Or its the result of the cumulative effect of the aortic and mitral valve leakage? Should I stop jiu-jitsu as it is a mix of anaerobic exercise (which I hear is bad) and aerobic exercise (which I hear is good)? Arnold Schwarzenegger Was Born with a Valve Defect - AmoMama This makes the aortic valve a tricuspid valve. And he never had any symptoms and played competitive soccer since he was 6. O'Donnell suffered a heart attack in 2012, and wrote about her experience on her blog. The tragic event's silver lining was that it caused Latifah, 46, and her mother, 67, to bond. I was diagnosed age 4 and am now 35. 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 . There were some procedural differences between the bicuspid and tricuspid groups. with an efficiency of 69%, I have an appointment with a specilaist next week and am just wanting some, even if vague, answers. Im paranoid to exercise too much for fear that I will do damage to the valve. Aortic valve repair is sometimes possible. Sometimes it comes even when not exercising. Celebrities With Heart Disease - Celebrity Heart Health Survivors. This is ridiculous. After that, most patients can gradually return to activities that put stress on the sternum and upper extremities. I have only played a few games of football in the last 5 years due to a knee injury but I have continued running for fun and do 5k in a reasonable 25 minutes. And now my aortic root is 42 mm. Danny. Its not around incision, its mainly middle of left side. Bicuspid aortic valve (BAV) is a heart problem present at birth and the most common congenital cardiac anomaly, with an estimated incidence of 0.5 percent to percent in the general population. Hello Dr. Creswell, Should I increase amount of weight? Im 37 years old male, live in Croatia, 191 cm, 94 kg, very athletic, practicing various sports my whole lifetime. 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. September 13, 2017 1:00 PM. To me, cardiologists are not sports people and air on being absolutely over cautious. That would include weightlifting. Is there any research on this? Bicuspid Aortic Valve | Circulation Aortic dissection, a tear in the wall of the aorta. Ive a BAV with the fusion being between my right coronary and non-coronary leaflets. , Bicuspid Aortic Valve Disease, Acquired Valve Disease. I want to continue weightlifting .. what is your opinion about this ? The Best Amazon Presidents' Day Deals of 2023. Is it possible that the valve will get loose? Im not surprised that youve received a conservative recommendation about exercise. I made appointment with my cardio, to clear that up, dont worry :). Given my age and activity level, do you think it would be beneficial, or even prudent, to explore a valve repair surgery as you described above? Im wondering if you can advise me. 6 weeks later Im still experiencing symptoms that (in the back of my mind) have me thinking about the BV issue. I cant imagine life without CrossFit, but I wont be able to continue will I? If youre uncertain about any advice youve received about exercise, you might try to seek a second opinion that may provide some extra confidence about exercise. The bicuspid aortic valve opens and closes abnormally, and can result in leaking of the valve. Im not sure I have all the answers from afar. Most probably not pericarditis cause I had it once so I know that pain type, but again, maybe its some other type. The use of a less invasive transcatheter therapy in this . I am a 36 yo male who was first diagnosed with BAV at the age of 17. Only two cusps, commissures and sinuses are seen in the less common "pure" bicuspid aortic valve subtype. Thank you to every doc and nurse on my team!". If Im trying to do 10 it will be harder to get those 2 up but it wasnt that hard before. Could the changes in my LV be the result of the physiological, not the pathological change? Should I be doing push-ups/pull-ups? My aortic root is 4.06 cms. I am concerned about removing the coronary arteries and re attaching them again etc. Keep us posted! More difficult questions relate to what are acceptable sports/exercise if operation is not (yet) needed. Robbie Benson - Actor/Director - Bicuspid Aortic Valve. I was just curious if there any way to know if my valve is affecting my times at all? He has mild AS and AR and is otherwise asymptomatic. I did run 1-2 times/week for a 1.5 months now, the situation is getting a little better but still I feel like a 80 years old. I have found your article(s) very useful amongst what I see as so much mis-information out there. They can occur separately or together. I seen my cardiologist yesterday and this is the first year in 4 years that the aneurysm hasnt grown a mm. Perhaps the doctor could contact the specialist and request an earlier appointment, if that made sense. I have only trivial aortic regurgitation. This is the only measurement that has gone down . 