I am a retired GP. In a 30 year career I saw several hard training amateur athletes in middle age who developed atrial fibrillation. I do not remember one where alcohol, particularly binge drinking was not a factor. Some sports and some athletes had a culture of "reward" drinking. Hopefully this is reducing. My advice is that if you are training at all seriously you should not drink alcohol. Many thanks to Professor McCann for pointing this out.
Thank you for your insight. I really wish more people would deduce from the advice and experience so many medical professionals have that alcohol and even diet play so much a larger role in our overall health and abstain from poor choices.
I can concur with what you say,i have had a cardiac ablation as i used to push myself silly doing time trials. Although i am ok now i still push but never let myself go over a threshold of 163 bmp any more i know im in the red im 62 and 86 kilo and still pretty quick.Everyone should know there limits
@@davemellor4697 Raced amateur cat 3 & masters for years. Train like a possessed maniac. I set my HR max at 185. 66 years old @ 1.7 m tall (5.7') hitting 68.5 kilo at end of spring training. Cycle Life Forever!!
I certainly believe alcohol played a role with me developing Paroxysmal Afib 4years ago. There is definitely a culture of "reward drinking" for going hard on physical activity. Fortunately my episodes last only a few hours and always associated with now even a few drinks in the evening. Fortunately there's plenty of high quality non-alcoholic beers these days which makes cutting back a lot easier. I'm probably going go with cryo ablation this year because even though it only happens a few times a year over the last 4 years I absolutely hate the way it makes me feel. I want to stop it before it gets worse.
According to my doctor, it was my strong heart and huge lungs that saved my life when I had a severe case of Covid. Two doctors wanted to put me on a respiratory but the head doctor knew my cycling history and said no. 40 years of bmx and road cycling saved my life. That and a great doctor.
@@darrenthomas9928 Has not being able to smell or taste for so long changed what foods you eat? I think I'd be eating a LOT more veggies if I had lost my senses for that long when I got Covid (It only lasted for about three weeks for me).
@@darrenthomas9928 people need to understand that Covid makes permanent changes to our bodies. And our collective inaction only makes it worse. 30 years from now is gonna be a rude awakening.
I’ve been cycling for 40 years and had a heart bypass 3 weeks ago. Being a cyclist means I have big arteries, meaning that an 80% blockage of my left anterior descending artery didn’t result in a heart attack. Only symptom I had was pain in my left shoulder blade while cycling to work, which I got checked out.
This is the most important video I have ever seen on GCN. I have been cycling for 20 years. My rides are usually 40 to 70 miles. I was diagnosed with a-fib in 2010 but hey were short episodes so my cardiologist wasn't concerned about my riding. When I turned 65, they put me on blood thinners (standard procedure). Three years ago I crashed while riding, breaking my collarbone and four ribs and getting a serious hematoma on my hip. The doctors' concerns initially and in the following days led them to tell me to give up cycling. Riding means so much to me mentally and physically, and I can't do that. I won't live on blood thinners the rest of my life. I sought an electro-cardiologist who was an avid cyclist, and he performed ablation on my heart. I am now cleared to ride, but I've always wondered about the long-term effect on my heart. I took the information from the video to my cardiologist. He went through my MRI and my condition with me and has agreed that my riding is not a concern, and as your video pointed out, the exercise has actually improved my physical condition. I'm nearly 70 years old now, ride four times a week and am as active and healthy as I've ever been. Thanks for this insight.
I love this! Being a triathlete and endurance runner, I’m always hearing “my doctor said I can’t run/bike because …..”. There are some exceptions, but my thought is always if a doctor says you can’t do the exercise you want and should do, then find a doctor that is able and creative enough to do what they need to to allow you to exercise safely!
Another approach to consider if doctors are worried about AF episodes leading to passing out and crashes on the bike: fast trikes are available that don't look or feel goofy to ride. It's a way to lower crash risk without deleting pleasurable and healthy exercise.
Thanks for this. I am an avid cyclist - usually doing around 4-5000 miles / year. I'm 59 years old. Last November, while out on a ride, I had a sudden cardiac arrest and my heart stopped. Luckily a nurse was nearby and performed CPR on me until the ambulance arrived. I survived and now I'm back riding again! When I had an angiogram in the hospital it was discovered that I had a heart attack at some point in my past! I had no idea. Silent heart attacks are real.
Your experience is very similar to mine however I was diagnosed with ARVC which is progressive. I continue to ride but last year finally went to an ebike and don't push my HR over 110bpm now.
I played basketball competitively for years until my knees went south, then took up cycling and raced for over 25+ years. In the last year I was diagnosed with an enlarged heart and was put on meds with risk of atrial fibrillation and strokes. I still ride 6 days a week but at an easy pace. I finally realized there’s no Tour De France for me.😊
This is good work. Like Simon's earlier feature on sun damage and risk to skin, it provides expert level information that we either may not easily find elsewhere in understandable terms, or information that we may not think or bother to look up. I commend it and applaud it. This is where GCN excels, these features that concentrate on us at a human level; likewise the interest and entertainment we get from watching the challenges that demonstrate what humans are able to achieve. Not that I don't enjoy the tech geekery, the occasional historical features, the presenters and the bantz. Well done GCN. In the words of OB ... Love you!
Well done Si and Mark for sharing your personal (and usually private) health information for the benefit of all. This stuff is important but little publicised
I am a 78 yo retired ER physician and I get Exercise Induced AF. I have learned a ton about the natural history of the disorder and have learned how to control it. Several thoughts are worth passing on. The most important is that I watch my rate on my Garmin 1030 like a hawk and keep it under 140-150 when I am trying for a Strava segment PR. If I ignore that and keep pushing it I can go Into AF. Also, a myriad of things make AF much more likely: massively important is alcohol intake the night before, chilling, dehydration, too much coffee, AND extremely important is a slow 5-10 mile warmup. Going for speed without a proper warmup will bring it on. I also note that I am much more prone to SVT with each increasing year of age. This also comes on without warmup but I find that if it develops I can ride through it at fairly high intensity if I just keep the rate under 180. I know AF because it makes me feel like I may pass out. SVT on the otherhand gives only the slightest feeling but I know I have gone into it because my pulse will be about 30 beats per minute faster for a given level of exertion than it should be or normally is. There is no way I will take a blood thinner or get a cardiac ablation as all the doctors recommend. It is totally manageable by understanding the mechanism of disease and altering the factors which induce the condition. I hope this information helps others who might also be prone to the condition. Also, as far as alcohol goes, I really enjoy a fine red wine and I have discovered that I can get away with having 2-3 glasses per night but only for 2 nights per week.
Thank you for the details. I'm not sure if I they're AF events but I have encountered situations where I'm riding along and all of a sudden, my heart rate quickly drops 15-20 beats (using a chest strap HRM) and the perceived exertion of the ride increases drastically. It hasn't happened a whole lot, maybe 3 times so far this year, but it seems to occur after leaving my heart rate in the upper zone 3/lower zone 4 range for too long (almost always during a Zwift training ride). The last time this happened I tried stopping until my heart rate seemed to recover (about 5 minutes) and then was able to continue the workout as if it never happened. Times before this I just stopped completely. Do these symptoms match those of AF?
@@kenannable4747 Hi, not as far as I know. I had persistent AF and it causes elevated HR. Basically the heart doesn't pump as efficiently when in AF so HR goes up. I had it for a few months before cardioversion fixed it completely. I have been clear for 2 years now, but I am cautions not to go into Zone 4, and avoid endurance+deyhdration+exertion which is what triggered it (it came on suddenly and didn't go away).
This is an interesting point. I'm sure I developed AF after I got Covid early 2020 (way before even talks about vaccine), it would always strike after a bike ride, at a moment where I was relaxing. The first time I didn't understood what was happening and I seriously worried about dying. I discovered that by keeping my HR low, I could avoid it. 1 Time standing on the pedals cycling over a bridge and bingo! I managed to stay under the limit after that, and slowly slowly increased my HR in training over the duration of the year. My fitness took an enormous hit but I'm OK now. I'm still mad at the doctor who didn't take my complaint seriously, he just listened to my heart and said "everything is normal now. You can book a new appointment when it's happening again". Yeah, thanks!
That is so interesting. Thank you. Im 72 and ride 3 - 4 times a week but typically only for 90 minutes. I allow my HR to run up to 160bpm when climbing. Do you think that is excessive for my age? No obvious signs of AF, but sometimes feel a bit light headed. Haven't done a stress test for 12 years.
A couple of years ago I signed up for a 6-day ride in the Dolomites. I thought it was tough, but there I met a guy who also participated, at 74 years of age! This guy has become my hero and inspiration. I want to stay fit and healthy, not just now at 46, but I want to be able to enjoy life when I'm retired as well. My parent showed me how it shouldn't be done, eating unhealthy, no exercise whatsoever, as soon as they were retired the problems started. What good is your pension when you have the time and money, but not the health? What is the quality of your life if you can't walk for more than 5-10 minutes? To not become like them has become my biggest inspiration. Thanks GCN for this video -it confirms I'm on the right path! Good point about the alcohol, I'll enjoy it even less now.
I do like GCN’s health videos-those on men’s reproductive systems, heart, weight, mental health, for example. I agree with the suggestions made in the comments, and would add that something to do with (i) women’s health and (ii) the health of older cyclists might be useful.
Thanks Jim! We do have this video on older cyclists health 👉 th-cam.com/video/Vs-WcyLQgBY/w-d-xo.html and Women's-specific videos are something we're looking to do a lot more of in the future! Watch this space.
im 71 and raced road and track for 25 years yet rarely trained more then 10hrs a week. very little alcohol. Hearts still in great shape. Everything in moderation is the key.
Moderation…a common sense concept lost on so many. Hard to think of too many things in life, if over done, that are good for you. We have more studies than this one addressing the issue of endurance training and cardiovascular disease. After all the years of studies, the message will probably be one of moderation. There is a sweet spot with exercise, and it’s rather large. Choose to be on either extreme of the spectrum and you wind up with atherosclerosis and a compromised heart.
July 2020 I had a triple bypass. I was 60 years old. Very overweight but cycling, pretty slowly, around 80 miles a week. Doctors said that my fitness would help the operation be straightforward, and help my recovery. 2 and half years later I'm 20 odd kilos lighter and feeling absolutely fine. My symptoms were very mild, and not typical of heart issues. Got to thank my GP who didn't listen to my, "I think you'll find it's indigestion," referred me to the local cardiac unit here in Mallorca where I live, and effectively saved my life.
An excellent feature. Age, rest/recovery, moderation are all very relevant and it is proven that too much physical stress and exertion will have long term ramifications. "Listen" to your body and don't be martyrs because there is always another day.
I am a "lifetime" endurance athlete with a family history of AF and an enlarged left atrium, I have had periodic AF incidents. I have learned my risk/causal factors and by managing those have continued my super-active lifestyle and have not had an AF incident for over two years. My older brother is fairly inactive and has had daily meds for years and ablation procedure. I'll carry on my way thanks.
Hey guys loved the great informational video, I had a heart and liver transplant in November 2019 all of my doctors told me had I not bee in such good shape I may not have even made it to surgery, I have been cycling for quite some time and it definitely kept me in great shape, I have returned to cycling and weight training and plan to keep it going!! Keep moving people, motion is life, peace and blessings!!
There are now a few studies that show long term endurance athletes have more calcified plaques in their coronary arteries on CT scan than adults who exercise more moderately. I am a cardiologist and there is no question that hard endurance endeavours are not necessarily protective against coronary disease. Perhaps you could pursue this in a future video
I had three stents fitted to my heart arteries by Papworth in Cambridgeshire around eight or nine years ago I’m now 63. I started cycling two years ago although I always though I was quite fit, in the gym most lunchtimes before the heart issue. Since I started cycling my fitness has increased and my weight decreased (I was around 15st when I retired I’m now down to under 12st.
