Teeing Off Safely: Navigating Golf While on Cardiac Medications

For individuals with heart conditions, medications are a crucial component of treatment. These medications can have significant effects on the body, influencing how one should approach physical activities like golf. Here’s a look at some common cardiac medications and their potential impacts on golfing:

Beta-Blockers

Often prescribed after cardiac surgery, Beta-Blockers, are also used to manage irregular heart rhythms, heart failure, and angina (chest pain).  They also have a blood pressure lowering effect.  Beta-Blockers work by lowering the amount of oxygen your heart needs by lowering your heart rate.  The heart, like all muscles, needs more oxygen to support higher levels of work and Beta-Blockers limit how fast he heart can beat.  When it comes to playing golf, fatigue is the most common complaint.  Golfers on Beta-Blockers should be mindful of their energy levels, consider initially playing 9 holes, listen to their bodies, and take breaks as needed.

Interestingly, Beta-Blockers are banned in professional golf since they suppress heart rate and blood pressure which naturally increase during the stress of competition.  As a result, Beta-Blockers can “calm your nerves” and make your extremities more stable.  So, if you’re suddenly sinking 40 foot putts…well, maybe don’t tell your friends.

Ace-Inhibitors

These medications relax blood vessels and lower blood pressure.  Ace-Inhibitors are typically prescribed to lower blood pressure but also help the heart muscle recover following a heart attack.  They have a neutral effect on exercise tolerance however dizziness and lightheadedness can become a real concern during physical activity including while playing golf.  When we walk, arteries in our legs dilate to deliver more blood flow to the active leg muscles.  The contraction of the leg muscles along with the actions of our veins is usually sufficient to re-circulate the blood back up to the heart against gravity.  Ace-Inhibitors, however, enhance the natural arterial dilation which can result in excessive blood pooling in the legs potentially resulting in significant dizziness.  Dehydration and quick postural changes, such as bending over to pick up a golf ball, can exacerbate the issue.  Be aware of your symptoms and take breaks and hydrate if you not any symptoms of dizziness of lightheadedness.

Statins

Statins are cholesterol lowering medications that act on the liver to reduce the amount of cholesterol that it produces.  Statins do not influence your exercise response, however, in rare cases are known to contribute to excessive muscle pain, discomfort, and fatigue that may be most apparent when exercising.  Otherwise, taking a Statin should not interfere with your golf game.  Any suspected Statin-induced muscle pain should be reviewed with your physicians.

Antiplatelets

Platelets are small cells that help your body form blood clots to stop bleeding.  As the name suggests, Antiplatelets, also known as blood thinners, lower the risk of blood clots by stopping platelets from sticking together.  ASA is commonly prescribed to individuals with heart conditions, however, more potent Antiplatelets are especially important following angioplasty (stenting) procedures to avoid clots where the stent was placed.  Antiplatelets increase the risk of bruising and bleeding and therefore contact sports or activities where there is a substantial risk of falling or impact are generally off limits.  Antiplatelets generally do not limit your ability to play golf, however if you tend to get blisters on your hands you may want to invest in some new gloves with extra padding and watch for excessive bruising.

Diuretics

Often prescribed for hypertension and heart failure, diuretics help reduce fluid buildup in the body. They can, however, lead to dehydration and electrolyte imbalances. Golfers should stay well-hydrated and monitor for signs of dehydration, such as dizziness or muscle cramps.

Playing golf while managing cardiac conditions and medications requires a strategic approach. Here are some tips to ensure a safe and enjoyable game:

1. Consult with Your Doctor: Before starting or continuing golf, it’s essential to consult with your healthcare provider. They can provide personalized advice based on your specific condition and medications.

2. Monitor Your Health: Keep track of your heart rate, blood pressure, and any symptoms that may arise during or after playing. Use wearable technology like smartwatches to monitor your vitals in real-time.

3. Stay Hydrated: Especially for those on diuretics, staying hydrated is crucial. Carry a water bottle and take regular sips throughout your game. Avoid alcohol and caffeine, as they can contribute to dehydration.

4. Warm Up Properly: Engage in a thorough warm-up routine to prepare your muscles and cardiovascular system for the activity. Stretching and light aerobic exercises can help prevent injuries and improve performance.

5. Pace Yourself: Listen to your body and avoid pushing beyond your limits. Take breaks as needed, and don’t hesitate to use a golf cart if walking the entire course feels too strenuous.

6. Be Cautious of Injuries: For those on Antiplatelets, take extra precautions to avoid falls or injuries. Wear appropriate footwear, be mindful of uneven terrain, and consider using a golf cart to minimize the risk of accidents.

Golf offers substantial benefits for cardiovascular health, mental well-being, and social interaction. However, for those on cardiac medications, it is vital to approach the game with caution and mindfulness. By understanding the effects of their medications, consulting with healthcare providers, and making strategic adjustments, individuals can safely enjoy the sport they love.

If you have any questions about your health and exercise please reach out to us at info@onlineexerciseclinic.com.

The information in the blog is provided for informational and educational purposes only and does not constitute medical advice.  The information is not a substitute for professional medical advice, diagnosis, or treatment.  For questions please follow up with your healthcare professional.