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Date: 17 Aug 2007 01:42:58
From: Jim Flom
Subject: ever have chest pain after?
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I have been pushing it 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. Much obliged, JF
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Date: 17 Aug 2007 14:54:32
From: dustoyevsky@mac.com
Subject: Re: ever have chest pain after?
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On Aug 17, 3:03 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > My chest pains are no doubt all part of the same psychotic delusional > whatnot that made me hallucinate that I was high on Mount Baker. That's > what I get for holding it in. If you're gonna get that next breath in, you gotta let the old used one out! Good news on what's real, good deal. --D-y
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Date: 17 Aug 2007 18:58:12
From: derFahrer@gmail.com
Subject: Re: ever have chest pain after?
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On Aug 17, 2:48 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > > Only the viscosity of my chain oil. You're not supposed to drink that, you know.
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Date: 17 Aug 2007 21:48:11
From: Donald Munro
Subject: Re: ever have chest pain after?
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Jim Flom wrote: >> Only the viscosity of my chain oil. derFahrer@gmail.com wrote: > You're not supposed to drink that, you know. He smokes it as it doesn't have the same reputed side effects as cannabis.
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Date: 17 Aug 2007 20:03:09
From: Jim Flom
Subject: Re: ever have chest pain after?
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"Donald Munro" <fat-dumbass@hotmail.com > wrote in message news:46c5fb7a$0$8439$ec3e2dad@news.usenetmonster.com... > Jim Flom wrote: >>> Only the viscosity of my chain oil. > > derFahrer@gmail.com wrote: >> You're not supposed to drink that, you know. > > He smokes it as it doesn't have the same reputed > side effects as cannabis. My chest pains are no doubt all part of the same psychotic delusional whatnot that made me hallucinate that I was high on Mount Baker. That's what I get for holding it in.
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Date: 19 Aug 2007 13:40:07
From: Tom Kunich
Subject: Re: ever have chest pain after?
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"Jim Flom" <jim.flomREMOVE@telus.net > wrote in message news:1anxi.64138$_d2.57536@pd7urf3no... > "Donald Munro" <fat-dumbass@hotmail.com> wrote in message > news:46c5fb7a$0$8439$ec3e2dad@news.usenetmonster.com... >> Jim Flom wrote: >>>> Only the viscosity of my chain oil. >> >> derFahrer@gmail.com wrote: >>> You're not supposed to drink that, you know. >> >> He smokes it as it doesn't have the same reputed >> side effects as cannabis. > > My chest pains are no doubt all part of the same psychotic delusional > whatnot that made me hallucinate that I was high on Mount Baker. That's > what I get for holding it in. What your blood cholesterol levels Jim?
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Date: 19 Aug 2007 22:39:50
From: Jim Flom
Subject: Re: ever have chest pain after?
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"Tom Kunich" <cyclintom@yahoo. com > wrote... > > What your blood cholesterol levels Jim? Funny you should ask. A year and a half ago my LDL was high, something like 240, but my ratios were good. so I addressed some diet issues and cultivated my appreciation of BC VQAs (good domestic (red) wines), and my cholesterol dropped. In U.S. units (supposedly the only country in the world that does it this way), my LDL was a borderline 210, and my ratios, as always, continue to be very good. Meanwhile, the chest business dissipates incrementally. Too slowly for my taste, but I'm restraining myself.
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Date: 19 Aug 2007 19:38:23
From: Tom Kunich
Subject: Re: ever have chest pain after?
