That post is a starting point for todays discussion. Hi, my name is Hector and I am 34 years old. Would you recommend taking beta-blockers at this stage? Elite triathletes and heart problems The American College of Cardiology (ACC) in conjunction with the American Heart Association (AHA) has issued guidelines for the evaluation, monitoring, and treatment of individuals with BAV: In my opinion, these are useful guidelines for athletes and non-athletes, alike. which seems to suggest that he has returned successfully to the sport. That means it is a congenital heart defect. Website designed by Gatorworks. Can you please shed some light on this is the sport performance supposed to gradually diminish (seems to go to zero for me) before the operation is needed? Again, this is a topic that is not yet well-researched. Thanks for the very insightful post, and for taking the time to reply to everyone here. Some cardiologists tell me that I can run up to 130 beats per minute ; others say theyd prefer I do power walking because pressure always rises while running. Good to hear that youre doing well. I was only diagnosed with BAV after a routine examination and only because my company has increased in size above a threshold at which all employees are supposed to be subjected to this examination (weird law in Belgium). 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? Running it is important for me but if it has a problematic effect , I would opt for power walking They are also predisposed to enlargement of the ascending aorta, the large blood vessel that carries blood flow away from the heart. Open heart surgery is sometimes the best option, but it is not always the only option. Bicuspid aortic valve is a type of abnormality of the aortic valve. Can you tell me what is to much, are push ups or pull ups heavy lifting, is 3 time per week 5 km running with 10-12 km/h pace to much? CT or MRI may be more accurate. 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. However, randomized, controlled trials have excluded bicuspid aortic valve (BAV), which is the most frequent congenital heart disease occurring in 1% to 2% of the total population and representing at least 25% of patients 80 years of age or older referred for aortic valve replacement. Dr. Creswell, Baldwin Publishing, Inc. strongly suggests that you use this information in consultation with your doctor or other health professional. 2) He can lead a normal life & can continue his training with regular echocardiography control (once in a year). "Weve gotten a lot closer and weve learned each other on a whole different, deeper level, she told PEOPLE in 2015. Notify me of follow-up comments by email. I do not feel any of the effect of my condition when I run or workout. No stenosis or regurgitation, aorta 27 mm at the time. I asked her about surgery. I have a few questions because I was instructed not to lift more than 10 lbs and that I could resume surfing in a year. However, this is not always the case. Just double checking. If I had to choose a valve for AVR, Id choose a tissue valve. A lot of people have it, she told Access Hollywood in 2009. Lack of breath? Not only the degree of aortic regurgitation, but also the degree of enlargement of the nearby aorta, should be taken into consideration when settling on limits for exercise. I am a 28yr old male, and Ive just found out about my BAV. Hello dear doctor. My son is devastated, depressed, and wanted to play ball in college. Ive seen several cardiologist and they are divided in recommendations. 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 . 2020 Update: Arnold Gets An Aortic Valve Re-Replacement! My son is a baseball player, so that is good. Catch up on the years best movies, whether in theaters or now streaming at home. According to reports (and my new cardiologist), this congenital variation . Sounds like youre on the right track with your upcoming visit with a specialist. In March 2019, media outlets hailed two new studies on transcatheter aortic valve replacement (TAVR) as potentially signaling the beginning of the end of open heart surgery for aortic stenosis. When patients have moderate to severe aortic regurgitation, exercise can often be difficult. 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 am a 48yo competitive cyclist who is very concerned with being able to return to my former ability to hit high effort levels following open heart surgery. Current guidelines suggest no restrictions on activity for athletes with BAV who have no stenosis/regurgitation and who have a normal sized aorta. Finally, many patients are able to return to their sports after successful operation. This might reasonably translate into some measurable improvement related to physical exercise. That is to say, I did up until two months ago. While she ended up being okay, she advised other women to be more cautious. Yesterday, for example, I spoke with a 71-year old patient who just had aortic valve replacement surgery due to this . I would like to know more about your recovery timeline since you are so much further out from surgery than I amfor instance; how long before you could do long rides again; when could you do tempo efforts; start high heart rate intervals; and finally race again? Barb. Thank you to every doc and nurse on my team.". Thats about as specific as he got. Based on the information Ive provided, I would greatly appreciate your advice and opinion on the matter. Thank you for your time Dr.! My son was diagnosed