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Friday, June 24, 2016

The Nitty-Gritty on Resting Heart Rate’s Impact on Your Health

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You probably already know that resting heart rate (RHR) is the number of times your heart beats or squeezes in the absence of exertion. You might also know that, generally, the fewer beats your heart makes during periods when you’re awake and relaxed, the better. But beyond that, it’s probably not something you think a whole lot about.

According to Allan S. Stewart, MD, Director of Aortic Surgery and Co-Director of the Valve Center in the Department of Cardiothoracic Surgery at The Mount Sinai Hospital, your resting heart rate is worth paying attention to for the myriad of ways it can affect your health. Here’s the nitty gritty on this little number.

Calculate your resting heart rate in the morning

There’s no better time to calculate resting heart rate than after rest. Take your RHR just before you hop out of bed in the morning, right after a good night’s sleep. “The easiest place to feel your heartbeat is on the wrist or the neck,” says Stewart. “Simply counting the number of beats for a minute to give you the number.” For kids over age 10 and adults, the normal heart rate is 60-100 beats per minute (bpm). Endurance athletes tend to have lower resting heart rates, with numbers ranging from around 40-60 bpm.

RHR tells you if you’re out of shape

If your resting heart rate is on the high side, closer to 100 bpm, “you may just be deconditioned,” says Stewart. Yes, that means “out of shape.” That high number is your body hinting that you should start an exercise program. Continue tracking your RHR every morning as you start working out more frequently—and you should begin to notice a downward trend. “It is exciting and infectious to notice the lowering of your heart rate with each passing week of physical exercise,” Stewart says.

To improve your RHR, choose an endurance exercise

There is no magical exercise to reduce your RHR quickly, so Stewart says to choose some endurance exercises that sounds appealing. “Swimming, cycling, jogging, walking and elliptical are all good choices for heart health,” he explains. “You want 30 or 40 minutes of heart-elevating exercise at least four days a week to start.” Ideally, you want to reach 50% of your maximum heart rate with each workout, which you can find by subtracting your age from 220 bpm. So for a 40-year-old woman, that’s 180bpm. Half that value, 90bpm, should be your goal heart rate while exercising. Double-check with your doc that your exercise regimen is safe for you. You might also want to tell him if your RHR doesn’t respond to workouts—in some cases, this could indicate a heart issue, notes Stewart.

If your heart rate is high with palpitations or shortness of breath, see a doc

As you begin those endurance exercise regimens, a word of caution: Seniors especially should pay attention to high heart rates with shortness of breath during activity. “This may be due to a thickening of the valve that sits between the pumping portion of the heart and the tube that carries blood to the rest of the body,” Stewart says. “The so-called aortic valve is like a thumb on a garden hose. As you tighten that pressure, the heart must work harder for blood to come out.” The heart’s only response is to increase your RHR. The other reason for a high heart rate is an arrhythmia, most commonly atrial fibrillation. “This condition means that the electrical system of the heart has gone a bit haywire,” Stewart explains. “The result is that the top of the heart is not properly communicating with the bottom of the heart. RHR may jump to 150 to 180 bpm and you may feel palpitations.” For both symptoms, don’t mess around. Get to your doc to diagnose a medical condition (or clear you to keep exercising) and maybe get on a medication that can lower your heart rate.

A low resting heart rate creates a fantastic snowball effect

Most of us dislike exercise for one simple reason: It’s hard! Thankfully, if you set out to improve your RHR and get moving, you should see some really awesome effects. “You will notice improved endurance and easier breathing with exertion,” Stewart says. “More importantly, the effect will continue to support itself; as your resting heart rate becomes lower, your endurance will increase, and you will welcome routine exercise.” Isn’t that cool? Easier exercise means you’ll want to keep it up. You may lose weight, notice more energy, and “the whole cycle will empower you to continue with the process,” says Stewart. “A lower resting heart rate will diminish the stress on your valves, reduce the strain on the heart muscle, lower your blood pressure, and reduce coronary artery disease.”

The end result is a dramatically healthier you “that will live longer and live better,” says Stewart—all because you sought to lower your RHR. Pretty cool, right?



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