{"id":2904,"date":"2015-02-03T19:09:31","date_gmt":"2015-02-04T00:09:31","guid":{"rendered":"http:\/\/skidome.org\/skidome2\/?page_id=1006"},"modified":"2015-02-03T19:09:31","modified_gmt":"2015-02-04T00:09:31","slug":"heart-love-skiing","status":"publish","type":"page","link":"https:\/\/skidome.org\/Skidome3\/?page_id=2904","title":{"rendered":"HEART-> LOVE of Skiing"},"content":{"rendered":"
This is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read\u00a0here.<\/span><\/pre>\n
Skiing after Angioplasty \/ Stent \u00a0& Diabetes<\/h2>\n
ROOT CAUSE = HFCS High Fructose\u00a0SODA.<\/pre>\n
Bypasses \u00a0Liver - high lipids = clogged arteries Causes Fatty liver disease<\/pre>\n
Kidneys get affected by think blood, and Blood so thick causes NSTEMI.<\/pre>\n
Note: I am not a DOCTOR. Talk to your own DOCTOR. I am in Above Average condition. Your results will vary!\"2202m3art\"<\/span><\/strong>
\nHAVE Access to a FAX<\/span><\/strong><\/em> to communicate in writing to Doctor. Always get a copy of reports. Most you can read, as in Lab work has a range. The Echo Cardiogram<\/strong><\/a> took me 3 hours to research what it was actually trying to tell me.
\nThe HEART part<\/strong> is discussed below. The Diabetic part<\/strong> has its own area. Both go hand in hand. Many of the same meds treat both conditions. Control of diet effect both, along with exercise.
\nIf you have maintained a regular gym visit, or some form of exercise you may recover quickly. ie. faster than 6 to 12 weeks. \u00a0Depends on the type of surgery, % Muscle Damage, \u00a0and number of stents, age, lifestyle, Bypass will take longer to recover. Valve issues no guidance ask your doctor.
\nI am sharing the information for the purpose of helping others. Information was scattered all over the internet, but no real one stop shopping on the topic. Always ask your Cardiologist and GP before making any changes in Medication or Exercise.
\nYou cannot pick your parents, nor your heredity<\/strong>. By 40+ things start showing up. Cancer, Heart issues, Diabetes seem to be the main issues. My heredity dropped by on 12\/29\/14. Heart attack (angina) and with high glucose. Wow, the pain was a one and was not like go to the ER. Knowing little-regarding recovery, I used my\u00a0skills to meet one goal. \u00a0I had 2 stents placed in the RCA and the procedure took 25 mins. Your recovery will be different. Meds and diet will be the changes to be made. The sugar from the diet is making your blood sticky and harder to pump. \u00a0If your lucky and have been exercising before the issue, your recovery will be easier. I ski 30 days a year, work out with weights and some cardio machines.
\nDamage to the heart muscle will be assessed with a cardiac ultrasound. In my case a 1% loss, which is minimal.
\nThe prognosis is dictated by heart muscle damage and rehab. In my case minimal damage. Your case will be different.<\/strong>
\nGoal: Get back skiing and racing.<\/strong> \u00a0To get to that goal,\u00a0Keep good records on food, workout, and blood levels. Take meds as required and eat prescribed\u00a0Diet. Understanding the risks of skiing along with blood thinners, and how to mitigate by bringing proper ID, Medical info, Nitroglycerin.
\nCardio <\/span><\/strong>Rehab In General \u00a0<\/span><\/strong><\/p>\n
Most people 50 and older are not achieving 30 minutes on a treadmill before 6 weeks. 30% will do much better. 60 to 70 percent will need structured cardio rehab taking 6 to 12 \u00a0weeks.<\/p>\n
The heart takes 6 weeks to reconfigure<\/span><\/strong>. Beta Blocker meds will decrease the heart rate by 10 bpm and offer some protection.<\/p>\n
Your Heart bpm (beat per minute) will be limited to 60%-70% of the calculated MAX. My max is 168 BPM x 60% \/ 70% \u00a0= \u00a0100 to 117 bpm.<\/p>\n
On a treadmill,\u00a0keep the pace below 3.3 mph, give it 15 mins the work up to 30 mins. Stay in that range until a stress test is performed.<\/strong><\/p>\n
Light weight lifting can be added after 1 week. Light meaning 25 to 30% of normal lifting lbs.<\/p>\n
Wear a heart rate monitor.<\/p>\n
MOVING UP \/ How hard does the Heart Rate go when skiing:<\/strong><\/span><\/p>\n