with BAV, by chance, when he was 7. The risk of BAV in children of parents with BAV is probably about 10%. I had it replaced in 2014 and am now 16. Thank you for your time. The worse the narrowing, the greater will be the difference in blood pressure between the arms and the legs. She said not until it gets to 5cm. Your advice is always invaluable and most appreciated. Hey is almost looking forward to getting it fixed. Or, is it something that can wait until they get sports physicals in their teens? Because it was just a cardiologist, not a sports cardiologist or physiotherapist. My exercise is limited to 30 minutes of moderate carido, with no weights. The cardiologist told us at that appointment that we needed to start considering surgery to repair his valve. Should I increase amount of weight? Bicuspid aortic valve (BAV) is the most frequent congenital cardiac defect, and affects 0.5-2% of live births. It sounds like youve gotten conventional advice regarding sports where there is a risk of bodily injury. To the extent that any operation fixes the stenosis or regurgitation, we might expect better efficiency from the heart. Do you have any info or recommendations about this? Bicuspid aortic valve with Marfan and other HTAD when the ascending aorta is dilated >45 mm. 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. 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. He seen our family doctor that week who confirmed the murmur. Up until this time shes played volleyball, basketball and has even run track in elementary. If the conflicting opinions both come from cardiologists, you should ask them to confer with each other and arrive at some sort of consensus. A bicuspid aortic valve only has two of these leaflets. 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. Im not surprised that youve received a conservative recommendation about exercise. Look forward to your reply and thanks for your time. . 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). For many patients, I recommend no heavy lifting (>10 pounds) for the first month after conventional heart surgery. It is two to three times more common in males than in females. I had a ventricle septum defect patched up shortly after birth with no further follow up and a full recovery. I know they really should get checked, and they will. 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. Something they suspect is also from birth but never previously picked up. The most common type was type 1 (1 raphe with the raphe positioned between the right and left coronary sinuses (75%), while the second most common type was also type 1 . On April 16, 1997, Arnold Schwarzenegger underwent elective heart surgery to replace a defective, congenital aortic heart valve. Thoracic aortic aneurysm, an abnormal bulge in the part of the aorta located in the . They ruled out Marfans syndrome because his aorta was dilating. Im a 57 year old male who had aorta repair and porcine valve surgery 3 years ago. Thanks in advance. Weight-lifting is only one example, but others would include golf, bowling, shooting, etc. 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)? Without careful study, I dont know what the true risks will be. A faulty aortic valve isn't something you want to have considering that it helps blood flow out of the heart and through the rest of the body. You could probably settle on a plan for return to exercise with your surgeon and cardiologist. BAV is present at birth (congenital). There are certainly individuals with BAV who never have trouble down the line. Do you think running 40 minutes five times a week at that level of beats can increase the aorta rate of growth ? Athletes with mechanical or bioprosthetic heart valves may participate in low and moderate intensity sports, Athletes who are taking blood-thinning medications should avoid sports where bodily injury, with potentially life-threatening bleeding, might occur. He was forced to stop playing football at 11. I found myself in emergency surgery 12 months ago with 50% leakage, an enlarged heart and an ejection fraction of 30. Im 32 years old and didnt expect at all that my aorta would dilate. Could he be over-cautious? 140 miles at race pace. I would encourage you to have further discussion with your doctor(s) about EXACTLY what forms of exercise are safe. I am 26 yera old , I have aortic aneurisem. What is the average life span of a tissue valve? My son at 11 months was diagnosed with BAV. Great article! Thank you very much for the answer! Benefits: no blood thinning (with attendant risks) needed. Is that far fetched? Many heart conditions can be controlled or repaired once theyre diagnosed. I ran competively for a division 1 NCAA university through college and have maintained a high level of physical fitness since. There is a readable section related to BAV. Bicuspid aortic valve is a heart problem present at birth. My daughter (16 y/o) has a St Jude mechanical mitral valve (adult size valve even though she has had it for 7 years). "Women are the natural caregivers; we take care of everyone else under the sun," she says. The bicuspid aortic valve opens and closes abnormally, and can result in leaking of the valve. That said, the recommendations dont address WHEN that screening should occur. Does the BAV with aortic dilatation and small leakage prevent the blood to flow less efficiently? And he never had any symptoms and played competitive soccer since he was 6. Most patients can resume all of