After 5 years of amateur competitive rowing, I had no problems keeping up with my peers whilst training at lower intensities. I guess my marathon training is officially over, but i hope that i still keep doing some sport and i dont mean bowling, no offense for who practice it ;). I inderstand that my resistance training will likely be severely curtailed from this point forward, but severe restrictions on my endurance training will be a very difficult pill to swallow. Have you heard about the PEARS procedure? 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. Great article! The lines are the edges of the valve leaflets that open and close to let blood through. He would be devastated to never be able to play again. Four necropsy series5, 6, 8, 20 provide the only basis we have for estimating the incidence of bicuspid aortic valve in the adult population, as diagnosis by auscultation is insufficiently accurate and no relevant echocardiographic study has been published. My son was diagnosed with BAV, by chance, when he was 7. For patients with bioprosthetic valves after heart valve surgery, the valve itself is not usually affected by weight-lifting activities. His last MRI showed a dilation of 4.4cm at his aorta root but his BAV is fine with very little leakage. Thanks! Will I need meds? Here are some celebrities that experienced severe heart valve defects and had to have either heart valve replacement and heart valve repair surgery. Aortic Stenosis We dont have a crystal ball, though. Body contact sports may pose some danger to athlete patients who take blood thinners. Anyway, I just wanted to say I found this article particularly informative. I took it up 7 years ago. In the process of how I had the slow waltz with MG UNTIL DIAGnosed, will be ready in 3 weeks. Hi Larry, I dont doubt there is variability in recovery among athletes who have operation for AVR and aortic replacement. Is this true that you wont be symptomatic with only mild AR? What is a TAVR? She learned she needed an aortic valve replacement in 2009 and underwent open heart surgery, receiving a mechanical valve to replace her damaged aortic valve. Very often, the specialists office will make note of the patients problem and make appropriate decisions about whether routine or urgent appointment scheduling is needed. With so many similar stories, do you know why there is not more statistical data or studies done with regards to sports and BAV and changes in aortic diameter? We just dont know. The bicuspid aortic valve opens and closes abnormally, and can result in leaking of the valve. I will keep you posted. For healthy individuals who have BAV with no other heart or aortic problems, follow-up imaging with echocardiogram and/or CT could probably be undertaken annually, or perhaps less often once stability is ensured. Dr. Creswell He also has minimal leakage at the valve aorta. Baldwin Publishing, Inc. strongly suggests that you use this information in consultation with your doctor or other health professional. I am a competitive cyclist, neither the Cardio or my Doctor said I should not be racing bikes anymore, does that sound reasonable to you, my doc did say to monitor the aortic root size yearly. The echo in Jan asc aorta Diam 4.2 cm z-score 6.4. Who Qualifies for TAVR. Dear Dr Creswell you seem to be such a kind cardiac surgeon to make yourself available in answering questions. Less than one month ago Schwarzenegger was (virtually) hosting the Austrian World Summit of the Schwarzenegger Climate Initiative, which introduced speakers like Prince Charles, Jane Goodall, and Pakistani Prime Minister Imran Khan. My son will seek a repair when his conditions deteriorate. Many thanks again for answering this. He seen our family doctor that week who confirmed the murmur. I dont know why this formed as I have had the problem valve replaced many years ago. This year he was told he couldnt do heavy lifting but all other sports are still ok. My son seems to sprain his ankles or have other injuries often that last longer than others kids, I also played sports and had injuries but they never lasted as long as his do. Before that, I had never seen a cardiologist ever. The average lifespan for a cow valve or pig valve is about 10 to 15 years, according to the Cleveland Clinic. Also, my next appointment is, unfortunately the week after my next marathon (which I will be pacing and not racing). We have made the decision to stop playing high school soccer and will reevaluate in 6 months to determine about Spring team soccer (less intense). This was caused by an aneurysm in the ascending aorta (root) that measured over 6 centimeters). OPTIMUM HEALTH, INC They are located between the ventricles and their corresponding artery, and . I dont think theres a way to predict the future in this circumstance. Fast forward, he is now 13 and we went yesterday for his yearly. My Dr. gave me the all clear to go back to my exercise routines. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. 