← Return to New HCM symptoms with increased exercise

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I am 66 years old and in the “obese” category at 254 lbs and 6’ 2”. I have put on 10 extra pounds the last few months. I take 360 mg verapamil and 12.5 mg Hydrochlorathiazide for my HOCM. When I jump up from sitting or lying down, or go charging up stairs. I have to stop and bend over until I feel better. The same for going up hills or even on flats at times while on a walk. I am unable to stay up with others.

I believe these problems are due to my weight. It is simple as that. If I lost 20-30+ lbs, I would feel better. My HOCM numbers from Mayo-Rochester have changed little over 10 years. So my increased issues of last 1-2 years are more than likely due to my diet and lack of consistent exercise. One more item that I find is important is making sure I am properly hydrated (and not over hydrated). I also had my thyroid removed in 2024 due to a thyroid cancer diagnosis. My sodium and chloride numbers have been on the very low side of normal which I am adjusting by using electrolytes with my water once per day. I take other meds for mental health for the last 25-30 years.

So eat better, with smaller portions, and move more. That is my challenge now.

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Replies to "I am 66 years old and in the “obese” category at 254 lbs and 6’ 2”...."

I too am an avid exerciser and have to modify more as I get older. I’m 65 and take only metaprolol 12.5 mg once per day. I walk 4 miles most days, lift weights 3x per week, play golf and occasionally pickleball. My doctor says not to anything that gets my HR up fast. I can feel when it happens as I get winded.
Anything that involves a hill or stairs, I need to stop and catch my breath.
I’ve noticed my resting HR is in the high 60s/low 70s. In the recent past it was high 40s/low 50s. Is that the HCM progressing?
I do make sure I’m hydrated and take electrolytes most days. My blood pressure is on the low side (I often take medication to raise it).
My weight is good, but I feel the HCM keeps me from doing what most others can do easily.
Don’t get discouraged, keep cycling. Getting an e bike is in my future, couldn’t keep up without one.
My motto-“slow and steady wins the race”.
You’ve got this!
Best,
June in Upstate NY

How do you know or what is over hydration?