The Heart Knows Best

Last week was the beginning of my last semester of my undergraduate education at George Fox University. Obviously I am excited and terrified at the same time. With all of the stress that comes with it, Life decides that I need more things to worry about: one of those includes my heart.

Because I took 15-18 credits every semester prior to this one, I was able to have an easier class load my final one. My roommate and I decided to take two workout classes, which are back-to-back twice a week. The first is yoga, the second step aerobics.

Last Wednesday (the first day of our work outs), something happened. Yoga went well, but when we started step aerobics, I realized something wasn’t right. I wasn’t just out of breath; it was different than that. Worse. I had to excuse myself after a short few minutes of workouts because I felt like I was either going to pass out or vomit. I decided I should go see someone.

Later that same day, I went to see the University’s nurse practitioner to discuss what had happened. Previously–the times I had gone in the past year+–my heart rate had been high pretty much every time, but I would brush it off like I had rushed over there, even though I hadn’t. I didn’t want to deal with it. However, this recent time was something different.

We decided to monitor it the next few days to see where my heart rate goes in different situations: in class, at home, with friends, etc.

Let me tell you (if you don’t know) what the average heart rate should be: 50-70bpm for an adult resting heart rate is ideal, with some leeway.

That night, I checked my heart rate after I had showered and felt relaxed = 98bpm.
I walked to class the next morning, and when I got there: 158bpm. For walking.
I walk most places and it is roughly 125bpm. Again, for walking.
I rarely saw it dip below 90, and that was only when I was laying down (or sleeping. Shout out to my roommate for letting me borrow her Fitbit during this process so I can track and see the data).

So this became and even greater concern. When I went for my follow up on Friday, she decided to take a look at the history of my heart rate from my time at George Fox. She noticed that before I started any antidepressants, it sat at 75bpm. When I started trying my first antidepressant, it was at 88bpm. It grew from there.

She predicted that it was the medication that I had been taking for the last year and a half.

Just what I needed. My last semester, and I would have to suffer withdrawls from weening off the meds, then potentially horrible side-effects from trying another one to replace the current one. Finding one that worked the first time was hell, and I definitely did not want to be a psychotic, moody, angry, tremor-ing person during my final semester of college. If I didn’t switch meds, however, I would potentially keep putting myself at risk. I would have to “take it easy” during my classes. Either way, I lose.

However, I was told that the specific meds I was on were not typically as bad as other ones for withdrawl. I decided it is worth trying.

I went to see my primary care provider yesterday. They did and EKG and everything looked good, which was a concern of mine: that it was actually my heart. My family has a history of heart problems, so it was relieving to hear that things looked okay.

So now I am in the process of reducing the Welbutrin, and starting Lexapro (because Depression holds hands with its best friend, Anxiety). The goal is to reduce the Welbutrin to a low dose, with the Lexapro the same (except adding the dosage instead of reducing…). If I go back in two weeks and my heart rate hasn’t improved, I will have to go completely off the Welbutrin.

The stressors of this semester had already begun, but I guess the universe thought it wasn’t enough. It’s just one more bump in the road, though. Although it was beyond stressful to deal with this the first week back at school, I feel at peace now. I had remembered my last post about being thankful.
It prompted me to think of why I am thankful to have this heart of mine, even though it’s been acting up.
I am thankful for the two working legs I have, even if walking raises my heart rate a ridiculous amount.
I am thankful for the lungs I have, even though they feel constricted, dry, and make me cough when I exude myself too much.
I am thankful for body I have because it is the only one I get, and it’s functioning despite the few problems.

It’s important to not let yourself get wrapped up in the negatives, because you will drown. However, it’s an incredibly difficult task, but impossible. Just try to remember to not get wrapped up in it, even if you fee like you are; it helps to keep you afloat a little longer.