Heart Rate Does Not Increase After Exercise

Patient

Q: Hi - I am an obese male, 38 yrs old, living in the UK. I recently started an exercise regime; boxing on a punchbag, etc, at a reasonably intense level. I'm about 120kgs at a height of 175cms, so have a bmi of about 39-40. I am on a low dose of bisoprolol (1.25mgs per day) to control mildy-elevated BP, and take sertraline and simvastatin, for ocd and anxiety and cholesterol respectively. I have noticed that my heart rate recovery is poor; after exercising hard for about 25 minutes, my heart rate went from 111bpm to 97bpm (the last time I exercised) over two minutes after stopping exercise. There's lots of articles saying that this is a good predictor of mortality, but I would like to know what this can say about a person in my position; that is, no 'actual' diagnosed heart condition, rather symptoms associated with obesity or metabolic syndrome. Is it indeed dangerous for me to exercise? Presumably the beta-blocker bisoprolol that I'm taking could also affect the recovery rate as well as the peak heart rate? Thanks for your time, Matt

Doctor

A:   It is very likely that the beta-blocker (bissoprolol) that you are taking is preventing the increase in heart rate during an exercise. Patients on beta blockers are not able to reach their desired target heart rate even after exercising at a proper intensity level. However, this does not mean that your exercise is ineffective and that you are not benefiting from the exercise.
I would advise that you consult your doctor. An excercise stress test can be done to check the flow of blood through the heart during an exercise. This will help to determine what your appropriate target heart rate should be. You can also try monitoring your resting heart rate and then try to target a heart rate 20-30 beats per minute higher than the resting rate.

Related Q&A

Q: During and after exercise parts of my skin become become very red and feel very hot. Have you any idea what this coul...

Q: Hey there. I'm a 55 year-old male and I was wondering if my Aortic Arch looks "normal" on this CT Scan? Ext...

Q: I was working out last week doing various squat exercises and ended up squeezing my vagina muscles way more than I sh...

Q: Hi the week before last i started a new job and manage to find a go go pill I took it last wednesday its a insurance...

Q: 83yr old male,6"185 lb,exercises reg,3times a wk for 11/2 hr.Currently treated for hi bld pres with low dose ado...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews