Getting HR down is more tricky, aerobic exercise can help (due to morphological cardiac adaptation associated with it), if that doesn’t work medication can… but then you’re adding another variable with the potential for side effects. Beta blockers are fantastic for lowering HR, esp cardioselective (predispensity for the B1 adrenergic receptor) beta blockers, reduces cardiac workload (good for when the heart is already under strain/being strained due to catecholamine excess)
Can fuck up you’re insulin sensitivity and reduce submaximal/maximal exercise performance, cardioselective beta blockers do this less so than 1st gen beta blockers though
The opposite of beta blockers are beta agonists. Clenbuterol is a beta 2 agonist (beta 2 adrenergic receptors when unregulated aid with smooth muscle relaxation, bronchodialation etc) though this particularly pertains to tissues which contain these receptors, so the lung would be a perfect example (hence why it’s good for those who are athematic)
Yep this is why my resting heart rate is normally in the 50s… from all the aerobic exercise I do at work in training. As soon as my heart rate is 80 I can feel it and know it is higher. I don’t think my Apple Watch as shown me a heart rate of 50 since I’ve started cycling 3 weeks ago
As far as the drugs go and beta blockers etc and the effects on the body… I am aware, being a paramedic has its perks I get to play with a drug box every day at work lol and see the effects of Epi and other drugs on people.
Your arms and shoulders are phenomenal comparatively speaking (not that the rest is bad, just proportion wise). I’d hit leg 2-3 days a week and really make them puppies grow, personally. I think it’s often an under trained body part, 4 upper body days and 1 lower body day a week just doesn’t sound sufficient.
Good luck, hope you get the BP under control. Have your arms grown? I had false high BP readings when I used a cuff too small.
My legs aren’t big by any means, but we’re a similar size upper body, I think growing your legs will help you tremendously.
I actually have not measured arms since starting 3 weeks ago but since you posed the question I just measured them and they are touching 17”. Weight is up 5 lbs mostly water I think so I doubt the gain is from any lean tissue. Although strength is climbing.
Bigger legs is a huge goal of mine. I just always lose motivation on leg day for some reason and half ass it.
Here in US we give nebulized albuterol via high flow o2 mask for asthma… and in some cases Epi if it’s due to anaphylaxis. In Australia do they use Clen?
I don’t know cuff sizes, and given your job, you’re far more well educated on all of that. I would just check to make sure it’s not potentially the cuff? I had readings of 145-165 / 70ish, I went into the doctor right away, 3 different folks checked it, all said 118-120/65. Ran home and tested again, and was still 150s.
Scared the crap out of me.
Legs used to be the same for me. I only did Em once a week and half assed them. Now it’s probably my favorite body part to hit. Take full advantage of the cycle!
I used the standard one size fits all cuff at the publix grocery store near my house lol. It was a smaller cuff now that I think of it. I will have a co worker check my BP at work tomorrow to see but you are right, an improper fitting cuff could skew readings.
no… no one uses clen for athsma anymore lol… I take albuterol (occasional bouts of exercise induced athsma… with all the smoke out here in Aus in the air it’s also difficult to breathe adequately at times)
Funny because I also take beta blockers (social anxiety) but I take the cardioselective b1 adrenergic receptor type (atenolol), the racing pulse was the biggest issue I had, I also find it chills me out, glucose tolerance is fine… no downside
I wouldn’t, you’re increased HR is likely due to overstimulation of the sympathetic nervous system and increased BP. Amiodarone is used to treat arrhythmia… oh nvm you said you were joking… not to say it wouldn’t work, as it does slow down HR, BB’s can also be used to treat arrhythmia, but the mechanism by which amiodarone works isn’t optimal for you’re situation
I’m not going to recommend what to use/not to use as that’s far out of my jurisdiction (not a qualified MD/medical professional)… but I can say with reasonable certainty that amiodarone isn’t the best option
Yes I was joking haha. Remember at a minimum I carry 33 drugs in my drug box at work. If I didn’t know what each and every single one of them did. A lot of people would be in trouble in my county. LOL
Oh my goodness I would say I administer Narcan every shift. Opiate overdose patients are the worst. They always wake up so angry and yell “we ruined their high”… I want to say “you were going to die if we didn’t” but that’s not a good public relations look.
Here in US even the cops carry it since they get to the scene usually faster than us since they are mobile. although I can say without a doubt they have no idea what they are doing… most anyways.
They get to use a nasal spray though we inject IM on scene.
A lot of the addicts actually are carrying their own Narcan, however they don’t realize they don’t have the chance to use it since over dose happens fast.
I’m… sorry you have to witness this on a daily basis… I’ve seen a few OD’s (not opiate, stimulant and alcohol related as that’s more of an issue down here)… they’re awful to watch go down (and I’m also typically the one to help because others within my demographic simply don’t know what to do "Unreal, should we take him to the ER?)
I understand, I’ve had paramedics tell me this time and time again, what I find particularly fucked up is… if you’re so high that you’re respiratory rate is like one breathe per minute and you’re heart beats at like 15 BPM… that’s not being “high” anymore… that’s dying, you’re not even awake/conscious… there is no sense of euphoria there. Furthermore, when heavily entrenched within the throes of addiction… do you even get “high” anymore? Surely it would just be maintenance after a while, starving off withdrawal symptoms (or going higher and higher regarding the dose, but after a while when the cost per dose is exorbitant it doesn’t make sense… unless they’re injecting say fentanyl… of which batches varying in dose pose a HUGE overdose risk)
RHR of 116 is no joke, prolonged resting tachycardia can induce tachyarrythmia induced cardiomyopathy. I thought I reacted badly in terms of HR increase… not like this… (highest was 90)
Theres also the aspect of immunostimulation via the T metabolite etiocholanolone… If you can’t lower the HR i’d suggest hopping off…
Should be noted following the creation/up-regulation of beta adrenergic receptors things do even out (as the body re attains homeostasis) however the issues regarding HR aren’t particularly likely to subside given you’re BP. That and AAS while on induce autonomic dysfunction that doesn’t tend to resolve until use is stopped (and then the jury is out as to whether some of these effects may be permanent regarding autonomic dysregulation)
You could easily go to a GP and come out with a script for beta blockers/ace inhibitor/whatnot… not the greatest idea, but honestly it’s probably what I’d do (actually I’d lower the dose first)
I get to play with a drug box every day at work lol and see the effects of Epi and other drugs on people.
