Im afraid Ill end up like my Mom. Together, you should be able to settle on what sports activities will be safe based on those facts. I wonder if there is also a psychological factor involved. Zdenko . with valve area of 1.4 cm2 and aorta of 4.1 cms Eventually I will need valve replacement. Good to hear that youre doing well. It sort of flutters open and shut. Since he had to stop playing.. depression has set in. We live at 6,500 ft (elevation) so Im not sure if its affecting my blood pressure when doing normal things. To make matters worse, I had a bout of AFIB, about 6 months ago. The cardiologist doesnt do the surgery we have to go to another province to have surgery. Replacement of the aortic valve with either a cryopreserved human homograft (the aortic valve from a human cadaver) or with the patients own pulmonary valve results in the least obstruction to blood flow. In late March, Schwarzenegger was heavily involved in a chess tournament with his donkey Lulu. I dont know why this formed as I have had the problem valve replaced many years ago. after surgery and was playing football again by September. Finding this site is such a relief / source of hope for me thanks so much Dr. Larry!. Im wondering if you can advise me. California Governor and movie star of films including The Terminator and The Predator, Arnold Schwarzenegger marked the 10-year anniversary of his heart surgery at USCs Health Science Campus. Aortic Stenosis Rest pulse (70 bpm|50 bpm) For the last 7-8 years I didnt do too much sport (kids, family). Data from these studies supported the U.S. Food and Drug Administration's approval of TAVR for low-risk individuals - replacing a narrowed aortic valve through a small incision in a procedure . Advertisement. Hi Dr. Creswell. We were to see them in 3 months. Thanks for sharing your sons story with BAV. Thats probably what the doctors are watching for. Although the vast majority in each group (97%) underwent TAVI via the transfemoral approach, bicuspid patients were less likely to receive conscious sedation (57% vs 62%) and more likely to be treated with the largest 29-mm valve size . Weve known the risks and my daughter has done well to avoid scrapping for the ball etc. The Cardiologist now suggesting taking beta blockers as a way to slow things down and has advised that anywhere from 4.5 to 5.0 is where he would consider intervening. I was running 9 to 10 minute miles. I would encourage you to have further discussion with your doctor(s) about EXACTLY what forms of exercise are safe. Miley Cyrus - Singer & Actress - Tachycardia. These operations can sometimes enjoy the benefits of each of the operations you mentioned.and avoid done of the down sides. I suspect it had been leaking for a long time, as I felt no different; however, my recovery from long runs took longer than in the past (old age?). "I have heart disease, and I found out about five or four years ago, the singer, now 49, told PEOPLE in 2008. Athletes in this circumstance should collect opinions from their doctor(s) and make very careful considerations before returning to exercise. Do you recommend any particular diet, exercise, vitamins,etc.? With aortic root 39mm. Defects can involve the walls or valves of the heart, or they may affect the arteries and veins near the heart. Is a CT or MRI absolutely necessary for measuring the aortic diameter? Probably wise to follow the advice of your doctors who know the details of your situation. And my doctor do not give me responsive and exact answer to my questions regarding sports. He is very athletic. The incidence of normally functioning bicuspid aortic valves is 0.6% to 0.9%.5 . These differences of opinion may be legitimate. I am now 60. Its weird because sometimes when Im resting I can feel a little weird fluttering.. I applaud your efforts to search out information to help you decide on a course of action. Oh, plenty. Obviously, mild to moderate would be somewhere in between. Bicuspid aortic disease occurs when a defect is present in the valve that opens and shuts to allow blood flow from the heart through the aorta. After 5 years of amateur competitive rowing, I had no problems keeping up with my peers whilst training at lower intensities. We briefly talked about the Ross procedure vs mechanical valve replacement. Thanks for sharing your experience, Randy. Both are important in deciding if and when operation is needed. Finally, many patients are able to return to their sports after successful operation. "I feel fantastic and have already been walking the streets of Cleveland enjoying your amazing statues. My resting pulse is 55 and BP 115/82. Perhaps your primary care doctor or cardiologist could help you find another specialist in your area who could help with thatlook over all of the pertinent information and share an opinion about whats safe. In my practice, we often do such second opinions (about all sorts of issues) and I have found that athlete patients usually value the information that comes from such visits. I can imagine it might be difficult to make arrangements when you live in one country and your doctor(s) work in another. This was during a 12 week intense training block where my resting heart rate got as low as 42 bpm. Coarctation of the aorta is a narrowing that may produce an increase in the blood pressure in the upper extremities. I know it can be frustrating when you get conflicting opinions regarding the safety of exercise. A cadaver if valve is then used to replace his pulmonary valve. I am perfectly happy to stick to the 10km max distance for races, but my key concern is that if I do run some faster training sessions then I might have a sudden death. I wouldnt hesitate to register