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"Jim Flom" <jim.flomREMOVE@telus.net > wrote in message news:WE3yi.115255$xk5.887@edtnps82... > "Tom Kunich" <cyclintom@yahoo. com> wrote... >> >> What your blood cholesterol levels Jim? > > Funny you should ask. A year and a half ago my LDL was high, something > like 240, but my ratios were good. so I addressed some diet issues and > cultivated my appreciation of BC VQAs (good domestic (red) wines), and my > cholesterol dropped. In U.S. units (supposedly the only country in the > world that does it this way), my LDL was a borderline 210, and my ratios, > as always, continue to be very good. > > Meanwhile, the chest business dissipates incrementally. Too slowly for my > taste, but I'm restraining myself. Well, be sure and have a GOOD talk with the cardiologist when you get to see him probably 6 months from now in that really great Canadian health care system. In the meantime be extremely aware of your heart and circulatory system and if you have the slightest problem report to the hospital immediately. The last person I knew with chest pains died while we were talking about it.
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Date: 20 Aug 2007 02:45:05
From: Jim Flom
Subject: Re: ever have chest pain after?
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"Tom Kunich" <cyclintom@yahoo. com > wrote in message news:13chvl09vtu8ld9@corp.supernews.com... > "Jim Flom" <jim.flomREMOVE@telus.net> wrote in message > news:WE3yi.115255$xk5.887@edtnps82... >> "Tom Kunich" <cyclintom@yahoo. com> wrote... >>> >>> What your blood cholesterol levels Jim? >> >> Funny you should ask. A year and a half ago my LDL was high, something >> like 240, but my ratios were good. so I addressed some diet issues and >> cultivated my appreciation of BC VQAs (good domestic (red) wines), and my >> cholesterol dropped. In U.S. units (supposedly the only country in the >> world that does it this way), my LDL was a borderline 210, and my ratios, >> as always, continue to be very good. >> >> Meanwhile, the chest business dissipates incrementally. Too slowly for >> my taste, but I'm restraining myself. > > Well, be sure and have a GOOD talk with the cardiologist when you get to > see him probably 6 months from now in that really great Canadian health > care system. > > In the meantime be extremely aware of your heart and circulatory system > and if you have the slightest problem report to the hospital immediately. > > The last person I knew with chest pains died while we were talking about > it. Thanks Tom. I see my young but excellent primary care guy Friday. J "declining to turn this into a Canadian vs. U.S. health care thread, but wishing for this matter he were in Alberta" F
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Date: 17 Aug 2007 11:38:19
From:
Subject: Re: ever have chest pain after?
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On Aug 17, 10:09 am, "Jim Flom" <jim.flomREM...@telus.net > wrote: > 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. Good to hear. You haven't changed your stem height recently, have you?
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Date: 17 Aug 2007 18:48:38
From: Jim Flom
Subject: Re: ever have chest pain after?
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<rechungREMOVETHIS@gmail.com > wrote in message news:1187375899.245439.289020@l22g2000prc.googlegroups.com... > On Aug 17, 10:09 am, "Jim Flom" <jim.flomREM...@telus.net> wrote: >> 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. > > Good to hear. You haven't changed your stem height recently, have you? Only the viscosity of my chain oil.
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Date: 17 Aug 2007 11:13:46
From: Bill C
Subject: Re: ever have chest pain after?
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On Aug 17, 1:09 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > <rechungREMOVET...@gmail.com> wrote in message > > news:1187363992.852388.316180@q4g2000prc.googlegroups.com... > > > > > > > On Aug 16, 6:42 pm, "Jim Flom" <jim.flomREM...@telus.net> wrote: > > >> 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. > > > After you describe your symptoms, I suspect your cardiologist will > > order a blood test anyway, and very possibly an angiogram. It is not > > rare to have ischemia-related problems in the absence of angina. > > > OTOH, I once had chest pain after a long ride. To my relief, I > > realized I had recently changed the stem height. I put the stem back > > where it was and the the pain went away. > > > Good luck. Let us know what your doc says. > > Thanks all for the no-nonsense, cut-the sh*t, 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- Hide quoted text - > > - Show quoted text - After a little wait, there'll be lots more good days of riding. Glad you went and got it checked. Bill C
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Date: 17 Aug 2007 08:19:52
From:
Subject: Re: ever have chest pain after?
