On day 1 of Sani this happened about 10 times and for the following days I had no issues

 

Thanks

 

Static/friction can cause interference with HRMs - cause fictitious spikes in HR, if the spikes are isolated and sudden, they neither build nor recover gradually you can fairly safely chalk it up to the HRM.

[curah]

I agree with all commends above.

 

Start with a Stress ECG at you GP. Abnormalities in the ECG will easily be picked up while your heart rate increases.

 

If you have abnormalities, your GP will refer you.

Getting an appointment with a Cardiologist.... Now there is a good waiting period.

 

Also, high blood pressure will account for it as well, so have it checked.

 

Remember, as a mean we say your max HR is 220 - your age, but if you look at training according to lactate threshold and all that stuff, you'll see that your heart rate can go up to 106% of your max during a sprint. Also, you can reach 102% I think 2/3 times in a training session/race.

[New Landy new life]

I am going this pm for my stress test at my Phisician because I had a spike for about 1 minute where I hit 188 bbm on a section where I normally sit at 172 bbm. (fairly steep hill on MB)

 

Just after I noticed the spike a got a funny tingling in my hands and the rest of the ride I felt slight pains in my chest.

 

Have been to a couple spinning classes after and it didnt happen again but for safety I am doing the test to be 100% sure.

 

Will revert later with results.

Edited May 23, 2013 by CapeLandy

[Agteros]

I agree with all commends above.

 

Start with a Stress ECG at you GP. Abnormalities in the ECG will easily be picked up while your heart rate increases.

 

If you have abnormalities, your GP will refer you.

Getting an appointment with a Cardiologist.... Now there is a good waiting period.

 

Also, high blood pressure will account for it as well, so have it checked.

 

Remember, as a mean we say your max HR is 220 - your age, but if you look at training according to lactate threshold and all that stuff, you'll see that your heart rate can go up to 106% of your max during a sprint. Also, you can reach 102% I think 2/3 times in a training session/race.

Two fallacies above

1. 220-age as formula. This is only a broad generalization (lies, damn lies & statistics). It is accurate (on average) to +/- 15 BPM. so for a 40 year old. it is 220-40 +/- 15, so not 180. but 165 to 195 and these are still just generalizations of what they found in their statistical analysis. There are numerous other formulas to use rendering different results.... Only truth is an actual test. But condition (physical & emotional etc) plays a role in what can be attained during the test.

 

2. 100% of max. MAX is max. if you find heart higher than what max is, one of two things are at play

a. measuring equipment is faulty

b. number used as max is incorrect.

[Grondpad]

2. 100% of max. MAX is max. if you find heart higher than what max is, one of two things are at play

a. measuring equipment is faulty

b. number used as max is incorrect.

 

Just a question on that

Does MAX mean the max amount of beats your heart can do or does it refer to the MAX beats per min that it is safe and not damaging to you heart?

[Agteros]

Just a question on that

Does MAX mean the max amount of beats your heart can do or does it refer to the MAX beats per min that it is safe and not damaging to you heart?

Not safe. Cardiologist will tell you to keep it down if revving your heart is dangerous.

It is basically where you can take your heart to. Apparently your heart can beat up to 300bpm comfortably (lab / out of body kinda test)

[GrumpyOldGuy]

I visit Dr Sareli (Cardiologist) at the Mulbarton hospital where he has his rooms. Very well respected in his field and has been very good for me - Doctors are personal, I may like one you dont so I never advise people to "GO" see this or that one, but if you want to call, his number is 011 432 3712.

[Blokman]

I agree with all commends above.

 

Start with a Stress ECG at you GP. Abnormalities in the ECG will easily be picked up while your heart rate increases.

 

If you have abnormalities, your GP will refer you.

Getting an appointment with a Cardiologist.... Now there is a good waiting period.

 

Also, high blood pressure will account for it as well, so have it checked.

 

Remember, as a mean we say your max HR is 220 - your age, but if you look at training according to lactate threshold and all that stuff, you'll see that your heart rate can go up to 106% of your max during a sprint. Also, you can reach 102% I think 2/3 times in a training session/race.

Is it not that often in training programs this refers to lactate threshold HR. If your max is 180 ,LTHR could be 160. So 106% would take you up to 169 or so.

[Shangri la]

MTBer,

I have the same problem. Been to a number of docs and the feedback I have is that it is called Sport induced Fibrillation.

If one spends many years exercising with an elevated heart rate for long periods such as long distance running, cycling or even playing multiple games of squash the nerves in the upper quadrant of the heart start short circuiting and you get arrhythmia. I am seeing Dr Hendrick van Rensburg from Pretoria who specialises in treating this condition.

What he does is an abrasion on the problem nerve, fixing the condition.

 

If you need his number send me a message. By the way he is a quick triathlete so supports sports-mad people!!

[htone]

Heart rate spikes caused by a malfunctioning HRM or strap would usually go quite high, e.g. up to 220 or above. If your HR hits "peaks" below that and you are concerned, see a cardiologist who can do a VO2Max test and preferably one who has a cycle (since that is our sport) and not a treadmill.

 

There are a multitude of things that could cause this, but top of my head fatigue, too low protein intake (over time) or overtraining seem to be common causes of that. Having said that, the aforementioned would often also cause a rise in the resting HR - best you see a professional !