Pacing with a heart rate monitor

Theory
People with Myalgic Encephalomyelitis have dysfunctional mitochondria. This limits their ability to generate cellular energy. Doing activities that exceed available energy, usually triggers a flood of cytokines, and other negative affects, known as post exertional malaise.

Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.

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 limits.

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).

Evidence
Anecdotally, some people experience gradual improvements in their health, with occasional setbacks due to over-exertion, infections & immune reactivity.

Clinicians

 * Workwell Foundation