It will also be necessary to keep a close eye on the size of the aorta over time, using echocardiography and CT. Since I started running, I lost about 8 kg, my blood pressure decreased from 140/90 to 120/80-70. Celebrity. And now my aortic root is 42 mm. To revist this article, visit My Profile, then View saved stories. He has been restricted from playing contact sports since hey was 10. Consensus guidelines are developed to be broadly applicable, but the guidelines may not be applicable in a given athlete patients circumstance. Hes gained 25 pds . My cardiologist said that sometimes it remains stable and never grows anymore. This procedure has the particular benefit that no artificial valve (with the disadvantages described above) needs to be used. He had a mild BAV and was told that he can play with no restriction. When first diagnosed with BAV I just nodded and smiled it was only the following day that reality hit home and I thought of all of the questions that I would have liked to have asked the cardiologist! , Bicuspid Aortic Valve Disease, Acquired Valve Disease. I wouldnt put you in the position of giving me your opinion in a public in forum but just let me know if based on the following, you think Im crazy or not. Then, Arnold's pulmonary valve was switched to the aortic position. I just thought it was muscle strain., My body cleared the blockage itself, said the game show host, who credited the aspirin he was taking for what he thought was simple muscle pain. 3. I agree that your doctor(s) are in the best position to offer advice regarding safe exercise based upon your particular circumstances. I would think that moderate would be a good term for 8-12 rep range, pullups (unassisted), and pushups. There is very little scientific evidence to guide us here. Theres a saying if you watch a group of kids running around, you would never know who had a heart defect unless they lifted their shirt. This list, which may shock you, includes Olympians, Athletes, Musicians and more, all with an invisible illness. There are just so many causes of shortness of breath, lightheadedness, and chest pain.even besides the heart-related causes. This is the only measurement that has gone down . Ive not found any programs for evaluating repaired athletes unless something exist with a physiologist research lab. So for that first month, we usually advise no driving, lifting, pulling, pushing, reaching, etc. No one loves life more than I do, read the statement. One situation that seems particularly ripe for differences of opinion is that of the athlete with BAV, no significant stenosis or regurgitation, but with an aortic diameter of 4.5 to 5.0 cm. She says now it is stable and I dont have to see her for 2 years. In the process of how I had the slow waltz with MG UNTIL DIAGnosed, will be ready in 3 weeks. "Thanks to the team at the Cleveland Clinic, I have a new aortic valve to go along with my new pulmonary valve from my last surgery," he wrote. These techniques are most applicable to situations in which there is regurgitation, rather than stenosis, of the valve and when there is also enlargement of the aorta. The BAV is monitored annually, the doctor told me that Im currently in the grey zone but stable since I started the monitoring. Is this the case? These leaflets open and close to regulate blood flow from the heart into the aorta, and prevent blood from flowing back into the heart. More difficult questions relate to what are acceptable sports/exercise if operation is not (yet) needed. My daughter has played two years of varsity basketball already. Based on the information Ive provided, I would greatly appreciate your advice and opinion on the matter. After that, most patients can gradually return to activities that put stress on the sternum and upper extremities. "Weve gotten a lot closer and weve learned each other on a whole different, deeper level, she told PEOPLE in 2015. I do not have Julys echo results yet. Hi Dr. Creswell. Your sons cardiologist would seem to be in the best position to offer specific advice. If you havent yet seen a surgeon, perhaps a visit would all wan opportunity to talk about these issues, even if operation is not yet needed. But I recognize that not all cardiologists or heart surgeons would agree. I understand its strenuous activity but if Im for example bench pressing it will get harder for me to put it up at the 8th rep.. Tetyana. I have also had a stress test, which showed no issues at all. Search for heart hospitals that specialize in heart valve treatment. After an echo and an MRI with and without contrast, I found out that I have a BAV with mild aortic and pulmonic valve regurgitation. Only restrictions are no weights greater than 100 pounds or heavy contact sports. That means it is a congenital heart defect. This have affected my son psychologically since he loves playing soccer what should I do. Best to mention your participation in the marathon when you have the tests done. That is someones life.. Susp. I realise that I will eventually need the valve replaced again and just hope that things go as well next time. Weve known the risks and my daughter has done well to avoid scrapping for the ball etc. Thanks. And during the years, this remained pretty stable. Is it possible that