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. My resting pulse is 55 and BP 115/82. TAVR is a relTively new technology where a new heart valve, shrunk onto a catheter, can be threaded through the bloodstream (usually through a leg artery) to where your current valve sits.and then expanded inside the current valve, pushing it aside. I have an OnX mechanical valve. I got checked out by my GP who detected a murmur then had all the other heart related tests and was diagnosed with BAV with stenosis and regurgitation. Since you have the ready info about your aortic sizes over time, I will guess that you have a doctor or cardiologist that you are working with. In the 2.5 years from surgery, I returned back to riding within the first 3 months and later back to longer, decent training pace rides and racing but feel like I have lost my top end mojo. Because BAV may be an inherited condition, Athletes with BAV, no significant valve stenosis or regurgitation, and an aortic diameterless than 4.0 cm can participate fully in their sport(s), Athletes with BAV and enlargement of the aorta to between 4.0 and 4.5 cm can participate safely in only low and moderate intensity sports (this would. celebrities including musicians, actors, TV personalities, politicians, entertainers, and sports figures, etc. Great to hear that youre doing cross country running. Its very helpful for people with heart problems. And, of course, aortic stenosis can affect ones native aortic valve or a prosthetic valve substitute. My family is pressuring me to quit strenuous cycling but I am thinking that switching to longer rides at lower heart rates would not accelerate valve wear or otherwise be bad for me. While the defective valve may be easy to see, the defect also causes changes in the tissues of the aorta and the heart. I can not be on anticoagulant medications on the fire department. 7373 Perkins Rd
Ive recently joined the gym to get fit an toned up but I cant get a clear answer from the cardiologist of what weights I cant actually do at the gym. My son is a very active and healthy 14 year old. I excercise 2-3 times a week, namely cardio and weight lifting. First, a disclaimer.My practice is devoted to adult patients. Unanswered questions include: Can a bioprosthetic valve wear out more quickly than expected? But for those WITH such problems, we do recommend curtailing either static or dynamic activities, or both. That means it is a congenital heart defect. The thing that keeps me sane is that I can jump on a treadmill or go play basketball for a few hours and feel relatively normal. (I am on a low dose beta blocker) Advice here will be based on opinion rather than accumulated evidence in large numbers of children with BAV. I was training for 11th marathon at the time (over the past 13 years). I asked my surgeon and also the echocardiographist about my sports performance after full recovery, about 6 months after the surgery. 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. Are there any things I can do now to help minimize my risk? I think you understand the guidelines correctly. I appreciate your response, thank you for taking the time to write me back. What should i do? I dont train a lot, like 2k bike, 500k run and 100k swim yearly and few competitions sprints and one half IM in a year (32 years old). Sometimes patients with mechanical aortic valves report that they lose a bit of their top-end athletic performance. Many thanks. Last week I visited a doctor and here are the changes for the last year (before|after): I have recently found out that I have aortic regurgitation will soon be needing surgery. 2) He can lead a normal life & can continue his training with regular echocardiography control (once in a year). Best for athletes like you to have a discussion with their doctor(s) and settle on a defined, mutually acceptable course of action about which sports activities are safe. It's the most common type of congenital heart disease (heart defect that's present at birth) and often goes unnoticed until later in life. Enlarged ascending aorta 42-43 mm And I dont know if my Cardiologist follows the same guidlines, but I dont think hes under the impression that Im any kind of athlete either. Hes a 30-year-old 8th grade science teacher, a cyclist and outdoorsman, who is chronicling his story with BAVfrom diagnosis, to evaluation, to preparations for upcoming valve replacement surgery. However, his ascending aorta has been enlarging: 11/27/13 31 mm (echo), 6/10/15 39 mm (echo), 7/8/16 41 mm MRI). I dont know what to do .. I seen my cardiologist yesterday and this is the first year in 4 years that the aneurysm hasnt grown a mm. I believe that many Cardiologist are not as experienced regarding how to advise high-performing athletes (even older ones like us). Athletes will ask when they can return to their sports. Guidelines specifically for athletes come from the Proceedings of the 36th Bethesda Conference in 2005. I had an exercise tolerance test recently and they seemed happy with my results so fingers crossed thats a good indication I can carry on training hard! The aortic valve prevents blood from flowing back into the left