Very interesting, I've had a Cardiac MRI for a few issues including palpitations, I was told it could be a number of things including athletes heart, I had the results Friday and they are all clear.. my results consistent with those of Si. Fantastic job on raising the awareness of this important subject.
I'll be 73 this September, weigh 135 lbs (61.23kg), 69" tall (175.26 cm). I work out on my trainer (Peloton) daily for 30-60 minutes. I keep my heart rate in high zone 2 and zone 3. With the occassional/brief low zone 4 blasts. I'm no speed demon, but I can average 15 mph (24 kmp) for that length of time. My resting pulse is sub 70, and with some meditation, I'm able to lower that to the mid/low 60's. I've also have a (recently diagnosed) heart murmur. The cardiologist says it's 'middle of the road' on their scale, so just needs to be evaluated on a regular basis (yearly). If you don't like running (jogging) or long walks: Get on a bike a RIDE!
I was training for the BWR Cedar City when I had my heart attack last year. I was 56, not over weight, had a VO2 max of 55 and had a left lower anterior 100% blockage. The Dr. Said that because of my cycling I had developed a strong heart with auxiliary veining and that is why I survived. Working on getting my VO2 max back.
This is VERY interesting. I work in a cardiac hospital in Indiana doing nuclear heart studies, and also an amateur cyclist. I don’t know much about cardiac MRI or sports medicine, but in my clinical experience I will have to say excercise is necessary if you want a healthy heart. Very active and athletic people tend to have better looking hearts and EF. One thing I have noticed from unhealthy hearts is how little of a functioning heart is necessary to keep a person alive. People don’t generally come to me because their heart is in great shape. Stay away from alcohol, keep active, and stay positive. I’d be interested in seeing the effects of high-endurance sports/training on the renal system. This is a really great avenue to take with the topic of cycling.
do you think that what people eats in the USA has a lot to do with it? I mean, I've seen some things on TV and stuff and I wonder how some people can survive without a heart attack for so long and also how certain foods and recipes scream "heart attack"
And older, I mean "mature", women after that. 😅 Info is so sparse and studies are mostly done on our opposite cohort, young males. And POC are also embracing cycling in great ways...any similarities or differences studied there?
Fascinating video. I only took up cycling 2 years ago at the age of 59, I discussed cycling with my cardiologist who gave me the green light to take part in sportives. I completed the recent Cambridgeshire Classic (57 miles) in 4 hours and have done a few others. Although I am instructed not to take part in competetive racing (no danger there) I can't help always wanting to catch the rider infront of me. So glad that I took up cycling.
You didn't talk about blocked arteries. I had a heart attack at 58, after nearly 30 years of training and racing. It occurred near the end of a 30 mile training ride. Cause was blocked arteries, result was 4 bypasses. I'm 71 now and still riding, but at a moderate level. Thanks for all your great research.
An excellent and informative video, I'm always conscious about the effect on my heart after I suffered a cardiac arrest in 2020. I still ride, but much more caution of extreme heart rate. I've been advised by my cardiologist to keep it up as the benefits of exercise outweigh not exercising. Great content
I had heart problems ( irregular heart beat and heart pain ) but riding for two years STRICTLY pampering my heart in zone one made those problems go away and undetectable in my latest heart tests. The specialist was happily surprised. I only ride zone one.
Great content - and if Mark isn't doing himself heart harm via exercise then we can all worry rather less about own efforts. Good too to hear a more rounded idea of health too than just cardiac functionality - skeletal muscular health, mental health, etc. etc.
In my case, I was riding 300-450km weekly at high intensity (Mark tends to be at lower intensity, but much further!) and I have had multiple AF episodes. I am led to believe that endurance riding at low intensity is healthier than the high intensity / overtraining that I was unwittingly doing!
Great video. I'm a 38 year old UK NHS GP who cycles to work to maintain my mental health predominantly. I was a decent cat c zwift racer / sprinter until a few months ago when I was diagnosed with hypertrophic cardiomyopathy, with a dilated left atrium. There seems to be a relative lack of data on exercise advice given such a common condition (we think 1:500), but for now i'm going to continue my z2/z3 commutes as it keeps me sane! 'As long as I'm riding a bike I know I'm the luckiest guy in the world'
This is by some distance the most valuable content GCN has created. imo. If just a small proportion of viewers take action off the back of watching it has the potential to save lives.
I've been a good amateur racing cyclist with 45 seasons done and number 46 underway. I typically ride between 15-20,000km a year for decades. I'm 58 and my FTP in-season is typically around 375 that past few years. A while back I had an inner chest wall tear (due to stress... brutally ugly divorce/custody battle) and the only oddity the doctors found (after 2 MRIs and multiple tests) was that my heart is about 35% larger than it should be if I were a non-athlete. The doctors cleared me saying my heart has the health of a top amateur athlete in his mid 30s. I'll take that.
There was one night I was barely able to sleep because I was being taken to court. It felt more strenuous on my heart than any exercise I've done, like a sustained all out sprint. I had also locked myself out of my room and had to sleep outside until my landlord could come by. But that day I did investigate the constant noise coming from the toilet and found that the gasket on the flapper developed bulges that prevented it from fully sealing, so it kept draining and wasting water. So I went and replaced it, and saved myself and other housemates a good bit on utility fees.
Great video. Heart health is something I think about when I'm kicking up a hill on my bike in humid heat. With this video in mind, think I'll schedule a workup to check.
Personally, I’d be more worried about hydration in high humidity scenarios. I’ve passed out - literally - twice, and almost a third time, but I recognized the symptoms and got down low before I fell over. And in those cases, it was long rides, high hills, high humidity, and evidently not enough liquid intake. It’s almost like you can’t drink too much on hot days. Stay safe out there.
Tough call: having a highly trained cardiovascular system probably saved my life from the blood pressure effects of my adrenal tumor, but it also made it hard for the doctors to diagnose, cause the strength of my heart caused the symptoms to be different. Hard to say...
great video, I recently went through the same MRI myself. 32yo cyclist recovering from covid induced myocarditis. Been off the bike for 6 months now. Thankfully my pre-existing fitness had strengthened my heart and I will make a full recovery, but it's slow training below 110bpm for now, to recondition safely. Thanks for the awesome content GCM, your videos have kept me inspired during recovery.
I’m 64 and developed paroxysmal (occasional) Afib about 5 years ago after many years recreational cycling, including endurance cycling. It’s well controlled by meds and I’m on the waiting list for an ablation. Can still cycle, but am careful not to go full gas. The only time exercise triggered Afib was when i tried to keep up with my son on a very hilly tour in Donegal - lesson learned.
I am 28 years old, I was diagnosed with Sick sinus syndrome which is basically the natural peacemaker of the heart and most likely genetic, I've fainted on several occasions and that's what lead me to the doctor, and to that diagnosis, the doctor told me that for now, I was ok, but eventually in life I would need a pacemaker he told me that making aerobic exercise will help with that condition, it's been a year from then and I went from a sedentary lifestyle to go for runs and recently rides on the bike 4 days a week, I haven't get tested yet but I can say that I feel less tired and I haven't felt the slightest sign of fainting like before, in the coming weeks I will get myself checked again to see If all these months of exercise did something or not.
Great video and great insight into heart health. I'm 54, ex military and recent convert to all things endurance. Including the dreaded alcohol rewards for a session well worked. In 2020 I was diagnosed with atrial fibrillation. It was discovered after I had trained hard several times and was reduced to one knee on the floor as I tried to recover. In 2022, after a period of continued training but with better management and understanding of the condition, it was operated on (a cryo ablation). Since that operation my training has returned to normal, the alcohol greatly reduced and life is good again. All I'd say is this, if ever you feel your heart is doing something it shouldn't be, get it seen to straight away. These things are not worth messing around with. Thanks again, guys, for highlighting this issue 👍🏼
Around Christmas I noticed at Zwift that my heart rate was too high and very volatile. Also the W/Kg that I normally achieve were not happening and a diagnose from the Doctor confirmed an arrythmia. The cardiologist informed me that this is quite common among cyclists. I think it is caused by intensive training in combination with a Corona Infection that my family (except me - no symptoms) went through in December. Later in January I received a Cardioversion. After slowly getting back again and training at ease in Z1 I am now back at where I want to be. I will not attack KOM or try to improve my PR in Zwift anymore. Don’t wanna go through that again. Exercising in Z1 and Z2 with lees stess is much more fun. Thank you for this video!
I cycle to help my heart. I'm 66 and am plagued with coronary artery disease, my three main coronary arteries are stented. Fortunately, because I've kept my cholesterol low with a vegan diet and I've never smoked, my heart muscle is strong and now that the blood is flowing normally through my stented arteries, I'm able to engage in vigorous exercise. I live in CA next to a 35-mile-long bike trail in Sacramento and I can cycle year-round. Cycling is paramount to keeping me fit, and the fitter I am the better it is for my heart. Keeping my weight down is crucial to slowing the build-up of plaque in my arteries. I usually only do 20 miles on a ride, but some times I'll do 35 miles. I try to ride 4-5 times per week.
I race both gravel and mountain bikes and in early 2016 (I was 35 at the time) I was diagnosed with premature ventricular contractions after suffering with a lot of palpitations and “skipped” beats for a month or so. I went through all of the normal testing and my cardiologist decided that the best course of action for me was to change my sleep and eating habits… I did that, also took about 4 weeks off the bike at the time and never really had the issues reoccur. But I’m glad that you all shared this video as a now 43 year old bike racer it was a good reminder to for me get back to the cardiologist for another checkup. Also, not excited about it but it seems like perhaps I should give more consideration to curtailing my fondness for a glass of whiskey in the evenings!
It would be interesting to repeat this @ 5, 10, 15 years to see if there has been any further change in your atrium and ventricle size or do this study with endurance athletes in their 50’s, 60’s , 70’s. Good stuff…thanks!
Great video Simon and Mark! This video is very relevant to me! I am 53, and used to cycle 300-450km/week at high intensity before I came down with recurrent paroxysmal Atrial Fibrillation. Each episode would occur when riding and normally under load (climbing etc) and then as my AF progressed, at increasingly lower thresholds and greater regularity. After having medication, initially Metoprolol which was awful and ineffective in my case, then Flecainide which was effective, but adversely affected my breathing, I then had an ablation in Jan this year. I have had no further incidents yet and am starting to wean off the meds. As a result, I am now cycling about 1/3 of the distance and trying to keep in Zone 2 in the hope that this is more healthy for me and my heart.
I've had Metoprolol and now I'm on Bisoprolol which is better for me in every way. The absolute worst was Sotalol. The side effects from just two doses of it were awful. So I went back to Bisoprolol and I'm back to feeling great again.
At 53, riding that kind of mileage, did that feel normal to you? Was it a case where you ignored your fatigue or were you waking up each day completely rested?
@@SurpriseMeJT I am highly active and always have been. It therefore seemed normal to me at the time. I had 2 - 3 days off per week and trained very heard the rest of the time. I wouldn't say I felt completely rested, but always had enough energy to function at a higher level than most of my age, despite the volume and intensity of riding I was doing!
I suffered kidney failure in 2000. My blood pressure was so high I should have had a stroke. What saved me was my fitness level from years of cycling jogging & walking as a younger man. Had transplant & still cycling now. Id like to see this experiment done on an older person perhaps with a transplant.
This topic was brilliantly explored by Lennard Zinn in an amazing book, titled, The Haywire Heart. I suggest that any avid cyclist or athlete read that book. Moderation is the key. Irregardless of how fit you are, too much exercise is going to screw your heart.
Do you think average punters really exert that much in comparison to high elite athletes? It makes me wonder when an average punter exercise, they dont hit 90% max of their capacity. They think they do but they dont if these guys put in the lab next to metabolic cart.
