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Point was that modern mechanical valves may have more tolerance than we probably assume. In any case, it wasn't too important to discuss here.

The paragraph above the one you tagged provided the context: Then I wonder what patients in the developing and underdeveloped world do in terms of INR management. They probably get mechanical valve (mostly), and I wonder if they are assigned INR management teams, home-meters or readily access...

I actually have no INR related concerns at this time. I was just responding to someone else's concerns/questions. I was trying to say that we may overthink INR at times, and tend to doubt our own prescribed or well researched numbers :) I'm cool with my own INR situation for now, and will seek...

Then I wonder what patients in the developing and underdeveloped world do in terms of INR management. They probably get mechanical valve (mostly), and I wonder if they are assigned INR management teams, home-meters or readily access to lab testing etc. If they are given proper training, or...

It seems that the consensus here (based on certain studies) seems to go higher INR (say 2.5, 3 or even higher) even if someone's cardiologist suggested a particular number (e.g. 2). Everyone's situation and biology is different. Then, we also have to listen to our body e.g. i used to bleed very...

I had significant effusion (1 liter blood-laced fluid) around my heart a couple of weeks after surgery. You may review my story here and then let me know if you've any specific question based on my experience: https://www.valvereplacement.org/threads/12-week-update-work-in-process.889789/ This...

You're correct. Getting scared of numbers is human nature, but it varies from one individual to another. For example, some people get scared of aorta being ruptured at 4.5 cm while others carry on thru 5 cm (or 5.5 cm). But then everyone's genetics or biology is different, and lack of such...

I've On-X mechanical, 4.5 months post-op. It's VERY loud but I haven't had any issue with it. I'm otherwise very sensitive to sound/noise and light while sleeping but I've been sleeping more sound post-op than every before :) Finding valve noise bothersome must vary significantly from...

Yes, I was running regularly (1 hour, ~2-3 times/week) before surgery too. I'm running more now :) Endurance training does help before, during and after such heart-related (e.g. AVR) surgeries. I used to lift weights too but switched to running over the last decade to buy more time before AVR...

Wow what an inspirational story. Glad you're doing great, and still able to follow your intense routine. May I ask which level you kept your INR that you had the stroke? I've the On-X valve too, and following your foot-steps (in terms of running or aerobic activity although I'm holding back on...

You mean you've LV "concentric" hypertrophy, or thickening of the heart wall? Did you have it prior to the surgery too, and how long it's been since surgery? Heart takes time to remodel after surgery, so it may be just that? I'm glad you're following up on that, and otherwise you seem to be...

Yes it’s all normal. There is RHR (resting heart rate) when you are at “rest” during the day (but otherwise anxious or working on your desk etc), then there’s RHR when you’re really calm and relaxed watching TV or browsing leisurely on your laptop in the evening, and then there’s RHR when you...

This chart shows actual numbers (daily averages):

4 weeks is too early but it would slowly revert back towards the pre-surgery baseline in the coming weeks. Mine is actually a bit lower now than pre-surgery which may be because I'm now on beta-blocker while I wasn't before. Otherwise, I think I'm technically back where I was. I'm 4.5 month...

You're a part of the reason I went with Dr Fischbein at Stanford. I've nothing but good things to say about him. I felt as if my brother was taking care of me.

I see that you DMed me. Will talk to you there. I got bentall too. It's no big deal. You are looking at a list of what can go wrong. The list of positives is much, much longer :)

Feel free to reach out to me if talking to someone of Indian origin would help. DM me, or ask ANYTHING here. Unfortunately there's not much data or relevance in ethnic-based decision making, but good news is that you have access to just about all of us here who're global BAV relatives :-) We can...

Risk analysis is an interesting preposition especially in situations like this. But if one must, you would reach a conclusion the other way around: 1) If the risk of doing surgery (say 1%) is the same as not doing it (say 1%), then former is much better deal. In case of latter, you're taking...

I would say that it would've been a concern the other way around if you weren't getting your heart rate to 65-85% MHR, doing exercise :) Even if it wears out the tissue valve a tiny bit sooner (which I doubt), it's better to have a strong heart to accommodate future surgical interventions, if...

Yes I've had echo and EKG etc all along. Things looked funky earlier but have caught up recently. When I say plateaued, I mean it's not getting better by the day like it was in the last 1-1.5 months :).... However, I'm back to where I was (i.e. 6.25 mph for 1 hour) few months before the surgery...