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People Active During Middle Age And Later Years Need To Take Precautions

Dying during or immediately after physical activity occurs rarely. But the exercise-related death of a prominent Wall Street executive last week nevertheless raises concerns for people who want to keep active during middle age and later years.

Regular exercise is a cornerstone of good health, and its long-term benefits for both longevity and protection against heart attacks, cancer and other ailments are supported in many studies. Doctors say there are strategies to reduce the already low likelihood of a workout turning into a tragedy.

More Frequent The Dose Lower The Risk Study Finds

Researchers looked at 16,500 men treated with PDE5 inhibitors with just under 2,000 of them receiving alprostadil. The data was collected from the patient, drug, and cause of death registries in Sweden.

Researchers showed that the men receiving PDE5 inhibitors not only lived longer, but also had a lower risk of new heart attack, heart failure, balloon dilation, and bypass surgery than patients receiving alprostadil.

According to the study, this protection was dose-dependent, meaning that more frequent doses of PDE5 inhibitors resulted in even lower risk.

Goyfman emphasized that this study was observational, and only found an association between PDE5 inhibitors and decreased mortality compared to patients taking alprostadil.

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The Study Had Some Limitations

The researchers gathered data from 16,548 Swedish men who had experienced both ED and a heart condition in the last six months. Of those, under 2,000 received alprostadil and the rest received

The study was observational, meaning researchers did not control the experiment but rather gleaned trends from data.

Questions Remain On Marijuanas Benefits And Risks

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Most of the evidence linking marijuana to heart attack and stroke is based on reports from people who smoked it. So its hard to separate the effects of cannabinoid compounds on the cardiovascular system from the hazards posed by the irritants and carcinogens contained in the smoke. Because cannabis smoke is known to cause airway inflammation, wheezing, and chest tightness, people with lung diseases should not smoke it. Other people who should just say no to marijuana include those who may be vulnerable to developing schizophrenia or addiction.

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Black American Communities And Heart Attacks

While the overall risk of heart disease varies among different racial and ethnic groups in the United States, there is less data on heart attacks specifically.

According to the American Heart Association, the rate of cardiovascular disease in Black Americans is about 23 percent higher in men, and 33 percent higher in women, compared with the overall U.S. population.

Non-Hispanic Black Americans have the highest rate of death from heart disease at 208 per 100,000 people, according to the CDC. Next come non-Hispanic white Americans at 169, Hispanic Americans at 114, and Asian Americans at 86.

Researchers have found that among U.S. hospitals with sufficient data, the rate of death from heart attacks in Black patients was nearly identical to that of white patients. But the hospital readmission rate for Black patients was 4.3 percentage points higher than for white patients, according to an investigation published September 2018 in JAMA Open Network.

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More Research Needed To Confirm Findings

We showed in 2017, in a paper in Heart, a longer life span for men with a recent MI who were taking PDE5i, said Holzmann in an interview with Healthline. There is one study on patients with diabetes with similar findings.

In addition, in the general population it has been found that men who use PDE5i have a lower risk of cardiovascular disease, he continued.

Goyfman said the reduced risk of heart attack might be due to how this class of drug influences one particular risk factor for cardiovascular disease.

PDE5i are known to cause a decrease in systemic blood pressure, he said. And since high blood pressure is a risk factor for cardiovascular disease, it is theoretically possible that patients with PDE5i would have lower, or better controlled, blood pressures.

Although he cautioned, this is strictly hypothetical, and can only be verified by conducting a randomized controlled trial.

Until that occurs, this study is unlikely to change current medical practice, Goyfman concluded.

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The Link Between Extreme Exercise And Heart Attack:

Research on powerful runners, athletes shows that their heart damage a little bit, and they have risks for heart attack. These minute risks usually go away, but if there is extreme physical stress, this temporary heart risk may lead to permanent and can shape up with heart attack or stroke. Furthermore, it is proved that extreme Exercise can lead to cardiovascular diseases such as heart attack, stroke, and sometimes sudden death.

Research

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When To Consult An Andrologist

Gravitas: Why are so many young people dying of heart attacks?

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Types Of Exercise To Prevent Heart Attacks

Now that we know how exercise can reduce the risk of heart attack, its time to get moving. But you may be wondering which exercises to do. Dont worry. We have the answer.

