Exercise while waiting for surgery..

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

realkarl

Radiation survivor
Supporting Member
Joined
Jun 3, 2009
Messages
187
Location
Seattle, WA, US
I have finally decided on surgery, but it's still more than a month away. I was diagnosed 11 months ago, but the medicine (beta-blocker, ace inhibitor, lanoxin, spironolactone) worked so well that my heart shrunk back to almost normal, and the ejection fraction up from < 20% to 45%, that we (cardiologist, surgeon, myself) decided to wait a while, or until things got worse.

I didn't know about this forum until recently. I found it just after I decided on surgery, but during the past year, and even now, while waiting, I have been wondering about how to best exercise with my leaky valves and CHF medication. My cardiologist told me it was safe to exercise moderately as long as everything felt OK (no symptoms), but he does not have (m)any patients in my age group, diagnosis, and/or actively exercising.

My personal experience has been that the medicine pretty much sets the limit to how hard I can exercise. The medicine drops my normal workout pulse by 20-25 bpm, to ~130-140 bpm at what feels like the same exertion level. The output capacity is less, of course. I am 39, and was in pretty good shape after bicycle commuting for the last 5 years, prior to the diagnosis. Another experience is that my muscles get more sore, and the soreness lasts much longer, when on the medication.

If I have pushed too hard for too long, I get fluid buildup in the lungs and asthma like wheezy breathing ("cardiac asthma"). This happened badly only once, when I tried to pick up bike commuting to and from work this spring. I almost didn't make it home, which was pretty scary, and in fact dangerous. Fortunately, it eased in a matter of minutes after sitting down. This incident was one of the main reasons I decided it was time for surgery, even though an echo a few days after showed about the same "stabilized" numbers as during the past few months.

But I don't want to sit on my butt for a whole month either, so I will keep exercising every other day or so, but moderately, and indoors on stationary machines, where I can better control the level and keep an eye on my pulse monitor, and stop whenever I feel like.

I should add that I have been exercising moderately this whole year, without any adverse effects to the echocardiogram numbers.

Other thoughts or advice on living healthy while waiting for surgery?
 
Last edited:
Exercise & Advantages

Exercise & Advantages

Your cardiologist can offer the best advice regarding how much exercise you can handle while you wait. Frankly, he will be able to accurately assess your heart issues and how exercise will affect those issues much better than anyone here. Do expect your cardio doc to error on the conservative side.

Opinions will probably vary regarding the benefits of being in good shape physically as you deal with surgery. Few of us seem to have identical experiences, but I bounced back from AVR and aortic graft surgery very quickly. Both my surgeon and cardio doc attributed my quick recovery to my being in decent shape before surgery.

Personally, I like your attitude about wanting to stay active. Keep that positive attitude!

-Philip
 
I agree one should be a fit as possible. My road to AVR stretches over 60 years and became more urgent in the last year when I, out of the blue, developed AF (it was cardioverted chemically after two days in the CCU) and had one bout of severe angina with me ending up in ER. Otherwise pretty much asymptomatic. I am an ardent sailor and always reasonably fit. After deciding in Feb this year that AVR is now inevitable, based on the cardiac readings and not the pretty much absent symptoms, surgery was scheduled for 1 July.

I am more or less on the same medication as Karl but my maximum heart rate is so suppressed that the cardiologist never gets me above about 110bpm even after 12 minutes on his stress ECG machine. I also wanted to keep fit for the surgery and my cardiologist agreed that I join a cardiac rehab programme before the surgery. As you know these programmes are under strict supervision so my cardiologist's instructions to them are followed to the letter.The other members of the group always get a bit of laugh when I tell them I am doing pre-cardiac-rehab. The medical insurance will not pay for this sort of thing so it is costing me a bit of money but it is worth it, I feel.

I am not suggesting you should do the same Karl but I agree with Philip that one should be as fit as possible. Uncontrollable things however happen. It is flu season here in the southern hemishere and in spite of my best efforts (flu ***, immune boosters, vitamins, avoiding public places, holding my breath when someone sneezes:)) I still picked something up and is now, 10 days before surgery, as sick as a dog. Have just e-mailed my surgeon and cardiologist with this, to my mind, bad news.

Johan
 
Hi ,
I am awaiting AVR surgery (within next month to 8 weeks). I can only speak to my personal situation and not on medication. I have always been very active and was hoping to continue this until surgery. When I asked about exercise, the cardiologist has now restricted me to only walking at this point. His concern is how high the peak aortic pressure gradient is right now. It would be best to speak with your cardio. Good luck with everything and best wishes!
 
I've asked this same question to several doctors including a cardiologist, my PCP and a surgeon. All agreed that exercise would not adversely affect my condition (MVP with severe regurg.). I'm not going in for surgery until late summer and I currently run 22+ miles a week at a 7:40 pace. Of course they warned if I felt any change, I may want to reconsider this.
I think the exercise is keeping me sane while waiting to go in.:eek:
 
Back
Top