Post-Exercise Heart Rate: Is Your Recovery Normal? - Cardiology

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Heart rate after exercise


Due to mitral valve palpitations, I haven't exercised for four months.
Today, I did some light exercise for 5-10 minutes and noticed that my heart rate took 6-7 minutes to drop to 115-120 bpm after exercising.
I also felt my heart rate decrease to below 120 bpm only after resting for another 6-7 minutes, and the recovery was very slow.
I would like to ask if this is considered normal.
Thank you, doctor.

Bill, 20~29 year old female. Ask Date: 2019/04/17

Dr. He Dongjin reply Cardiology


Hello, it's normal to experience a decline in physical fitness after four months of inactivity.
Don't worry; you will gradually improve.
This is a message from Changhua Hospital, caring for you.

Reply Date: 2019/04/17

More Info


When considering post-exercise heart rate recovery, it is essential to understand that individual responses can vary significantly based on several factors, including fitness level, underlying health conditions, and the intensity of the exercise performed. In your case, having not exercised for four months due to mitral valve issues, it is understandable that your heart rate recovery may be slower than what is typically expected.

After engaging in physical activity, it is normal for heart rates to elevate. The heart rate typically peaks during exercise and should gradually return to baseline levels during the recovery phase. For most healthy individuals, heart rates should decrease significantly within the first few minutes after stopping exercise. A heart rate of 115-120 beats per minute (bpm) after light exercise, such as 5-10 minutes of activity, may seem elevated, especially if it takes several minutes to drop below that threshold.

In your specific situation, the fact that it took 6-7 minutes for your heart rate to decrease to 115-120 bpm and then another 6-7 minutes to drop below that indicates a slower recovery. This could be attributed to several factors:
1. Deconditioning: After a prolonged period of inactivity, your cardiovascular system may not respond as efficiently to exercise. This deconditioning can lead to slower heart rate recovery times.

2. Mitral Valve Issues: Given your history of mitral valve problems, it's crucial to consider how this condition may affect your heart's ability to manage increased workload during exercise. Mitral valve issues can lead to irregular heart rhythms and may impact how quickly your heart can return to its resting state.

3. Intensity of Exercise: The intensity of the exercise you performed can also play a significant role in heart rate recovery. If the activity was more strenuous than anticipated, it could lead to a prolonged elevated heart rate.

4. Overall Health: Other underlying health conditions, medications, and even hydration status can influence heart rate recovery.
In general, a slower heart rate recovery can be a sign of reduced cardiovascular fitness or an underlying issue that may need to be addressed. It is advisable to consult with a healthcare professional, particularly a cardiologist, who can evaluate your heart health comprehensively. They may recommend further tests, such as an echocardiogram or a stress test, to assess your heart's function and determine if your current exercise regimen is appropriate given your medical history.

In the meantime, consider gradually reintroducing exercise into your routine. Start with low-intensity activities and monitor how your body responds. Pay attention to any symptoms such as dizziness, chest pain, or excessive shortness of breath, and do not hesitate to seek medical advice if these occur.

In conclusion, while some variation in heart rate recovery is normal, the specifics of your situation warrant further evaluation. Engaging with a healthcare provider will help ensure that you can safely resume physical activity while managing your heart health effectively.

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