celebrities with bicuspid aortic valve

In late March, Schwarzenegger was heavily involved in a chess tournament with his donkey Lulu. Depending upon the size of the prosthetic valve, there is so e built-in obstruction to blood flow that is e aggregated during exercise. First, a disclaimer.My practice is devoted to adult patients. Hector V. Ive never heard about a mechanical aortic valve becoming loose because of high HR. Is it right to declared someone having BAV unfit for the post of a chemist? Yes, moderate aortic root dilation can remain stable. PS: I noticed that the option Notify me of follow-up comments by email doesnt seem to work. Thats about as specific as he got. Before 2 years my aorta was 37mm . John Fox, NFL coach, suffered from Aortic Valve Disease. Current guidelines suggest no restrictions on activity for athletes with BAV who have no stenosis/regurgitation and who have a normal sized aorta. Im followed by a cardiologist who only says not too much weight lifting.. And its always valuable to frame up discussion in terms of how much risk is acceptable. She said not until it gets to 5cm. Push for earlier date? As I mentioned in previous comment my recovery is going great. Im hoping you can help with some guidance. Doc says no problem, but that seems to be contrary to what I see here. Reply. Hey is a frustrated guy. 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. BAV is the most common cause of heart disease present at birth and affects approximately 1.3% of adults. 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? The notion is to reduce the number of cycles of heart beat x high blood pressure. I am now down to seeing my doctors every 3 years or so and have been doing very well. Some people with bicuspid aortic valve will have symptoms in early childhood. The pitfall, though, is that our native aortic valve is itself very efficient. Although bicuspid aortic valve is typically asymp tomatic at fi rst, it is commonly associ-ated with progressive valvulopathy and tho-racic aortic disease. Ive a BAV with the fusion being between my right coronary and non-coronary leaflets. An echocardiogram last June revealed a function BAV. I see in this blog that Dr. C noted: Compared to our own native valve, all of the available prosthetic substitutes have a small degree of aortic stenosis built in, unfortunately. Ordinarily, we reserve operation for patients with severe aortic regurgitation who have some decrement in the LV function. I too would be interested in talking off-line about what I have experienced or finding docs who have studied more extensively at fine-tuning high performance engines. what recommend me? This valve repair option is one that might best be pursued at a center that specializes in this problem. host, 76, suffered a mild heart attack in 2012. "I Googled 'womens' heart attack symptoms,' " her blog post continued. CT or MRI may be more accurate. We also sign a school waiver every year. As chemist mostly works in a lab not in the field. Interesting situation Sean Miller. Is this a possible explanation? Hi . After a 6 month ramp up, will the Porcene valve take the stress of the 5 rep sets? At the age of 12, she had a procedure to widen her valve as her heart condition continued to have an impact. Danny. You are correct that we worry about the influence of such activities on the enlarged aorta in those with BAV. The echo in Jan asc aorta Diam 4.2 cm z-score 6.4. What is the average life span of a tissue valve? I continued playing hockey routinely until I was in my late twenties. Sounds like youre on the right track by getting things evaluated. http://games.crossfit.com/athlete/39565 Currently complete in 5-a-side football and have done for life. How are you? Pop Medicine > Celebrity Diagnosis . Key points about bicuspid aortic valve. In some cases, the aortic valve can be repaired and the enlarged aorta can be replaced with a Dacron tube. there was a tiny strand of tissue on the septal aspect of the muscular LOVT (LCOT Vmax 2.1m/sec;20mmHg peak gradient. No changes in regurgitation status (aortic regurgitation LVOT 19%); Does lifting weights up to 100 pounds and being cleared for push-ups, pull-ups, all cardio, etc., sound reasonable? To save nice heart the best would be doing nothing (! Again, there are ACC/AHA guidelines for when operation is needed: Sometimes more than one indication for operation may be present, so there is the additional guideline for patients who need operation for aortic stenosis or regurgitation: I know from discussion with athletes over the past few years that there are differences of opinion among cardiologists and heart surgeons about these guidelines. 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. Your doctor will be in the best position to know all of the relevant information and offer sound advice. They are also predisposed to enlargement of the ascending aorta, the large blood vessel that carries blood flow away from the heart. Pathology. Will surgery mean I can do more or less training? The star's mother, Rita Owens, was diagnosed with heart failure after passing out while teaching art at a New Jersey high school in 2004. I would like to thank you very much for providing me with your thoughts. Thank you very much for writing such a thorough and well informed article. Very much appreciate this site, thanks Larry for giving people like us a place to voice our concerns ! 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. 