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On Aug 16, 6:42 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > 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. After you describe your symptoms, I suspect your cardiologist will order a blood test anyway, and very possibly an angiogram. It is not rare to have ischemia-related problems in the absence of angina. OTOH, I once had chest pain after a long ride. To my relief, I realized I had recently changed the stem height. I put the stem back where it was and the the pain went away. Good luck. Let us know what your doc says.
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Date: 17 Aug 2007 17:09:24
From: Jim Flom
Subject: Re: ever have chest pain after?
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<rechungREMOVETHIS@gmail.com > wrote in message news:1187363992.852388.316180@q4g2000prc.googlegroups.com... > On Aug 16, 6:42 pm, "Jim Flom" <jim.flomREM...@telus.net> wrote: > >> 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. > > After you describe your symptoms, I suspect your cardiologist will > order a blood test anyway, and very possibly an angiogram. It is not > rare to have ischemia-related problems in the absence of angina. > > OTOH, I once had chest pain after a long ride. To my relief, I > realized I had recently changed the stem height. I put the stem back > where it was and the the pain went away. > > Good luck. Let us know what your doc says. Thanks all for the no-nonsense, cut-the sh*t, 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
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Date: 17 Aug 2007 08:02:07
From: dustoyevsky@mac.com
Subject: Re: ever have chest pain after?
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On Aug 16, 8:42 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > 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. You might be in for an amazing collision with that "explaining to the doc" stuff. Whew. Including some pretty severe punishment for "assuming" (this is a high crime). I'd put a <g > after that last, but there wasn't anything funny about my experiences with this bullshit, and I only asked questions, and not "leading" ones, either. (Context: never forget: they went to medical school, and you didn't!) Yup, gotta find the right doc, get looked at while symptoms are present-- like when your car makes that grinding sound only while turning left at the bottom of the hill on your street. This total layman agrees with other layman opinion here, "it could be anything". And maybe you'll find a doc who is open to inquiry. This is scary stuff, good luck with finding a quick answer! --D-y
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Date: 17 Aug 2007 13:52:12
From: datakoll
Subject: Re: ever have chest pain after?
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ONCE AGAIN, if on the morning after your heart rate is slower than the morning before, feels sounds sluggush labored, and continues during morning actovity THEN you over did the excercise. BUTBUTBUT chest pain also origins in overworked breathing muscles, the same also crushed from leaning over, ditto a bruised pericardium, and heart burn, sp! esophageal difficulty. It is possible to fell rough inside the chest from a good wrokout but NOT suffer morning after sluggish non-recovering heart rate.
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Date: 16 Aug 2007 22:26:24
From:
Subject: Re: ever have chest pain after?
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On Aug 16, 6:42 pm, "Jim Flom" <jim.flomREM...@telus.net > wrote: > I have been pushing it 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. > > Much obliged, > > JF A friend and former teammate had been complaining of chest aches for a number of months before he collapsed and died during a race. He was thirty-seven, a cat 2, and no fatty. Consult a physician.
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Date: 16 Aug 2007 20:42:08
From:
Subject: Re: ever have chest pain after?
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I've been posting around here on asthma some time ago. In my experience, joint pain, asthma, and heart disease are the most common outcomes of "pushing it too far", in the order of increasing danger. Fit people like you are notoriously hard to diagnose, and the problems you are describing come and go. Diagnosis is possible only when the symptoms are there, and an EKG at a doc's office usually does not show anything. Docs are dismissive towards fit people, because they mostly have to deal with fat unfit people who vastly outnumber people like you (by a factor of a 1000?). I would suggest getting a sports- specific doc and being a pain in the doc's butt. I don't know if this is going to show anything, but you can get a EKG monitor which you can wear 24-7 ("LifeWatch"), including the time when you ride. My personal outcome of pushing too hard was adult onset asthma. I do not race anymore and had to go through a very painful withdrawal syndrome. It's always hard to let go of smth addictive, especially if you sincerely believe that the addiction is good for you. In reality, any addiction is bad in the long run.
