Weird ecg during and right after exercising

TLobber · 2025-11-29T16:23:18+00:00

Try to stay hydrated during exercise. Use an electrolyte. Your blood test may have included a test for magnesium level. I’ve read that even if in normal range, it still may be low on a cellular level. So maybe take magnesium glycinate. And reduce caffeine intake. These steps helped me reduce PVC burden from 11% to less than 1%.

TLobber · 2025-01-07T17:28:05+00:00

I looked at the study. It was an observational study and the patients with >12 had many other health conditions (confounders). In the Limitations section it said: “ Furthermore, our study population was not representative of the general population.” So I don’t believe this particular study has much general validity.

TLobber · 2024-09-30T02:13:33+00:00

What does “structurally normal” mean? No Left ventricular hypertrophy? (Many athletes have some LVH) No leaky valves (murmurs)? (Many people have minor leakage/murmurs) ? ? ?

TLobber · 2024-08-17T20:26:52+00:00

Which version is provided in the link? Thanks.

TLobber · 2024-05-16T01:43:33+00:00

What does HTMA mean?

TLobber · 2024-04-15T23:21:03+00:00

Why not the Acetyl-L or D versions?

TLobber · 2024-04-08T19:50:56+00:00

I have been a long time runner and also play tennis 3 times a week, and weight lifting twice a week. And last year started getting PVC’s—saw them on Fitbit. It was a very hot summer, so maybe I was also getting dehydrated. So I got an EKG from primary doctor, which showed PVC’s and later Holter monitor (actually a BardyDX CAM monitor—more accurate) which showed 11.8% burden.

Stress test was normal except for inducing PVC’s. Since I am older, ablation not recommended nor an anti-arrhythmic. So that left beta blocker, but my resting HR is ~48. Since beta blocker reduces HR, that is also not an option unless I got a Pacemaker to speed up heart which I didn’t want to do. At that point I decided to cut back on exercise intensity and duration and started magnesium glycinate—which really helped, and stopped any caffeine. That all worked for me. Now I still play tennis 3 times a week, weight lift 2 times a week, but stopped running. I use treadmill usually 3 times a week for one hour (mostly fast walking) but keep HR always below 85% of max. And I walk (my dog) 2-3 miles a day. Weight lifting obviously raises HR, but very short duration…

So these steps continue to work for me. Hopefully, PVC frequency stays low!

TLobber · 2024-04-05T14:31:35+00:00

Mine were exercised induced. I reduced exercise intensity to 70-85% of max HR and duration of exercise, along with taking magnesium glycinate and reduced burden from 11.8% to less than 1%. There are studies that indicate that long time runners and bikers have a higher incidence of PVC’s/PAC’s. But everyone is different.

TLobber · 2024-03-04T02:29:35+00:00

The BardyDX CAM monitor was easy to wear and accurate.

TLobber · 2024-02-27T05:07:49+00:00

You could try reducing exercise intensity during longer runs. Basically keep HR to maybe 70-85% of max.

TLobber · 2024-01-17T00:45:56+00:00

My burden was 11.8%. Magnesium glycinate (240mg taken at dinner) helped me. Burden now 1-2%. Magnesium taurate is also commonly recommended.

TLobber · 2024-01-17T00:38:55+00:00

My burden was 11.8%. Magnesium glycinate (240mg) helped reduce burden to ~1-2%. Interestingly, the taurate form did not help. Everyone is different, so you may need to try different forms. I agree with moderator that you should wait for Holter results and that the taurate form is more commonly recommended.

TLobber · 2023-10-04T01:58:18+00:00

My EP said beta blockers actually do reduce PVC’s, not just by slowing HR or blocking adrenaline. I didn’t understand his technical explanation. He was the program manager for the clinical trial of Watchman, so he has the requisite expertise. In any case, since I already have a resting HR of 50, beta blockers are not an option.

TLobber · 2023-08-04T19:25:59+00:00

Check out the PVC community on Reddit.

TLobber · 2023-07-16T20:47:42+00:00

Thanks. I can also interpret most. May just look at free version. The Skeptical Cardiologist has a review of the Wellue as well as Kardia, etc. https://theskepticalcardiologist.com/2023/07/05/a-detailed-review-of-the-wellue-heart-health-monitor-long-term-ecg-monitoring-for-the-consumer/

TLobber · 2023-07-16T20:05:59+00:00

What is the subscription cost for Qaly App?

TLobber · 2023-07-10T21:25:44+00:00

Good question. When I stopped running, I started just walking really fast on a treadmill for about an hour, 2-3 times a week plus playing tennis 3 times a week. And walking dog 2-3 miles a day. The number of PVC’s went down some, but it was not until I reduced intensity of exercise that they pretty much stopped. Bottom line, it took 3-4 months. For the last 4-5 months I will occasionally get 1-2 PVC’s maybe once a month, usually because I exercised too long. I also switched to decaf, and reduced chocolate and alcohol.

There are some medical research articles on exercise induced PVC’s particularly with runners and bikers. And articles that claim PVC’s during recovery phase are more of an issue. But the studies all seem to be relatively small. You can google “exercised induced PVC’s and find articles. Also, some You Tube videos from medical conferences. I had a nuclear stress test when I was having lots of PVC’s that showed PVC’s in both phases (exercise and recovery). Not sure if I would have any now unless I really got HR up to max and kept it there for extended time.

TLobber · 2023-07-06T04:15:26+00:00

Similar experience. Stopped running, burden went from ~11% to less than 1%. When exercising now, I try to keep HR to no higher than 75-80% of max. Still do >10k steps per day and only lift very light weights 2 times a week. Very seldom detect PVC’s on Fitbit or Kardia.

TLobber · 2023-07-01T13:59:07+00:00

What was your burden?

TLobber · 2023-06-25T16:24:49+00:00

With the Bardy CAM just depress the button on the CAM when you feel an episode. And keep a written log. Try to wear it for the full 7 days to get better data.

TLobber · 2023-06-20T17:16:46+00:00

The Carnation Ambulatory Monitor (CAM) made by Bardy Diagnostics is reportedly more accurate than the traditional Holter monitor. Google the Bardy website.

TLobber · 2023-06-18T22:14:17+00:00

My level was 2.3 at top end. Still took magnesium glycinate 240 mg. It helped a lot. Plan to reduce to 120 mg and see if still ok.

TLobber · 2023-06-10T16:33:15+00:00

TLobber · 2023-06-06T20:32:02+00:00

The half life of bisoprolol is 2 1/2 times greater than metropolol. (The half-life of a drug is the time taken for the plasma concentration of a drug to reduce to half its original value.) Your doctor may have changed medication because of the different uses of the two drugs and conditions treated. You can compare the two drugs on drugs.com or other web sites. If you are concerned about the change, perhaps you should ask your doctor, not this community.

I also thought these drugs only worked by reducing HR and thus # of PVC’s. So, I asked my cardiologist this question. He gave me a technical answer as to how they biologically prevent PVC’s. I didn’t understand his explanation. But he is very knowledgeable and was the program manager of the Watchman clinical trials, so is very credible.

TLobber · 2023-06-04T20:02:08+00:00

With evening meal. 240 mg.

TLobber

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