January is the time for resolutions. If you are like many people (myself included), every January I vow to go forth and exercise. Indeed, there is a surge in new gym memberships and the purchase of exercise equipment at this time of year. Exercise, on the whole, is one of the most important things you can do to maintain your overall health and cardiovascular fitness -- it is often much more important than diet or weight.
BUT - there are things you need to know before you go out and run in your new gym.
The question basically is, "What is your cardiovascular health?" A reputable gym will often have you fill-out a cardiac questionnaire in an effort to identify people who may be at higher risk. As you exercise, your body demands more from your heart. Your heart is asked to pump harder, faster, and under higher pressure. Not everyone's heart is prepared for this.
Anyone over 50 should have a thorough discussion with the doctor about their cardiac risks, and decide what is the "right" way to approach exercise. In addition, if you have cardiovascular risk factors, especially a family history of heart attack or stroke, high blood pressure, elevated cholesterol, elevated inflammatory markers, diabetes, smoking history or if you are significantly overweight, then you really should consider a functional assessment of your cardiac health before embarking on your exercise program.
In today's world, a "functional assessment" is more that a stress test. Exercise studies are not simply "pass/fail." They can tell us a great deal about your cardiac health, your chronic risk exposures, your future risk, and most importantly: we can be guided as to how to best protect you and your heart. This includes a formal "exercise prescription" if necessary. That is, specific guidelines for you as to the what is the best way for you to safely exercise your heart.
So, a good New Year's resolution can be, "exercise regularly, but know your cardiovascular health first."
This information was provided by Foxhall Internists cardiologist Dr. Joshua Yamamoto.