Improving Cardiovascular Fitness and Managing Rapid Heart Rate: A Guide - Physical Fitness

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Height: 153 cm, Weight: 45 kg, BMI: 19.22 (underweight) Flexibility: 34 (average) Muscle Strength: 35 (good) ------(the above is the online assessment result)------ I have previously inquired about similar issues, but I would like to consult again.
I have a tendency for a fast heartbeat; my heart rate was measured at 98 bpm during a health check two years ago, and this year it was 112 bpm.
My diastolic blood pressure is slightly high, and I often feel that my heart is beating too fast.
I have already engaged in moderate exercise, but my cardiovascular endurance is still poor.
How can I improve this? Is it advisable to do core exercises (which may be required later at school)?

G.E., 20~29 year old female. Ask Date: 2016/11/11

Dr. Li Weiqiang reply Physical Fitness


1.
The heart rate is elevated; it was measured at 98 beats per minute during last year's physical examination and is now 112 beats per minute.
This may be related to metabolism, so further evaluation in the fields of metabolism or cardiology is recommended.

2.
Cardiopulmonary endurance is still inadequate and requires time for training.
What is your target level for cardiopulmonary endurance? How can you currently improve your cardiopulmonary endurance?
3.
Core exercises can be performed.

Wishing you peace and health,
Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/11/11

More Info


Improving cardiovascular fitness while managing a rapid heart rate is a common concern for many individuals, especially those who may have experienced fluctuations in their heart rate during physical activity. Based on the information provided, it appears that you have a relatively low BMI and have been engaging in moderate exercise, but still experience episodes of increased heart rate and concerns regarding your cardiovascular health. Here are some strategies and insights that may help you improve your cardiovascular fitness while managing your heart rate effectively.


Understanding Heart Rate and Exercise
Firstly, it's essential to understand that an elevated heart rate during exercise is a normal physiological response. The heart pumps faster to meet the increased oxygen demands of the muscles. However, if you are experiencing a resting heart rate that is consistently high (like the 112 bpm you mentioned), it may indicate that your cardiovascular system is under stress or that you may not be recovering adequately between bouts of exercise.


Assessing Your Current Fitness Level
Your online assessment results indicate that you have average flexibility and good muscle strength, which is a solid foundation for further fitness improvements. However, if your cardiovascular endurance is lacking, it may be beneficial to focus on aerobic conditioning. This can be achieved through activities such as brisk walking, cycling, swimming, or jogging at a comfortable pace.


Gradual Progression in Exercise
1. Start Slow: If you are currently engaging in moderate exercise, consider gradually increasing the duration and intensity of your workouts. For example, if you are walking, you might start with 20-30 minutes and slowly increase to 40-60 minutes as your endurance improves.

2. Incorporate Interval Training: Once you feel comfortable with your base level of fitness, you can introduce interval training. This involves alternating between periods of higher intensity and lower intensity. For example, you could walk briskly for 2 minutes and then slow down for 1 minute. This method can help improve cardiovascular fitness without excessively raising your heart rate for prolonged periods.

3. Monitor Your Heart Rate: Use a heart rate monitor to keep track of your heart rate during exercise. Aim to stay within 50-85% of your maximum heart rate (which can be roughly estimated as 220 minus your age). This will help ensure that you are exercising at a safe and effective intensity.


Core Strengthening Exercises
Incorporating core exercises can be beneficial, especially if you are preparing for activities that require core stability. Exercises such as planks, bridges, and abdominal crunches can be performed without significantly elevating your heart rate. However, ensure that you maintain proper form and breathing throughout these exercises.


Lifestyle Modifications
1. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. This can support overall cardiovascular health.

2. Stress Management: High levels of stress can contribute to an increased heart rate. Consider incorporating relaxation techniques such as deep breathing, yoga, or meditation into your routine.

3. Regular Check-ups: Since you have experienced fluctuations in your heart rate, it is advisable to have regular check-ups with your healthcare provider. They can monitor your heart health and provide personalized recommendations based on your medical history.


Conclusion
Improving cardiovascular fitness while managing a rapid heart rate involves a combination of gradual exercise progression, monitoring your heart rate, and making lifestyle modifications. By focusing on aerobic conditioning and incorporating core exercises, you can enhance your overall fitness without overexerting yourself. Always listen to your body, and if you experience any concerning symptoms, consult with a healthcare professional for further evaluation and guidance.

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