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Pacing with a heart rate monitor
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{{stub}} A person's [[heart rate]] increases with their physical activity level, and decreases when they rest. Heart rate monitors offer a simple and accessible way to monitor activity level in order to help ME/CFS patients avoid the over-exertion that causes [[post-exertional malaise|significantly worsening symptoms]]. Heart rate monitors typically display the person's heart rate on a monitor that is worn like a wristwatch, and many have audible alarms to alert the person if their heart rate rises above (or below) a value they have chosen.{{citation needed | date = 2022}} ==Theory== People with [[Myalgic encephalomyelitis|ME]]/CFS have [[mitochondria dysfunction]] and biological [[List of abnormal findings in chronic fatigue syndrome and myalgic encephalomyelitis|abnormalities]] resulting from the disease which significantly restrict the amount of energy they can use for everyday activities.<ref name="ICC2011primer"/> Doing activities that exceed [[energy limit|available energy]] usually triggers a flood of [[cytokine]]s causing pain and immune symptoms, and a variety of other negative affects also occur, resulting in [[post exertional malaise]] (PEM).{{citation needed}} Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.{{citation needed}} Using a heart rate monitor, to measure heart rate, [[heart rate variability]], and other factors, allows people with ME to observe their energy usage, and learn how to stay within their safe [[energy limit]]s.{{citation needed}} This [[pacing]] method is often used in conjunction with other treatments (electrolyte loading, pharmaceuticals to assist blood volume & cardiovascular function, extreme resting and meditation, etc).{{citation needed}} ==Evidence== Anecdotally, some people experience gradual improvements in their health, with occasional setbacks due to over-[[exertion]], [[Infection|infections]] & [[immune reactivity]].{{citation needed}} ==Clinicians== * [[Workwell Foundation]] have produced information on pacing with a heart rate monitor with ME/CFS ==Costs and availability== ==Risks and safety == ==Notable studies== ==Examples== ==Learn more== * [[Workwell Foundation]] - [https://workwellfoundation.org/educational-videos/ Videos] * [[Workwell Foundation]] - [http://www.workwellfoundation.org/resources/ Presentations & Publications] * [[Leela Play]] - [https://www.facebook.com/notes/leela-play/intro-to-pacing-using-a-heart-rate-monitor-for-me-patients/1502884386402097/ Intro to pacing using a heart rate monitor for ME patients] * [[CFIDS & Fibromyalgia Self-Help]] - [http://www.cfidsselfhelp.org/library/pacing-numbers-using-your-heart-rate-to-stay-inside-energy-envelope Pacing by Numbers: Using Your Heart Rate To Stay Inside the Energy Envelope] * [[Sally Burch]] 'Just ME' blog - [http://sallyjustme.blogspot.com.au/2015/12/startingHRmonitoring.html Starting Heart Rate Monitoring for ME] * [[Health Rising]] - [https://www.healthrising.org/blog/2013/08/13/heart-rate-monitor-program-improves-heart-functioning-in-chronic-fatigue-syndrome-mecfs/ Heart Rate Monitor Based Exercise Program Improves Heart Functioning in ME/CFS] * [[Sue Jackson]] '[[Living with ME/cfs]]' blog - [http://livewithcfs.blogspot.com.au/2011/02/heart-rate-and-post-exertional-crashes.html Heart Rate and post-exertional crashes] * [[Clark Ellis]] '[[Autodidact]]' blog - [https://autodidactauthor.wordpress.com/2017/12/18/which-heart-rate-monitor-for-me-cfs/ Which heart rate monitor for ME/CFS?] ==See also== * [[Activity management based on 2-day cardiopulmonary exercise testing results]] * [[Energy Envelope Theory]] * [[Pacing]] * [[Spoon theory]] ==References== {{reflist}} [[Category:Potential treatments]] [[Category:Management strategies]]
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