Can People with Heart Disease Go Trekking?
Many people with heart disease feel they have to give up outdoor activities like trekking. But according to Dr. Nikhila Pachani, Interventional Cardiologist at Backbone Medicity Hospital, Rajkot, that may not always be true — as long as the right precautions are taken.
Talk to Your Doctor First
Before lacing up your trekking boots, a visit to your cardiologist is essential. Dr. Pachani recommends getting basic tests done, including an ECG and a stress test (treadmill test). These help your doctor understand how well your heart handles physical effort and whether trekking is safe for you at this point in time.
Never skip this step — what feels fine in daily life may respond very differently at higher altitudes or on a steep trail.
Start Slow and Choose the Right Trail
If your doctor gives you the go-ahead, start with easy, low-altitude trails. Avoid high-altitude treks until you have built up stamina gradually over time. Your heart needs time to adapt to increased physical demand, so pushing too hard too fast is not advisable.
Know the Warning Signs — and Act on Them
This is the most important part. If you experience any of the following during a trek, stop immediately and seek help:
- Chest pain or tightness
- Unusual breathlessness
- Dizziness or light-headedness
- Palpitations (feeling your heart racing or skipping)
Do not try to "push through" these symptoms. They are your body's signal to rest and get medical attention.
Stay Hydrated and Carry Your Medicines
Always carry your prescribed medicines with you on the trail. Dehydration puts extra strain on the heart, so drink enough water throughout the trek. It is also a good idea to inform your trekking companions about your heart condition so they can assist if needed.
Trekking Can Be Part of a Healthy Lifestyle
With the right guidance, trekking can actually support heart health — it improves cardiovascular fitness, reduces stress, and boosts overall well-being. The key is personalised planning under medical supervision.
As Dr. Pachani puts it: "Listen to your heart — adventure safely."
If you have heart disease and are considering trekking or any strenuous physical activity, consult a qualified cardiologist to get a personalised assessment before you go.