Low Bp after running

Hi folks,

Haven’t posted here for a while, just getting on with life and navigating the strange journey we’ve all been on over the last 12 months.

Massive HA 2 years ago, single stent, significant scarring leading to EF 34% on last MRI in Jan 2020. Haven’t had a scan since, but taking Entresto, Eplerenone, carvedilol, aspirin, rosuvastatin and feeling pretty good, working full time. After I had an ICD implanted (May 2020) my cardiologist said ‘do as much exercise as you possibly can’ up to a max. HR of 150.

So, I’m running a steady 5k every other day (c. 7m/Km) cross country and it feels fine, but when I get home and check BP it’s always very low. Usual Bp (thanks to meds) is c. 96/63, but after a run it goes as low as 80/55. Will be checking with my cardiologist, but wondered if any other post-HA/HF runners have experienced this? Feels like Bp should head in the opposite direction with exercise. When I lift weights systolic Bp does indeed go up, but diastolic tends to stay level or decrease slightly.

Cheers, J

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Thank you! Makes sense to me, and I love the storm drain analogy 😆 Looks like you’re a pretty dedicated runner, so kudos to you for adapting that pursuit to your ‘new normal’ and going from strength to strength.

Ps. Commiserations on a poor weekend of results from a fellow Welshman. Anglesey must be looking beautiful at this time of year!

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Similar experience for me as TWU, my BP was dropping as low as 76/48 post run, spoke with my Cardiologist who said almost exactly what TWU explained re dehydration etc.

In my case he did adjust my Bisoprolol, so may be worth a mention, obviously depending on what dose you are on.

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Interesting read.

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Off topic, but managed to do my 1st 5k in 12 months last week, built it up slowly since gyms re-opened, achilles seems to be holding up.

[Holywellbay]

No problems with Roscuvastatin