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Recovering from a mild heart attack and stroke

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Recovering from a mild heart attack and stroke

Old 12-05-16, 07:17 PM
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Recovering from a mild heart attack and stroke

To explain my absence over the last week or so ...

So that warm fuzzy feeling I was having the day after Thanksgiving was actually a mild heart attack and aneurism Fortunately got to the hospital in time and no damage.

Any tips on how to deal with this but still leading an active cycling program. Physically I feel great, but psychologically I feel very vulnerable if this happens again.
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Old 12-05-16, 07:21 PM
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Very sorry to hear about your problem and I hope you get solid medical guidance from your doctor what to do.

I've been dealing with my own heart problems for ~6 years now and it's no fun. You have my sympathy.
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Old 12-05-16, 07:29 PM
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I'm sorry to hear it, but so thankful that you were able to get competent medical attention quickly!!!


Advice? Trust your doctors. If your doctor clears you to ride, your confidence will return. Start slowly and build up. After each ride, you'll have that much more confidence that you're ok.


What advice has your doctor offered you?


Again...glad you're ok!
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Old 12-05-16, 07:44 PM
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Sorry to hear about the heart problems.

It can be quite a worry to go out riding and questioning whether you might end up in the middle of nowhere having a problem.

If you can deal with the boredom getting an indoor trainer and working out on that can keep you somewhat close to help while helping you regain confidence in the strength of your heart.
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Old 12-05-16, 08:15 PM
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I had a mild heart attack at the tender age of 46 while riding my bike doing a max effort up a hill. I rode the 25 miles back to the car. The next day I rode another 35 miles. Then I did something really stupid - I told my wife, a nurse, that I'd been having chest pain plus pain down my left are for over a day. I thought she was going to kill me.

Anyway I had a 90% blockage at a tiny artery where they couldn't get a stent to it. So I just live with it. They actually had trouble finding the blockage as they were saying that my heart looked as good as a 25 YO. The cardiologist said that I had excellent collateral circulation due to all the riding that I did. He really didn't know why that artery was blocked. I did have slightly high cholesterol levels.

My first cardiologist wouldn't approve a stress test and said to keep my heart rate under 110 bpm. He must have meant it as I was on a mega dose of beta blockers and had trouble getting my heart rate that high.

When I got clearance, I started on indoor bike trainers. I wore a heart rate monitor and started out at the recommended 110 bpm for my max. Then I started adding 5 bpm each week. Finally I started feeling some chest pain at over 170 bpm (due to the BBs, I had one heck of a time getting it up that high). I decided to set my HRM to start beeping at 160 bpm.

I finally got another cardiologist and she was a marathon runner. She 'understood' me better. She cut the BB dosage in half. About 4 years later, halved again. Three years ago I was taken completely off the beta blockers. Thank goodness as those things are horrible for aerobic exercise! Better than having another heart attack though.

Speaking of beta blockers, they are really bad on hot days. Your heart acts like the water pump in you car and helps circulate fluids (blood) which keeps your internal body cooler. Discuss with your doctor about not taking the BB when exercising in heat such as riding on a 90°F day.

After a while I got back on the bike. In fact I climbed up that damned hill within 6 months of the heart attack. I did it much slower due to the BB. When I do hills now, I keep my eye on the HRM and drop into my triple's granny gear when nearing 160 BPM.

Since I was somewhat slower, I changed my focus to going longer. I started doing century rides and even did 4 double-centuries within 5 years of having the heart attack.

As far as I know, I still have the 90% blockage. I don't think that it got any worse and it's even possible that it's gotten better. I can live with it.
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Old 12-05-16, 10:42 PM
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Hey man I'm really sorry to hear that I hope you get better and you will. I can't really give any advice other than maybe ask your doctor about stranious workouts. Maybe you should take it easy instead and relax a bit .
Don't think to much about it.
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Old 12-06-16, 01:29 AM
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Glad you're still alive. Inpd.