1. I have 5 children, so I dont want to drop dead and leave my poor wife with them all to look after on her own. Still no stenosis or regurgitation, aorta now 35 mm, he is 6 ft, 150 pounds. Everyones symptoms are different but I felt compelled to share mine. Aortic regurgitation (also called aortic insufficiency), which is a leaky valve. Bicuspid aortic valve: Basics and beyond | Cleveland Clinic Journal of 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. Best to mention your participation in the marathon when you have the tests done. my age is 20 right now I met an old guy once after a run and he described me very well his running experience; he said when I accelerate, Im the only one to know. He is on meds to slow it down. March 10, 2016 at 1:50 pm. But, three heart valve surgeries! Have completed an excercise stress test and signed off as ok on reaching level 13. Although bicuspid aortic valves can occur . Aortic stenosis, the narrowing of the aortic valve. Im really wondering at what point should I look into flying back to Thailand or Hong Kong to get re-checked. I am a cycling Masters racer (Cat 2) for last 25 years . From afar, I dont have much to add. The idea of somehow restricting the HR may be attractive as a means of curtailing strenuous activity. They call this type of heart attack the Widow Maker," she wrote. I am 46 years old today, 22x marathoner, 4x Ultra (50 miles) and 5x natural fitness competitor. The first pic showed the action and comedy legend in a supine position with a thumbs-up, while the next three featured a lovely autumn walk, taking in the sights. I do think that aspects of the martial arts are strength-related. Thanks very much for this Dr, it is really helpful to get someone elses opinion on the subject and Ill definitely raise those points with my cardiologist next time we meet. I would really like for people to not have to experience what I had to experience, she continued. I would not want yo distinguish between the various forms of static exercise that you mention. 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. My son was diagnosed with BAV, by chance, when he was 7. That is except for the last two months hes had several illnesses ( influenza, bronchitis, URI). Well, as it happens, the Cleveland Clinic has been recently rated the top heart hospital in the nation, and the number two hospital overall. Fox News anchor Bret Baier has a . The free weights are about 10kg and Im not doing any really heavy weights. Thoracic aortic aneurysm, an abnormal bulge in the part of the aorta located in the . The aortic root is moderately dilated (max 46mm sinus to opposite commissure but you can measure 48off axis). He has stenosis and moderate regurgitation. I have moderate to severe regurgitation and the heart is enlarged as far as I understood. If youre questioning the recommendations youve received, perhaps a second opinion might be helpful. It sort of flutters open and shut. Best Valentine's Day Restaurant Specials 2023. Chris Pratt to Marry into the Kennedy Family. I was wondering if you could give your opinion on my scenario. Is a CT or MRI absolutely necessary for measuring the aortic diameter? 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?). Unanswered questions include: Can a bioprosthetic valve wear out more quickly than expected? Also he told me I can lift weights and do other activities. 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. Normally, your aortic valve has three cusps that regulate blood flow from your heart to your aorta. Ever since undergoing open heart surgery in 2010 for her surprise diagnosis of heart disease, Jones has worked as a national ambassador for the American . It also featured an extended chat with Schwarzenegger's old boss James Cameron, and, despite an attempt, not even the mighty Arnold could pry any Avatar 2 secrets loose. Guidelines suggest that athletes with BAV, normal size aorta, and no more than mild aortic regurgitation or stenosis can participate in all sports, without restriction.provided that they do not have an inherited connective tissue disorder like Marfanss syndrome. My question here is what is the damage I can cause to my heart, mechanical valve, if I keep my heart rate at hi intensity levels? You are a very good man. Yes, there are certainly individuals with BAV who go a lifetime without needing valve replacement or aortic surgery. Its a hard thing to describe to my cardiologist that my legs and HR are not