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). Background: Transcatheter aortic valve implantation (TAVI) has achieved satisfactory outcomes in the selected patients with bicuspid aortic valve (BAV), predominately type 1 BAV (~90%). He loves sports and is wanting to do more and more. Even if its one person I help. Schwarzenegger visited USC on April 16, 2007 and saluted the new Cardiovascular Thoracic Institute (CVTI), according to a press release issued by The Keck School Of Medicine at USC. Aortic enlargement in patients whove had valve replacement for BAV can be a vexing problem. Or is the real risk related to further deterioration of the heart in the longer term that would be picked up by 6 monthly monitoring, which may indicate the need for surgery but not an immediate risk of dying suddenly? I am a 36 yo male who was first diagnosed with BAV at the age of 17. There are many causes of light-headedness and chest discomfort that are not related to the heart. Your email address will not be published. I ran competively for a division 1 NCAA university through college and have maintained a high level of physical fitness since. I have bav with mild dilation of aorta 39mm. Hes gained 25 pds . Aside from the problems with aortic valve stenosis or regurgitation or with enlargement of the aorta, individuals with BAV can also suddenly develop the problem of aortic dissection. Join Vanity Fair to receive full access to VF.com and the complete online archive now. It makes the heart work harder than it should. Baton Rouge, Louisiana 70808. Im wondering if you can advise me. Surgeon Q&A: What is TAVR Valve-in-Valve? Its conceivable that an echocardiogram a week afterwards could be abnormal simply because of the race. Thoracic aortic aneurysm, an abnormal bulge in the part of the aorta located in the . Some people with bicuspid aortic valve will have symptoms in early childhood. Good to hear that youre doing well. When there is narrowing (stenosis) or leakage (regurgitation) of the aortic valve, the heart must do extra work. CT or MRI may be more accurate. Aortic replacement. Enlarged ascending aorta 42-43 mm Enjoy! ANYTHING other than walking and golf? Having a congenital heart defect means you are born with a problem with the hearts structure. Center for Bicuspid Aortic Valve Diseases | Penn Medicine 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. Randyyour situation has many similarities to mine; I would be very interested in sharing experiences. Im a 30 year old male who is currently living in Asia with family. no symptoms yet please help. This blog helped me a lot in my panic days, it put me at ease when I was worrying to much, just to see and to know your enemy and to realize that you are not alone is great help. During pregnancy. Latest Advances in the Treatment of Bicuspid Aortic Valve My mom [and aunt] passed away [in their 60s from heart disease], and my dad had a heart attack when I was around 10 and he had a triple bypass, the actress told PEOPLE. Outcomes in Adults With Bicuspid Aortic Valves - JAMA 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. Regarding the PEARS, the main concern is about the possibility that the aorta dissects even in a controlled measure (lets say 4.5cm). While the defective valve may be easy to see, the defect also causes changes in the tissues of the aorta and the heart. Like I said, peoples experiences are all different. Im a 51 year old male who had aortic repair (5.8 cm) and bovine valve replacement AVR surgery 2 years ago. That is to say, I did up until two months ago. Its also clear-cut that patients with significant enlargement of the aorta to greater than 5.0 cm need operation for replacement of the aorta. I do not know aorta measurements. 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. The studies on Irbesartan for Marfans(I dont have Marfans) are showing some positive outcomes; and. If youre questioning the recommendations youve received, perhaps a second opinion might be helpful. Thats always the concern with new techniques with limited follow-up data. He was forced to stop playing football at 11. You could probably settle on a plan for return to exercise with your surgeon and cardiologist. ), Your email address will not be published. To me, you know your own body and what you can manage whilst straining as little as possible. Obviously, mild to moderate would be somewhere in between. Our only tool to keep track of aortic enlargement is repeated measurements with CT or echo. 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. Is it possible that the valve will get loose? My son is a very active and healthy 14 year old. Bicuspid Aortic Valve: Diagnosis, Treatment, and Outlook - Healthline Hope to hear back soon. Thank you for your assistance in this matter. What have I observed and learned in the quarter century since? Celebrities With Endocarditis -- Know Of Any? - Heart Valve Surgery Bicuspid aortic valve refers to a spectrum of deformed aortic valves with two functional leaflets or cusps which are often unequal in size. Thank you for what you do and for your responsiveness. Bicuspid valves are quite common (1-2 percent of the population). I have been doing this for the last 5-6 years now and am hopeful it can continue. 