I am probably not going to be much help, but I had a "heart attack" at the age of 42. I say "heart attack" because at the time it was diagnosed as such, but much later diagnosed as "broken heart syndrome", which unlike an MI, causes no long-term damage.

Anyway, because at the time it was regarded as a true heart attack, I was put on a daily dose of aspirin. I also had to get over the effects of heparin, because just walking to the end of the block at home took all my effort.

I bought a bicycle after I sold my car to a wrecker, and that opened up a new world for me. I used it to commute, shop, explore the city. I was conscious of my heart when it came to riding up hills. That awareness gradually became less acute, and moreso after completing a long bike tour. But a decade later, I was always cautious about getting my heart rate up to "dangerous" levels. I am far less focused on it now, but I am still cognisant of it because, well, you know, I am old.

The important thing, as others have said, is to heed the advice of your medical team. However, check that they are proponents of active recovery and consider pushing them to prescribe what you need, and if they won't think about engaging someone else.

If you haven't got one already, a heart rate monitor might be useful, too.
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Old 12-06-16, 06:28 AM
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Originally Posted by Rowan
Glad you're still alive. Inpd.

I am probably not going to be much help, but I had a "heart attack" at the age of 42. I say "heart attack" because at the time it was diagnosed as such, but much later diagnosed as "broken heart syndrome", which unlike an MI, causes no long-term damage.

Anyway, because at the time it was regarded as a true heart attack...

I bought a bicycle after I sold my car to a wrecker, and that opened up a new world for me...
Dittoes to all the above best wishes, and it's reassuring to read the words of recovery.

I never heard of "broken heart syndrome." Thinking it was a tongue-in-cheek expression and looking for more juicy details, I looked it up:
(from the National Heart, Lung and Blood Institute):

Broken heart syndrome is a condition in which extreme stress can lead to heart muscle failure. The failure is severe, but often short-term.

Most people who experience broken heart syndrome think they may be having a heart attack, a more common medical emergency caused by a blocked coronary (heart) artery. The two conditions have similar symptoms, including chest pain and shortness of breath. However, there’s no evidence of blocked coronary arteries in broken heart syndrome, and most people have a full and quick recovery.

Last edited by Jim from Boston; 12-06-16 at 06:36 AM.
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Old 12-06-16, 06:51 AM
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First Inpd, what corrective measures such as angioplasty/stentsor bypass surgery will be pursued? Just knowing that after that you will have good circulation should give you more confidence. Similarly, what cholesterol lowering medication(s) are being prescribed? Very effective cholesterol reduction provides a lot of assurance that you will be able to avoid a recurrence. Then there is sensible diet to further protect you against heart blockages. In my own case of a true heart attack with moderate damage nearly 20 years ago (while riding) those medications and dietary practices plus the beta blocker and ACE inhibitor do provide me a lot of confidence. Also since the attack I no longer ride in the countryside but rather stay in the center of Houston within about 10 miles of the Texas Medical Center and the Texas Heart Institute where my cardiac care is located. If anything happens, I won't be far from help.

See your cardiologist regularly. A good checkup is a great confidence builder. Same for advanced analytics like a nuclear stress test. A clean result makes you feel very good for a few months.

Additionally now that you know what the attack feels like, be prepared to call 911 in case of any hint of a recurrence. Riding or not. My brother was just playing tennis and felt some chest pain he was sure was digestive in origin. He called me for advice. I told him to go to the ER immediately. He was skeptical but took my advice. Now he is a one month survivor of a quad bypass. Don't screw with this stuff.
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Old 12-06-16, 11:17 AM
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Hey, @Inpd, I hope you recover quickly and are back on the Breezer enjoying your rides soon! That's really scary news but thank goodness you treated immediately before any permanent damage was done.
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Old 12-06-16, 12:45 PM
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Originally Posted by Inpd
To explain my absence over the last week or so ...

