RichGotsPots Posted March 30, 2012 Report Share Posted March 30, 2012 Had a cardio pulmonary exercise test this past Tuesday. I could only walk on the treadmill for 2.52 minutes. The pulmonary doctor said my blood pressure dropped from 124/80 to 100/70 during the test which he said the opposite should happen, when a person walks BP should go up. My heart rate was too bad around 165 bpm. But he said the other unusual thing was I reach a metabolic phase way too quickly. The report says Anaerobic threshold (VO2A normal is >40% and I am 23%. The report also says Heart rate reserve 1-(HRMa normal is <15% and I'm 22.6%, O2 pulse (rest to WRMax) normal is 15 and I am 2-4. The doc said all this is unusual and based on this alone I should get disability but I need to go to specialist because this type of breathing problem is out of his hands.. Quote Link to comment Share on other sites More sharing options...
janiedelite Posted March 30, 2012 Report Share Posted March 30, 2012 Good for you that you are getting some medical validation for how you've been feeling. I hope you get more answers soon. Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted March 30, 2012 Author Report Share Posted March 30, 2012 but what does the hypotension during exercise mean? Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted March 30, 2012 Author Report Share Posted March 30, 2012 also anyone have an idea what the doc meant by getting to the metabolic phase too quickly?? Quote Link to comment Share on other sites More sharing options...
issie Posted March 30, 2012 Report Share Posted March 30, 2012 Rich,It's about time they found something. I don't know what it all means but maybe now you will get the help you need. I hope this is the start to your feeling better.Issie Quote Link to comment Share on other sites More sharing options...
roxie Posted March 30, 2012 Report Share Posted March 30, 2012 I hope this helps you get some direction, rich.My dr does metabolic stess testing to see how we handle exercise. My first one a few months ago was awful. Last week, I had a follow up test. While it's not normal by any means, there was some improvement But I did it on an exercise bike and had a bp drop as well. I wondered why too? Quote Link to comment Share on other sites More sharing options...
the4richards Posted March 30, 2012 Report Share Posted March 30, 2012 This book excerpt tells a about the anaerobic threshold concept and what happens during the different "phases".http://books.google.com/books?id=BC9SiAsUPqsC&pg=PA258&lpg=PA258&dq=exercise+test+%22metabolic+phase%22&source=bl&ots=8VZKX_iqZp&sig=4wljz4aTtH5FQhUBPWykjXURZIo&hl=en&sa=X&ei=j851T-vkPOOU2wXo8sixDQ&ved=0CHYQ6AEwCQ#v=onepage&q=exercise%20test%20%22metabolic%20phase%22&f=false Textbook of work physiology: physiological bases of exercise, By Per-Olof Åstrand Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted April 1, 2012 Author Report Share Posted April 1, 2012 This book excerpt tells a about the anaerobic threshold concept and what happens during the different "phases".http://books.google....hase%22&f=false Textbook of work physiology: physiological bases of exercise, By Per-Olof ÅstrandI don't get it can u explain it? Quote Link to comment Share on other sites More sharing options...
Katybug Posted April 1, 2012 Report Share Posted April 1, 2012 Rich,The metabolic phase refers to the point at which your body starts pulling/metabolizing fat/muscle stores in order to produce energy for whatever activity/exercise you are performing. This state also produces lactic acid in your body as a by-product of the metabolism. The book talks about determining the point at which (anaerobic threshold) lactic acid production exceeds the removal rate and therefore starts to limit the time/intensity of exercise to the point of exhaustion. It is obviously more intricate than this as it involves the entire Kreb's cycle, but, that's the general idea.Based on what the doc told you, you may want to also investigate mitochondrial disorders. I don't know if Todd is still participating in the forum, but, if he is, he might be able to give you some info on these.Hope this helps,Katie Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted April 1, 2012 Author Report Share Posted April 1, 2012 Rich,The metabolic phase refers to the point at which your body starts pulling/metabolizing fat/muscle stores in order to produce energy for whatever activity/exercise you are performing. This state also produces lactic acid in your body as a by-product of the metabolism. The book talks about determining the point at which (anaerobic threshold) lactic acid production exceeds the removal rate and therefore starts to limit the time/intensity of exercise to the point of exhaustion. It is obviously more intricate than this as it involves the entire Kreb's cycle, but, that's the general idea.Based on what the doc told you, you may want to also investigate mitochondrial disorders. I don't know if Todd is still participating in the forum, but, if he is, he might be able to give you some info on these.Hope this helps,KatieThanks Katie, I'm aware of Mito issues, there are also enzyme dysfunctions besides mito that also affect ATP. But my question is how would my Pulm doctor be able to test my abnormality using the exercise test?Thanks,Rich Quote Link to comment Share on other sites More sharing options...
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