cooperating when the pace picks up. I see Im not alone. It has a male predominance and often occurs in multiple members of the same family, suggesting that it may have an autosomal dominant inheritance, perhaps with variable penetrance. I have a St. Judes Bovine valve now. They are located between the atria and corresponding ventricle. It is very difficult to find information regarding the athlete and BAV. His cardiologist said, i am sure he can play a full game with new issues but I have to go with new guidelines and indirectly left it up to me to make the decision which moved him to mild /moderate and put right at the Borderline. I will keep you posted. If untreated, it can lead to blocked blood flow. It is very frustrating as my doctor would prefer to see me live the rest of my life with restrctions and have the aneurysm stabilized rather than take a chance on surgery and possibly returning to my normal lifestyle. Great to hear that youre doing cross country running. I was shocked. The doc states that basketball is a contact sport in her medical books and we would need to consult with another doctor to possibly get approval. Bicuspid aortic valve with Marfan and other HTAD when the ascending aorta is dilated >45 mm. I have appointment with a cardiologist on Friday but in the meantime i would like to know weather in case of surgery a replacement of the valve is definitely necessary or my condition still allows some options for a surgery without replacement. Bicuspid aortic valve (BAV) and congenital aortic stenosis are two types of heart defects that may be present at birth. The echo in Jan asc aorta Diam 4.2 cm z-score 6.4. "Listen to the voice inside, the one we all so easily ignore. Im used to long runs up to 12 miles at an average 6 minute per mile pace as well as fast interval and farther training. I first wrote about BAV in a short post here at the blog back in 2009. The surgery was a full success, and the valve is closing really well now. no tiredness, no dizziness, etc. It might be wise to have discussion with your doctor about the particular activities youre concerned about. Thank you for taking the time to respond to my post. Im due to have an exercise tolerance test soon, but from my dealings so far Ive lost faith in the level of competence of my current cardiologist. Okay, thats greatbut I left feeling uncomfortable with the diagnosis. You could probably settle on a plan for return to exercise with your surgeon and cardiologist. I can imagine it might be difficult to make arrangements when you live in one country and your doctor(s) work in another. No aortic root dialation. All severe aortic stenosis patients who are experiencing symptoms should ask for a TAVR evaluation. On Ocotber 23, 2020, we learned that Arnold Schwarzenegger had a third heart valve procedure, a re-replacement of his aortic valve replacement. Since Im not close to good medical care, are their specific things that I will start to notice if my heart valve is causing a problem? I think we would expect less enlargement over time with stopping strenuous exercise. Perhaps that info will give you some basis for discussion with your cardiologist and surgeon regarding the type of valve that is used for your re-replacement. He told me to carry on as normal and to take 300mg Irbesartan per day. 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? I dont know anything about crossfit but I see his times are average on that page. Rather than just sit there and do nothing about how much I missed [my mother], I put all of that pain, sorrow and longing for my mother into helping educate and make people aware. Yes, there are many athlete patients whove had operation for BAV/aortic replacement and returned to a variety of sports. The video is just 1 min 42 sec long. My son is a baseball player, so that is good. . No stenosis or regurgitation, aorta 27 mm at the time. This year (her junior year) her Cardio doc is saying that she cant in good conscious clear her for basketball (the sport my daughter LOVES). There are a multitude of patient-specific circumstances that must be considered when deciding if and when operation is needed. Many of us are not familiar with the many types and facets of the martial arts. Anyway, I just wanted to say I found this article particularly informative. I would encourage you to have further discussion with your doctor(s) about EXACTLY what forms of exercise are safe. Last week, the CBS This Morning anchor announced via his co-anchors Gayle King and Norah ODonnell that he would be taking a break from the show to undergo heart surgery. That said I have a resting HR of ~40 (always have). Throughout the years he has played football