QUESTION: Because of a case of high blood pressure that was difficult to treat, I am now under control with medication (beta-blocker).
I think I would feel even better if I could participate in an exercise program we have here, but as you know, my pulse is also lower due to medication.
Can I participate in the program and will it do me any good to try?
ANSWER: Many people must find themselves faced with your problem, for since their introduction in 1966, the beta-adrenergic blocking drugs have become widely used to treat a variety of heart conditions as well as hypertension. As you correctly note, these medications affect your heart and therefore your pulse rate, and may lower this rate from 15 to as many as 60 beats per minute when you are exercising at moderate levels, the amount depending upon your body's reaction and the dose of medication you are taking.
But the effect on circulation may be less dramatic, for as the heart beat is slowed, the amount of blood pumped out with each contraction increases, keeping the flow of blood to the body near normal.
The beta-blockers may also lower your breathing or maximal ventilation capacity, which may in turn diminish your ability to continue your exercise activity over prolonged periods.
However, the results of a number of investigations that deal with your question would seem to indicate that you may well derive considerable benefit from a training program.
There are a few precautions for you to take.
The amount and type of exercise should be based upon the results of a treadmill test, which should be conducted as much as possible in a manner that simulates the conditions you will be under when exercising.
You should be on the type and amount of medication that you will be taking during the time of your new activity. Since it is apparent that you had trouble in controlling your blood pressure, changing medications may not be advisable in your case, but the beta-blockers that act primarily on the heart allow greater flexibility in planning, and therefore a greater return from a well considered exercise program.
The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician.
Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.