the valve will get loose? Before that, I had never seen a cardiologist ever. Thank you very much for the answer! They are able to see my son this Friday, which i am much more comfortable with! The free weights are about 10kg and Im not doing any really heavy weights. "Until then, stay close.. We are wondering is there a science to knowing when he should have the surgery? Also suggested taking low dose of beta-blockers although I have been told the effectiveness has not been proven. I started experiencing palpitations last year along with several instances of light-headedness. I have just one thing bothering me, and that is healing of tissue surrounding heart and also chest muscles, nerves and so on. And of course the problem occurs in everyday, recreational athletes, too. In 2017, there were 3,046 deaths due to rheumatic valvular heart disease and 24,811 deaths due to non-rheumatic valvular heart disease in the United States. Related posts: I played competitive amateur football (soccer) on Saturday and Sunday from age 16. Yes, I am aware of the work by Dr. Dietz. I seen my cardiologist yesterday and this is the first year in 4 years that the aneurysm hasnt grown a mm. Bicuspid aortic valve (BAV) disease is the most common congenital heart defect, as it affects 1.3% of the adult general population . She partnered with the American Heart Association to encourage others to get CPR training that could potentially be life-saving. During the Ross Procedure, the aortic valve is removed. I am 31 years old and had my BAV repaired at The Cleveland Clinic in 1999 when I was 15. The value of CT/MRI comes when a millimeter or two makes a difference in treatment, restrictions, surgery, etc. Call 911. Replacement is much, much more common. It is very informative. 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. I appreciate your input. He told me to carry on as normal and to take 300mg Irbesartan per day. Advertisement. However, is there any advantage to having them screen in their first decade of life, if they are not showing any symptoms? Perhaps you could organize such a visit for a 2nd opinion regarding safe levels of exercise? Ordinarily, we reserve operation for patients with severe aortic regurgitation who have some decrement in the LV function. My cardiologist has told me that, based on how my heart sounds, he doesnt think hell ever have to operate on me. We just saw the cardiologist in July and again same symptoms and no significant cardiac changes . Probably a bicuspid aortic valve but there are many other possibilities Reply Yoga is not included in the classification of sports that is commonly used, but I suspect that yoga would have low to moderate static and dynamic components. She advised us we should start to consider surgery but would follow up with us again in 3 months. Hey would like to continue to be active but is worried about which procedure would be best for him. A week after he made the varsity team as a freshman he was told by the doctor he couldnt play. As a consequence, these individuals develop earlier calcification of the valve leaflets, leading to narrowing, or stenosis. While I no longer due very strenuous activities, I still play softball, golf, kayak, ski, and do play hockey every now and again. Im not surprised that youve received a conservative recommendation about exercise. Functionally bicuspid aortic valve (type 1). Kinda like a marathon but it will take me at least 9 hours. Could you please give me an insight into what else could be causing these chronic episodes of shortness of breathe, lightheadedness and off-on chest pains. Ten years ago (2006), doctors said that there was a worsening of the BAV but still no need to have Aortic replacement. Thank you for your time. 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. 1) What kind of sports are recommend to me according to my situation? Flaps of tissue on the valve open and close with each heartbeat. I have had three annual Echocardigrams, the first two showed mild stenosis, mild LV thickening. Your advice is always invaluable and most appreciated. I found a cardiologist with whom Im quite happy with. Bicuspid aortic valve is associated with abnormalities in the coronary artery anatomy in about 2% of patients, including anomalous origins of the coronary arteries and upwardly displaced coronary ostia. Dietz?) Many patients with surgery for BAV, even if it involves aortic root replacement, lead rather normal lives afterwards. Could he be over-cautious? Exercise and sports are usually safe if there is mild aortic root enlargement but no other heart or vascular problems. I see my cardiologist the end of May. We see his pediatric cardiologist every 6 months. 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. While i appreciate you are not my cardiologist and we`ve never met is there anything generic out there that i can look at to gain an idea. Its a lot harder in the UK to see your cardiologist so you cant get the answers quickly. The HAART 200 is an innovative device that helps in the repair of BAV, allowing patients to avoid aortic valve replacement. Less 100mmhg. In general, the larger (in diameter) the substitute valve is, the less aortic stenosis it will produce.
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