So that warm fuzzy feeling I was having the day after Thanksgiving was actually a mild heart attack and aneurism Fortunately got to the hospital in time and no damage.

Any tips on how to deal with this but still leading an active cycling program. Physically I feel great, but psychologically I feel very vulnerable if this happens again.
So sorry to hear this! My advice from cycling with a heart issue for the last year is don't listen to me, just do what your doctor says.
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Old 12-06-16, 04:33 PM
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Only and only your doctor and medical expert can help you--nothing here for you to consider--it is too serious to get advices from people who don't know you and your health.
No doctor will give you advices this way for very obvious reasons.
Wishing you the best outcome.
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Old 12-12-16, 12:06 AM
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Inpd, I completely know what you're feeling. After my bypass surgery I too felt pretty fragile. I had a lot of questions and worried about how my life was going to change. Everyone is different, but I have learned that heart disease isn't a show stopper. I have seriously increased my own level of activity over the last 5 years since my heart attack. All with the blessing of my cardiologist by the way. As several have stated, your doctor is your best source of information. Listen to him and most of all DO what he says. Check with you hospital for support groups, or find a friend that has experience. it helps to talk about it. You have to have been in our shoes to understand the emotional weight that comes with this. You'll do great!
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Old 12-12-16, 07:57 AM
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Wow, Inpd ... it is nothing but drama from you ...

I have had my own heart issues, but i really cannot add anything to what has been said here, except "Don't give up."

If you like riding and feel like riding, ride. pay attention to your body, but don't be afraid. Most doctors tend to err on the side of intense fear--they'd like us all to sit in an armored cubicle all day and just come out to walk a little on a treadmill for daily exercise. They confuse quantity of life with quality---and fail to realize that people living quality lives Want to live longer.

Just pay attention to your body. Watch your HRM, and slow down or even pull over and stop if it gets up too high ... but don't let "too high" be some doctor's number (unless it is a doctor who also exercises a lot like Jerry STL's, above.)

Nowadays people recover from heart attacks and strokes well, and most continue on to live wonderful lives---with improved diets. It surprises me how many people I know who are still riding strong in their 60's after heart problems ... whenever i start telling my story at least one other always seems to say, "Something like that happened to me a few years back," and then they drop me like I was walking.

We need you on this site to constantly post controversial threads; we need to hear about your latest bikes, adventures, nd travails. So don't stop riding. ... or posting.
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Old 12-12-16, 01:52 PM
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Is there a Cardiac Rehab center you could see? E.g., my former employer:

https://www.thedacare.org/Health-Lib...ilitation.aspx

Referral to cardiac rehab was standard practice after MI or cardiac surgery.
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Old 12-13-16, 11:59 PM
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I remember that feeling of vulnerability after my first heart attack. It was not crippling, but it was something to work through and not dismiss. I was not cycling then and did not start cycling until my second heart attack 5 years later, but after the first I was a gym regular and used swimming and walking for cardio work. Four or five months after my second heart attack I started cycling (that was in 2010) and I have been on the bike since, only interruptions were a couple of knee replacements in 2015 (January and August). Medications, especially beta blockers, can make a difference in your level of performance. Since my cardiologist started to cycle a few years ago, he has become more aware of how meds affect my physical activity and over time we have worked together to reduce beta blocker dosage and timing so that I can cycle so that it works for me.

One value in asking your question here is that there are those of us who, while not medical professionals, have had the experience of cycling with heart disease and working with our medical professionals to have a quality of life that works for what we want to accomplish. Sharing that experience offers one perspective about the range of possibilities for cycling after a heart attack.

