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chest pain after?

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General fitness, health and nutrition
Published
17 August 2007
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17 August 2007
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Jim Flom
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  1. I have been pushing it on my bike the last few weeks. Three weeks ago on a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had some
    chest pain that subsided. Two weeks ago I did a fast century with racers,
    felt like I pushed it too hard, and have felt some dull chest pain at rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes, I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your Health
    http://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested 60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up in
    the blood. Its presence is also used to determine whether heart damage was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after? I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

  2. Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had some
    chest pain that subsided. Two weeks ago I did a fast century with racers,
    felt like I pushed it too hard, and have felt some dull chest pain at rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes, I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested 60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up in
    the blood. Its presence is also used to determine whether heart damage was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after? I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

    You are having a coronary, you're dead.

    --
    _________________
    Alric Knebel

    http://www.ironeyefortress.com/C-SPAN_loon.html
    http://www.ironeyefortress.com

  3. Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had some
    chest pain that subsided. Two weeks ago I did a fast century with racers,
    felt like I pushed it too hard, and have felt some dull chest pain at rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes, I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested 60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up in
    the blood. Its presence is also used to determine whether heart damage was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after? I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

    Dr Siegel is an [censored]. I saw so many holes in his story and
    research, I thought I was looking through my boxer shorts.
    --
    _________________
    Alric Knebel

    http://www.ironeyefortress.com/C-SPAN_loon.html
    http://www.ironeyefortress.com

  4. Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had some
    chest pain that subsided. Two weeks ago I did a fast century with racers,
    felt like I pushed it too hard, and have felt some dull chest pain at rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes, I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested 60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up in
    the blood. Its presence is also used to determine whether heart damage was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after? I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

    Since you went to bragger's school instead of medical school, you will
    have to believe what the doctors tell you and follow their advice.
    Exercise or don't exercise, but if you do, expect to feel tired.
    Period.

  5. Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had some
    chest pain that subsided. Two weeks ago I did a fast century with racers,
    felt like I pushed it too hard, and have felt some dull chest pain at rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes, I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested 60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up in
    the blood. Its presence is also used to determine whether heart damage was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after? I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

    Dull attenuated chest pain at rest in itself is meaningless and could
    well be caused by a pulled or strained intercostal muscle and
    "athlete's heart" is not a disease in itself, it's a (poor) definition
    of the condition and aspect of the heart in trained persons.
    Troponin is a well known acute clinical marker for heart damage such
    as seen after ischaemic events. Troponin is certainly not something
    you have to "explain to your doctor", given your internet derived
    wisdom it is probably better your doctor explains a couple of
    "aspects" to you.
    What intrigues me is why at age 49 you are pushing yourself up and
    down mountains in 95 mile rides or "do a fast century with racers".
    You can do any ride you like of course but why push it? a case of mid-
    life crisis perhaps ....? ;-).

    good luck

    marc

  6. "Jim Flom" <[email hidden]> wrote

    Quoted message said:

    "The runners had normal cardiac function before the marathon, with no
    signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high
    enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    You can get intercostal neuralgia and other aches and pains from doing a lot
    of heavy breathing. I get similar symptoms from time to time, and after a
    long race (marathon or 50k). In my case the pain is related to breathing
    and I can poke a finger into the rib area and find some tender spots.

    In any event, see your doc if in doubt.

  7. "marc" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on
    a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had
    some
    chest pain that subsided. Two weeks ago I did a fast century with
    racers,
    felt like I pushed it too hard, and have felt some dull chest pain at
    rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes,
    I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen
    that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be
    related
    to 2) above.

    See for example, Two Fitness Disasters That Are Threatening Your
    Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested
    60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in
    heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up
    in
    the blood. Its presence is also used to determine whether heart damage
    was
    sustained during a heart attack.

    "The runners had normal cardiac function before the marathon, with no
    signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high
    enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with
    no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Anybody else experience this? Did it go away? Did you die soon after?
    I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Much obliged,

    JF

    Dull attenuated chest pain at rest in itself is meaningless and could
    well be caused by a pulled or strained intercostal muscle and
    "athlete's heart" is not a disease in itself, it's a (poor) definition
    of the condition and aspect of the heart in trained persons.
    Troponin is a well known acute clinical marker for heart damage such
    as seen after ischaemic events. Troponin is certainly not something
    you have to "explain to your doctor", given your internet derived
    wisdom it is probably better your doctor explains a couple of
    "aspects" to you.
    What intrigues me is why at age 49 you are pushing yourself up and
    down mountains in 95 mile rides or "do a fast century with racers".
    You can do any ride you like of course but why push it? a case of mid-
    life crisis perhaps ....? ;-).

    Yeah, that frikkin' 50th b-day is right around the corner.
    Thanks for the no-nonsense, cut-the [censored], get to the doctor counsel. I
    could feel the sugar. I went to the E.R. first thing this morning, beat the
    morning rush, chest pain in hand, and had a cardiogram done by 8 am.
    Thankfully, it was normal! They did an X-ray, ran blood work, and reviewed
    ultrasound results from a year ago. No evidence of damage anywhere. So the
    doc told me to lay off the sauce, um, exercise, at least till the symptoms
    dissipate and wait for a call from the cardiologist, who will take it from
    there. Now I get in line to see how the wonderful B.C medical system
    operates. Thanks again.

    Darn. It's such a nice day for a ride, too.