these activities by 2-3 months after operation. I was diagnosed age 4 and am now 35. Ed Helms - Actor - Undisclosed CHD. To revist this article, visit My Profile, then View saved stories. My cardiologist said that sometimes it remains stable and never grows anymore. But, three heart valve surgeries! There is not much scientific evidence about what to expect. Arnold Schwarzenegger opted against a mechanical valve replacement and chose a tissue valve because he felt a mechanical valve might limit his physical activity and capacity to exercise. Having a congenital heart defect means you are born with a problem with the heart's structure. I have been given no restriction to date in any physical exercise as my valve is in decent condition. Me, i`m nearly 43, male and have BAV. I had a Medtronic Freestyle valve fitted in May 2002, did exactly as directed regarding exercise etc. I had a scan done recently and they picked up a what they called a mild dilation of the aortic root at 47mm, ascending aorta 34mm, no other issues. Ive been told by my cardiologist that they think I should probably avoid competitive rowing and weight lifting. (I am on a low dose beta blocker) Im not sure how those two problems would be related. Reply. My resting HR is 60-70 BP 110-70, according to doctors have no tissue problems, never had hypertension and was told that I was born with weak threskupid valve. Hey would like to continue to be active but is worried about which procedure would be best for him. View HelpingHeartsCharitys profile on Facebook, View @HelpingHeartsMDs profile on Twitter, View HelpingHeartsCharityMDs profile on Instagram. Im not familiar with employment eligibility issues with BAV, even in this country. , Bicuspid Aortic Valve Disease, Acquired Valve Disease. They seem very busy and its taken almost a year to get to this stage. I found a cardiologist with whom Im quite happy with. It is very difficult to find information regarding the athlete and BAV. Dr. Creswell I have found out I have a BAV last year. Im a 30 yr old male, training 5 times a week rowing and strength training. enlarged LV = 350ml Get your act together, Columbus! Obviously, I underwent emergency surgery to replace the aortic valve (Medtronic open pivot mechanical valve) and have the aneurysm repaired with a dacron graft. Many athletes with bicuspid aortic valve (BAV) may continue to participate in their sports.provided there are no other problems, either with the aortic valve or nearby aorta. My cardiologist Said to not lift heavy weights. At this time, it is not known whether Arnold received the new valve using a surgical aortic valve replacement (SAVR) or atranscatheter aortic valve replacement (TAVR). Hope to hear back soon. 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 . Palace Insiders Say Prince William Is Already Furious About Prince Harrys Memoir Leaks, Prince Harry alleges Prince William attacked him over Meghan Markle in a new excerpt from, Scene Stealer: The True Lies of Elisabeth Finch, Part 1, Rupert Murdoch Knees Trump in the Balls While Hes Doubled Over Coughing Up Blood, By BG017/Bauer-Griffin/GC Images/Getty Images. 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. Aortic valve replacement is recommended for nearly all patients with severe valve stenosis (valve opening less than 1.0 cm2), Aortic valve replacement is recommended for patients with severe valve regurgitation if there are symptoms due to the regurgitation (eg, shortness of breath with exertion) or evidence that the heart is suffering because of the regurgitation (enlargement of the left ventricle), Repair or replacement of the beginning portion of the aorta is recommended if there is enlargement of the aorta to greater than 5.0 cm. Is it possible that the valve will get loose? So it's got the Rock and Roll Hall of fame and great doctors. Thanks for sharing the article about the PEARS technique. Hes gained 25 pds . 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. Very much appreciate this site, thanks Larry for giving people like us a place to voice our concerns ! Also, due to a bout of DVT and elevated d-dimers Im on Warfarin for life. 2023 Baton Rouge Clinic. (liver cysts noted). "I have heart disease, and I found out about five or four years ago, the singer, now 49, told PEOPLE in 2008. Aortic dilatation is a common feature of BAV with a prevalence ranging from 20 to 84% , due to differences in assessment techniques, study population, aortic size thresholds, and heterogeneous nature of the . So unfortunately it sounds like i am part of that grey area. 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). "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. 1 year ago I gave up smoking and started endurance running. Diagnosis was made because pulse dropped to 30 (normally 52), and pacemaker was thought to be needed (no symptoms other than low pulse for a few days). He has stenosis and moderate regurgitation. My daughter has played two years of varsity basketball already. The reason I ask is my Cardiologist said it looked fine in the echo imaging, but (and correct me if Im wrong please) I got the impression from what you said in this article that a CT or MRI is necessary for aortic diameter measurement. I used to be very muscular prior surgery and 3 mounts ago I started with 5 km runs, push ups and pull ups 3 days a week, slowly progressing. The issue of how much (& what types of) exercise after surgery is difficult because we dont have good studies (& evidence) upon which to base recommendations. We briefly talked about the Ross procedure vs mechanical valve replacement. 