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Riding while on beta-blockers?
Last Post 09/13/2021 07:32 PM by smokey 52. 14 Replies.
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huckleberry

Posts:690

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06/02/2021 07:34 PM
Finally had my appointment with the cardiologist. Wants to start with low dose beta-blocker - 25mg of metropolis, as I have low risk of stroke, but want to reduce my symptoms. Anybody riding while on a beta-blocker? I realize it will diminish my ability to get to my maximum heart rate, but how much will it likely affect my performance? Thanks
Cosmic Kid

Posts:3604

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06/03/2021 09:14 AM
Don't have any answers for you huck, but hoping all works out for you on the meds!!
Just say "NO!" to WCP!!!!
smokey52

Posts:388

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06/03/2021 10:15 AM
I take a combination ACE inhibitor/calcium channel blocker, not a beta-blocker like metoprolol. My cardiologist recommended a target heart rate based on the stress test. He also suggested that I ride for fitness, not speed.
At 69, my biggest challenge is getting older as the hills get steeper.
zootracer

Posts:782

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06/04/2021 10:06 PM
I take a beta blocker twice a day with meals, Carvedilol 3.125mg and one Lisinopril 10mg (an ace inhibitor) at night prior to going to bed. I have high blood pressure and cardiomyopathy. My cardiologist at first had me on 2 Carvedilols, twice a day and it made me tired and my riding sucked, no energy. I worked together with my doctor. I kept a log of my blood pressure and I got it down to my current dosage. I upped the Lisinopril from 5 mg to 10mg as my BP spiked early last year after I lost my hearing in one ear (I regained it). I started taking my meds in 2009 when I was 67 years old. I turn 79 in August. You have to work with your doctor, hopefully he will understand that you do a lot of exercise and will work with you on your dosage. I have problems with the hills, but hell, I'm old. I still can ride.
huckleberry

Posts:690

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06/05/2021 04:58 PM
Thanks guys. I really like my cardiologist - he's about 60, a tall, lean, long-distance runner, so he was very sympathetic to my mindset. He's a laid out a course of treatments for me, emphasizing that each step will be my decision. I'm going to dictate how I proceed with how I feel, and what I am willing to give up bike-wise to improve those symptoms that may make my life uncomfortable.
zootracer

Posts:782

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06/07/2021 09:59 AM
Huck, Hard to say if the beta blockers will slow you down that much. Only thing different with me is I seldom look at my average speed after my rides.

I forgot where you live in Ca. I think you do a lot of climbing.

Zoot
Orange Crush

Posts:3600

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06/07/2021 11:12 AM
Slow = good, no?

You guys are freaking me out with all your ailments and medications :-)
zootracer

Posts:782

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06/08/2021 08:58 PM
O.C. get down on your hands and knees and kiss the ground. Be thankful you don't have medical issues. I didn't until 2009 when I hit the age of 67....

Orange Crush

Posts:3600

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06/08/2021 09:59 PM
Zoot - I know. Still got 11 to go till 67. Fingers crossed. I’ll stay off the knees those have always been a weak link. Only lasted a day in strawberry picking job at age 15. Knees could not handle it.
smokey52

Posts:388

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06/09/2021 06:57 AM
OC, the medications help keep the ailments at bay. Keeping a better level of fitness reduces the need for medication, and the medication allows maintaining activity to stay fit.
thinline

Posts:302

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09/13/2021 09:45 AM
Well, I am going in today for a cardioversion at 3:00 to correct an onset of atrial flutter (cousin of a-fib). I have had it several times over the years and this will be the third time I needed to have it corrected. The other times it just self-corrected after a day or so. This one does not seem to want to fix itself and I am headed to NC later this week for a week of cycling. So, getting zapped today.

I expect to be told to take metoprolol (sp?) for a while afterwards. I did that after my first episode and recall muscle fatigue when I pedaled hard because my heart rate would be lower than it should at higher efforts, slowing the flow of oxygenated blood to the muscles I suppose.

I did talk to my cardiologist about maybe it being time for a catheter ablation procedure to try and just fix the little short circuit that causes the flutter or fib to happen. Anyone have one of those done? Long-term effects etc? A friend who is a cyclist had it done after repeated episodes of a-fib and is glad he did. No occurrences since and it's been several years and he is as active as ever.
Cosmic Kid

Posts:3604

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09/13/2021 01:00 PM
Buddy of mine who is 60+ had an ablation last year due to a-fib.....he qualified for the Ironman 70.3 World Championships this year and is headed to St. George Utah for the race this week.
Just say "NO!" to WCP!!!!
longslowdistance

Posts:2448

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09/13/2021 01:41 PM
Thin line, no personal experience, but the procedure is pretty mature now. You would want a place that does a lot and has a good track record. One would expect that from UVM but I don’t know that for sure.
thinline

Posts:302

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09/13/2021 05:52 PM
All converted and back to normal sinus rhythm, for now anyway! Heading to Asheville Thursday. On a thinner (Eliquis) for about 3.5 more weeks and a low dose of beta blocker for now. Back to the doc on the 29th for follow up and ablation conversation. Interestingly, a close friend's brother-in-law is the head of the cardiac electrophysiology group in the cardiology department at UVM. I am pretty sure I will get good advice if I go that route!

Now, just hoping all stays normal during the upcoming bike trip. Mount Mitchell is on the dance card for next Tuesday!

Cosmic and LSD, thanks for the info.
smokey52

Posts:388

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09/13/2021 07:32 PM
Have a great ride!
My wife had an allergic reaction to Eliquis and had to keep with Coumadin. Hope it works for you.
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