    JF

  8. Jim Flom said:

    "marc" <[email hidden]> wrote in message

    news:[email hidden]...

    Quoted message said:
    Jim Flom said:

    I have been pushing it on my bike the last few weeks. Three weeks ago on
    a
    hot day I
    did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140'😉 from
    Abbotsford, BC (elev. 124'😉 and felt like I pushed it too hard. I had
    some
    chest pain that subsided. Two weeks ago I did a fast century with
    racers,
    felt like I pushed it too hard, and have felt some dull chest pain at
    rest
    ever since. I can still ride and exert myself without difficulty. My
    resting pulse is still low (~52 bpm).

    Quoted message said:
    Quoted message said:

    A cardiogram a year ago revealed that I have athlete's heart. It's not
    angina -- no pain during exertion and doesn't subside with rest. Yes,
    I've
    made a doctor's appt. No, I'm not going to the ER. Online I've seen
    that
    heart damage can occur in two ways in distance athlete's. 1) some have
    heart attacks during or within 24 hours of the exertion. 2) Others (me?)
    show elevated levels of a protein, troponin, in the blood, for what seems
    like a temporary period. Chronic inflammation of the heart might be
    related
    to 2) above.

    Quoted message said:
    Quoted message said:

    See for example, Two Fitness Disasters That Are Threatening Your
    Healthhttp://tinyurl.com/37xtlq
    "In a more recent study, published in the November issue of Circulation,
    Dr. Siegel and his colleagues from Massachusetts General Hospital tested
    60
    runners (41 men and 19 women) before and after the 2004 and 2005 Boston
    Marathons. Each runner had a cardiogram to look for abnormalities in
    heart
    rhythm. They were also checked for evidence of cardiac problems in their
    blood. Troponin, a protein found in cardiac muscle cells, was used as a
    marker of cardiac damage. If the heart is traumatized, troponin shows up
    in
    the blood. Its presence is also used to determine whether heart damage
    was
    sustained during a heart attack.

    Quoted message said:
    Quoted message said:

    "The runners had normal cardiac function before the marathon, with no
    signs
    of troponin in their blood. Twenty minutes after finishing, 60 percent of
    the group had elevated troponin levels and 40 percent had levels high
    enough
    to indicate the destruction of heart muscle cells. In addition, most had
    noticeable changes in heart rhythm.

    Quoted message said:
    Quoted message said:

    "Dr. Siegel said, "Their hearts appeared to have been stunned." Bingo!
    During long-duration exercise, your heart is under constant stress with
    no
    time to recover. If it goes on long enough, your heart is traumatized and
    your body reacts by triggering a wave of inflammation."

    Quoted message said:
    Quoted message said:

    Anybody else experience this? Did it go away? Did you die soon after?
    I'm
    thinking of explaining to the doc the troponin aspect and asking about a
    blood test and cardiogram. Oh -- I'm 49.

    Quoted message said:
    Quoted message said:

    Much obliged,

    Quoted message said:
    Quoted message said:

    JF

    Quoted message said:

    Dull attenuated chest pain at rest in itself is meaningless and could
    well be caused by a pulled or strained intercostal muscle and
    "athlete's heart" is not a disease in itself, it's a (poor) definition
    of the condition and aspect of the heart in trained persons.
    Troponin is a well known acute clinical marker for heart damage such
    as seen after ischaemic events. Troponin is certainly not something
    you have to "explain to your doctor", given your internet derived
    wisdom it is probably better your doctor explains a couple of
    "aspects" to you.
    What intrigues me is why at age 49 you are pushing yourself up and
    down mountains in 95 mile rides or "do a fast century with racers".
    You can do any ride you like of course but why push it? a case of mid-
    life crisis perhaps ....? ;-).

    Yeah, that frikkin' 50th b-day is right around the corner.
    Thanks for the no-nonsense, cut-the [censored], get to the doctor counsel. I
    could feel the sugar. I went to the E.R. first thing this morning, beat the
    morning rush, chest pain in hand, and had a cardiogram done by 8 am.
    Thankfully, it was normal! They did an X-ray, ran blood work, and reviewed
    ultrasound results from a year ago. No evidence of damage anywhere. So the
    doc told me to lay off the sauce, um, exercise, at least till the symptoms
    dissipate and wait for a call from the cardiologist, who will take it from
    there. Now I get in line to see how the wonderful B.C medical system
    operates. Thanks again.

    Darn. It's such a nice day for a ride, too.

    JF

    This is not a medical forum, but just off hand it does seem like you
    are not getting proper blood flow and oxygen to the brain.

  9. D Stumpus said:

    You can get intercostal neuralgia

    I had intercostal with THREE guys at the highway rest area last night.
    I'm going out tonight, and I hope to do more intercostaling too.

    --
    _________________
    Alric Knebel

    http://www.ironeyefortress.com/C-SPAN_loon.html
    http://www.ironeyefortress.com

  10. Al Bundy said:

    This is not a medical forum, but just off hand it does seem like you
    are not getting proper blood flow and oxygen to the brain.- Hide quoted text -


    WTF makes you think he has one? Anyone stupid enough to present the
    dumbest study ever done (only published on the WEB of course) as
    evidence, has gotta be a bigger idiot than the dickless wonder who did
    the study. Just our (well yours, I don't pay taxes) hard earned tax
    dollars at work.

    --
    _________________
    Alric Knebel

    http://www.ironeyefortress.com/C-SPAN_loon.html
    http://www.ironeyefortress.com

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