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Started By
Message
Multi-faceted Health/Fitness problem.
Posted on 11/19/22 at 7:03 am
Posted on 11/19/22 at 7:03 am
Early this year I went into Atrial Flutter. Ended up in the hospital for a couple days before it converted with meds. Was just at work. Not workout but stress related.
During my work up and follow up for this I find I have a Bicuspid Aortic Valve. Which has given me mild aortic calcification and an aorta (ascending portion) that is upper limit normal.
This has put everything on hold.
A. I’m on a blood thinner now. Scared to do anything with a good chance of falling.
B. Scared of heavy cardio increasing HR.
C. Scared of lifting. Raises BP and thoracic pressure.
I am out of shape. The only thing I can do is eat clean. But more than that I am caught between 3 above problems and overthinking. Basically paralyzed from doing anything other than yoga. EASY yoga.
Insight?
Advice?
Experience?
During my work up and follow up for this I find I have a Bicuspid Aortic Valve. Which has given me mild aortic calcification and an aorta (ascending portion) that is upper limit normal.
This has put everything on hold.
A. I’m on a blood thinner now. Scared to do anything with a good chance of falling.
B. Scared of heavy cardio increasing HR.
C. Scared of lifting. Raises BP and thoracic pressure.
I am out of shape. The only thing I can do is eat clean. But more than that I am caught between 3 above problems and overthinking. Basically paralyzed from doing anything other than yoga. EASY yoga.
Insight?
Advice?
Experience?
4
Posted on 11/19/22 at 3:51 pm to LSU alum wannabe
Sorry to hear about your dilemma.
Bicuspid aortic valves (BAV) can be a tough problem to deal with. I will link the AHA guidelines for valvular disease and BAV is in section 5. I would also look at the aortic stenosis section. The indications for surgery will be based on the degree of aortic stenosis (valve area or gradient) and/or the dilation of the ascending aorta/aortic root (5-5.5 cm or 4.5 cm if having another cardiac procedure). Heart function can also play into this which can be measured by ejection fraction or other LV measurements. The wild card here is symptoms usually decrease the threshold for surgery. I’m not sure if your AFlutter count toward “symptoms” for The AV. I know for MV disease it does. That would be a discussion with your cardiologist. It looks like your chance for needing a valve replacement is 20-40% depending on what study you look at. Anecdotally I feel like it is higher than that in real life. Not sure how old you are but valve selection will be another question once/if it comes to that. I understand your fear of increasing HR or BP. The incidence of aortic dissection is still really low for BAV. The link suggest as low as 0.1%. I think it would be very important to have your BP controlled pretty tightly. I would think light to moderate cardio and lifting would be acceptable. Those are very short interval increases in HR and afterload which in the long run will benefit you. If you are truly out of shape additions of light to moderate cardio/resistance training should go a very long way if you also eat in a calorie deficit. I would also want to know what your cholesterol specifically apoB (LDL/VLDL) levels are. There’s a lot of info here but just my 2 cents.
AHA guidelines
Bicuspid aortic valves (BAV) can be a tough problem to deal with. I will link the AHA guidelines for valvular disease and BAV is in section 5. I would also look at the aortic stenosis section. The indications for surgery will be based on the degree of aortic stenosis (valve area or gradient) and/or the dilation of the ascending aorta/aortic root (5-5.5 cm or 4.5 cm if having another cardiac procedure). Heart function can also play into this which can be measured by ejection fraction or other LV measurements. The wild card here is symptoms usually decrease the threshold for surgery. I’m not sure if your AFlutter count toward “symptoms” for The AV. I know for MV disease it does. That would be a discussion with your cardiologist. It looks like your chance for needing a valve replacement is 20-40% depending on what study you look at. Anecdotally I feel like it is higher than that in real life. Not sure how old you are but valve selection will be another question once/if it comes to that. I understand your fear of increasing HR or BP. The incidence of aortic dissection is still really low for BAV. The link suggest as low as 0.1%. I think it would be very important to have your BP controlled pretty tightly. I would think light to moderate cardio and lifting would be acceptable. Those are very short interval increases in HR and afterload which in the long run will benefit you. If you are truly out of shape additions of light to moderate cardio/resistance training should go a very long way if you also eat in a calorie deficit. I would also want to know what your cholesterol specifically apoB (LDL/VLDL) levels are. There’s a lot of info here but just my 2 cents.
AHA guidelines
Posted on 11/20/22 at 7:10 pm to LSU alum wannabe
Check out MovNat. Lots of free content on youtube. You can pick and choose what movements will work for you and your health situation.
Posted on 11/20/22 at 7:14 pm to LSU alum wannabe
Sounds stress related brah
Get your weed card
Get your weed card
Posted on 11/21/22 at 9:56 am to LSU alum wannabe
Can you walk? If so, walk 1-2 hours a day.
You say out of shape. Do you mean overweight? That has nothing to do with being able to exercise. It's all diet. We are struggle with that. But eat less. It's really that simple.
You say out of shape. Do you mean overweight? That has nothing to do with being able to exercise. It's all diet. We are struggle with that. But eat less. It's really that simple.
Posted on 11/23/22 at 4:55 am to brmark70816
Walk
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