your concern with your sons doctor about waiting a few weeks. I would pose these questions to your doctor(s) since they are most familiar with the details of your situation. It usually consists of three flaps of tissue what are called valve cusps. I am 31 years old and had my BAV repaired at The Cleveland Clinic in 1999 when I was 15. Over time, there will be some patients who develop problems with the prosthetic heart valve or enlargement of some portion of the aorta (that hasnt already been replaced) that requires operation. Nonetheless, I think theres considerable confusion about this condition, in terms of diagnosis, implications for the athlete, and its treatment. And, if so, how did things go? I have a call in to his doctor but what do you think? No one loves life more than I do, read the statement. Thank you for the blog that addresses the athletes point of view, and feelings. That is someones life.. Between one and two percent of all people have this defect, and it affects more men than women. There is a readable section related to BAV. In addition to running, I also perform moderate to high intensity resistance (weight) training 5-6 times per week. Have you heard about the PEARS procedure? The best source of recommendations about safety of various forms of exercise will come from your doctor(s) who are familiar with all the particulars of your circumstance. Robin Williams - Aortic Valve Replacement & Mitral Valve Repair. All severe aortic stenosis patients who are experiencing symptoms should ask for a TAVR evaluation. Since my initial post i decided to call another pediatric cardiology hospital in our state, University of Michigan Pediatric Cardiology. This can be a life-threatening problem and is more apt to occur with progressive enlargement of the aorta and with uncontrolled high blood pressure. I am a keen weightlifter, which is the basis of this post. The video is just 1 min 42 sec long. I dont know what to do .. I had a Type A aortic dissection of the ascending aorta that extended into the descending aorta terminating near the femoral arteries. Film star, former California governor, and seven time winner of the Mr. Olympia title Arnold Schwarzenegger published positive images to his social media platforms on Friday as he recovered from heart surgery. The data regarding the progression of disease in athlete patients with BAVare limited. I was diagnosed age 4 and am now 35. However, this is not always the case. It may cope adequately for a few years if the person leads a sedentary life, but the longer crucial surgery is delayed, the more damage there will be to . there was a tiny strand of tissue on the septal aspect of the muscular LOVT (LCOT Vmax 2.1m/sec;20mmHg peak gradient. This has caused me a great deal of anxiety because I feel like I am being told to act like an old man before my time. Athletes with BAV who have no stenosis or regurgitation of the aortic valve AND have no enlargement of the nearby aorta may participate fully in their sports. I am now down to seeing my doctors every 3 years or so and have been doing very well. And he never had any symptoms and played competitive soccer since he was 6. We just dont know. Aortic valve regurgitation: Blood leaks back into your left ventricle instead of only flowing into your aorta. Thanks for the article! Im just going to do my very best to stay the course and have annual echoes to track my valve. Perhaps a cardiac surgeon would be able to provide even more detailed information about things like various options for operation that might be applicable in your case as well as thoughts about when operation should be performed. The aortic valve is between the left lower heart chamber and the body's main artery, called the aorta. Diagnosed last year while looking at something else. A bicuspid aortic valve is a congenital heart defect that affects the one-way valve between your heart and your aorta, known as the aortic valve. Im 52 years old and had surgery 2.5 years ago to repair an ascending aortic aneurysm (5.8 cm) and aortic tissue valve replacement. A bicuspid aortic valve (BAV) is an aortic valve that has only two leaflets instead of three. triangle chokes, other blood chokes) could be putting pressure on my heart and cause my aorta diameter to increase? I feel fantastic and have already been walking the streets of Cleveland enjoying your amazing statues. "I had to make lifestyle and diet changes, she said. I have been given no restriction to date in any physical exercise as my valve is in decent condition. View HelpingHeartsCharitys profile on Facebook, View @HelpingHeartsMDs profile on Twitter, View HelpingHeartsCharityMDs profile on Instagram. For me, its about gender equality. Are we being foolish? I have recently had CT scan and MRI scan, following some chest pain experienced on track while doing marathon training. "Until then, stay close.. ), What do you think? He posed next to statues of Thomas Jefferson, Jesse Owens (whose family moved to Cleveland when he was nine, and who later attended The Ohio State University), and Abraham Lincoln. Context Bicuspid aortic valve is the most common congenital cardiac anomaly in the adult population. I get the fact that lifting excessively can cause a spike in blood pressure, but only under certain conditions (i.e. I would defer to Dr. Dietz since youve already contacted him. Still no stenosis or regurgitation, aorta now 35 mm, he is 6 ft, 150 pounds. This award-winning website has helped over 10 million people fight heart valve disease. Im not surprised that youve received a conservative recommendation about exercise. I like to thank you in advance for reviewing my question and also, thank you for such a great blog. If