How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Jef Burk Your Own Question

Jef Burk
Jef Burk, Doctor
Category: Medical
Satisfied Customers: 2639
Experience:  MBBS. I've been teaching,practicing and learning since 1985.
5101698
Type Your Medical Question Here...
Jef Burk is online now
A new question is answered every 9 seconds

time..and what heart rate would they try to achieve for me at 61

Customer Question

I would like to try and simulate a stress test on my treadmill..It is a medical grade treadmill so I could certainly meet the criteria..I am 61 a female do regular cardio about 5 to 6 days a week basically walking briskly at a 4mph pace then every few minutes i jog at 4.5 or so for a minute or 2..may do 15 min elliptical afterwards to finish the hour..jusst at a programmed level...at what pace do they start the test how long before they increase the speed and how much of a gradient do they do each time..and what heart rate would they try to achieve for me at 61? Just thought I would see how difficult it would be for me ..
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Salar replied 4 years ago.
this is very dangerous to do at home. it can lead to heart attack n angina. i will strongly recommend against it.
Customer: replied 4 years ago.
i have had a cardiac work up recently with ekg and echo my heart is structurally sound .. i do have pacs isolated from time to time but that is it..basically if you could just give me a general idea of how fast and at what gradient that would be great i would hold on to the front of the tread as to not fall ..i have run before at 5mph for a couple of min so i'm not a wimpy 61 yr old
Expert:  Jef Burk replied 4 years ago.

Hi


 


Can I ask why you want to do a " do it yourself" stress test?


 


Dr Jef


 


PS - please treat this answer as an " info request" - I posted in response to your "answer" above and can only post an " answer" in reply.

Customer: replied 4 years ago.
I hear my friends talking about how they had taken a stress test and basically i just wondered how difficult it would actually be given my exercise regime..so curious i guess.just wanted to see if i would get out of breath or if it wouldn't be that difficult..
Expert:  Jef Burk replied 4 years ago.

Hi

 

Thanks

 

So you have no history of chest pains?

 

Dr Jef

Customer: replied 4 years ago.
No..... none.. the only thing i have are pacs which have taken me to the cardio to see why i have been having them more frequently..that is why he did ekg and echo ..and said heart was structurally normal..only thing was a mild diastolic dys and a slight wall thickening very slight again proably common for 61..he was not alarmed. which he questioned may have been inaccurate since i had no signs of fatigue or exercise fatigue..he said lots of people have pacs frequently but do not even know they have them i happen to know everyone i have..I know that the diastolic dys is common finding as we get older and he said it carries the same mortality as a normal ...blood lipids good ldl 125 hdl 85 trigly 63..no cardiac risks not smoker drinker(occassional) etc..noone in family ever died of heartattack ....mother with angina in her late sixties lived to be 92..father died age 83 from cerebral hem..brothers sisters no health issues sis 77 brother 72 other than brother has cholestral issues..so what do you think? The cardio said he doubted the findings had anything to do with the pacs..
Expert:  Jef Burk replied 4 years ago.

Hi

 

A full stress test is quite tough.

 

It if you are on a treadmill the first 30-60seconds are slow then it very rapidly builds up to a very intense workout.

 

Be aware that the purpose is to push you to achieve your maximal heart rate ( approx 220 - your age ) - so for you that would be about 160 beats per minute - this can only be achieved by increasing the speed as well as the incline at which you are running.

 

The heart rate is monitored to see if you are achieving your max heart rate - on a full stress test I expect that you would mange 6 - 8 minutes only.

 

The tests that you have had already by your cardiologist do not exclude you from having ischaemic heart disease - so if you have this then trying to do your own stress test may precipitate chest pains.

 

If you are interested in pushing yourself more physically then the best place to do this would be your local gym under advice form a suitably qualified instructor.

 

I am sure that you can do more that the low intensity that you participate in at present.

 

Dr Jef

 

Please get back to me if you need to.

 

http://www.patient.co.uk/doctor/Exercise-ECG-Testing.htm

 

 

 

Customer: replied 4 years ago.
what is ischemic heart disease ?? I have never had high blood pressure and shortness of breath...do you think the findings on echo are unusual for my age? What about pacs in your opinion increasing at this age without any other symptoms yes i do drink some caffine but i don't think it increases them greatly..I will def pay more for this long answer session! and the mild dyst func? It was a mobile echo that my primary care had done at her office ..are they always so accurate? and couldn't my extreme nervousness at the time fast heart rate etc have caused this mild function thing at the time??
Expert:  Jef Burk replied 4 years ago.

Hi

 

Ischaemic heart disease - this is when the arteries that take blood to the heart become narrowed - this can result in angina , heart attacks etc.

 

I would not worry about pacs - I assume you mean ectopic heartbeats when you say this? Unless you have an structural abnormality on your echo ( you do not ) they are clinically irrelevant - but can cause anxiety.

 

I am not an expert on diastolic dysfunction but it is a common finding as we get older especially in those with hypertension. Your cardiologist is clearly happy with your echo and I have no reason to give you a different answer.

 

Dr Jef

 

 

Jef Burk, Doctor
Category: Medical
Satisfied Customers: 2639
Experience: MBBS. I've been teaching,practicing and learning since 1985.
Jef Burk and 7 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Jef Burk
Jef Burk
Senior Partner in large medical practice
305 Satisfied Customers
MBBS. I've been teaching,practicing and learning since 1985.