@@PhiyackYuh When I ride on Zwift I often hit 96% of my HRM and I wear a reputable HRM chest strap. Over the years I’ve seen 100’s of patients come in for Atrial Fibrillation Ablation ablations and it’s definitely a real thing for many over 45 years old.
I’d love to be part of this sort of research. I ride about 10k km annually and do a little racing. I’m about to turn 65 and had ablations to treat afib at least a decade ago, if not longer. My father and Grand both had afib and I quite drinking years before my first afib episode. Like Mark and Si, I have a dilated atria, but nothing severe . What I do experience is an arrhythmia, spikes in my heart rate while exercising, sometimes while making moderate efforts, some strenuous efforts, and sometimes mild efforts. My cardiologist says not to worry as long as I don’t get light headed. Despite being told not to worry, it’s hard to ignore the elevated heart rate. Don’t know how much it’s related, but my resting heart rate is usually mid 60s, well within normal range but not what most fit people seem to experience.
I survived a stroke and a bypass surgery, lost 45 lb , 22 K, I play tennis , and I bike 50 K a day ( 3 times a wk ) and I found biking helps my heart ❤️ and my lungs 🫁, endurance , but too much of it and I can feel the pain in my muscles , so don’t overdo it ! When I can’t bike any more I just walk … Moderation.! 😊
Hello GCN. Fascinating video here. I was born with a cardiac condition called pulmonary atresia, a very serious form of heart disease where the 4 chambers did not form correctly. I’m now mid 30s and a keen road cyclist. My cardiologists have monitored me throughout my life, and they have said cycling regularly has been enormously beneficial to my overall health, and also the health of my heart. 3 or 4 times a week, pushing heart rate up to about 150 -170bpm, so not absolutely smashing it down country lanes, but a brisk pace. Of course everything has to be done sensibly, slowly starting out and of course with the advice of your medics clearly in mind. But overall according to my cardiology team at Leeds General Infirmary, cycling has been a huge benefit to me. Wishing you all well, keep the video content coming 👍 🚴
Im aged 66. Former Royal Navy PTI. Been very active since aged 16. Done various types of exercise at a good level since 16. Football, rugby, circuit training, Royal Navy Field Gun, marathons, HIIT, indoor rowing national championships. You name it, Ive done it. Got diagnosed with Atrial Fibrilation a year ago, never knew I had it, my good lady noticed it when we were watching tv together. Its possible i have had it for years. No other side affects, if nobody told me i had it, i would not know. Obviously the heart is beating very irregularly, but controlled with Beta Blocker and been on blood thinners over a year now. After Echo, where it was discovered my heart is fine, apart from enlarged left atrium, and of course the crazy heart beat, two failed Cardioversions, long chat with the cardiologist, Im diagnosed as Permanant AFIB. That means no more Cardioversion, and no ablation recommended as my quality of life is not affected by my AFIB. When in Navy, drank a fair bit, as we all do. Now, I ride most days, not outside, on Wahoo Kickr Core, indoor rowing, weights. Not at the level i used to do, but enough to be beneficial. Life is still pretty good. If i go downhill, will consider ablation. But my cardiologist and I are both of the opinion, if it wont improve the quality, or quantity of life, dont get one.
I'm a 55 year old cyclist, my brother was a 57 year old cyclist. We have both exercised all our lives, a lot of it together. We were training to cycle tour the Routes des Grandes Alpes last summer but my brother died suddenly at home a week before we were due to start. What I would have liked to have known from the medical team was their opinion on the rise in sudden deaths and the thousands of excess deaths worldwide happening every week that are not related to covid. Some notable elite cyclists and other athletes have died suddenly too. The numbers are way over the normal and nobody is doing anything about it or asking the questions.
I have atrial fibrillation, developed it in my 40's. I still cycle but it didn't half take the wind out of my sails! I worried at first if I should stop altogether but decided that getting a heart monitor and riding gently so I stay out of the red might be the best thing to do. I think I was right as I still get the benefits from being out on the bike but don;t send my heart into palpitations.
One other thing to be aware of is PAC’s or, Premature Atrial Contractions, where the atria of the heart contracts prematurely and the “timing” of the heart function becomes imbalanced. It is an uncomfortable episodic response that some believe to be a precursor to atrial fibrillation. Having been a competitive swimmer and cyclist since the age of 5, I developed this in my late fifties. I underwent a heart ablation wherein the misfiring nerves are targeted and ablated using a laser to restore normal heart function. It is an expensive procedure but, it completely improved my ailment and was truly life changing. In my case, it was a slow process and I didn’t even realize how much it was affecting my life and athletic performance until I woke up in the recovery room. It was as if someone had been standing on my chest and stepped off. This is great content and very informative. Thank you GCN crew!
If my cardiologist told me today “cycling is gonna kill you, your heart is working overtime” I wouldn’t stop, and I’d be happy knowing when the time comes for my heart to explode, it’ll be doing the thing I love the best and I just hope it’s on the summit of a big climb.
There is a certain irony that while watching this TH-cam served up an ad for a coffee liqueur - go figure. Someone else mentioned the book “The Haywire Heart” (2018) which is an exhaustive treatise on the subject so a bit surprising it wasn’t referenced as the detail is fantastic and they cover all the symptoms - A-fib is the most coomon but is not the only danger. Authors include a cardiologist who cycles and Lennard Zinn from Velonews who had a well known Tachycardia diagnosis that changed his life.
Great content GCN. Last year, I was experiencing palpitations, dizziness and cold sweats, first thing in the morning, during sleep. After a 24hr ECG I was diagnosed with Non-Sustained Ventricular Tachycardia (NSVT). I've had a MRI and Echo Cardiogram and I'm waiting for the results. I was placed on beta-blockers and I stopped training for just over 4 months, doing regular walks to keep me active. I've gradually gone back to training and I've recently completed a couple of time trials, without any issues, but I still get the palpitations at night, but they have greatly reduced in strength and frequency and I no-longer feel dizzy or have cold sweats. It's a real worry for me that these will develop into something more serious, but until I receive any feedback from my Cardiologist, I'm not sure what is causing it. I feel a lot better now I have returned to riding, both physically and more importantly for me, mentally.
A topic near and dear to my..... well, you know the rest. Thanks for addressing this subject and the great video. I've been cycling for about 13 years now (started on my 50th birthday). My fitness level increased quite quickly and I was able to ride with groups of strong riders without any problems. About 4 years ago I noticed that my heart rate (HR) -- I always wear a HR monitor which displays on my bike computer-- began to not climb as high as in the past. Over time, I had difficulty getting my HR up to even 100 beats per minute. I thought the problem was with the heart rate monitor but after buying 3 of them and a new bike computer, I finally faced the fact that there may be something wrong. My resting HR at that time was in the mid 40 range but I never had any symptoms or signs of any heart problems. I'm also a former EMT so very aware of the signs and symptoms of heart problems. The summer of 2020, my resting HR was now into the mid 30's range. I was not able to get into my doctor for my annual physical and checkup but when I told them that I suspected a problem with my heart, they took me right in. After numerous EKGs, echocardiograms, MRI, X-Rays and CAT scans, they concluded that I had Bradycardia and what they called Atrial flutter, a pre-cursor to A-Fib. The cardiologist told me that because there were no other symptoms, I should just continue my "normal" activities and let them know if I had any additional symptoms. Because I was preparing to retire to Spain soon after this, I had a second opinion with a similar diagnosis. Both doctors told me that they often treat Bradycardia with a pacemaker but before they did that he wanted to try a "cardioversion". This is where they shocked my heart to try and restore normal atrial rhythm. After two shocks, (no, I wasn't awake for this) I returned to the same atrial flutter. Since I was still working with good health insurance, I decided to have the pacemaker put in. They also did an ablation at the same time. Recovery was smooth and didn't really cause me any inconvenience. After 3 months my checkups revealed a small amount of Atrial flutter still existed so I elected to have another ablation which restored my heart to normal rhythm with the pacemaker. For any other cyclists with a pacemaker, I strongly recommend doing some research on the brand and model. Mine, a Medtronics model, works great but only increases HR based on movement through it's internal accelerometer. When I ride up hills, it doesn't sense enough movement to let my HR increase sufficiently and I therefore "run out of gas" (or O2) quickly going uphill. Boston Scientific makes a model that increases HR based on respiratory rate which, in my opinion, would be a better choice for cyclists. Now in Spain, I struggled for a while to find a cardiologist who could make the correct set of adjustments to allow my HR to increase while cycling. I think I'm dialed in about right now but it took almost 2 years to get this right. I don't cycle extremely hard these days but can now climb hills with an average group of intermediate riders without being dropped. As your video suggests, I'll keep riding and doing additional exercises for the health benefits.
Very informative video, as I recently suffered a mild stroke-induced after cycling. I never associated some strange sensations I previously had on rides as an alert to slow down and get checked out. The sudden stroke was my alert. Long story short, I'm happy to be here, but identifying the cause of my issue is ongoing, and the unfortunate lapse (slowing down on cycling) has proven damaging to my lifestyle. Thanks, GCN.
This is consistent with my experience in training high intensity efforts. I had a short period of exercise induced supraventricular tachycardia. I am 51, riding for over 30 years. Other than mild atherosclerosis of my heart vessels, I am not restricted by my cardiologist.
My last medical picked up abnormal readings on the ECG. Bit of a worrying time whilst I went through more ECGs, a cardiograph and finally a MRI. Results basically showed 'athletes heart'. Told nothing to worry about as no symptoms but also recommended to have another MRI in 3-4 years to ensure no difference. Quite proud to be considered an athlete 😂
In Italy it's mandatory for anybody taking part in any level of competition, to do an annual heart checkup where you are monitored during a ramp test and it's recovery fase. I think that saved a lot of lives and I advocate a lot for that system.
Fascinating interview. I am 75, preparing for a TT 10K, and find myself wondering how much I can push myself as I train for the next six months. I drink 4 oz. red wine every night. Thank you, GCN, for great videos on so many topics concerning cycling health, et al. You guys are great!
Thanks Si , Mark and all the Docs ...I am an older , ex marathon runner , and I have been hearing this for a bit . I get yearly physicals , and I have gotten the same looks from my Docs. Hmmmmmm ...it does make you think a bit . I am , however , just cycling now , no longer running . I appreciate all of the deep dives you do , and look forward to more , thanks again
Thanks for doing this. A friend of mine died a few weeks back from a cardiac arrest while playing sports, and while I know that was because of a previously undiagnosed heart weakness he never knew he had, and though it hasnt stopped me cycling, I'd be lying if I didn't say potential heart damage hasn't been on my mind while cycling since.
@@sergarlantyrell7847 Sorry to hear about your young friend dying, Sergarlantyrell. I thank God every time I complete a ride without getting hit by a car. Assuming you got checked out by your doc, the benefit is worth the risk. Best wishes.
Fantastic video. I’ve been engaged in activities all my life and been blessed with unique genes. I was not active enough while raising my children and it showed. I returned to cycling six years ago and have reaped the rewards of being active again. First thing, talk to your doctor and develop a plan. Personally I’ve focused on increasing my heart rate and eating well balanced meals, this has been my key to improved health and weight loss. Cheers!
My job as a custodian for Medford Parks and Recreation is physically demanding, but not to physically demanding. I have found a good improvement in my health since I started the job five years ago. Yes, on one or two of my days off I do enjoy some bicycle rides. You could say I am being paid to exercise while doing an important job. Lifting the heavy garbage in and out of the pickup truck is a good upper 💪 body workout when done correctly.
this is VERY important. As someone who had arrythmia due to a very stressful part of my life, while my heart is fine, I learnt to cycle without stressing my body and heart too much. I know for certain I couldn't perform some of the extreme tests and performances most GCN staff does, though I really admire that
Top subject we must always talk about, and must be open to taking advice as we get older. Just because you have always done it that way, may not be good for you latter in life. Been there, had the stroke!! Now cycling better than ever!!❤
Aged 72 currently being treated for heart disease I was recently informed that I had had a mild heart attack some years ago. I am convinced that If I hadn't been a runner /cyclist I would no longer be here. Thankfully my Cardiologist agrees and has told me to continue cycling but only at a pace where I am not out of breathe. Great excuse for not joining the chain gang then.🤣. Gotta say massive respect to GMc as well.