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 . This might reasonably translate into some measurable improvement related to physical exercise. Think to report back to let us know how things go for you, personally. They are also predisposed to enlargement of the ascending aorta, the large blood vessel that carries blood flow away from the heart. Me, i`m nearly 43, male and have BAV. Body contact sports may pose some danger to athlete patients who take blood thinners. First, a disclaimer.My practice is devoted to adult patients. Bicuspid aortic valve. Assuming that 2% of the US population has bicuspid aortic valve disease, that is 6,278,281 people. My son is a baseball player, so that is good. Bicuspid aortic valve: Basics and beyond | Cleveland Clinic Journal of Anyway, I just wanted to say I found this article particularly informative. "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. Your doctor will be in the best position to know all of the relevant information and offer sound advice. SPORTS FIGURES/ATHLETES. My father has struggled with heart disease since he was 50, and I lost him [in 2008].. Bicuspid Aortic Valves, Arnold Schwarzenegger, Aneurysms, and Me Best to mention your participation in the marathon when you have the tests done. Typically, the aortic valve has three cusps (tricuspid aortic valve), but some people are born with an aortic valve that has two cusps (bicuspid aortic valve). The CVTI was created under the leadership of Dr. Vaughn Starnes, chair of the Department of Cardiothoracic Surgery and surgeon-in-chief at the Keck Medicine of USC. He is certainly expert in the area of drug therapy to reduce the rate of aortic enlargement. Consensus guidelines suggest that athletes with mild aortic regurgitation and no other heart problems can participate fully in their sports. Almost half of BAV subjects develop different degrees of valvular dysfunction during their lifetime. I like to practice MTB and running competitively in local races. Hannah Yona Fraint, M.D. running? The aortic root is moderately dilated (max 46mm sinus to opposite commissure but you can measure 48off axis). They seem very busy and its taken almost a year to get to this stage. Can BAV cause sudden death incidents in otherwise healthy 40 year old males? PS I am really interested to know if HIIT is too intense a system of exercise for people with BAV. What advise can you give to someone in my position? Bicuspid aortic valve (BAV) disease does not usually cause symptoms. 3. In January 2021, she underwent open heart surgery to install an aortic valve. His favorite sports are football and baseball. My sinus of valsalva is at 4.8 and my BAV is functional (discrete regurgitation). Other heart parameters are very good (no bigger chamber or aorta). Today, echocardiography (ultrasound) for screening or diagnostic purposes for some other heart problem is the most common way that BAV is detected. Film star, former California governor, and seven time winner of the Mr. Olympia title Arnold Schwarzenegger published positive images to his social media platforms on Friday as he recovered from heart surgery. Adam has been featured by the American Heart Association and Medical News Today. The HAART 200 is an innovative device that helps in the repair of BAV, allowing patients to avoid aortic valve replacement. A different set of. Perhaps that will provide so e reassurance. Now Id like to know your opinion about physical performance, before and after. Stories of Bicuspid Aortic Valve. 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. The doctor allows me to do moderate sport defined by her like not 20k each day; 20k per week should be fine. I have some issues with a dull pain right below my left breast that seems to come more often with a poor dietbut just doesnt seem like it could me esophagus related? Aortic Stenosis How severe are the problems? Consult your doctor to see if there are any restrictions that would be specific to your case. Thank you so much for your reply. In your experience how long are we talking before I have to have surgery and do beta blockers really help in prolonging the need for surgery. 2. 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. But Ill check it as soon as possible. Exercise and sports are usually safe if there is mild aortic root enlargement but no other heart or vascular problems. They all underwent aortic valve replacement. 2. March 10, 2016 at 1:50 pm. My surgeon basically said, Lets get you back to living your life. Cardiologists always say take it easy. The pitfall, though, is that our native aortic valve is itself very efficient. If I had to choose a valve for AVR, Id choose a tissue valve. My son is 15 and has grown about 4-6 inches in the last year. People can live normal lives with Congenital Heart Defects. He would be devastated to never be able to play again. 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. I have been advised not to run any more marathons or half-marathons, but that I can still compete at up to 10km races. I can not be on anticoagulant medications on the fire department. 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). Thank you very much for your answer. Editorial Review: Andrea Cohen, Editorial Director, Baldwin Publishing, Inc. No information provided by Baldwin Publishing, Inc. in any article is a substitute for medical advice or treatment for any medical condition. Because it was just a cardiologist, not a sports cardiologist or physiotherapist. Schwarzenegger's Aortic Valve Replacement | MedPage Today
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