labeling my fitness level I wouldnt use the term athlete, but I used to work out pretty vigorously 5 days a week until about 8 months ago (weights, medium endurance cardio, no longer distance running than 5 miles, interspersed with HIIT). Jones' goal with the AHA is to help women "actively put themselves on the track to heart health." They all underwent aortic valve replacement. These are the data I got in my last MTB race. What have I observed and learned in the quarter century since? Again, this is a topic that is not yet well-researched. Schwarzenegger was born with a condition known as bicuspid aortic valve, in which the heart's main artery, the aorta, has only two cusps instead of three.If untreated, it can lead to blocked blood . Did the heart have to work harder to compensate? Thank you very much for your thoughtful response. Frankly Im worrying quite a bit about thisand I feel like its causing additional chest pain and shoulder pain. How are you? Thank you for your time Dr.! Keyhole just refers to the type of incision used for conventional valve replacement like you had. running? No information provided by Baldwin Publishing, Inc. in any article is a substitute for medical advice or treatment for any medical condition. In Jan 2016 My son was seen by the cardiologist and had some changes on his echo and the cardiologist said hey had mild progression of the aortic regurgitation( moderate to severe) with preserved LV function. I dont have any ayptoms. Lastly, Id say that BAV alonewithout leakage or narrowing of the aortic valve, and without enlargement of the nearby aortawould not preclude sports activities of any sort. The bicuspid aortic valve opens and closes abnormally, and can result in leaking of the valve. While she ended up being okay, she advised other women to be more cautious. It sounds like youre off to a good start with your recovery. It is quite frustrating, Im running with some guys that have a hard time believing that I run a marathon. Hes gained 25 pds . He is football player and he has training 5 times per week (for about 1,5 hours each). So my question: does there appear to be any performance advantage of tissue valves over mechanical or does the fact that Im on the anticoagulant anyway make the mechanical valve sort of a no brainer choice? Bicuspid aortic valve (BAV) is the most frequent congenital cardiac defect, and affects 0.5-2% of live births. There are just so many causes of shortness of breath, lightheadedness, and chest pain.even besides the heart-related causes. I did cardio training 3 times a week and weight training twice a week for 60 years. I recently also did a 24hr EKG (holter) which was fine. The mechanical valve conduit replaces the valve with a mechanical valve and the aorta with a Dacron fabric tube. Regarding activity restrictions, you would do best to rely on the advice of your sons doctor(s) who will be in the best position to know the relevant specifics. I wish you both all the best. I do not have Julys echo results yet. If the valve is smaller than needed, there can be a limit to the ability of the heart to do extra workand that can show up as less speed. The numbness/tingling has me constantly worriedand the slight chest pains have me always thinking is that my BV or Aorta causing issues?. Barb. Options for operation Im followed by a cardiologist who only says not too much weight lifting.. Average STS score was 1.7%. Did you run? Great article! Regarding the PEARS, the main concern is about the possibility that the aorta dissects even in a controlled measure (lets say 4.5cm). I was concerned about his cough last weekend so I was assessing his lungs with my stethoscope when I heard a very pronounced diastolic murmur at his 3rd ICS. After his procedure, Arnold posted the picture above with the following statement, "Thanks to the team at Cleveland Clinic, I have a new aortic valve to go along with my new pulmonary valve from my last surgery. I cant do that justice here. Likewise, if I did a 60kg bench press I could easier than say an 18 year old girl started at the gym tried that, they would have to strain beyond belief. Our only tool to keep track of aortic enlargement is repeated measurements with CT or echo. Up until this time shes played volleyball, basketball and has even run track in elementary. Replacement? He has stenosis and moderate regurgitation. Very much appreciate this site, thanks Larry for giving people like us a place to voice our concerns ! Stress echo revealed hypercontractile with normal response in all LV segments, no LV cavitary dialiation. Thank you so much! After the scans, ultrasounds, stress tests and TOE, I was diagnosed with BAV with no Stenosis, no Aortopathy and no evidence of Coarct and normal LV size and function. What are my chances of being able to go back to marathon running after surgery? When the aorta is enlarged in the setting of BAV, there are a couple possibilities: the valve needs to be replacedor it doesnt: Valve repair. E. G. I could bench 50lbs with no need to strain and hold my breath, which wouldnt result in a massive spike in blood pressure, but if I tried to bicep curl 50lbs it would do. The aortic root is moderately dilated (max 46mm sinus to opposite commissure but you can measure 48off axis). Almost 15 years ago skilled surgeons replaced my aorta valve with a new replacement valve. I am mostly a runner, 4 times a week, with 10 21 km races. Doc says no problem, but that seems to be contrary to what I see here. Ad Choices, Blood molecules as they exit the left ventricle: I'll be back., The 42 Best Romantic Comedies of All Time, The 25 Best Shows on Netflix to Watch Right Now.
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