Dr. Arva-Lamak

EXERCISE INDUCED HEART ATTACK

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Exercise-Induced Heart Attacks: Are You at Risk?

Exercise is often celebrated as a cornerstone of good health, reducing the risk of chronic diseases and enhancing overall well-being. However, for some individuals, especially those engaging in high-intensity workouts, it can pose unexpected cardiovascular risks.

In recent years, there has been a concerning rise in exercise-induced heart attacks, particularly among fitness enthusiasts. According to a 2022 report by the American Heart Association, nearly 12% of cardiac events in individuals under the age of 40 are linked to physical exertion beyond their cardiovascular limits. This article explores the phenomenon of exertional myocardial infarction, commonly known as exercise-induced heart attack, and provides practical measures to minimize the risk.

Understanding Exercise-Induced Heart Attacks

Exercise-induced heart attack, also known as exertional myocardial infarction, occurs shortly during or after physical exertion, such as strenuous exercise or intense physical activity. While regular exercise strengthens the heart, overexertion can cause plaque rupture, electrical disturbances, or other cardiac issues, especially in individuals with underlying heart conditions.

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Preventive Measures to Stay Safe

1. Perform Endurance Tests

Many individuals overestimate their fitness levels, which can lead to adverse health reactions. Simple self-assessment tests can help gauge cardiovascular health before engaging in high-intensity workouts.

• **Step Test:** Climb two flights of stairs comfortably. If you can do so without discomfort, your heart is likely in good condition.
• **Walk Test:** Walk 500 meters in six minutes. If you experience breathlessness or struggle to complete the distance, it may indicate potential cardiac concerns.

2. Monitor VO2 Max

VO2 max, is the maximum amount of oxygen a body can utilize in a minute of intense workout It is a single number which describes your cardio-respiratory health.

In recent times many smartwatches have this feature of tracking Vo2 .

Formula to calculate Vo2Max

[HR MAX\HR REST ] * 15.3

HR MAX – 220 – age

HR REST – Pulse [ 20 secs ] * 3

An average untrained male with 35-40 ml [kg.min] & female 27-31 ml[kg.min] is considered optimum.

3. Be Cautious with High-Intensity Activities

High-intensity activities like running, cycling at speeds above 10 km/hr, uphill walking, and rope jumping can increase the risk of plaque rupture or electrical disturbances in the heart.

4. Monitor Blood Pressure During Exercise

A normal rise in systolic blood pressure during exercise is expected. However, if systolic pressure exceeds 200 mmHg or if diastolic pressure rises significantly, it is a cause for concern and requires medical attention.

5. Maintain a Heart-Healthy Lifestyle

Adopting a heart-healthy lifestyle is crucial to reducing the risk of exercise-induced heart attacks:
• **Diet:** Limit saturated fats, trans fats, and processed foods.
• **Lifestyle:** Ensure consistent exercise routines, adequate sleep, and stress management.
• **Substance Control:** Avoid smoking, excessive alcohol consumption, and drug abuse.

Conclusion

While the risk of exercise-induced heart attacks is relatively low compared to the overall health benefits of physical activity, it is vital to be aware of the potential risks and symptoms. Prioritize your heart health by undergoing periodic cardiovascular assessments, adopting a well-mentored exercise regimen, and maintaining a balanced lifestyle.

Stay proactive about your health—schedule a check-up today and consult with a fitness or healthcare professional before starting any high-intensity workout program.

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