12th July 2006
Well, this is what I have found out about my angina and exercise.
I execise daily for short terms on a stepper (5-10min, 3 or 4 times, intense) and then later on a treadmill. The treadmill is the main exercise and I do sessions of 500m up to about 2.5km once or twice a day.
On the stepper I get virtually no angina (pressure or pain). I find the stepper really useful as I can exercise as much as I like without worrying about the angina barrier. (I think one problem with angina and exercise is that angina can stop a person getting a enough exercise to be really useful - so any recovery becomes a very slow process.)
My Dr says I could also take nitrate while I exercise, but I refuse to do that.
On the treadmill I get pressure (builds gradually), and sometimes pain as well. Of course I stop when I feel it's too risky to continue. My Dr. says to be careful and never to try to break through the angina barrier. Sometimes I reckon I do that - maybe foolishly - I don't know. I often feel the chest pressure in slow waves - peaking and then dropping away. Naively perhaps, I interpret this as blood building, bursting through the artery, then slowing again. I try to stop and avoid that situation but sometimes it happens nevertheless.
If I exercise on the stepper I can now get a good treadmill performance - 2 to 3 km - including about half of that uphill. And I sometimes stop when I want - not just because of the angina pressure. The 2-3km treadmill performance is quite reproducible provided I don't have a break (eg stopping for more than a day). The success on the treadmill carries over to my other activities - by that I mean later in the day I can walk up hills without angina - even 6 or 8 hours after being on the treadmill. As I have said before I interpret that as a dilation of the arteries that lasts at least for several hours. In fact I now know it even lasts overnight (ie a good treadmill performance in the afternoon carries over to the next morning and I can again get 2 or 3 km on the treadmill then.)
But I do have a problem - I play sport on 2 or 3 evenings in the week. This is light aerobic exercise for 2 or 3 hours and I come home quite exhausted. Sometimes I get chest pressure doing it. Well, the day after that my exercise capacity is gone. Yep, I am back to the sort of angina I started with months ago. Treadmill performance has gone and I get angina almost from the start and have to stop at a 200 -500m. That has really got me tossed. I exercise harder and it stuffs me up. And it lasts the whole day - in the evening I am still useless on the treadmill. It could be I am just overdoing it. Or maybe it's my blood chemistry I just don't know. My DR is puzzled too. In spite of all this the very next day (ie after the one bad day) I can again get on the 'mill and run 2 or 3 km.
Exercise helps but if you overdo it - it works against you.
Someone here may have an answer to this.
(My Dr has suggested Monudur isosorbide mononitrate 60mg - this is a sustained release nitrate.)
Thanks for reading this long post.
Beafsteak.
I execise daily for short terms on a stepper (5-10min, 3 or 4 times, intense) and then later on a treadmill. The treadmill is the main exercise and I do sessions of 500m up to about 2.5km once or twice a day.
On the stepper I get virtually no angina (pressure or pain). I find the stepper really useful as I can exercise as much as I like without worrying about the angina barrier. (I think one problem with angina and exercise is that angina can stop a person getting a enough exercise to be really useful - so any recovery becomes a very slow process.)
My Dr says I could also take nitrate while I exercise, but I refuse to do that.
On the treadmill I get pressure (builds gradually), and sometimes pain as well. Of course I stop when I feel it's too risky to continue. My Dr. says to be careful and never to try to break through the angina barrier. Sometimes I reckon I do that - maybe foolishly - I don't know. I often feel the chest pressure in slow waves - peaking and then dropping away. Naively perhaps, I interpret this as blood building, bursting through the artery, then slowing again. I try to stop and avoid that situation but sometimes it happens nevertheless.
If I exercise on the stepper I can now get a good treadmill performance - 2 to 3 km - including about half of that uphill. And I sometimes stop when I want - not just because of the angina pressure. The 2-3km treadmill performance is quite reproducible provided I don't have a break (eg stopping for more than a day). The success on the treadmill carries over to my other activities - by that I mean later in the day I can walk up hills without angina - even 6 or 8 hours after being on the treadmill. As I have said before I interpret that as a dilation of the arteries that lasts at least for several hours. In fact I now know it even lasts overnight (ie a good treadmill performance in the afternoon carries over to the next morning and I can again get 2 or 3 km on the treadmill then.)
But I do have a problem - I play sport on 2 or 3 evenings in the week. This is light aerobic exercise for 2 or 3 hours and I come home quite exhausted. Sometimes I get chest pressure doing it. Well, the day after that my exercise capacity is gone. Yep, I am back to the sort of angina I started with months ago. Treadmill performance has gone and I get angina almost from the start and have to stop at a 200 -500m. That has really got me tossed. I exercise harder and it stuffs me up. And it lasts the whole day - in the evening I am still useless on the treadmill. It could be I am just overdoing it. Or maybe it's my blood chemistry I just don't know. My DR is puzzled too. In spite of all this the very next day (ie after the one bad day) I can again get on the 'mill and run 2 or 3 km.
Exercise helps but if you overdo it - it works against you.
Someone here may have an answer to this.
(My Dr has suggested Monudur isosorbide mononitrate 60mg - this is a sustained release nitrate.)
Thanks for reading this long post.
Beafsteak.
