Download Ebook , by Lennard Zinn

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, by Lennard Zinn

Download Ebook , by Lennard Zinn

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Product details

File Size: 7947 KB

Print Length: 323 pages

Publisher: VeloPress (January 5, 2017)

Publication Date: January 5, 2017

Sold by: Amazon Digital Services LLC

Language: English

ASIN: B01MZ6S2LP

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#172,391 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

I hope I read this book in time. I am a 74-year-old bike racer with premature ventricular contractions (PVCs, often felt as skipped heartbeats) that have been diagnosed as benign following a stress ultrasound examination. Until I read this book, my instinct was to push harder. I thought if I just did enough interval training and hard hill climbs, I would get past these PVCs. To some extent, that has worked. However, after reading this book, I now believe that the PVCs may be an early warning of heart problems to come if I keep on pushing as hard as I have been.I am going to continue riding my bike, and I am still going to push hard at times, perhaps even race again, but most of my riding is going to be at a slower pace.An anecdote: a fellow bike racer won a criterium (a hard circuit race) in the 80-to-84-year-old age group last year. Our team had put on the race, so I had the pleasure of presenting him with his trophy. A few days later, he passed away from what was described as a heart attack. He had appeared to be in excellent health when I saw him. I can't help but wonder if he wouldn't still be alive if he hadn't pushed himself so hard.I think any endurance athlete who frequently pushes his or her heart rate to its maximum and who is middle-aged or older should read this book to know the risks as well as the benefits of hard exercise. Backing off a bit on the workouts doesn't mean the end of exercise or even necessarily of competition, but it may mean the difference between being fit five or ten years from now or being impaired by a heart condition.

This is a book about heart problems that occur in endurance athletes. It has to thread a difficult needle between discouraging folks from exercising and defining how much exercise is too much. Go to any mall in America and look around. Too much exercise doesn't seem to be a big problem, and indeed this book is not about the average American, but is intended for the life-long, hard-driving, endurance athlete. The authors do a good job in defining this focus and certainly wouldn't want the casual cover reader to conclude that moderate exercise is bad. But like anything, too much of a good thing can be bad, and the book is full of real-life stories of athletes who drove themselves so hard that their hearts suffered serious consequences.The other audience of this book is physicians, particularly cardiologists and electrophysiologists who deal from time to time with endurance athletes. Their normals are not the same normals as the average patient, and they benefit from seeing doctors experiences in their problems.I was surprised how much data there is associating multiple cardiac problems with endurance athleticism. It does give one pause (not that I'm at risk), and I would think this data and the patient stories in this book might indeed cause an "exercise addict" to moderate his or her ways.My colleague and friend Dr. John Mandrola's chapters on the medical evidence of the effects of extreme exercise, as well as modern diagnostic and treatment modalities are very clear and would be of benefit to any patient with rhythm problems. Reading his advice for patients on how to prepare for a doctor's visit strikes so close to home: I wish all patient's would heed his advice!My only minor quibble is with the final chapter, The Takeaway. This seems to be a bit of a hodgepodge, containing advice on supplements (I think the bane of the fitness industry), bystander CPR and ICDs, rather than a real summary of the book. The Epilogue of the book better serves that function. Advice to take garlic, or stating the Japanese have a high iodine intake and also a low incidence of heart disease seems less scientific than the rest of the book and maybe out of place.But, overall this is an excellent book on a little-known subject, directed at athletes but containing lots of good information for doctors who take care of them.

I have run for 50 years and was diagnosed with 2nd degree heart block and intermittent atrial flutter several years ago. When the flutter kicks in it definitely interferes with exercise: running, hiking, biking -- any aerobic activity. This book was recommended by a neighbor -- a mountain climber and long-distance masters bicycle racer. It was a much appreciated recommendation and provided a good deal of context and background that helped me better understand the nature and potential fixes to my condition.I should say that often the book focused on heart conditions and arrhythmias other than those of direct, personal interest to me. The segment on atrial flutter was relatively brief but quite informative; the book made almost no mention of heart block.The Haywire Heart was a useful and informative read. It seemed well researched, rational, and balanced. Its illustrations were also useful. While I might have quibbled a bit with its organization and coverage, I would definitely recommend it for anyone seeking knowledge and perspective on (aerobic) exercise and risks to heart health.

I am a former bike racer and chuckled through the first three chapters. Not because they were funny, but because I was reading about myself.I now have a type 3 block and a pacemaker. Large strong heart, and zero blockages. Been tested galore. Just no electricity flow. After a year of messing around with the pacemaker (programming), I now can ride again, just not like I used to.The funny/sad part was I had these symptoms (I have always had a low heart rate anyway) but when I could not get my HR up over 100 I figured I had a problem. Then I had an aortic dissection (covered in the book).I had all the symptoms pointed out in the early part of the book. I am now reading the rest.Point...if you are a casual runner/cyclist, my understanding is that you probably don't have to worry, but if you are a "serious" endurance athlete, read this book.Frankly, I would not have lived my life any differently. I just would have paid attention to what it was telling me.

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