Interesting segment- i am 63 , age grouper, and was referred to cardiologist last fall. had the test done, now waiting on results, and found this clip helpful and informative. - my spouse likes to have an evening glass of red wine to drink , but after watching this video -> no more alcohol for me. so much for the benefits of red wine.
Great content…also the training, aging, and adaptation has cumulative effect. Usually, we all start to feel the negative effects in our 40s. Also, in your 40’s you still can push through tough training sessions…when you hit your 50’s your body will place more limits on your training.
Interesting insights. There is a book available titled 'The Haywired Heart' , how too much exercise can kill you. Writen by experts ,Case , Mandrola and Zinn. I suggest reading it. I am a retired anaesthetist ,having run over 100 marathons and 25 ultras , with an average resting heart rate of 34/min over 40 years. Three years ago I suddenly developed VT (ventricular Tachycardia) , a potential lethal arrhythmia . in short , it turned out to be an Idiopathic ventricular ectopy , which responded to ablation . On questioning the electrophysiologists it was possibly due to a very localised injury in the past , which healed with fibrosis . It might have been caused by over stretching of the myocardium (for lack of other ideas) . My angiogram showed normal coronary vessels with a calcium score of 8. In retrospect I over did the running , and would recommend much less. I now ride my trail bike and swim for exercise . I am 80 years old
Loved the content! I had heart surgery over 10 years ago at Glenfield hospital due to a genetic conditions, and started cycling a few years ago. It’s always in the back of my head if cycling is doing more bad than good, and this video has really helped
Thank you for making this video, it is something that has been on my mind for a long time. It is so reassuring that Gerry and his team are looking into this further. I hope they publish the results of the Brain Scan's etc. Thanks guys!
Really like this episode. I have been an amateur runner for 15 years, triathlete for 12 years, and cyclist for 45 years. At 55 I was diagnosed with bradycardia (low/irregular heart rate caused by weakened electrical signals to the heart). When I was at the height of my training my typical resting heart rate was 42. Even in my mid-50s it was in the 50s. At 55 I got a pacemaker as at times when I drove, and when I got up quickly, I would almost pass out, ending up in an emergency room and becoming a bionic man. I haven't had anything else bad develop with my heart, but now retired I plan to continue cycling until I can't. A couple of heart specialists have told me that there is a possible link between my condition and all the training miles, and that very low heart rate might also contribute. I was never a heavy drinker (1-4 beers/month except when I was training for an event). Would love to hear a follow up.
I run and cycle, and as I belong to a club, more than one of the members have serious a-fib issues, so it was helpful to hear more about this. I was particularly intrigued to hear about the connection with alcohol consumption. Many thanks
I remember reading a study about ultra runners and they concluded that after a big effort they found scare tissue on the heart that made the heart muscle much stiffer and less able to pump normally. This didn't seem to be a permanent condition and cleared up over time. The study also found that moderate exercisers lived a little bit longer that hard core ultra athletes but both lived longer than the general population. I think it's a valuable area of study and I can't wait to see future data. I think doping muddies the waters as well.
Superb stuff, and hugely interesting! Always think about my ticker lately. 53 almost and almost a year of being back "into" cycling. I have however, during lockdown, done all of my exercising on a turbo.
I dont think I have any heart issues, but I've been stressing out too much lately and that puts pressure on my cardiovascular system. I need to manage my stress levels.
Really great content thank you I’m a lifelong endurance athlete (54 yrs old) I had a single episode of AF last year that flipped back in A&E dialled 111 after doing an ecg myself as I was wearing an Apple Watch I now carry flecanide as a pill in pocket that would help flip back to normal in most instances it’s never one route cause but I am certainly better off on so many counts for the benefits of exercise
Really interesting video and extremely helpful. I have actually been in constant Afib for 16 days (and counting) now, having been alerted by Apple Watch on morning of 15th March. Confirmed by ECG readings at clinic, and 2 hospital visits so far as well as via Apple Watch and Kardia device. Now waiting to see cardiologist and explore next steps. Heart rate is somewhat higher than normal - but not racing - and is more volatile, and Afib is definitely present. My resting HR also several beats higher than normal (65-70, compared to around 52). During light exercise, HR cannot be read from wrist devices, but chest strap monitor shows similar volatility. I have none of the risk factors such as diabetes, high blood pressure, family history, weight etc (scoring zero on the so-called CHA2DS2), and am an otherwise healthy, active, lean 64 year old. As an example, in the week before onset of Afib I ran 48 Kms, and took several hikes. Biking took a back seat thanks to crappy weather. Most runs were made a comfortable speed, focusing on a steady, relatively low HR. I did do one run slightly faster with some longer sprints, pushing HR up to 169/170 for a short period. However, on the Saturday before the onset on the Monday I did drink far too much - approximately 20 units - and then went for a steady 8Km run the next morning to work off the hangover! I am sure the booze wasn't the only cause of the Afib, and there are good links to Afib occurring in very active older people - but my own stupid fault if it did.
Exactly the same happened to me at 53 - I was a 2nd cat racer till 50 doing 300km per week inc a lot of training. Cardioversion fixed it immediately after 5 months in persistent AF. Waking up from the op, I immediately knew it had been fixed! Super effort while dehydrated on a long clubrun caused my heart to flip into AF. 2 years later, no AF but I don't do any zone 4 efforts any more or anything over 2 hours.
@@MrAndrewjdavis Hi. Thanks for reply. Interesting: I think dehydration (along with alcohol and over exertion) played a part instating my AF. Good to know your AF was helped with cardioversion. Hope your good health continues.
To add to my comment on A-fib, it's good to know that smart watches (I use Samsung Galaxy) have the ability to do an impromptu EKG and check for A-fib like symptoms. I resisted buying a smart watch for years but now that I have one I enjoy it. It's a great companion for an endurance enthusiast in addition to smartphone user.
This touched me on point - i recently developed atrial fibriliation after a prolonged period of increasing amount of cycling. I'm currently being treated for the condition and this is really useful information that i will pass on to my physician.
I developed atrial fibrillation when I was about 45 years old and was still actively racing my road bike. I had a catheter ablation when I was 53 years old and stopped racing. I’m 62 years old now still ride my road bike 3 to 5 times a week, about a 1000km monthly. I make sure, I stay in zone 2 for most of the time and don’t go into the red zone for too long.
Interesting, I have AF and decided myself to ride with a heart monitor and just stay out of the red, I had no medical advice and wondered if ti was even a good idea to keep riding. But I've seen my stamina improve but mostly it's the happiness I get from being out. My avg speed is only 10mph now but the benefits I feel are everywhere in my body. It must be the best thing to do!
I’m 56 and did ablation when I was in 52. Still taking med daily but reduced dose. Ride once to twice about 60-90 km. I’m doing fine but remind myself to don’t go beyond 150bpm more than few minutes while riding
Me too! I was road racing pretty hard from 40-50 and started to back off after that. Still did the weekly clubrun including some mad efforts. Had a "funny feeling" after one hill effort, spun home and rested on the sofa for the day and was back to normal. Stupidly did the same thing 2 weeks later and didn't get back to normal - persistent atrial fibrillation! After a couple of weeks I tried a solo ride and heart rate was 170 at 20kmh so decided to get checked out. To cut a long story short, I had cardioversion 4 months later which fixed it instantly. I am super cautious now and don't do any max efforts - which unfortunately means the clubrun is a no-go because it is just too tempting to race. Now, I stick to the odd solo ride at zone 3 and I have taken up running an hour a week (as the pace is more constant). P.S. The cardiologist was lovely but a bit vague on exercise - simply saying "if you feel ok, don't worry" - and didn't mention over-exertion as a trigger (which I am 100% sure was). Also the cardiac nurse said she often sees cyclists with persistent AF but mainly a few years AFTER they stop racing!
i have ridden for decades with two others men and we are now all in our mid to late 60's. We did not race but we all rode high miles every year for many years (6000 - 12000). We have used cycling computers to track our miles, cadence, and heart rates ever since the technology became available. One got afib (accelerated heat rate) at 67 and was entirely kicked off his bike by doctors although they now let him ride some but only short distances at slow speeds. The other has had a number of health setbacks in the last few years (blood clots, knee issues, stress fractures). I have seen my heart rate average go up 30-40 beats per minutes in the last few years as well and have seen a cardiologist. I do not have afib yet but I wonder if I am going down that rode as well and I try to take it easier on the bike. I have had a number of heart tests done and they say my arteries are clear so that is nice to hear. Personally I wonder as you get older (like 60 onward) and have spent a lifetime riding many miles if it does not have negative effects on you as well......................
What other health & science topics would you like to see us cover next? 🧑⚕🚴 Let us know in the comments below! 👇
How does aging affect your ability to recover, and does intense, or long duration exercise have a negative impact on the heart?
How to prevent age related sarcopenia and osteoporosis as cyclists
It would be nice to know if the position effects the heart . Upright Vs high saddle low bars.
Does cycling have a detrimental effect on prostate health. My GP suggested it does and said I should stop
Efects of exercise on Aorta enlargement
I am a retired GP. In a 30 year career I saw several hard training amateur athletes in middle age who developed atrial fibrillation. I do not remember one where alcohol, particularly binge drinking was not a factor. Some sports and some athletes had a culture of "reward" drinking. Hopefully this is reducing. My advice is that if you are training at all seriously you should not drink alcohol. Many thanks to Professor McCann for pointing this out.
Thank you for your insight. I really wish more people would deduce from the advice and experience so many medical professionals have that alcohol and even diet play so much a larger role in our overall health and abstain from poor choices.
I could not agree more but this is a mutli-factorial condition and other things can also bring it on. See my above note.
I can concur with what you say,i have had a cardiac ablation as i used to push myself silly doing time trials. Although i am ok now i still push but never let myself go over a threshold of 163 bmp any more i know im in the red im 62 and 86 kilo and still pretty quick.Everyone should know there limits
@@davemellor4697 Raced amateur cat 3 & masters for years. Train like a possessed maniac. I set my HR max at 185. 66 years old @ 1.7 m tall (5.7') hitting 68.5 kilo at end of spring training. Cycle Life Forever!!
I certainly believe alcohol played a role with me developing Paroxysmal Afib 4years ago. There is definitely a culture of "reward drinking" for going hard on physical activity. Fortunately my episodes last only a few hours and always associated with now even a few drinks in the evening. Fortunately there's plenty of high quality non-alcoholic beers these days which makes cutting back a lot easier. I'm probably going go with cryo ablation this year because even though it only happens a few times a year over the last 4 years I absolutely hate the way it makes me feel. I want to stop it before it gets worse.
According to my doctor, it was my strong heart and huge lungs that saved my life when I had a severe case of Covid. Two doctors wanted to put me on a respiratory but the head doctor knew my cycling history and said no. 40 years of bmx and road cycling saved my life. That and a great doctor.
Outstanding work!
Yes same for me , but I haven't been able to smell or taste for over 2 years so sometimes wished I didn't have a strong heart
@@darrenthomas9928 Has not being able to smell or taste for so long changed what foods you eat? I think I'd be eating a LOT more veggies if I had lost my senses for that long when I got Covid (It only lasted for about three weeks for me).
Eat what I ate before, always had vegetables in my meals , but now, instead of enjoying my food I eat just because I need too
@@darrenthomas9928 people need to understand that Covid makes permanent changes to our bodies. And our collective inaction only makes it worse. 30 years from now is gonna be a rude awakening.