ventricle of the heart. There is recent interest and experience with aortic valve repairinstead of replacementfor patients with BAV. I had my BAV replaced in Feb. 2005 (porcine tissue) with a Dacron repair of the ascending aorta. Im obviously quite anxious that Ill drop death! While she ended up being okay, she advised other women to be more cautious. When I had my valve replaced I was told that it would have a 20 year ish life but I think it should exceed that. when I discussed this with my Dr. he reassured me that its not my heart causing it. Arnold Schwarzenegger was born with a bicuspid aortic valve, in which the aortic valve has only two leaflets, instead of the typical three. These are the data I got in my last MTB race. We are trying to work out a way for her to continue to play. I realise that I will eventually need the valve replaced again and just hope that things go as well next time. The procedure has the potential to bring the aorta to 4.3/4.4 and avoid further enlargement. However, my most recent scan in October revealed all Stenosis and LV thickening had gone completely (Doctor said this was a very positive result perhaps due to excercise and medication). Having a congenital heart defect means you are born with a problem with the hearts structure. We all appreciate it. The BAV is monitored annually, the doctor told me that Im currently in the grey zone but stable since I started the monitoring. My cardiologist Said to not lift heavy weights. My problem is a perpetual fear and worry about having this diagnosis and having to someday undergo open heart surgery. 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. Also, again, no stenosis or regurgitation, 35 mm ascending aorta. Is that so, or can it be measured by the echocardiogram as well? 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. Most patients can resume all of these activities by 2-3 months after operation. What a great resource! 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I played competitive amateur football (soccer) on Saturday and Sunday from age 16. I currently lift reasonably heavy weights in the 8-12 rep range, including body weight excercises such as pull ups and push ups. Thank you for this blog! Throughout the years he has played football and basketball. Thank you for what you do and for your responsiveness. Semilunar valves: The pulmonary valve and aortic valve. Lynn. Ive not found any programs for evaluating repaired athletes unless something exist with a physiologist research lab. In both echocardiographic cohorts and surgical series, pure aortic regurgitation is significantly less common than stenosis. I had to take time off gym, when I returned I only did light weights and only walking on the 4x a wk and the same issues where still there. BAV is present at birth (congenital). We briefly talked about the Ross procedure vs mechanical valve replacement. ", Braxton is a survivor of pericarditis, an inflammation of the sac surrounding the heart. He has stenosis and moderate regurgitation. My AVG HR on a daily basis is between 61-64 (that includes a workout where it exceeds 150 at times), I have no intentions of racing this marathon, simply crossing the FINISH line, and my heart rate will not exceed 150 I will walk when/if necessary. They all underwent aortic valve replacement. Almost half of BAV subjects develop different degrees of valvular dysfunction during their lifetime. Use of this site constitutes acceptance of our User Agreement and Privacy Policy and Cookie Statement and Your California Privacy Rights. If echo shows a normal size, thats probably okay. Is this the case? Aortic dissection, a tear in the wall of the aorta. My cardiologist has told me that, based on how my heart sounds, he doesnt think hell ever have to operate on me. If 5% of them dissect, this means 313,914 people. Just double checking. triangle chokes, other blood chokes) could be putting pressure on my heart and cause my aorta diameter to increase? I applaud your efforts to search out information to help you decide on a course of action. Im 31 and 1 years ago i found im BAV with modrate AI. I dont know anything about crossfit but I see his times are average on that page. When he was 7 we noticed his heart racing at age 11 his bicuspid aortic valve was diagnosed We have been told his valve is at the top of the normal size chart. 