Everyday I get on the bike i feel lucky, no matter how many miles, no matter how small or big the climb, no matter what my speed, it is better than the alternative. Keep a positive and realistic attitude, work with your doc and your family, and enjoy doing what you can on the bike.
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Old 12-14-16, 08:37 AM
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Originally Posted by JerrySTL
I had a mild heart attack at the tender age of 46 while riding my bike doing a max effort up a hill. I rode the 25 miles back to the car. The next day I rode another 35 miles. Then I did something really stupid - I told my wife, a nurse, that I'd been having chest pain plus pain down my left are for over a day. I thought she was going to kill me.
I rode with a guy who had been having chest pains all week and refused to go see a doctor. He died the following monday after we ended our saturday ride trying to resuscitate him in the ditch. Didn't know the guy. Didn't even know his name was Mike until I was doing chest compressions on him and his buddies were standing around trying to revive him. To anyone in this position, take the time and go see a doctor. Don't put others through basically watching you die out of stubbornness.
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Old 02-02-17, 10:40 AM
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Originally Posted by Inpd
To explain my absence over the last week or so ...

So that warm fuzzy feeling I was having the day after Thanksgiving was actually a mild heart attack and aneurism Fortunately got to the hospital in time and no damage.

Any tips on how to deal with this but still leading an active cycling program. Physically I feel great, but psychologically I feel very vulnerable if this happens again.
Hey @Inpd, how's the recovery going?
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Old 02-02-17, 11:41 AM
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Originally Posted by Inpd
To explain my absence over the last week or so ...

So that warm fuzzy feeling I was having the day after Thanksgiving was actually a mild heart attack and aneurism Fortunately got to the hospital in time and no damage.

Any tips on how to deal with this but still leading an active cycling program. Physically I feel great, but psychologically I feel very vulnerable if this happens again.

I think that I understand where you are coming from. I've had stents placed on my blocked coronary arteries. The last one came as a result of severe chest pains during a mild climb that I was used to just "fly" to the top.


The stents fixed the blockage, but for a while after that, I rode "spooked." Any minor discomfort and I began to psych myself out about a possible reoccurrence of the blockage.


so physically I was OK, but mentally I still harbored some fears.


The fears eventually went away and since then I have been doing some big climbs (for me anyways) where I have posted a bunch of PRs.


The only way the fear will go away is to: 1. As PhotoJoe suggested, follow your doctor's advice; 2. Stay active and eat a heart-healthy diet; 3. Keep on riding, unless your heart suffered major damage--which doesn't sound like it--during the attack, or unless your doctor says NO to riding (cycling is a wonderful exercise to keep one's heart in shape); and 4. get a HR monitor and train/ride within the proper zones for your age.


There is a PS to my story. Last December I had emergency surgery to repair a bleeding artery in my brain that had caused a subdural hematoma. The pressure from the hematoma was giving me major headaches which I, like most males my age, ignored, until my wife dragged my butt to the hospital.


I am OK now and last Sunday I did my first ride, a 47 miles mostly flat ride. The old fears came back and even a mild discomfort made me slow down and wonder if anything was wrong.


The moral of the story (if there is a moral) and my advice to you, is that you should listen to your body, pain is not "weakness" leaving the body; pain is a warning sign that something may be wrong. But don't get so freaked out that you give up on bike riding.


Take care and be ride safely.
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Old 02-02-17, 02:12 PM
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OP hasn't posted anything since this thread began on 12/5 and prior to that he had a lot of posts . Then again it is winter so maybe bikes are not on his mind.
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Old 02-03-17, 08:00 AM
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Originally Posted by VegasTriker
OP hasn't posted anything since this thread began on 12/5 and prior to that he had a lot of posts . Then again it is winter so maybe bikes are not on his mind.
That's what I was thinking. Hopefully he's ok...
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Old 05-25-17, 06:34 AM
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Hi,

I saw many posts and private messages form this forum in his email account. Fortunately, when I went to it the auto-complete could log me in.

Unfortunately, Irv, has passed onto a better place.
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Old 05-25-17, 06:38 AM
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Sad to hear. Condolences.
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Old 05-25-17, 06:41 AM
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Very sorry to here, condolences
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Old 05-25-17, 06:59 AM
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Add mine to the list of condolences to Irv's friends and family.
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