Elevated HR 12 months later

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  • #72799

    I’m not entirely sure this is a result of Covid but I’ve reliably tracked a raised HR of 15-20 bpm since Nov last year (Mainly trail running/hiking). I’ve also been diagnosed with ectopics as I started getting flutters at the same time. Wondering if anyone else has had long term elevated heart rates and how best to resolve this. It’s meant that I’m a Zone above what would normally be expected in all my training. I’ve tried to spend time focusing on Z1 training but there doesn’t seem to be any adaptation. It feels like my heart is super sensitive with an increase n effort resulting in elevated bpm compared to what I would typically see. Here’s a hr comparison at the same pace and on the same course, typical of what I’ve seen before and after this happened.

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  • Moderator
    Thomas Summer, MD on #72814

    Hi Dave!
    Elevated HR (especially during exercise) is seen quite often after Covid. You were sick one year ago!? That’s quite some time! Any other symptoms? What about the ectopics? How often? How do you feel them? Is it restricting your training?
    Have you seen a cardiologist? ultrasound of the heart? bloodwork? ECG? ECG while exercising? …
    again more questions than answers;-)
    hope it helps anyway!

    davelockyer101 on #72827

    I’m not sure if I had Covid unless I was asymptomatic. The ectopics were happening several times a day to start with but are now less noticeable and mainly at bedtime when supine. I had an ECG which picked up the ectopics but nothing else and the echo cardiogram didn’t show anything physically wrong with the heart. Bloodwork hasn’t shown anything either. I was suffering from deep faitgue but this has improved a lot in the past month. I’m able to train OK but with my HR being a Zone above where it typically was and with no adaptation happening it means that at an easy pace I’m in upper Zone 2 when I would usually be in Zone 1. It’s all been very puzzling and I was hoping things would settle down but a year later there doesn’t seem to be any improvement. I could just forget about it and accept that my Zones have changed but I know there’s something not quite right which I’ve been trying to get to the bottom of. The doctors are reluctant to recommend further tests here in the UK and going private is very expensive….

    Thomas Summer, MD on #72880

    How much did you train in the last year? And before? Maybe overtraining is something to consider? Any other illnesses? Covid seems to be an unlikely cause, if you never had it;-) if you want to get totally sure about that you could do a blood test for antibodies.

    davelockyer101 on #72882

    Thanks for the interest. Last summer I built up to a fastpack challenge with most weeks at about 7-10 hrs of training on non peak weeks but also with quite a bit of work/life stress coming out of lockdown here in the UK. Looking back at the data, I think the issues started after a fastpack attempt in Sept which I abandonned with suspected Rhadbo (I think did an ME workout too soon before this with muscle damage still in the system). I felt unwell for a couple of weeks after this and the ectopics started roughly about the same time. I reduced my training and kept things really gentle, with a lot of hiking but looking back the heart rate became elevated around the same time. Stress wise things have really settled down and I’m back into about 5-7 hours of training each week but for some reason the heart rate still feels super sensitive to any increase in effort. If I did overdo it then could it still be elevated a year later and what can I do to bring it down?

    Thomas Summer, MD on #72886

    Overtraining is not the result of just one or two big efforts. But that can push you over the edge, if you were close before. It can take quite a while to get back to normal. How is your fatigue improving? You should really keep the intensity below AeT as long as you don’t feel truly healthy. Are you training anything else than endurance? Sometimes a change in the routine brings good improvements. I would also recommend to do a stress ECG while cycling, or running on the treadmill. Just to see if there is any problem when your heart is at it’s maximum.

    davelockyer101 on #72893

    Thanks. The fatigue has definitely improved in the last month and I feel OK healthwise apart from the occassional ectopics. Most of my training is below AeT most of the time anyway. I do a few progression workouts on the elliptical which take me above for the last 10-15 mins but everything else is endurance, although there’s a lot more at upper Zone 2 than usual due to the elevated HR. It’s pretty hard to get referred for any further test here and I’m considering buying an ECG device so I can check things out myself. Do you have any suggestions for how I could mix things up a bit. I don’t have any particular agenda over the winter apart from maintaining fitness and sprinkling in some functional strength training once a week…

    Thomas Summer, MD on #73040

    Some more playful things: climbing, dancing, ball games (tennis…) True endurance training only if you feel healthy and it don’t creates more than “normal” fatigue.
    I wouldn’t recommend buying an ECG. Only if you can really read it and don’t drive yourself crazy with it;-)

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