This is another reason why zone 2 training is so important. Puts less stress and pressure on the heart
I’ve been cycling for 40 years and had a heart bypass 3 weeks ago. Being a cyclist means I have big arteries, meaning that an 80% blockage of my left anterior descending artery didn’t result in a heart attack. Only symptom I had was pain in my left shoulder blade while cycling to work, which I got checked out.
So cycling saved you from the consequences of your disease?
Wishing you good health!
@@zeg2651 it isn't necessarily a consequence of him working out
I had the same symptoms, I couldn’t walk no more than a few hundred yards before the pain hit me. Best of luck for the future 😎
Good to hear that you're doing ok
This is the most important video I have ever seen on GCN. I have been cycling for 20 years. My rides are usually 40 to 70 miles. I was diagnosed with a-fib in 2010 but hey were short episodes so my cardiologist wasn't concerned about my riding. When I turned 65, they put me on blood thinners (standard procedure). Three years ago I crashed while riding, breaking my collarbone and four ribs and getting a serious hematoma on my hip. The doctors' concerns initially and in the following days led them to tell me to give up cycling. Riding means so much to me mentally and physically, and I can't do that. I won't live on blood thinners the rest of my life. I sought an electro-cardiologist who was an avid cyclist, and he performed ablation on my heart. I am now cleared to ride, but I've always wondered about the long-term effect on my heart. I took the information from the video to my cardiologist. He went through my MRI and my condition with me and has agreed that my riding is not a concern, and as your video pointed out, the exercise has actually improved my physical condition. I'm nearly 70 years old now, ride four times a week and am as active and healthy as I've ever been. Thanks for this insight.
I love this! Being a triathlete and endurance runner, I’m always hearing “my doctor said I can’t run/bike because …..”. There are some exceptions, but my thought is always if a doctor says you can’t do the exercise you want and should do, then find a doctor that is able and creative enough to do what they need to to allow you to exercise safely!
Another approach to consider if doctors are worried about AF episodes leading to passing out and crashes on the bike: fast trikes are available that don't look or feel goofy to ride. It's a way to lower crash risk without deleting pleasurable and healthy exercise.
Thanks for this. I am an avid cyclist - usually doing around 4-5000 miles / year. I'm 59 years old. Last November, while out on a ride, I had a sudden cardiac arrest and my heart stopped. Luckily a nurse was nearby and performed CPR on me until the ambulance arrived. I survived and now I'm back riding again! When I had an angiogram in the hospital it was discovered that I had a heart attack at some point in my past! I had no idea. Silent heart attacks are real.
Wow! Must have been traumatic and what an amazing person to save your life with CPR. Well done getting back out there, take care 😊
@@steveco1800 just got back from a 22 mile / 15 mph average ride, so all is back to normal!
Your experience is very similar to mine however I was diagnosed with ARVC which is progressive. I continue to ride but last year finally went to an ebike and don't push my HR over 110bpm now.
Did you 've got that "magic" spike protein injected in you ?
So it didn't scare you off the bike huh. It feels like freedom on a bike but I don't risk much
I played basketball competitively for years until my knees went south, then took up cycling and raced for over 25+ years. In the last year I was diagnosed with an enlarged heart and was put on meds with risk of atrial fibrillation and strokes. I still ride 6 days a week but at an easy pace. I finally realized there’s no Tour De France for me.😊
This is good work. Like Simon's earlier feature on sun damage and risk to skin, it provides expert level information that we either may not easily find elsewhere in understandable terms, or information that we may not think or bother to look up.
I commend it and applaud it. This is where GCN excels, these features that concentrate on us at a human level; likewise the interest and entertainment we get from watching the challenges that demonstrate what humans are able to achieve. Not that I don't enjoy the tech geekery, the occasional historical features, the presenters and the bantz. Well done GCN. In the words of OB ... Love you!
Thanks a lot! It means a lot when our viewers genuinely benefit from our content!
Well done Si and Mark for sharing your personal (and usually private) health information for the benefit of all. This stuff is important but little publicised
Calm down JRM.
These two were happy to share their personal information about their Covid vaccine.
I am a 78 yo retired ER physician and I get Exercise Induced AF. I have learned a ton about the natural history of the disorder and have learned how to control it. Several thoughts are worth passing on. The most important is that I watch my rate on my Garmin 1030 like a hawk and keep it under 140-150 when I am trying for a Strava segment PR. If I ignore that and keep pushing it I can go Into AF. Also, a myriad of things make AF much more likely: massively important is alcohol intake the night before, chilling, dehydration, too much coffee, AND extremely important is a slow 5-10 mile warmup. Going for speed without a proper warmup will bring it on. I also note that I am much more prone to SVT with each increasing year of age. This also comes on without warmup but I find that if it develops I can ride through it at fairly high intensity if I just keep the rate under 180. I know AF because it makes me feel like I may pass out. SVT on the otherhand gives only the slightest feeling but I know I have gone into it because my pulse will be about 30 beats per minute faster for a given level of exertion than it should be or normally is. There is no way I will take a blood thinner or get a cardiac ablation as all the doctors recommend. It is totally manageable by understanding the mechanism of disease and altering the factors which induce the condition. I hope this information helps others who might also be prone to the condition. Also, as far as alcohol goes, I really enjoy a fine red wine and I have discovered that I can get away with having 2-3 glasses per night but only for 2 nights per week.
Thank you for the details. I'm not sure if I they're AF events but I have encountered situations where I'm riding along and all of a sudden, my heart rate quickly drops 15-20 beats (using a chest strap HRM) and the perceived exertion of the ride increases drastically. It hasn't happened a whole lot, maybe 3 times so far this year, but it seems to occur after leaving my heart rate in the upper zone 3/lower zone 4 range for too long (almost always during a Zwift training ride). The last time this happened I tried stopping until my heart rate seemed to recover (about 5 minutes) and then was able to continue the workout as if it never happened. Times before this I just stopped completely. Do these symptoms match those of AF?
@@kenannable4747 Hi, not as far as I know. I had persistent AF and it causes elevated HR. Basically the heart doesn't pump as efficiently when in AF so HR goes up. I had it for a few months before cardioversion fixed it completely. I have been clear for 2 years now, but I am cautions not to go into Zone 4, and avoid endurance+deyhdration+exertion which is what triggered it (it came on suddenly and didn't go away).
This is an interesting point. I'm sure I developed AF after I got Covid early 2020 (way before even talks about vaccine), it would always strike after a bike ride, at a moment where I was relaxing. The first time I didn't understood what was happening and I seriously worried about dying. I discovered that by keeping my HR low, I could avoid it. 1 Time standing on the pedals cycling over a bridge and bingo! I managed to stay under the limit after that, and slowly slowly increased my HR in training over the duration of the year. My fitness took an enormous hit but I'm OK now. I'm still mad at the doctor who didn't take my complaint seriously, he just listened to my heart and said "everything is normal now. You can book a new appointment when it's happening again". Yeah, thanks!
That is so interesting. Thank you. Im 72 and ride 3 - 4 times a week but typically only for 90 minutes. I allow my HR to run up to 160bpm when climbing. Do you think that is excessive for my age? No obvious signs of AF, but sometimes feel a bit light headed. Haven't done a stress test for 12 years.
@@CreRay Yep, I also developed AFIB after Covid. I got an ablation.
A couple of years ago I signed up for a 6-day ride in the Dolomites. I thought it was tough, but there I met a guy who also participated, at 74 years of age! This guy has become my hero and inspiration. I want to stay fit and healthy, not just now at 46, but I want to be able to enjoy life when I'm retired as well. My parent showed me how it shouldn't be done, eating unhealthy, no exercise whatsoever, as soon as they were retired the problems started. What good is your pension when you have the time and money, but not the health? What is the quality of your life if you can't walk for more than 5-10 minutes? To not become like them has become my biggest inspiration. Thanks GCN for this video -it confirms I'm on the right path! Good point about the alcohol, I'll enjoy it even less now.
I do like GCN’s health videos-those on men’s reproductive systems, heart, weight, mental health, for example. I agree with the suggestions made in the comments, and would add that something to do with (i) women’s health and (ii) the health of older cyclists might be useful.
Thanks Jim! We do have this video on older cyclists health 👉 th-cam.com/video/Vs-WcyLQgBY/w-d-xo.html and Women's-specific videos are something we're looking to do a lot more of in the future! Watch this space.
im 71 and raced road and track for 25 years yet rarely trained more then 10hrs a week. very little alcohol. Hearts still in great shape. Everything in moderation is the key.
Moderation…a common sense concept lost on so many. Hard to think of too many things in life, if over done, that are good for you. We have more studies than this one addressing the issue of endurance training and cardiovascular disease. After all the years of studies, the message will probably be one of moderation. There is a sweet spot with exercise, and it’s rather large. Choose to be on either extreme of the spectrum and you wind up with atherosclerosis and a compromised heart.
July 2020 I had a triple bypass. I was 60 years old. Very overweight but cycling, pretty slowly, around 80 miles a week. Doctors said that my fitness would help the operation be straightforward, and help my recovery. 2 and half years later I'm 20 odd kilos lighter and feeling absolutely fine.
My symptoms were very mild, and not typical of heart issues. Got to thank my GP who didn't listen to my, "I think you'll find it's indigestion," referred me to the local cardiac unit here in Mallorca where I live, and effectively saved my life.
Ride on Andy lad!!
An excellent feature. Age, rest/recovery, moderation are all very relevant and it is proven that too much physical stress and exertion will have long term ramifications. "Listen" to your body and don't be martyrs because there is always another day.
I know it shouldn't matter, but I wasn't expecting to see Gerry McCann today. Good to see him continue to do positive waves for peoples health.
I thought I recognised the face as well.
Ahhh , I was trying to work out where I've seen him before, glad he's keeping busy
When will they tell us where the body is?
My thoughts exactly I’ve always said they know more than they’re letting on about what happened to Madeleine.
@@hcw199 afaik girl's body found in Germany
I am a "lifetime" endurance athlete with a family history of AF and an enlarged left atrium, I have had periodic AF incidents. I have learned my risk/causal factors and by managing those have continued my super-active lifestyle and have not had an AF incident for over two years. My older brother is fairly inactive and has had daily meds for years and ablation procedure. I'll carry on my way thanks.
Hey guys loved the great informational video, I had a heart and liver transplant in November 2019 all of my doctors told me had I not bee in such good shape I may not have even made it to surgery, I have been cycling for quite some time and it definitely kept me in great shape, I have returned to cycling and weight training and plan to keep it going!! Keep moving people, motion is life, peace and blessings!!
There are now a few studies that show long term endurance athletes have more calcified plaques in their coronary arteries on CT scan than adults who exercise more moderately. I am a cardiologist and there is no question that hard endurance endeavours are not necessarily protective against coronary disease. Perhaps you could pursue this in a future video
I had three stents fitted to my heart arteries by Papworth in Cambridgeshire around eight or nine years ago I’m now 63. I started cycling two years ago although I always though I was quite fit, in the gym most lunchtimes before the heart issue. Since I started cycling my fitness has increased and my weight decreased (I was around 15st when I retired I’m now down to under 12st.
Very interesting, I've had a Cardiac MRI for a few issues including palpitations, I was told it could be a number of things including athletes heart, I had the results Friday and they are all clear.. my results consistent with those of Si.
Fantastic job on raising the awareness of this important subject.
Thanks very much. Glad you found it useful and that you're doing ok!
I'll be 73 this September, weigh 135 lbs (61.23kg), 69" tall (175.26 cm). I work out on my trainer (Peloton) daily for 30-60 minutes. I keep my heart rate in high zone 2 and zone 3. With the occassional/brief low zone 4 blasts. I'm no speed demon, but I can average 15 mph (24 kmp) for that length of time. My resting pulse is sub 70, and with some meditation, I'm able to lower that to the mid/low 60's. I've also have a (recently diagnosed) heart murmur. The cardiologist says it's 'middle of the road' on their scale, so just needs to be evaluated on a regular basis (yearly).