The doctors say sex if fine. Not sure about you, but I would suspect the heart rate gets pretty high.<\/p>\n
Wearing a Polar FT4 heart rate monitor I recorded these bpm.<\/strong><\/p>\n
Getting from car to resort, putting on boots, \u00a0gear – 90-100 bpm<\/p>\n
Skiing easy on a green 100-110 bpm<\/p>\n
Skiing Medium on a blue 110 bpm<\/p>\n
Skiing hard\/ racing 136 bpm \u00a0 \u00a0(data says 80-82% of BPM Max)<\/p>\n
Typical Race Day – 15 mins target heart rate zone.<\/p>\n
Treadmill range 90-110 20+ mins.<\/p>\n
The process of skiing – \u00a01 min or less max bpm 136 then 6 mins\u00a0resting bpm.<\/p>\n
Calories Burned –\u00a0<\/strong><\/p>\n
GYM Treadmill – 300-500 20-30 mins + weights<\/p>\n
Skiing med hard 3 hours – 550<\/p>\n
MILESTONE ONE – STRESS TEST<\/strong><\/span><\/p>\n
Stress test was performed 23 days after\u00a0Stent placement. The test is 3 segments of 3 mins each. All raising the elevation and speed. I practiced the protocol one time. The goal is to push the test the longest in time and max out the bpm -80-85%. During the test an EKG and SW are monitoring the heart.<\/p>\n
MY Score- 10 mins,\u00a0 Above Average 135 BPM max 81% of 168<\/p>\n
At 3 Weeks given the OK to new MAX bpm of 135. Now I can ski hard and race.<\/strong> (Keeping \u00a0with Concussion, Heart, and Bleeding protocol)<\/p>\n
OTHER RISK CONSIDERATIONS:<\/strong><\/p>\n
Bleeding out- Blood Thinners<\/em> – My prescribed\u00a0thinner has minimal issues than others. Do you go thinking “I had 4 aspirin today and may bleed internally via stomach or by injury ie. hitting head, or by severed artery? Not”. \u00a0Assess the risk and make changes to mitigate.<\/p>\n
Mitigated\u00a0 by Concussion, Injury protocol. ie. Stop, Ski Patrol assessment, Quit for the day.<\/p>\n
Effient\u00a0blood thinner information. \u00a0Physician opinion on EFFIENT <\/a>(PRASUGREL HYDROCHLORIDE) (PRASUGREL HYDROCHLORIDE) as adverse event culprit: Unlikely<\/b><\/p>\n
\u00a0Heart –<\/em><\/p>\n
\"ed3jysm\"
Jane Yost (c) Copyright Used with permission<\/p><\/div>\n
Mitigated by Heart Pain Nitroglycerin on person.<\/p>\n
Injury Prevention<\/em> \u00a0– Helmet – Body Armor while racing.<\/p>\n
Week 4<\/strong><\/p>\n
26 days – \u00a0racing 2 GS runs \u00a0Bronze \u00a048% below Olympic\u00a0Level \u00a0VS 22% \u00a0my best….<\/p>\n
Glucose – ADA \u00a0range 70-180<\/p>\n
Week 5\u00a0<\/strong><\/p>\n
32 days – racing 2 long GS runs 126 bpm.\u00a0\u00a0Bronze \u00a048% below Olympic\u00a0Level \u00a0VS 22%<\/p>\n
Glucose – Tight 70-140<\/strong><\/p>\n
WEEK 6 \u00a0 MILESTONE TWO- Point at which heart\/body have technically\u00a0healed.<\/strong><\/p>\n
42 days – racing 8 GS runs 136 bpm. \u00a0SILVER \u00a031 HC closer to my prime:o)<\/p>\n
Glucose – Tight 70-140<\/p>\n
WEEK 7\u00a0<\/strong><\/p>\n
Raced 2 GS Races Afternoon and evening. Gold race 1 MTN DEW , \u00a027 HC Silver in NASTAR<\/p>\n
Cold day and night Under 10 degrees. 4 hours of skiing. 1 hr of racing<\/p>\n
MAX bpm 133.<\/p>\n
WEEK 8 BIFF RACE – 5 Runs<\/strong>
\nMy Glucose is 100% Compliant with ADA Assoc. Recommendations
\n87% Compliant with Endocrinology\u00a0Assoc. Recommendations for Tight. 70 – 140
\nWEEK 9 race 2 days this weekend.<\/strong>
\nLABS<\/span>
\neGFR Kidney \u00a0close to good at 58 need 60.
\nhaA1C \u00a0= 6.6 \u00a0down from 11.4 Glucose avg fast 100 \u00a0Good Numbers.
\nMy Lipids were cut in half to Normal.
\nRacing my best Handicap on Sunday.<\/p>\n
\n
 
\nMILESTONE TWO – 6 Weeks 2\/10\/15<\/strong><\/p>\n
Heart reconfiguration complete. \u00a0 \u00a0More skiing and racing.<\/p>\n
MILESTONE THREE – 8 Weeks March 2015 \u00a0 ALL BLOOD WORK LIPIDS, Glucose, A1C in normal ranges<\/strong><\/p>\n
LABS: Lipid Profile, LDL, HDL, TriG, haA1C now 6.6 vs 11.4,<\/p>\n
Cardio: Test: Cardiac Ultrasound, Meet with \u00a0Cardiologist<\/p>\n
GP: Glucose numbers, Tuning, Metformin -?<\/p>\n
THINGS TO NOTE:<\/strong><\/p>\n
My racing is silver. \u00a0NOW SILVER 2\/20\/15<\/p>\n
Add a multi-vitamin mineral to the mix<\/p>\n
Consider Creatine Monohydrate\u00a0& Glutamine, l-arginine as a cardioprotective.<\/p>\n
DIET:<\/strong>
\nGlucose – Take Carbohydrates \/ 15 = Number. You are allowed (NUMBER=4 total each meal)
\nHeart- Sodium <1,500 mg\/day , Fat <13 grams of saturated fats a day
\nNo Soda!
