Heart rate

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Chrisull Oct 2018 3:31pm, 11 Oct 2018 13,344 posts	0 Chrisull I've down St Pol de Leon/Morlaix half twice and also have had to have a certificate for both of those. Saint - I assume the answer to your above question is private health care. I'm not supporting it, but it's the kind of thing an insurer would pick up the tab for. In the States my sister says she got "followed" around by her own personal assistant for route hospital checks, as insurance "had to look like it was doing something for the money". I can't say if they'd pick up all issues, but I'm guessing they'd pick up some issues, which therefore makes it worthwhile.
The_Saint Oct 2018 4:25pm, 11 Oct 2018 6,345 posts	0 The_Saint Ben Goldacre did quite a bit on the value of screening/testing, the popular belief seems to be similar logic to having your car serviced regularly, apparently to use his phrase "I think you'll find that it's a bit more complicated than that"
Chrisull Oct 2018 4:29pm, 11 Oct 2018 13,345 posts	0 Chrisull Yeah I seem to remember that, and I know on prostrate screening it is actually proving counter-productive in many cases, they pick up "pre-cancerous" stuff, which the body's immune system might well deal with itself, and in dealing with it via an operation/drugs/radiation they actually cause more problems. Still in my case, one of the lights on the car dashboard has come on so it seems sensible to get it checked out. One of the top lady runners (and also a nurse) in our club said she had an issue on an ECG, and never went back to get it followed up.
larkim Oct 2018 4:34pm, 11 Oct 2018 5,812 posts	0 larkim LOL - I just bought a bluetooth ODB2 connector for my car so I can switch off the warning light on the ECU and ignore the problem...
sallykate Oct 2018 4:34pm, 11 Oct 2018 5,691 posts	0 sallykate Delurking to say maybe take a look at the Cardiac Risk in the Young site https://www.c-r-y.org.uk/category/faq/; there will always be people with undiagnosed (and rare) conditions who really couldn't have known or done anything: regular runners who'd had no warning of anything.
paul the builder Oct 2018 4:43pm, 11 Oct 2018 6,428 posts	0 paul the builder Saint - is the car servicing analogy really a good one? I don't know what the equivalent 'false positive' would be there. Worst case is you've spent a bit more than you needed to on unnecessary screening (which is the bit of the analogy that is fair). Not sure if LouLou reads here, but she'd have a unique() insight in to all this. () may not be literally unique, but you know what I mean
larkim Oct 2018 4:52pm, 11 Oct 2018 5,814 posts	0 larkim This felt like a pithy summary of the situation I suppose (from that c-r-y website):- "There is a relationship between sudden cardiac death and sport. However it is important to emphasise that sport is good for the heart. Sport reduces the risk of high blood pressure, it improves cholesterol levels and generally, it reduces the risk of someone dying from a cardiac problem. Indeed people who play sport on a regular basis live an average of six years more than people who don’t play any sport at all. However, if an individual that plays sport harbours a condition that’s capable of causing sudden cardiac death – such as hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy or a blocked artery – then sport is three times more likely to kill that individual. So there’s a bit of an irony, sport promotes longevity of life and reduces the risk of death from a cardiac problem but increases the risk of sudden death in an individual who already has a cardiac condition.
The_Saint Oct 2018 5:26pm, 11 Oct 2018 6,346 posts	0 The_Saint The car servicing thing I had in mind is that being serviced regularly won't detect a component that goes from nothing abnormal detected to sudden, catastrophic failure.
The_Saint Oct 2018 5:28pm, 11 Oct 2018 6,347 posts	0 The_Saint Sorry - hit return prematurely - whereas sensible stuff like oil changes are preventative, sadly the human body needs preventative stuff done every day by not choosing unhealthy behaviours
Daz Love Oct 2018 6:03pm, 11 Oct 2018 1,088 posts	0 Daz Love See this and then just opened my local paper to see this on the front page. Made me think. thecomet.net

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Everything you need to know about training with a heart rate monitor. Remember the motto "I can maintain a fast pace over the race distance because I am an Endurance God". Mind the trap door....

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A quote:

"The area between the top of the aerobic threshold and anaerobic threshold is somewhat of a no mans land of fitness. It is a mix of aerobic and anaerobic states. For the amount of effort the athlete puts forth, not a whole lot of fitness is produced. It does not train the aerobic or anaerobic energy system to a high degree. This area does have its place in training; it is just not in base season. Unfortunately this area is where I find a lot of athletes spending the majority of their seasons, which retards aerobic development. The athletes heart rate shoots up to this zone with little power or speed being produced when it gets there." Matt Russ, US International Coach

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