If you don't like running (jogging) or long walks: Get on a bike a RIDE!
I was training for the BWR Cedar City when I had my heart attack last year. I was 56, not over weight, had a VO2 max of 55 and had a left lower anterior 100% blockage. The Dr. Said that because of my cycling I had developed a strong heart with auxiliary veining and that is why I survived. Working on getting my VO2 max back.
This is VERY interesting. I work in a cardiac hospital in Indiana doing nuclear heart studies, and also an amateur cyclist. I don’t know much about cardiac MRI or sports medicine, but in my clinical experience I will have to say excercise is necessary if you want a healthy heart. Very active and athletic people tend to have better looking hearts and EF. One thing I have noticed from unhealthy hearts is how little of a functioning heart is necessary to keep a person alive. People don’t generally come to me because their heart is in great shape. Stay away from alcohol, keep active, and stay positive.
I’d be interested in seeing the effects of high-endurance sports/training on the renal system. This is a really great avenue to take with the topic of cycling.
seen any vaccine damage to the heart with healthy sub30 males?? So what's your diagnosis on this spike proteine stuff prevalence...
do you think that what people eats in the USA has a lot to do with it? I mean, I've seen some things on TV and stuff and I wonder how some people can survive without a heart attack for so long and also how certain foods and recipes scream "heart attack"
How about a segment on older (60+) riders? How to deal with aging issues like arthritis, bad knees, lower VO2Max, etc.
And older, I mean "mature", women after that. 😅 Info is so sparse and studies are mostly done on our opposite cohort, young males. And POC are also embracing cycling in great ways...any similarities or differences studied there?
Fascinating video. I only took up cycling 2 years ago at the age of 59, I discussed cycling with my cardiologist who gave me the green light to take part in sportives. I completed the recent Cambridgeshire Classic (57 miles) in 4 hours and have done a few others. Although I am instructed not to take part in competetive racing (no danger there) I can't help always wanting to catch the rider infront of me. So glad that I took up cycling.
You didn't talk about blocked arteries. I had a heart attack at 58, after nearly 30 years of training and racing. It occurred near the end of a 30 mile training ride. Cause was blocked arteries, result was 4 bypasses. I'm 71 now and still riding, but at a moderate level. Thanks for all your great research.
Did you used to work shifts, irregular hours?! Or 9-5?
I would recommend that if you can afford it - pay to get a full heart scan at age 50!
Just to be sure.
Well athletes eat like crap
An excellent and informative video, I'm always conscious about the effect on my heart after I suffered a cardiac arrest in 2020. I still ride, but much more caution of extreme heart rate. I've been advised by my cardiologist to keep it up as the benefits of exercise outweigh not exercising. Great content
Glad you found it informative!
Did you ever found out what was the reason for your cardiac arrest?
I had heart problems ( irregular heart beat and heart pain ) but riding for two years STRICTLY pampering my heart in zone one made those problems go away and undetectable in my latest heart tests. The specialist was happily surprised. I only ride zone one.
Great content - and if Mark isn't doing himself heart harm via exercise then we can all worry rather less about own efforts. Good too to hear a more rounded idea of health too than just cardiac functionality - skeletal muscular health, mental health, etc. etc.
In my case, I was riding 300-450km weekly at high intensity (Mark tends to be at lower intensity, but much further!) and I have had multiple AF episodes. I am led to believe that endurance riding at low intensity is healthier than the high intensity / overtraining that I was unwittingly doing!
Great video. I'm a 38 year old UK NHS GP who cycles to work to maintain my mental health predominantly. I was a decent cat c zwift racer / sprinter until a few months ago when I was diagnosed with hypertrophic cardiomyopathy, with a dilated left atrium. There seems to be a relative lack of data on exercise advice given such a common condition (we think 1:500), but for now i'm going to continue my z2/z3 commutes as it keeps me sane!
'As long as I'm riding a bike I know I'm the luckiest guy in the world'
This is by some distance the most valuable content GCN has created. imo. If just a small proportion of viewers take action off the back of watching it has the potential to save lives.
I've been a good amateur racing cyclist with 45 seasons done and number 46 underway. I typically ride between 15-20,000km a year for decades. I'm 58 and my FTP in-season is typically around 375 that past few years. A while back I had an inner chest wall tear (due to stress... brutally ugly divorce/custody battle) and the only oddity the doctors found (after 2 MRIs and multiple tests) was that my heart is about 35% larger than it should be if I were a non-athlete. The doctors cleared me saying my heart has the health of a top amateur athlete in his mid 30s. I'll take that.
In summary...Cycling is a lot healthier than women..🤣
There was one night I was barely able to sleep because I was being taken to court. It felt more strenuous on my heart than any exercise I've done, like a sustained all out sprint. I had also locked myself out of my room and had to sleep outside until my landlord could come by. But that day I did investigate the constant noise coming from the toilet and found that the gasket on the flapper developed bulges that prevented it from fully sealing, so it kept draining and wasting water. So I went and replaced it, and saved myself and other housemates a good bit on utility fees.
375🤔
Your heart could start a street fight with 3 other hearts and kick their asses!
@@gwhite7011 yup, whatabout it?
Great video. Heart health is something I think about when I'm kicking up a hill on my bike in humid heat. With this video in mind, think I'll schedule a workup to check.
Personally, I’d be more worried about hydration in high humidity scenarios. I’ve passed out - literally - twice, and almost a third time, but I recognized the symptoms and got down low before I fell over. And in those cases, it was long rides, high hills, high humidity, and evidently not enough liquid intake. It’s almost like you can’t drink too much on hot days. Stay safe out there.
Tough call: having a highly trained cardiovascular system probably saved my life from the blood pressure effects of my adrenal tumor, but it also made it hard for the doctors to diagnose, cause the strength of my heart caused the symptoms to be different. Hard to say...
great video, I recently went through the same MRI myself. 32yo cyclist recovering from covid induced myocarditis. Been off the bike for 6 months now. Thankfully my pre-existing fitness had strengthened my heart and I will make a full recovery, but it's slow training below 110bpm for now, to recondition safely. Thanks for the awesome content GCM, your videos have kept me inspired during recovery.
Nice content! Would be great to also cover the impact of cycling on the back and how to protect it when cycling. So many of us have problems!
The core or stomach strengthens your back, many people have spare tires around their waist.
Strengthen your hamstrings to avoid lower back pain
Great suggestion!
Discover your psoas muscle and learn to love the kettlebell squat.
I’m 64 and developed paroxysmal (occasional) Afib about 5 years ago after many years recreational cycling, including endurance cycling. It’s well controlled by meds and I’m on the waiting list for an ablation. Can still cycle, but am careful not to go full gas. The only time exercise triggered Afib was when i tried to keep up with my son on a very hilly tour in Donegal - lesson learned.
I am 28 years old, I was diagnosed with Sick sinus syndrome which is basically the natural peacemaker of the heart and most likely genetic, I've fainted on several occasions and that's what lead me to the doctor, and to that diagnosis, the doctor told me that for now, I was ok, but eventually in life I would need a pacemaker he told me that making aerobic exercise will help with that condition, it's been a year from then and I went from a sedentary lifestyle to go for runs and recently rides on the bike 4 days a week, I haven't get tested yet but I can say that I feel less tired and I haven't felt the slightest sign of fainting like before, in the coming weeks I will get myself checked again to see If all these months of exercise did something or not.
Great video and great insight into heart health. I'm 54, ex military and recent convert to all things endurance. Including the dreaded alcohol rewards for a session well worked. In 2020 I was diagnosed with atrial fibrillation. It was discovered after I had trained hard several times and was reduced to one knee on the floor as I tried to recover. In 2022, after a period of continued training but with better management and understanding of the condition, it was operated on (a cryo ablation). Since that operation my training has returned to normal, the alcohol greatly reduced and life is good again. All I'd say is this, if ever you feel your heart is doing something it shouldn't be, get it seen to straight away. These things are not worth messing around with. Thanks again, guys, for highlighting this issue 👍🏼
Around Christmas I noticed at Zwift that my heart rate was too high and very volatile. Also the W/Kg that I normally achieve were not happening and a diagnose from the Doctor confirmed an arrythmia. The cardiologist informed me that this is quite common among cyclists. I think it is caused by intensive training in combination with a Corona Infection that my family (except me - no symptoms) went through in December. Later in January I received a Cardioversion. After slowly getting back again and training at ease in Z1 I am now back at where I want to be. I will not attack KOM or try to improve my PR in Zwift anymore. Don’t wanna go through that again. Exercising in Z1 and Z2 with lees stess is much more fun. Thank you for this video!
Probably more due to the covid jabs
Good to hear that you're getting back into it! Keep it up 💪
You might want to see my note regarding competition and how to avoid AF.
I cycle to help my heart. I'm 66 and am plagued with coronary artery disease, my three main coronary arteries are stented. Fortunately, because I've kept my cholesterol low with a vegan diet and I've never smoked, my heart muscle is strong and now that the blood is flowing normally through my stented arteries, I'm able to engage in vigorous exercise. I live in CA next to a 35-mile-long bike trail in Sacramento and I can cycle year-round. Cycling is paramount to keeping me fit, and the fitter I am the better it is for my heart. Keeping my weight down is crucial to slowing the build-up of plaque in my arteries. I usually only do 20 miles on a ride, but some times I'll do 35 miles. I try to ride 4-5 times per week.
I race both gravel and mountain bikes and in early 2016 (I was 35 at the time) I was diagnosed with premature ventricular contractions after suffering with a lot of palpitations and “skipped” beats for a month or so. I went through all of the normal testing and my cardiologist decided that the best course of action for me was to change my sleep and eating habits… I did that, also took about 4 weeks off the bike at the time and never really had the issues reoccur.
But I’m glad that you all shared this video as a now 43 year old bike racer it was a good reminder to for me get back to the cardiologist for another checkup. Also, not excited about it but it seems like perhaps I should give more consideration to curtailing my fondness for a glass of whiskey in the evenings!
It would be interesting to repeat this @ 5, 10, 15 years to see if there has been any further change in your atrium and ventricle size or do this study with endurance athletes in their 50’s, 60’s , 70’s. Good stuff…thanks!
True…since the adaptation has a cumulative effect.
Great video Simon and Mark! This video is very relevant to me! I am 53, and used to cycle 300-450km/week at high intensity before I came down with recurrent paroxysmal Atrial Fibrillation. Each episode would occur when riding and normally under load (climbing etc) and then as my AF progressed, at increasingly lower thresholds and greater regularity. After having medication, initially Metoprolol which was awful and ineffective in my case, then Flecainide which was effective, but adversely affected my breathing, I then had an ablation in Jan this year. I have had no further incidents yet and am starting to wean off the meds. As a result, I am now cycling about 1/3 of the distance and trying to keep in Zone 2 in the hope that this is more healthy for me and my heart.
I've had Metoprolol and now I'm on Bisoprolol which is better for me in every way. The absolute worst was Sotalol. The side effects from just two doses of it were awful. So I went back to Bisoprolol and I'm back to feeling great again.
At 53, riding that kind of mileage, did that feel normal to you? Was it a case where you ignored your fatigue or were you waking up each day completely rested?
@@SurpriseMeJT I am highly active and always have been. It therefore seemed normal to me at the time. I had 2 - 3 days off per week and trained very heard the rest of the time. I wouldn't say I felt completely rested, but always had enough energy to function at a higher level than most of my age, despite the volume and intensity of riding I was doing!
@@Zozzle12 Good to hear.
I suffered kidney failure in 2000. My blood pressure was so high I should have had a stroke. What saved me was my fitness level from years of cycling jogging & walking as a younger man. Had transplant & still cycling now. Id like to see this experiment done on an older person perhaps with a transplant.
