My second cardio visit since my AVR

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d333gs

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Joined
Feb 20, 2018
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316
Location
France
Valve is perfect but my heart seems thick: She said it could be from lots of things but thinks it is my weight lifting.
I lift weights about 3 times a week but moderately . On the other hand I push very hard on my bike = strenuous exercise.
I bike or hard walk between an 1.5 hours and two hours a day. I have no symptoms of MYOCARDITIS.
https://myocarditisuk.com/myocarditis-symptoms-and-causes/#symptoms

Athletes heart could be a possibility
https://my.clevelandclinic.org/health/diseases/23920-athletes-heart
I will get a stress test Dec 23.

I will keep you updated
 
Valve is perfect but my heart seems thick: She said it could be from lots of things but thinks it is my weight lifting.
I lift weights about 3 times a week but moderately . On the other hand I push very hard on my bike = strenuous exercise.
I bike or hard walk between an 1.5 hours and two hours a day. I have no symptoms of MYOCARDITIS.
https://myocarditisuk.com/myocarditis-symptoms-and-causes/#symptoms

Athletes heart could be a possibility
https://my.clevelandclinic.org/health/diseases/23920-athletes-heart
I will get a stress test Dec 23.

I will keep you updated
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 doing great and in a good shape working out both aerobically and anaerobically.
Keep us posted.
 
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 doing great and in a good shape working out both aerobically and anaerobically.
Keep us posted.
Thanks for the reply tjay!
Before surgery,I asked the senior cardiologist at the hospital if the left ventricle had thickened and he said no. My first post-op visit to my local cardiologist said everything was in working order. This time she said it had thickened and that she thought it was weight lifting. She told me to stop and give it a year. But ,in the mean time she set up a stress test. I know where I am doing excessive force,and it is on my bike.I don't ride like a tourist. There is a lot of standing up on the bike to pump up hills, which is hard. My blood pressure can get up in the mid140s if I check it directly after typical daily life running around activity.What it gets up to when biking ,I don't know but I bet it is high. On the other hand, when I sit down and relax for a couple of minutes it will be between 128/ 68 and 118/68 and less.
 
In regards to the findings of my cardio , I had my stress test yesterday and got my results.
I have a copy , in French, which I have been doing my best to translate.

In fact it was a stress test and imaging test. I was injected with a liquid , then scanned with some kind of imaging machine , then put on a bike for ten minutes, and then scanned again.
I put out 180 WATTs. BUT my Ejection Fraction is inversed to what it should be: 62% under effort and greater than 65% at rest.

My translation of the results below:
Normal fixation of the tracer with effort and at rest
ejection fraction estimated at 62% during exercise and greater than 65% at rest
no global or segmental kinetic disorder
Ejection Fraction preserved without notable deterioration with exercise.

No sign of scintigraphic argument but perhaps ischemic events.

Which I think can be described as a shortage of blood and oxygen while exercising due to
plugged arteries?

Before my heart surgery, they did find two arteries with 30% blockage and said they would put in stents if they got worse and I got symptoms.

Of course, all this is my speculation and I will get the real story when I see my cardio in the new year


 
Last edited:
OK , This sounds like my test:

Nuclear stress test​

This advanced heart stress test uses safe levels of a radioactive substance and a cardiac imaging scan to assess heart function. A healthcare provider takes pictures of your heart before (at rest) and after you exercise. A cardiologist compares the amount of blood flow to the muscle of your heart at rest and after stress. A decrease in blood flow signal usually indicates a blockage in one or multiple arteries in your heart.

Nuclear cardiac stress tests can:

  • Determine the severity of blockage of coronary artery disease.
  • Assess whether previous treatments, such as stents or bypass surgery are working as they should.
  • Help you avoid more invasive heart tests, such as cardiac catheterization.
  • Show whether your heart is healthy enough for non-cardiac surgery or exercise.

Cardiac rehabilitation stress test​

 
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