1,3,4,15 It can lead to chronic heart failure and increase the risk of acute aor-tic syndromes and sudden cardiac death.15 Michelena et al16 studied 212 cases of asymp tomatic bicuspid . However, there are few reports about the safety and efficacy of TAVI in type 0 BAV. So for that first month, we usually advise no driving, lifting, pulling, pushing, reaching, etc. Over time, these patients need to be monitored for continued proper function of both the pulmonary valve (that was borrowed) and the new substitute for the pulmonary valve. You didnt mention your age, but obviously youd hope that whatever operation is performed.lasts a lifetime. To help correct the regurgitation, the cusps of the patients valve leaflets can be tailored, with the valve leaflets left in place. I do think that aspects of the martial arts are strength-related. Starnes implanted a healthy human tissue valve and said at the time, This will not limit Arnold Schwarzenegger in any way when he recovers.. I am 38 and very active (running, cycling, strength training etc). The truth is that there is not much scientific information about what happens to such athletes if they do return to endurance sports. Nonetheless, I think theres considerable confusion about this condition, in terms of diagnosis, implications for the athlete, and its treatment. Many patients with surgery for BAV, even if it involves aortic root replacement, lead rather normal lives afterwards. At my last evaluation, my aorta measured between 4.3-4.5 cm, depending on where the measurement was taken, and the regergitation was classified in the moderate range. The guidelines do not address the frequency of surveillance for individuals with BAV and no enlargement of the aorta. I am now 60. As I have aged I have upped the reps to 15 or more and two or three sets max, sometimes doing a set or two of 5 reps with heavier weights. Periodic re-evaluation with echocardiogram and/or CT scanning is used for most patients in this circumstance. He is on meds to slow it down. I dont know all of the important details. In fact, in some people they can go undiagnosed for years. I have had three annual Echocardigrams, the first two showed mild stenosis, mild LV thickening. My aortic root is 4.06 cms. Kim Kardashian Doja Cat Iggy Azalea Anya Taylor-Joy Jamie Lee Curtis Natalie Portman Henry Cavill Millie Bobby Brown Tom Hiddleston Keanu Reeves. Good to hear that youre doing well. Hannah Yona Fraint, M.D. Do you think running 40 minutes five times a week at that level of beats can increase the aorta rate of growth ? Whether 130 beats per minute is a good cut-off truly isnt known. Looking through the reader comments here at the blog and reflecting on the athlete inquiries Ive received, I thought Id cover some of the major issues. Hes gained 25 pds . On Ocotber 23, 2020, we learned that Arnold Schwarzenegger had a third heart valve procedure, a re-replacement of his aortic valve replacement. We saw cardio in April again and my sons symptoms are the same and no progression on the aortic regurgitation. Bicuspid aortic valve (BAV) and congenital aortic stenosis are two types of heart defects that may be present at birth. My son was also complaining of shortness of breath with stairs mild and feels tired more easily. Ive thought that the next visit to the pediatrician would be a good opportunity to discuss the issue. I am considered elite in my age division. A bicuspid aortic valve is a common cardiovascular condition, affecting about 1% of the general population. Many heart conditions can be controlled or repaired once theyre diagnosed. If a large enough valve is implanted, there may be no noticeable impact on the ability of the heart to do extra work that comes with running (or any exercise). Many people in your situation will eventually need operation for replacement of the valve or the aorta, but wed need a crystal ball to know about the future. (liver cysts noted). 100 Black-Owned . In fact, like most people, the 25-year-old had never heard the term before. Hi, Further to this most recent discussion point I was advised that isometric exercises, such as planks and other pilates type activities, as I understand them, are perfectly safe with BAV. On March 30, 2018, we learned that Arnold Schwarzengger required a second heart surgery. A CT scan made the diagnosis. Key points about bicuspid aortic valve. That post is a starting point for todays discussion. Its weird because sometimes when Im resting I can feel a little weird fluttering.. I was running 9 to 10 minute miles. Im a 30 year old male who is currently living in Asia with family. Would this constitute as too much in your opinion ? Hey has been physically active with restrictions of no contact sports, and no isometric exercise. I was diagnosed with BAV about four years ago now by fluke whilst looking into my high blood pressure (I was only 24 at the time so I underwent a lot of testing due to my age and HBP the conclusion was it is hereditary, with many members of my family with HBP). They are located between the atria and corresponding ventricle. Im am in stres ?! John Ritter - Actor - passed away due to undiagnosed CHD at age 55. Benefits: long-term durability. We just saw the cardiologist in July and again same symptoms and no significant cardiac changes . Im a 42 year old male and have been a highly competitive distance runner since high school. The cardiologist doesnt do the surgery we have to go to another province to have surgery. The typical symptoms are fatigue or shortness of breath, particularly with exertion. As of Monday, my BP at the echo appointment read 115/66. There are simply no reports that describe the experience of athletes returning to ECer ise (or training) after aortic dissection.
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