This topic was brilliantly explored by Lennard Zinn in an amazing book, titled, The Haywire Heart. I suggest that any avid cyclist or athlete read that book. Moderation is the key.
Irregardless of how fit you are, too much exercise is going to screw your heart.
I recommended Zinn's Haywire Heart in the post I made today. There's lots of interesting info in that book.
agreed!!! It doesn't matter how fit you are, if you are overtrained you aren't doing yourself any favour. There is a GCN episode on that
Excellent work 👏🏾. I work in a cardiology department and that was spot on 👌🏾
Do you think average punters really exert that much in comparison to high elite athletes? It makes me wonder when an average punter exercise, they dont hit 90% max of their capacity. They think they do but they dont if these guys put in the lab next to metabolic cart.
Thanks very much!
@@PhiyackYuh When I ride on Zwift I often hit 96% of my HRM and I wear a reputable HRM chest strap. Over the years I’ve seen 100’s of patients come in for Atrial Fibrillation Ablation ablations and it’s definitely a real thing for many over 45 years old.
Thanks for the video. Now I know that two favoring things of mine, cycling and beer, and teaming up to get me.😢
I’d love to be part of this sort of research. I ride about 10k km annually and do a little racing. I’m about to turn 65 and had ablations to treat afib at least a decade ago, if not longer. My father and Grand both had afib and I quite drinking years before my first afib episode. Like Mark and Si, I have a dilated atria, but nothing severe . What I do experience is an arrhythmia, spikes in my heart rate while exercising, sometimes while making moderate efforts, some strenuous efforts, and sometimes mild efforts. My cardiologist says not to worry as long as I don’t get light headed. Despite being told not to worry, it’s hard to ignore the elevated heart rate. Don’t know how much it’s related, but my resting heart rate is usually mid 60s, well within normal range but not what most fit people seem to experience.
I survived a stroke and a bypass surgery, lost 45 lb , 22 K,
I play tennis , and I bike 50 K a day ( 3 times a wk ) and I found biking helps my heart ❤️ and my lungs 🫁, endurance , but too much of it and I can feel the pain in my muscles , so don’t overdo it !
When I can’t bike any more I just walk …
Moderation.!
😊
Hello GCN. Fascinating video here. I was born with a cardiac condition called pulmonary atresia, a very serious form of heart disease where the 4 chambers did not form correctly. I’m now mid 30s and a keen road cyclist. My cardiologists have monitored me throughout my life, and they have said cycling regularly has been enormously beneficial to my overall health, and also the health of my heart. 3 or 4 times a week, pushing heart rate up to about 150 -170bpm, so not absolutely smashing it down country lanes, but a brisk pace. Of course everything has to be done sensibly, slowly starting out and of course with the advice of your medics clearly in mind. But overall according to my cardiology team at Leeds General Infirmary, cycling has been a huge benefit to me.
Wishing you all well, keep the video content coming 👍 🚴
Im aged 66. Former Royal Navy PTI. Been very active since aged 16. Done various types of exercise at a good level since 16. Football, rugby, circuit training, Royal Navy Field Gun, marathons, HIIT, indoor rowing national championships. You name it, Ive done it. Got diagnosed with Atrial Fibrilation a year ago, never knew I had it, my good lady noticed it when we were watching tv together. Its possible i have had it for years. No other side affects, if nobody told me i had it, i would not know. Obviously the heart is beating very irregularly, but controlled with Beta Blocker and been on blood thinners over a year now. After Echo, where it was discovered my heart is fine, apart from enlarged left atrium, and of course the crazy heart beat, two failed Cardioversions, long chat with the cardiologist, Im diagnosed as Permanant AFIB. That means no more Cardioversion, and no ablation recommended as my quality of life is not affected by my AFIB. When in Navy, drank a fair bit, as we all do. Now, I ride most days, not outside, on Wahoo Kickr Core, indoor rowing, weights. Not at the level i used to do, but enough to be beneficial. Life is still pretty good. If i go downhill, will consider ablation. But my cardiologist and I are both of the opinion, if it wont improve the quality, or quantity of life, dont get one.
I'm a 55 year old cyclist, my brother was a 57 year old cyclist. We have both exercised all our lives, a lot of it together. We were training to cycle tour the Routes des Grandes Alpes last summer but my brother died suddenly at home a week before we were due to start. What I would have liked to have known from the medical team was their opinion on the rise in sudden deaths and the thousands of excess deaths worldwide happening every week that are not related to covid. Some notable elite cyclists and other athletes have died suddenly too. The numbers are way over the normal and nobody is doing anything about it or asking the questions.
Can you please share a couple of examples of elite athletes dying suddenly their names and times of deaths as I would like to research that. Thank you
I have atrial fibrillation, developed it in my 40's. I still cycle but it didn't half take the wind out of my sails! I worried at first if I should stop altogether but decided that getting a heart monitor and riding gently so I stay out of the red might be the best thing to do. I think I was right as I still get the benefits from being out on the bike but don;t send my heart into palpitations.
One other thing to be aware of is PAC’s or, Premature Atrial Contractions, where the atria of the heart contracts prematurely and the “timing” of the heart function becomes imbalanced. It is an uncomfortable episodic response that some believe to be a precursor to atrial fibrillation. Having been a competitive swimmer and cyclist since the age of 5, I developed this in my late fifties. I underwent a heart ablation wherein the misfiring nerves are targeted and ablated using a laser to restore normal heart function. It is an expensive procedure but, it completely improved my ailment and was truly life changing. In my case, it was a slow process and I didn’t even realize how much it was affecting my life and athletic performance until I woke up in the recovery room. It was as if someone had been standing on my chest and stepped off. This is great content and very informative. Thank you GCN crew!
If my cardiologist told me today “cycling is gonna kill you, your heart is working overtime”
I wouldn’t stop, and I’d be happy knowing when the time comes for my heart to explode, it’ll be doing the thing I love the best and I just hope it’s on the summit of a big climb.
GCN is one of the most interesting channels on YT, regardless of whether you are an avid cyclist or not.
Thanks! That means a lot
There is a certain irony that while watching this TH-cam served up an ad for a coffee liqueur - go figure. Someone else mentioned the book “The Haywire Heart” (2018) which is an exhaustive treatise on the subject so a bit surprising it wasn’t referenced as the detail is fantastic and they cover all the symptoms - A-fib is the most coomon but is not the only danger. Authors include a cardiologist who cycles and Lennard Zinn from Velonews who had a well known Tachycardia diagnosis that changed his life.
I love how y'all added clips of Brad when the doc started talking about bodybuilders (7:24 onwards). We need more videos of Brad!
Did not expect to see Gerry McCann on a GCN video...
Great content GCN. Last year, I was experiencing palpitations, dizziness and cold sweats, first thing in the morning, during sleep. After a 24hr ECG I was diagnosed with Non-Sustained Ventricular Tachycardia (NSVT). I've had a MRI and Echo Cardiogram and I'm waiting for the results. I was placed on beta-blockers and I stopped training for just over 4 months, doing regular walks to keep me active. I've gradually gone back to training and I've recently completed a couple of time trials, without any issues, but I still get the palpitations at night, but they have greatly reduced in strength and frequency and I no-longer feel dizzy or have cold sweats. It's a real worry for me that these will develop into something more serious, but until I receive any feedback from my Cardiologist, I'm not sure what is causing it. I feel a lot better now I have returned to riding, both physically and more importantly for me, mentally.
Thank you! Glad to hear that you're doing better!
A topic near and dear to my..... well, you know the rest. Thanks for addressing this subject and the great video. I've been cycling for about 13 years now (started on my 50th birthday). My fitness level increased quite quickly and I was able to ride with groups of strong riders without any problems. About 4 years ago I noticed that my heart rate (HR) -- I always wear a HR monitor which displays on my bike computer-- began to not climb as high as in the past. Over time, I had difficulty getting my HR up to even 100 beats per minute. I thought the problem was with the heart rate monitor but after buying 3 of them and a new bike computer, I finally faced the fact that there may be something wrong. My resting HR at that time was in the mid 40 range but I never had any symptoms or signs of any heart problems. I'm also a former EMT so very aware of the signs and symptoms of heart problems. The summer of 2020, my resting HR was now into the mid 30's range. I was not able to get into my doctor for my annual physical and checkup but when I told them that I suspected a problem with my heart, they took me right in. After numerous EKGs, echocardiograms, MRI, X-Rays and CAT scans, they concluded that I had Bradycardia and what they called Atrial flutter, a pre-cursor to A-Fib. The cardiologist told me that because there were no other symptoms, I should just continue my "normal" activities and let them know if I had any additional symptoms. Because I was preparing to retire to Spain soon after this, I had a second opinion with a similar diagnosis. Both doctors told me that they often treat Bradycardia with a pacemaker but before they did that he wanted to try a "cardioversion". This is where they shocked my heart to try and restore normal atrial rhythm. After two shocks, (no, I wasn't awake for this) I returned to the same atrial flutter. Since I was still working with good health insurance, I decided to have the pacemaker put in. They also did an ablation at the same time. Recovery was smooth and didn't really cause me any inconvenience. After 3 months my checkups revealed a small amount of Atrial flutter still existed so I elected to have another ablation which restored my heart to normal rhythm with the pacemaker. For any other cyclists with a pacemaker, I strongly recommend doing some research on the brand and model. Mine, a Medtronics model, works great but only increases HR based on movement through it's internal accelerometer. When I ride up hills, it doesn't sense enough movement to let my HR increase sufficiently and I therefore "run out of gas" (or O2) quickly going uphill. Boston Scientific makes a model that increases HR based on respiratory rate which, in my opinion, would be a better choice for cyclists. Now in Spain, I struggled for a while to find a cardiologist who could make the correct set of adjustments to allow my HR to increase while cycling. I think I'm dialed in about right now but it took almost 2 years to get this right. I don't cycle extremely hard these days but can now climb hills with an average group of intermediate riders without being dropped. As your video suggests, I'll keep riding and doing additional exercises for the health benefits.
Very informative video, as I recently suffered a mild stroke-induced after cycling. I never associated some strange sensations I previously had on rides as an alert to slow down and get checked out. The sudden stroke was my alert. Long story short, I'm happy to be here, but identifying the cause of my issue is ongoing, and the unfortunate lapse (slowing down on cycling) has proven damaging to my lifestyle. Thanks, GCN.
This is consistent with my experience in training high intensity efforts. I had a short period of exercise induced supraventricular tachycardia. I am 51, riding for over 30 years. Other than mild atherosclerosis of my heart vessels, I am not restricted by my cardiologist.
My last medical picked up abnormal readings on the ECG. Bit of a worrying time whilst I went through more ECGs, a cardiograph and finally a MRI. Results basically showed 'athletes heart'. Told nothing to worry about as no symptoms but also recommended to have another MRI in 3-4 years to ensure no difference. Quite proud to be considered an athlete 😂
In Italy it's mandatory for anybody taking part in any level of competition, to do an annual heart checkup where you are monitored during a ramp test and it's recovery fase. I think that saved a lot of lives and I advocate a lot for that system.
Go Italy so sensible
Fascinating interview. I am 75, preparing for a TT 10K, and find myself wondering how much I can push myself as I train for the next six months. I drink 4 oz. red wine every night.
Thank you, GCN, for great videos on so many topics concerning cycling health, et al. You guys are great!
Thanks Si , Mark and all the Docs ...I am an older , ex marathon runner , and I have been hearing this for a bit . I get yearly physicals , and I have gotten the same looks from my Docs. Hmmmmmm ...it does make you think a bit . I am , however , just cycling now , no longer running . I appreciate all of the deep dives you do , and look forward to more , thanks again
Thanks for doing this. A friend of mine died a few weeks back from a cardiac arrest while playing sports, and while I know that was because of a previously undiagnosed heart weakness he never knew he had, and though it hasnt stopped me cycling, I'd be lying if I didn't say potential heart damage hasn't been on my mind while cycling since.
