Is It Working: Heart 1

Monitoring Clinical Markers 

1. Cardiovascular Performance

  • Blood pressure: Consistent readings in normal or target range.

  • Resting heart rate: Stable or modestly lower over time.

  • Heart rate variability (HRV): Gradual improvement (higher HRV = better resilience).

  • Marker: No new episodes of palpitations, dizziness, or faintness.

2. Exercise Tolerance & Functional Capacity

  • Walking tests (6-minute walk): Distance stable or increasing.

  • Stair climbing or daily exertion: Less fatigue, more endurance.

  • Marker: Plateau or improvement within 3–6 months.

3. Vascular Health Indicators

  • Endothelial function: Warmer extremities, less swelling, fewer circulation complaints.

  • Skin/microcirculation: Color and capillary refill consistent.

  • Marker: Reduction in nighttime leg cramps or edema.

4. Lipid & Metabolic Markers

  • Cholesterol profile: Total and LDL stable or lower; HDL stable or higher.

  • Triglycerides: Stable or reduced.

  • Blood sugar regulation: Fewer spikes, steadier energy.

  • Marker: Gradual lab stabilization at 3–6 months.

5. Inflammation & Oxidative Stress

  • Systemic inflammation: CRP trends lower if measured.

  • Subjective markers: Less morning stiffness; improved recovery after exertion.

  • Marker: More consistent energy and reduced inflammatory “flares.”

6. Mood, Sleep & Stress Regulation

  • Mood stability: Lower anxiety tied to heart awareness.

  • Sleep quality: Fewer nighttime awakenings from palpitations or discomfort.

  • Stress handling: Calmer response under pressure.

  • Marker: Noticeable by weeks 2–8.

7. Safety Markers

  • Blood pressure drops: No sudden hypotension with standing.

  • Palpitations/arrhythmia: No increase in frequency or severity.

  • Hospitalization/ER visits: None for chest pain or arrhythmia events.

8. Daily Function & Quality of Life

  • Activity levels: Able to sustain daily routines without unusual fatigue.

  • Participation: More confidence in walking, chores, or light exercise.

  • Marker: Less avoidance of activity due to fear of heart strain.

Timeline of Expected Change

  • Weeks (2–8): Calmer cardiovascular tone (lower palpitations, steadier HR/BP); better sleep.

  • Months (3–6): Stronger exercise tolerance, improved lipid/glucose labs, fewer inflammatory complaints.

  • Years (6–12+ months): Sustained stabilization; lower cardiovascular risk markers; preserved endurance and confidence in daily life.