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. Ive done the Philly a Marathon a coup,e times and know that its a terrific event. The surgery was a full success, and the valve is closing really well now. Less 100mmhg. Maybe you can help me with some questions. Also, my next appointment is, unfortunately the week after my next marathon (which I will be pacing and not racing). Perhaps that will provide so e reassurance. On Monday the 13th, I had my annual echo. Now I take brisk walks and run on the treadmill only occasionally. In late March, Schwarzenegger was heavily involved in a chess tournament with his donkey Lulu. It prevents the blood from flowing back from the aorta into the heart when the pumping chamber relaxes. Shes quite the athlete. 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 . His doctor recommended he see a pediatric cardiologist within 1-2 weeks but when I called they cant get him in until April 14th. I cant distinguish if its muscle pain or somewhere inside chest, its not sharp or dull, somewhere in between. When there is narrowing (stenosis) or leakage (regurgitation) of the aortic valve, the heart must do extra work. Kim Kardashian Doja Cat Iggy Azalea Anya Taylor-Joy Jamie Lee Curtis Natalie Portman Henry Cavill Millie Bobby Brown Tom Hiddleston Keanu Reeves. I hadnt heard about the technique previously. 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. We see his pediatric cardiologist every 6 months. Learn more about Baldwin Publishing Inc.editorial policy,privacy policy, ADA compliance andsponsorship policy. She advised us we should start to consider surgery but would follow up with us again in 3 months. My son is desperate to be able to play sports without any restrictions. Only your cardiologist and heart surgeon will be in a position to make those considerations. 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. So it is very possible to continue athletic activities after surgery. Doctors at the Frankel Cardiovascular Center's Comprehensive Aortic Program have . My son is 15 and has grown about 4-6 inches in the last year. A 2nd opinion might help by bringing another set of eyes and ears to your problem. I suspect (and hope) you will say that the latest recommendations say no restrictions for someone like me but I havent seen yoga specifically mentioned. Im a 42 year old male and have been a highly competitive distance runner since high school. I have bav with mild dilation of aorta 39mm. There are a lot of variables here, even from the short story youve shared. Your doctor will be in the best position to know all of the relevant information and offer sound advice. My cardiologist gave me green light for everything except strenuous exercise (used to train for ironman and similar challenges). I cant wait to be back, completely rested with my heart recharged, my passion for the work ahead purposeful and my joy at lifes pleasures high," the statement continued. Could you express your opinion on this issue? The doctor looked at the results and told me to limit physical activity (running), because it can lead to heart failure in future. "I had been doing some work around the house working with a heavy ladder, he told PEOPLE of his activity in the days leading up to his heart attack. Thanks for the article! Maybe a genewho knows. 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. I know that heart surgery can be scary.but I also know that for the vast majority of patients with these conditions, surgery goes well and the outcomes are good. Do you have a congenital heart defect? The notion is to reduce the number of cycles of heart beat x high blood pressure. Hey is a frustrated guy. I took it up 7 years ago. Vanity Fair may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. Today, echocardiography (ultrasound) for screening or diagnostic purposes for some other heart problem is the most common way that BAV is detected. 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. http://www.24hourgym.us. Yes, I am aware of the work by Dr. Dietz. He wants to be normal. John Ritter - Actor - passed away due to undiagnosed CHD at age 55. At the USC Cardiovascular Thoracic Institute, we are dedicated to improving the statistics concerning cardiovascular and thoracic disease such as those once faced by the governor, said Starnes, who also serves as executive director of the Institute. Apologies for my slow reply. My mother passed away last May following her second AVR. (bicuspid aortic valve), singer Bret Michaels (atrial septal defect), and even 'Survivor' contestant Whitney Duncan (ASD). I do think that aspects of the martial arts are strength-related. Required fields are marked *. 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. Thank you very much for writing such a thorough and well informed article. But, while doing my cardio stress test they discovered that I have a Bicuspid Aortic Valve. However, my problem is that if I can train at this pace then I can still run but I certainly cant compete! We also sign a school waiver every year. Im wondering if you can advise me. 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. The Best Amazon Presidents' Day Deals of 2023. . Health eCooking is a registered trademark of Baldwin Publishing, Inc. Cook eKitchen is a designated trademark of Baldwin Publishing, Inc. 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