If you are over 40 and exercising intensely, and can afford - get a scan done privately. It avoids exercise any feeling like Russian Roulette.
@@MrAndrewjdavis I'm not yet that old, but my friend who died was only 28.
@@sergarlantyrell7847 Sorry to hear about your young friend dying, Sergarlantyrell. I thank God every time I complete a ride without getting hit by a car. Assuming you got checked out by your doc, the benefit is worth the risk. Best wishes.
I had a cardiac arrest cycling home from work. Aged 29. Lucky to be alive.
Fantastic video. I’ve been engaged in activities all my life and been blessed with unique genes.
I was not active enough while raising my children and it showed. I returned to cycling six years ago and have reaped the rewards of being active again. First thing, talk to your doctor and develop a plan.
Personally I’ve focused on increasing my heart rate and eating well balanced meals, this has been my key to improved health and weight loss. Cheers!
You're welcome! Good to hear that you're enjoying life and staying active!
My job as a custodian for Medford Parks and Recreation is physically demanding, but not to physically demanding. I have found a good improvement in my health since I started the job five years ago. Yes, on one or two of my days off I do enjoy some bicycle rides. You could say I am being paid to exercise while doing an important job. Lifting the heavy garbage in and out of the pickup truck is a good upper 💪 body workout when done correctly.
this is VERY important. As someone who had arrythmia due to a very stressful part of my life, while my heart is fine, I learnt to cycle without stressing my body and heart too much. I know for certain I couldn't perform some of the extreme tests and performances most GCN staff does, though I really admire that
Top subject we must always talk about, and must be open to taking advice as we get older. Just because you have always done it that way, may not be good for you latter in life. Been there, had the stroke!! Now cycling better than ever!!❤
Aged 72 currently being treated for heart disease I was recently informed that I had had a mild heart attack some years ago. I am convinced that If I hadn't been a runner /cyclist I would no longer be here. Thankfully my Cardiologist agrees and has told me to continue cycling but only at a pace where I am not out of breathe. Great excuse for not joining the chain gang then.🤣. Gotta say massive respect to GMc as well.
Glad you enjoyed it! Keep it up! 💪
@Global Cycling Network Thank you I will.
Interesting segment- i am 63 , age grouper, and was referred to cardiologist last fall. had the test done, now waiting on results, and found this clip helpful and informative. - my spouse likes to have an evening glass of red wine to drink , but after watching this video -> no more alcohol for me. so much for the benefits of red wine.
Great content…also the training, aging, and adaptation has cumulative effect. Usually, we all start to feel the negative effects in our 40s. Also, in your 40’s you still can push through tough training sessions…when you hit your 50’s your body will place more limits on your training.
Interesting insights. There is a book available titled 'The Haywired Heart' , how too much exercise can kill you. Writen by experts ,Case , Mandrola and Zinn. I suggest reading it. I am a retired anaesthetist ,having run over 100 marathons and 25 ultras , with an average resting heart rate of 34/min over 40 years. Three years ago I suddenly developed VT (ventricular Tachycardia) , a potential lethal arrhythmia . in short , it turned out to be an Idiopathic ventricular ectopy , which responded to ablation . On questioning the electrophysiologists it was possibly due to a very localised injury in the past , which healed with fibrosis . It might have been caused by over stretching of the myocardium (for lack of other ideas) . My angiogram showed normal coronary vessels with a calcium score of 8.
In retrospect I over did the running , and would recommend much less. I now ride my trail bike and swim for exercise . I am 80 years old
Loved the content! I had heart surgery over 10 years ago at Glenfield hospital due to a genetic conditions, and started cycling a few years ago. It’s always in the back of my head if cycling is doing more bad than good, and this video has really helped
Thank you for making this video, it is something that has been on my mind for a long time. It is so reassuring that Gerry and his team are looking into this further. I hope they publish the results of the Brain Scan's etc. Thanks guys!
Really like this episode. I have been an amateur runner for 15 years, triathlete for 12 years, and cyclist for 45 years. At 55 I was diagnosed with bradycardia (low/irregular heart rate caused by weakened electrical signals to the heart). When I was at the height of my training my typical resting heart rate was 42. Even in my mid-50s it was in the 50s. At 55 I got a pacemaker as at times when I drove, and when I got up quickly, I would almost pass out, ending up in an emergency room and becoming a bionic man. I haven't had anything else bad develop with my heart, but now retired I plan to continue cycling until I can't. A couple of heart specialists have told me that there is a possible link between my condition and all the training miles, and that very low heart rate might also contribute. I was never a heavy drinker (1-4 beers/month except when I was training for an event). Would love to hear a follow up.
I run and cycle, and as I belong to a club, more than one of the members have serious a-fib issues, so it was helpful to hear more about this. I was particularly intrigued to hear about the connection with alcohol consumption. Many thanks
I remember reading a study about ultra runners and they concluded that after a big effort they found scare tissue on the heart that made the heart muscle much stiffer and less able to pump normally. This didn't seem to be a permanent condition and cleared up over time. The study also found that moderate exercisers lived a little bit longer that hard core ultra athletes but both lived longer than the general population. I think it's a valuable area of study and I can't wait to see future data.
I think doping muddies the waters as well.
the scaring of the heart muscle will go away after 2 weeks on young people, but it won´t go away on middleaged and old people. Use polarized training.
I used to cyclea lot over the years, now I moderate ,my cycling addiction (but I do not do extreme cycling. So I think my heart is all good).
Superb stuff, and hugely interesting! Always think about my ticker lately. 53 almost and almost a year of being back "into" cycling. I have however, during lockdown, done all of my exercising on a turbo.
Thanks Ian!
I dont think I have any heart issues, but I've been stressing out too much lately and that puts pressure on my cardiovascular system. I need to manage my stress levels.
Im really worried about that too. Im 60 and Im starting to be afraid of really pushing hard on my rides.
These folks give such an amazing and concise explanation of all of this. Kudos!
Really great content thank you I’m a lifelong endurance athlete (54 yrs old) I had a single episode of AF last year that flipped back in A&E dialled 111 after doing an ecg myself as I was wearing an Apple Watch I now carry flecanide as a pill in pocket that would help flip back to normal in most instances it’s never one route cause but I am certainly better off on so many counts for the benefits of exercise
So good to see Gerry Mccann again and foor a positive aspect like sport, hope that the case about Madeleine will be solved one day
Really interesting video and extremely helpful. I have actually been in constant Afib for 16 days (and counting) now, having been alerted by Apple Watch on morning of 15th March. Confirmed by ECG readings at clinic, and 2 hospital visits so far as well as via Apple Watch and Kardia device. Now waiting to see cardiologist and explore next steps. Heart rate is somewhat higher than normal - but not racing - and is more volatile, and Afib is definitely present. My resting HR also several beats higher than normal (65-70, compared to around 52). During light exercise, HR cannot be read from wrist devices, but chest strap monitor shows similar volatility. I have none of the risk factors such as diabetes, high blood pressure, family history, weight etc (scoring zero on the so-called CHA2DS2), and am an otherwise healthy, active, lean 64 year old. As an example, in the week before onset of Afib I ran 48 Kms, and took several hikes. Biking took a back seat thanks to crappy weather. Most runs were made a comfortable speed, focusing on a steady, relatively low HR. I did do one run slightly faster with some longer sprints, pushing HR up to 169/170 for a short period. However, on the Saturday before the onset on the Monday I did drink far too much - approximately 20 units - and then went for a steady 8Km run the next morning to work off the hangover! I am sure the booze wasn't the only cause of the Afib, and there are good links to Afib occurring in very active older people - but my own stupid fault if it did.
Exactly the same happened to me at 53 - I was a 2nd cat racer till 50 doing 300km per week inc a lot of training. Cardioversion fixed it immediately after 5 months in persistent AF. Waking up from the op, I immediately knew it had been fixed!
Super effort while dehydrated on a long clubrun caused my heart to flip into AF. 2 years later, no AF but I don't do any zone 4 efforts any more or anything over 2 hours.
@@MrAndrewjdavis Hi. Thanks for reply. Interesting: I think dehydration (along with alcohol and over exertion) played a part instating my AF. Good to know your AF was helped with cardioversion. Hope your good health continues.
better idea worth exploring: is too much mrna vax bad 4 yr heart?
To add to my comment on A-fib, it's good to know that smart watches (I use Samsung Galaxy) have the ability to do an impromptu EKG and check for A-fib like symptoms. I resisted buying a smart watch for years but now that I have one I enjoy it. It's a great companion for an endurance enthusiast in addition to smartphone user.
GERRY MCCANN?? As if we're all just pretending that's not THE gerry McCann wtf 😂
This touched me on point - i recently developed atrial fibriliation after a prolonged period of increasing amount of cycling. I'm currently being treated for the condition and this is really useful information that i will pass on to my physician.
Thank you for this heartfelt video.
I developed atrial fibrillation when I was about 45 years old and was still actively racing my road bike. I had a catheter ablation when I was 53 years old and stopped racing. I’m 62 years old now still ride my road bike 3 to 5 times a week, about a 1000km monthly. I make sure, I stay in zone 2 for most of the time and don’t go into the red zone for too long.
Similar to you, I have just had an ablation at 53 and I also try and stay in Zone 2. I want to be riding when I am in my 80's! :)
Interesting, I have AF and decided myself to ride with a heart monitor and just stay out of the red, I had no medical advice and wondered if ti was even a good idea to keep riding. But I've seen my stamina improve but mostly it's the happiness I get from being out. My avg speed is only 10mph now but the benefits I feel are everywhere in my body. It must be the best thing to do!
... and... what about the alcohol? Was it a factor, am dying to find out...
I’m 56 and did ablation when I was in 52. Still taking med daily but reduced dose. Ride once to twice about 60-90 km. I’m doing fine but remind myself to don’t go beyond 150bpm more than few minutes while riding
Me too! I was road racing pretty hard from 40-50 and started to back off after that. Still did the weekly clubrun including some mad efforts. Had a "funny feeling" after one hill effort, spun home and rested on the sofa for the day and was back to normal. Stupidly did the same thing 2 weeks later and didn't get back to normal - persistent atrial fibrillation! After a couple of weeks I tried a solo ride and heart rate was 170 at 20kmh so decided to get checked out. To cut a long story short, I had cardioversion 4 months later which fixed it instantly. I am super cautious now and don't do any max efforts - which unfortunately means the clubrun is a no-go because it is just too tempting to race. Now, I stick to the odd solo ride at zone 3 and I have taken up running an hour a week (as the pace is more constant).
P.S. The cardiologist was lovely but a bit vague on exercise - simply saying "if you feel ok, don't worry" - and didn't mention over-exertion as a trigger (which I am 100% sure was).
Also the cardiac nurse said she often sees cyclists with persistent AF but mainly a few years AFTER they stop racing!
i have ridden for decades with two others men and we are now all in our mid to late 60's. We did not race but we all rode high miles every year for many years (6000 - 12000). We have used cycling computers to track our miles, cadence, and heart rates ever since the technology became available.
One got afib (accelerated heat rate) at 67 and was entirely kicked off his bike by doctors although they now let him ride some but only short distances at slow speeds. The other has had a number of health setbacks in the last few years (blood clots, knee issues, stress fractures).
I have seen my heart rate average go up 30-40 beats per minutes in the last few years as well and have seen a cardiologist. I do not have afib yet but I wonder if I am going down that rode as well and I try to take it easier on the bike. I have had a number of heart tests done and they say my arteries are clear so that is nice to hear.
Personally I wonder as you get older (like 60 onward) and have spent a lifetime riding many miles if it does not have negative effects on you as well......................
Something else is not being mentioned that is a new factor in recent years.
THIS