Heres a list of exercise to prevent heart attack-

  • Aerobic Exercise Aerobic is a high-intensity workout. It is considered as the best exercise for the cardiovascular system. It is should be done 4-5 times a week.
  • Strength training- This is also known as resistance training. This includes strengthening muscle groups in the upper and lower parts of the body.
  • Stretching and Flexibility- These exercises can be performed while sitting at one place. Stretching leads to slow strengthening of muscles. These also help in preventing injuries during work out.
  • Walking-A study shows that walking as an exercise reduces risk of heart attack by 31%. Walking improves good cholesterol and reduces high blood pressure.
  • Swimming- Swimming is a great way to build strength. Swimming is effective for your whole body. The temperature of water in the pool must be noted before entering.
  • Yoga-Yoga has a wide range of health benefits. It is a mind-body activity that impacts heart-health in a good way. Yoga is also a great stress-buster.
  • Cycling- Cycling can be done by people of all age groups. It causes less strain and injuries compared to other forms of exercises.
  • NOTE: If you are a heart patient, you should talk to your doctor before starting any exercise.

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    Helps In Maintaining A Healthy Diet

    Exercises and a healthy diet compliment each other for heart attack prevention. If you spend time improving regular physical fitness, you would be able to manage your goal towards a healthier diet.

    What you eat determines your weight, your hormones, and your overall health. Exercising will help you in sticking to the resolution of a better and healthier diet. Apart from the health benefits, you would be motivated to eat right. Since you spend so much time sweating at the gym.

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    Dont Worry About Sudden Cardiac Arrest During Exercise

    Getting regular exercise is the best way to prevent most types of heart diseaseincluding sudden cardiac arrest.

    Images: Thinkstock

    New findings may help allay fears about sports-related heart death.

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    • Research health conditions
    • Prepare for a doctors visit or test
    • Find the best treatments and procedures for you
    • Explore options for better nutrition and exercise

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    How Sildenafil Is Used

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    How long before sex should I use sildenafil?

    Sildenafil can be used as early as 4 hours before sex and as late as 30 minutes before sex. However, it is recommended to use this drug within an hour before sex.

    How often should I take sildenafil?

    Sildenafil should not be taken for ED more than once in a 24-hour period. But if you have certain medical conditions or are taking other drugs, your doctor may recommend that you take this drug less often than once a day.

    Should I take sildenafil with food?

    Sildenafil can be taken with food or without food. It is important to note that certain foods, particularly foods high in fat, can cause the drug to work more slowly than normal.

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    Use Training As Preventive Medicine

    Dr. Jon Magne Letnes, the studys first author, also further comments on the findings. Our results should encourage people to use training as preventive medicine, Dr. Letnes says.

    A few months of regular exercise that gets you out of breath can be an effective strategy for reducing the risk of cardiovascular disease.

    Dr. Letnes explains that cardiorespiratory fitness offers insights into so much more than just endurance to exercise.

    Fitness isnt just a measure of how much youve trained in your life, but it also tells you what kind of genes you have, he says.

    Other factors like obesity may also affect fitness. So we measure a lot of the bodys functions, and from other studies, we know that both genes and physical activity play a role in how your heart and blood vessels function, Dr. Letnes explains.

    The studys first author thinks doctors should consider fitness measurements when evaluating heart disease risk.

    Although it may be inconvenient and difficult to measure oxygen uptake at the doctors office, some simple and relatively accurate calculators exist that can provide a good estimate of fitness and disease risk, he advises.

    How Can I Lower My Cholesterol

    Here are a few tips for lowering cholesterol:

    • Eat fewer fats and fried foods. Choose non-fat and low-fat versions of foods, if available.
    • When eating fats, select unsaturated fats.
    • Choose fish and poultry more often than red meat.
    • Limit total amount of meat, fish, poultry, and low-fat cheeses to 7 ounces or fewer each day.

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    Intense Workout And The Risk Factors Associated With It

    They may be the trend, but doctors beg to differ. They advise against HIIT or any intense workout unless you are a professional athlete. Pushing your body beyond its natural endurance levels goes against the basic tenets of science and is not advisable.

    Contrary to popular perception, studies show that people who worked out 4 times or more in a week were equally at risk of dying from stroke or heart attack as those who were physically inactive for the most part of a week. Shocking? Yes, but this once again highlights the importance of moderate exercise. The message is clear working out a lot does not mean you are healthy.

    Studies have also shown that men who worked out intensely for more than 5 hours a week were more likely to have irregular heartbeats than those who engaged in moderate physical activity.