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Date: 17 Aug 2007 17:29:50
From: Ewoud Dronkert
Subject: Re: ever have chest pain after?
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runcyclexcski@yahoo.com wrote: > EKG Did you know that the ECG was invented by Willem Einthoven, who was also a founding member of my student rowing club? http://www.usrtriton.nl/img/oprichters.jpg Thanks for reading. -- E. Dronkert
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Date: 17 Aug 2007 12:24:18
From: Carl Sundquist
Subject: Re: ever have chest pain after?
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"Ewoud Dronkert" <firstname@lastname.net.invalid > wrote in message news:ldfbc39bbkhq8i87vddr2ipatbji9d7v1d@4ax.com... > runcyclexcski@yahoo.com wrote: >> EKG > > Did you know that the ECG was invented by Willem Einthoven, who was > also a founding member of my student rowing club? > http://www.usrtriton.nl/img/oprichters.jpg > > Thanks for reading. Next you'll be telling us that Hampsten didn't win the stage over the Gavia.
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Date: 17 Aug 2007 13:05:04
From: Jay Hill
Subject: Re: ever have chest pain after?
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Carl Sundquist wrote: > > "Ewoud Dronkert" <firstname@lastname.net.invalid> wrote in message > news:ldfbc39bbkhq8i87vddr2ipatbji9d7v1d@4ax.com... >> runcyclexcski@yahoo.com wrote: >>> EKG >> >> Did you know that the ECG was invented by Willem Einthoven, who was >> also a founding member of my student rowing club? >> http://www.usrtriton.nl/img/oprichters.jpg >> >> Thanks for reading. > > Next you'll be telling us that Hampsten didn't win the stage over the > Gavia. Or that he knows where there are some nice pics...
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Date: 16 Aug 2007 22:45:05
From: Steven Bornfeld
Subject: Re: ever have chest pain after?
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Jim Flom wrote: > I have been pushing it 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. > > Much obliged, > > JF > > This is not a time for self-diagnosis. I agree with Tom on this one. I won't even get into an argument about how you KNOW it isn't angina. Cardiac pain doesn't always follow the classic pattern. Yes, I know of previously healthy cyclists who suffered sudden cardiac death after a ride. Steve
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Date: 16 Aug 2007 18:47:53
From: Tom Kunich
Subject: Re: ever have chest pain after?
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"Jim Flom" <jim.flomREMOVE@telus.net > wrote in message news:C27xi.80226$Io4.63823@edtnps89... >I have been pushing it the last few weeks. Three weeks ago on a hot day I >did a 95 mile up-and-back ride of Mount Baker, WA (elev. 5140') from >Abbotsford, BC (elev. 124') and felt like I pushed it too hard. I had some >chest pain that subsided. This isn't funny Jim. You have to go see a cardiologist as soon as possible. You should NEVER experience chest pain before total exhaustion.
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Date: 17 Aug 2007 10:15:31
From: zk
Subject: Re: ever have chest pain after?
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"Tom Kunich" <cyclintom@yahoo. com > wrote in message news:13c9viiopdgpf76@corp.supernews.com... > "Jim Flom" <jim.flomREMOVE@telus.net> wrote in message > news:C27xi.80226$Io4.63823@edtnps89... > >I have been pushing it 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. > > This isn't funny Jim. You have to go see a cardiologist as soon as possible. > You should NEVER experience chest pain before total exhaustion. > > Jim, Do not wait. I felt similar symptoms at the beginning of March after surfing. Two weeks later I felt the same symtoms after playing ping pong for a few hours. Two weeks after that, at the table tennis club, I woke up to the paramedics and the paddles. Six jolts later I began my reovery. Good luck. Robert
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Date: 17 Aug 2007 01:45:36
From: Jim Flom
Subject: Re: ever have chest pain after?
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"Jim Flom" <jim.flomREMOVE@telus.net > wrote... > BTW, I'm 49.
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