Patient :I'm 55 in a good overall health condition. All my life I have been doing sports like swimming, tennis, weight room. Recently, I start feeling that I don't have enough energy, have tiredness after doing sport. Need at least one day with no sports to feel good again. I was swimming in my childhood 10 years professionally and 9 months ago started to swim and participate in masters swimming events again. I'm practicing quite intense 3 times a week. In between days with swimming, I'm playing tennis.
Is that, perhaps, too much in my age? I start to worry.
Perhaps, I feel tired and recover slower, because I have very low pulse rate? Just measured my blood pressure. It was perfect - 120/80, but pulse only 45...
Just read in Internet:" A heart rate of less than 60 beats per minute (BPM) in adults is called bradycardia. What's too slow for you may depend on your age and physical condition. Physically active adults often have a resting heart rate slower than 60 BPM but it doesn't cause problems."
Is my pulse rate too low or it is OK with my life long sports activities? Do I feel lack of energy because of low pulse rate? How to get energy? I'm eating healthy products, sleeping at least 8 hours.
Symptoms: Low pulse rate at perfect blood pressure. Lack of energy. Tiredness. Slow recovery after sports.
Thanks for your query and an elucidate history.
Read and understood your history well.
To recapitulate important points: Male/55 - sports all life - recently feeling low energy and tiredness after doing sports - thinking of low pulse rate as a reason in spite of good BP - Read internet about bradycardia - wants to know more -
Is that, perhaps, too much in my age? (9 months ago started to swim and participate in masters swimming events again. I'm practicing quite intense 3 times a week. In between days with swimming, I'm playing tennis. )
> 9 months is a long time to have a practice, intense - thrice a week. in between playing tennis.
Both these activities are strenuous and need a great stamina. It is possible that the intensity and duration of swimming and playing tennis may be in fact more than the stamina one has at the age of 55.
The Duration and the intensity be reduced and see the effect; it is possible to titrate your timing and intensity and to see the effects.
Is my pulse rate too low or it is OK with my life long sports activities?
> I think that your heart rate may be normal with the history you have provided of long sports life. The most important point to be noted is your heart rate and blood pressure during or immediately after the sports activity that you are doing to know the readings on exertion. That is the reason I would advise you to undergo some tests as follows:
EKG, stress test and echo-cardiography as these basic investigations will help us to know the exact position of the cardiac/circulatory system to decide whether the pulse rate of 45 is normal for you, supports your heart and the body well or not.
Do I feel lack of energy because of low pulse rate?
> as explained above, it is not necessary that the low pulse rate of 45 (one reading that you have noted)
is the sole reason for lac of energy. This may not be applicable to you as you would have developed other symptoms of breathless on exertion, palpitation, spells of fainting or so. Since you are already involved into such sports activities that you have noted, it would not have been possible for you at all.
How to get energy? I'm eating healthy products, sleeping at least 8 hours.
With the limited knowledge we have at the moment, just reducing the duration and intensity of the activities you are doing we can see the changes.
I would like to know you pulse rate and the blood pressure at the moment, after doing some exercises like climbing the stairs or so and after the swimming/ game of tennis.
Please give feedback about any investigations you have done till now, any medical problems like diabetes or allergies or so.
Please tell me the about what you are doing at the moment and the pulse and blood pressure at the moment.
Please feel free to give more feedback, ask further queries if you need to or if you feel that there is a gap of communication.(for any points I might have missed.)
I shall be happy to assist you further.
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