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Increased heart rate during exercise, withdrawal phase of nicotine - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi
Doctor :   I am Dr. xxxxxx
User :   Hello
User :   Nice to meet you
User :   Let me just get right into my issue if thats ok
Doctor :   Yes
Doctor :   Please go ahead
User :   I am a 36 female
User :   I quit smoking 2 weeks ago
User :   I am chewing nicotine gum to get me through it
User :   I also started working out with a personal trainer 2 weeks ago
Doctor :   ok
User :   (my brother had his first bypass surgery at my age and died during his second one at age 43)
User :   so far my heart checks out ok
User :   my concern is my heart rate during exercise with the trainer
User :   walking briskly and a light jog its about 165
User :   but when I start doing low resistance reps it shoots up between 170-180
User :   and I can REALLY feel it pounding
User :   is it ok for me to proceed with my heart rate at this level?
Doctor :   Ok, let me explain you about it
Doctor :   The maximum heart rate that can be acheived by you is 180 beats per minutes
User :   (it was 185 after 1 minute on the eliptical machine)
Doctor :   Ok when you are on withdrawal phase of nicotine, then you tend to put 20 more beats per minute
Doctor :   Considering both these I think it is not serious to have a heart beat at 180 to 185 also
User :   ok, so I can just keep going when I am at 180 and feel my heart pounding so hard in my chest and even in my ears?
Doctor :   That can all be because of nicotine withdrawal
User :   Right, I think thats what it is as well.
User :   It just worries me to keep going with it that high because of the heart problems that run in my family.
Doctor :   The heart problems are of different types, I guess it is a coronary heart disease that runs in your family
Doctor :   and not arrhythmic heart disease
Doctor :   The maximal heart rate of a person can be determined if a person runs on treadmill and then connect to ECG, the pulse rate recorded would be the maximal heart rate
Doctor :   For lay man terms, we also calculate a rough way by substracting age from 220
User :   ok, so as long as I stay below 185 I should be fine.
User :   I just wanted to check.
Doctor :   ys
User :   Ok, thank you.
Doctor :   Are you clear now?
User :   Yes. Now no more excuses to my trainer that I have to stop because my heart is beating too fast. :)
Doctor :   Thank you for consulting me
Doctor :   Before we leave, keep in mind that always physical complaints are important than the visible values
Doctor :   So if you are breathless and unable to continue your exercise, it is good to rest and start with a pause
User :   Ok, thank you.
Doctor :   Bye for now
User :   Bye
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