and basketball. My Dr. gave me the all clear to go back to my exercise routines. Also I seemed to get quite sweaty the following hours after a hard training session. Copyright 2021-2022 Baldwin Publishing, Inc.All rights reserved. Lastly, a human donor valve was inserted into the pulmonary valve position. On Aug 30, 2017 I passed out at the gym and subsequently airlifted due a large abscess and valve dehisence and underwent another operation and now have a homograft. And lastly, the degree of healing in the remaining (unoperated) aorta probably has a big impact on the potential risk. My last CT scan in November showed a change from 4.3 (May) to 4.5 (November) however I was only given these results yesterday. My cardiologist has advised me to avoid high impact activities such as weight lifting and endurance training. The actress, 44, found out she had a leaky valve in 2002. My father has struggled with heart disease since he was 50, and I lost him [in 2008].. Those figures are funny to me because before I was doing three or four times more intense training beside my job (air force pilot). We dont know what to do. Consensus guidelines are developed to be broadly applicable, but the guidelines may not be applicable in a given athlete patients circumstance. Finally some solid information about exercise and life post AVR, thank you very much for that. Hi Larry, I am now 60. However, my problem is that if I can train at this pace then I can still run but I certainly cant compete! Defects can involve the walls or valves of the heart, or they may affect the arteries and veins near the heart. Is this true that you wont be symptomatic with only mild AR? That post is a starting point for todays discussion. We also sign a school waiver every year. The timing is my choice.. "I had to make lifestyle and diet changes, she said. 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. The notion is to reduce the number of cycles of heart beat x high blood pressure. I take bisoprolol (low dose) and my pressure is currently normal . Me, i`m nearly 43, male and have BAV. Since my initial post i decided to call another pediatric cardiology hospital in our state, University of Michigan Pediatric Cardiology. I lifted weights for many years and spent almost all my life in physically demanding jobs. The numbness/tingling has me constantly worriedand the slight chest pains have me always thinking is that my BV or Aorta causing issues?. Search Heart Hospitals I had AVR 3 years and 4 months ago. Celebrities with Heart Valve Disease | Wonder What are my chances of being able to go back to marathon running after surgery? Thank you for the blog that addresses the athletes point of view, and feelings. Star Jones. I dont have any ayptoms. Follow up for development of these functional lesions is indicated. Im followed by a cardiologist who only says not too much weight lifting.. This might reasonably translate into some measurable improvement related to physical exercise. Like I said, peoples experiences are all different. Who Qualifies for TAVR | Eligibility and Treatment Guidelines Considering the results of my stress test and TOE, do you think it could be my heart and should I seek 2nd opinion. In addition, I will get a random bout of lightheadedness when standing or sitting in a awkard position. The other theory is that there is a structural problem that leaves the aortic wall weak. I dont think theres a way to predict the future in this circumstance. In addition to running, I also perform moderate to high intensity resistance (weight) training 5-6 times per week. Im not sure how you should best sort out the differing recommendations from your doctors. All they said is dont really do weight where you can feel the strain in your neck ?!? Although bicuspid aortic valve is typically asymp tomatic at fi rst, it is commonly associ-ated with progressive valvulopathy and tho-racic aortic disease. Rest pulse (70 bpm|50 bpm) My performance as a cyclistgiven my ageputs me in the elite category, although with the stenosis I am experiencing a definite decline in performance. An early indicator of BAV is a heart murmur, which is an abnormal sound caused by the turbulent . Doc says no problem, but that seems to be contrary to what I see here. So unfortunately it sounds like i am part of that grey area. Its probably not possible to have too much information as you think about your situation. My Echo Stress Test is normal but when I finish obviously the pressure is higher (190-80 at the end) . There are just so many causes of shortness of breath, lightheadedness, and chest pain.even besides the heart-related causes. Youve got the right idea, though. Do you opration?