5 months ago was diagnosed with severe AR and 5 cm long aneurism (root 3.0 cm, sinusi valsave 4.3cm, ST 3.6cm, ascending aorta 3.6cm) on regular yearly checkout, with no syptoms. My doctor says i use losartan for decrease my blood presure. Im not sure theres enough information at hand to offer sound advice. As of Monday, my BP at the echo appointment read 115/66. Do we have a choice with him only being 15??? With aortic dissection, the aorta can develop a tear on its inside wall, leading to unraveling of its layers, and even rupture. I have BAV with an ascended aorta and heart murmur. It will probably take a visit with a surgeon (who has all of the pertinent details) to outline the possibilities for you. 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. Went through the process of antibiotic therapy and. As Schwarzenegger previously had two cardiac procedures, it is possible that Arnold may have received aTAVR using a Valve-in-Valve approach to replace his failing aortic tissue valve that was implanted in 1997. I had a David Tirone Operation a couple of weeks ago to repair a BAV with aortic dilatation (49mm), and a small leakage. The doctor said it wasnt serious, but that I should keep watch on it every year. That said I have a resting HR of ~40 (always have). 1. I know I will need it replaced. My cardiologist has advised that while marathon running is out, shorter runs (up to 6-8 miles) and pilates are both fine for now. That means it is a congenital heart defect. I do think that this condition can weigh heavily on patients minds, though, and in your case perhaps particularly so because of the experience of your mother. Is strength training that involves only using ones own body weight ok with mild BAV issues, or is all strength training out? ), What do you think? It was her death that prompted me to get checked out. Last echo measurements LDid 6.3cm z-score 2.4, LVIDs 4.1 cm z-score 2.0, LVPWd 1.2cm z-score 1.9, asc aorta Diam 4.0 cm z-score 5.8. In fact, like most people, the 25-year-old had never heard the term before. Could the changes in my LV be the result of the physiological, not the pathological change? Susp. The recovery from heart surgery can be hard to predict for any given patient, but we know that young otherwise healthy patients tend to do well. I am 18 years old . My cardiologist tells me that I need to be monitored yearly and that I should exercise without limitation (for cardio) I have symptoms however that include chest pain and shortness of breath and palpitations. Now I take brisk walks and run on the treadmill only occasionally. 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. Finding this site is such a relief / source of hope for me thanks so much Dr. Larry!. I feel like 95% of other people my doc sees are just happy to get back to their normal life which doesnt include pushing their bodies to extreme limits. Hi again Dr. Creswell, Flaps of tissue on the valve open and close with each heartbeat. Would this constitute as too much in your opinion ? 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. Thanks for the infoI really appreciate what you,have to say. There are 2 broad categories of heart valve substitutes that can be used to replace the human aortic valve: mechanical valves or bioprosthetic (tissue) valves. Bicuspid aortic valve (having only two leaflets rather than the normal three) happens in about 1% to 2% of the population and is more common among men. Thoughts. In general, we recommend no weight lifting in patients with BAV if the aortic diameter is greater than 4.0 cm. Patients with BAV who have a normal size aorta, with no stenosis or regurgitation of the aortic valve, can participate in sports without restriction. I excercise 2-3 times a week, namely cardio and weight lifting. 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. While my surgeon said that I can do whatever normal healthy person would do my cardiologist gave me some restrictions basically not to raise my HR over 120. For those same patients, we recommending avoiding strenuous dynamic exercise line swimming, running, soccer, tennis, cross-country skiing, etc. Substitute valves. I probably get more inquiries from athletes with bicuspid aortic valve (BAV) than any other single heart problem. I currently run 40 -50km a week and do two 2 hour intensive yoga sessions a week. Historically, a heart murmur was the most common reason affected individuals were identified. 4.2cm dilated aortic root But Bob, you confirm that it does for you; and unfortunately I see same for me although 25 years younger. It will also be necessary to keep a close eye on the size of the aorta over time, using echocardiography and CT. I would think that, ordinarily, a homograft would heal up along a similar timeline to other types of valve/aortic root replacement. Bicuspid aortic valve (BAV) disease is the most common congenital heart defect, as it affects 1.3% of the adult general population . No aneurysm. Needless to say, the diagnosis was quite overwhelming. Does the (unreplaced) aorta enlarge over time? Thank you for this blog! Consensus guidelines are developed to be broadly applicable, but the guidelines may not be applicable in a given athlete patients circumstance. Ordinarily, athlete patients with mild degrees of valve regurgitation can continue to participate in their sports. Like you mention, one theory is related to the aortic blood flow. The potential downside relates to durability. Tyler. There is very little scientific evidence to guide us here. Patients whove had aortic valve replacement and/or replacement of the aorta will require life-long monitoring by their doctor, with periodic echocardiogram and/or chest CT scanning. Many thanks. Shes quite the athlete. Should I be doing push-ups/pull-ups? Like I said, peoples experiences are all different. The aortic valve allows oxygen-rich blood to flow from the heart to the aorta. Rose underwent the procedure last week, and said he would be going home to rest for a couple of weeks before returning in March.

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