    So, what happens if you work out too much? Find out the risks of exercise.

    1. Heart attacks

    2. Weaker immunity

    This might seem odd since exercise is linked to a stronger immune system. Research shows that the immune system is at its peak during exercise but becomes weaker for the next 3-72 hours. This makes us prone to attacks by bacteria and viruses, thus causing a higher risk of infections and diseases. But moderate exercise does improve immune strength in the long run.

    3. Burnout

    4. Lower libido

    Research shows that men who tend to overtrain end up with low sex drive. They seem too uninterested and too tired to be aroused and engage in sex.

    6. Irregular periods

    When Side Effects Are An Emergency

    Warning signs symptoms of a heart attack

    If you get any of the following serious side effects, or signs of an allergic reaction, you should get emergency medical help by calling 111 or 999 or see the NHS page on emergency medical services.

    • Serious side effects:
    • Sudden wheezing or chest tightness
    • Trouble breathing or dizziness
    • Swelling of the eyelids, face, lips, or tongue
    • Vision getting worse or loss of vision
    • Serious skin reactions:
    • Blistering around the mouth, genitals, and eyes

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    Exercise Is Key To Weight Control

    Especially when combined with a smart diet, being physically active is anessential component for losing weight and even more important for keepingit off, Stewart sayswhich in turn helps optimize heart health. Beingoverweight puts stress on the heart and is a risk factor for heart diseaseand stroke.

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    But Exercise Is Beneficial To Your Heart Health In General

    Exercise is good for your overall health and that includes your heart health. According to the AHA, physically active peoplelike those who walk regularlyhave a 50 percent lower risk of heart attack and sudden cardiac death compared to inactive individuals. Beyond that, adults who are more physically active once they reach 50 have a seven to eight year higher life expectancy. The AHA says that aerobic exercises like walking, running, cycling, or swimming are great ways for people to maintain regular physical activity.

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    Nutritional Tips For Safer Exercise And Healthy Body

    Nutrition provides the fuel for your workout and the post-workout recovery. It also helps in keeping you healthy overall and keeping diseases at bay.

    Follow these nutritional tips for a better and safer workout:

    • Get enough protein, but not too much
    • Drink fluids often
    • Do not exercise on an empty stomach load your meal with complex carbohydrates
    • Eat iron-rich foods like chickpeas, oysters, soybeans, spinach
    • Include vitamin C rich foods like lemon, orange, amla, and bell peppers
    • Have balanced pre- and post-workout meals, like peanut butter on whole-grain toast, a plain yoghurt with nuts, homemade fruit smoothie with protein powder, apple and cottage cheese slice
    • Dont forget your veggies they are rich sources of many vitamins, minerals and antioxidants that promote overall health and reduce chronic disease risk

    Eat healthily and exercise for good health. But maintain moderation in both. You can consult a nutritionist if you need a customized diet plan.

    Bottomline

    FAQs

    1. What is high intensity workout?

    Any form of cardio exercise that is performed vigorously for 10 minutes or more where your heart rate reaches 75% or more of your maximum heart rate is a high-intensity workout. During such workouts, the heart rate could reach up to 80-85% of your maximum heart rate.

    2. Can gym cause a heart attack

    It depends on the kind of workout. In moderation, you should be safe. But intense workouts increase the risk of cardiac arrest.

    3. Can too much exercise cause heart problems?

    Youve Had A Lot Of Caffeine

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    While most people can handle a certain level of caffeine just fine, overdoing it can make your heart speed up. A bunch of patients come to see me with an elevated heart rate, then they tell me they drink multiple highly caffeinated beverages daily, Dr. Mills-Frazier says. Theyre revving themselves up. This is most likely to happen if youve had too much caffeine, but it could also happen in response to small amounts if youre just sensitive to this stimulant.

    According to the Mayo Clinic, its safe for adults to have up to 400 milligrams of caffeine a day, or around the amount in four cups of coffee, 10 cans of soda, or two energy drinks . Try cutting back on caffeine gradually to see if it reduces your racing heart. If not, get in touch with your doctor.

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    How To Identify Nitrates

    If youre on medication for a heart condition, you may not be aware youre taking nitrates, especially if your drug isnt generic.

    Others include riociguat , alpha-blockers and other medications that are used to treat hypertension.

    If youre unsure what youre taking, carefully read the packaging to see if it contains any of these nitrates and consult your healthcare provider.

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