\nMILESTONE Four – 6 Months June \u00a0 \u00a0ALL BLOOD WORK LIPIDS, Glucose, A1C in normal ranges<\/strong><\/p>\n
LABS: Lipid Profile, LDL, HDL, TriG, haA1C now 5.8 vs 11.4,<\/p>\n
Was able to stop mealtime Bolus Insulin.<\/p>\n
Added Metformin \u00a02x 100 mg every 12hr<\/p>\n
Effiant\u00a0bruising on arms ie.3Gun matches.<\/p>\n
Lantus switched to Levemir and now 45 units down from 60units.<\/p>\n
Eyesight all checked dilated etc passed.<\/p>\n
Weight 216. Down 24 lbs. Waist lost 4 inches.<\/p>\n
Took care of left leg and back Sciatica.<\/p>\n
Milestone \u00a05 will be October<\/strong><\/p>\n
Made milestone. coming off night BASAL Insulin.<\/p>\n
labs good.<\/p>\n
Milestone 6 Jan 2016.<\/strong><\/p>\n
Labs good. Stress Test Dec 28 should max it out.<\/p>\n
Lost 45 lbs in 1 year, Off insulin, no heart issues.<\/p>\n
 <\/p>\n
\n
\u00a0Mentions:<\/strong>
\nExpressCare for the EKG and directing me to Northwest ER. Northwest ER\/ICU for stabilization, Sinai ICU\/PCCU for care and Dr. Ben Dubois Interventional Cardiologist and Cath lab staff.
\nTo my team of Docs. cardiologist Dr. Syed, and my Internist Dr. Desai.
\nDr. Loomis Chiro, Dr. Wasloski Eyes, Dr. Fine Dental.
\nTo Michelle and Dr Dan Morheim MD Delegate\u00a0for helping with red tape.
\nTo Northern Pharmacy – Can help get the paperwork \u00a0side done Caid\/Care.<\/p>\n
NORTHERN PHARMACY & MEDICAL EQUIPMENT<\/div>\n
6701 HARFORD RD<\/div>\n
at the corner of Harford Road and Northern Parkway<\/div>\n
BALTIMORE, MD\u00a021234<\/div>\n
Sources:<\/strong>
\nBlood Thinner:<\/a><\/p>\n
Early exercise after coronary stenting is safe<\/a><\/p>\n
Journal of the American College of Cardiology Vol. 45, No. 8, 2005 \u00a9 2005 by the American College of Cardiology Foundation ISSN 0735-1097\/05\/$30.00 Published by Elsevier Inc. doi:10.1016\/j.jacc.2005.02.002 36th Bethesda Conference Eligibility Recommendations for Competitive Athletes With Cardiovascular Abnormalities<\/strong><\/a><\/p>\n
Exercise Prescription and Proscription for Patients With Coronary Artery Disease<\/a><\/p>\n
Safety of early exercise training after elective coronary stenting in patients with stable coronary artery disease.<\/a><\/p>\n
\n
Soga Y, Yokoi H, Ando K, Shirai S, Sakai K, Kondo K, Goya M, Iwabuchi M, Nobuyoshi M.<\/p>\n
Eur J Cardiovasc Prev Rehabil<\/span>. 2010 Apr;17(2):230-4. doi: 10.1097\/HJR.0b013e3283359c4e.<\/p>\n<\/div>\n
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Related citations<\/a><\/dt>\n<\/dl>\n<\/div>\n<\/div>\n
The relationship of heart rate and lactate to cumulative muscle fatigue during recreational alpine skiing.<\/a><\/p>\n
\n
Seifert J, Kr\u00f6ll J, M\u00fcller E.<\/p>\n
J Strength Cond Res<\/span>. 2009 May;23(3):698-704. doi: 10.1519\/JSC.0b013e3181a2b55e.<\/p>\n<\/div>\n
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Related citations<\/a>\u00a0 \u00a0Has a note RE Heart Rate skiing of 82% of max quoted<\/dt>\n
<\/dt>\n
An international review of head and spinal cord injuries in alpine skiing and snowboarding<\/a> A Ackery, B E Hagel, C Provvidenza, C H Tator<\/dt>\n<\/dl>\n<\/div>\n<\/div>\n
 <\/p>\n","protected":false},"excerpt":{"rendered":"
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