I posted here a few months back after I had been diagnosed with bicuspid aortic valve and chronotropic incompetence. The CI was causing the biggest problem with my cycle racing as it reduced my aerobic power output to 80%. After weeks of poking, prodding and scanning, my cardiologist suspected a form of carditis. Over the past month or so I have seen a slow recovery to about 90% of my prior fitness and an increase in my heart rate while working out. I'm obviously delighted as there was a real possibility of no recovery. Anyone know of any other anecdotal incidences like this.
I posted here a few months back after I had been diagnosed with bicuspid aortic valve and chronotropic incompetence. The CI was causing the biggest problem with my cycle racing as it reduced my aerobic power output to 80%. After weeks of poking, prodding and scanning, my cardiologist suspected a form of carditis. Over the past month or so I have seen a slow recovery to about 90% of my prior fitness and an increase in my heart rate while working out. I'm obviously delighted as there was a real possibility of no recovery. Anyone know of any other anecdotal incidences like this.
Phil Holman
There should be a concern that what you have been experiencing are the early manifestations of decompensating valvular heart disease.
What is your functional aortic valve area? What are the peak and mean pressure gradients across your aortic valve?
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:[email hidden]...
Quoted message said:
Phil Holman said:
I posted here a few months back after I had been diagnosed with
bicuspid
Quoted message said:
Quoted message said:
aortic valve and chronotropic incompetence. The CI was causing the biggest problem with my cycle racing as it reduced my aerobic power output to 80%. After weeks of poking,
prodding
Quoted message said:
Quoted message said:
and scanning, my cardiologist suspected a form of carditis. Over the past month or so I have seen a slow recovery to about 90% of my
prior
Quoted message said:
Quoted message said:
fitness and an increase in my heart rate while working out. I'm obviously delighted as there was a real possibility of no recovery. Anyone know of any other anecdotal incidences like this.
Phil Holman
There should be a concern that what you have been experiencing are the
early
Quoted message said:
manifestations of decompensating valvular heart disease.
What is your functional aortic valve area? What are the peak and mean pressure gradients across your aortic valve?
5mm delta p across the valve. I didn't see any numbers on valve area but the flow rate was ~2m/s. Cardiologist was less concerned about immediate problems with the valve. Is there a correlation between valve disease and HR. I've not seen this mentioned anywhere.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:[email hidden]...
Quoted message said:
Phil Holman said:
I posted here a few months back after I had been diagnosed with
bicuspid
Quoted message said:
Quoted message said:
aortic valve and chronotropic incompetence. The CI was causing the biggest problem with my cycle racing as it reduced my aerobic power output to 80%. After weeks of poking,
prodding
Quoted message said:
Quoted message said:
and scanning, my cardiologist suspected a form of carditis. Over the past month or so I have seen a slow recovery to about 90% of my
prior
Quoted message said:
Quoted message said:
fitness and an increase in my heart rate while working out. I'm obviously delighted as there was a real possibility of no recovery. Anyone know of any other anecdotal incidences like this.
Phil Holman
There should be a concern that what you have been experiencing are the
early
Quoted message said:
manifestations of decompensating valvular heart disease.
What is your functional aortic valve area? What are the peak and mean pressure gradients across your aortic valve?
5mm delta p across the valve. I didn't see any numbers on valve area but the flow rate was ~2m/s. Cardiologist was less concerned about immediate problems with the valve. Is there a correlation between valve disease and HR.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
Quoted message said:
Quoted message said:
Quoted message said:
There should be a concern that what you have been experiencing are
the early manifestations of decompensating valvular heart disease.
Quoted message said:
Quoted message said:
Quoted message said:
What is your functional aortic valve area? What are the peak and
mean pressure gradients across your aortic valve?
Quoted message said:
Quoted message said:
5mm delta p across the valve. I didn't see any numbers on valve area
but the flow rate was ~2m/s.
Quoted message said:
Quoted message said:
Cardiologist was less concerned about immediate problems with the
valve. Is there a correlation between valve disease and HR.
Quoted message said:
Yes.
Quoted message said:
I've not seen this mentioned anywhere.
Phil Holman
I'll see if I can dig up a ref for you.
I'd appreciate that. I've searched pubmed but the data that comes up is not really applicable (I assume). It appears to be for people that have suffered an MI and now cannot increase their HR to 85% of an age predicted max. Not that I'm in denial but I have a hard time relating my immediate problem with my valve. My valve will not any get better which does not explain an increase in sustainable HR from a previous 128 to 147 currently. What has been *normal* for me is anything in the 150s.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
Quoted message said:
Quoted message said:
> There should be a concern that what you have been experiencing are
the early manifestations of decompensating valvular heart disease.
Quoted message said:
Quoted message said:
> What is your functional aortic valve area? What are the peak and
mean pressure gradients across your aortic valve?
Quoted message said:
Quoted message said:
5mm delta p across the valve. I didn't see any numbers on valve area
but the flow rate was ~2m/s.
Quoted message said:
Quoted message said:
Cardiologist was less concerned about immediate problems with the
valve. Is there a correlation between valve disease and HR.
Quoted message said:
Yes.
Quoted message said:
I've not seen this mentioned anywhere.
Phil Holman
I'll see if I can dig up a ref for you.
I'd appreciate that. I've searched pubmed but the data that comes up is not really applicable (I assume). It appears to be for people that have suffered an MI and now cannot increase their HR to 85% of an age predicted max. Not that I'm in denial but I have a hard time relating my immediate problem with my valve. My valve will not any get better which does not explain an increase in sustainable HR from a previous 128 to 147 currently. What has been *normal* for me is anything in the 150s.
Phil Holman
The heart rate effects of your aortic stenosis may be transient.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:[email hidden]...
Quoted message said:
Phil Holman said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in
message
Quoted message said:
Quoted message said:
Quoted message said:
> > There should be a concern that what you have been experiencing
are
Quoted message said:
Quoted message said:
the early manifestations of decompensating valvular heart disease.
Quoted message said:
> > What is your functional aortic valve area? What are the peak
and
Quoted message said:
Quoted message said:
mean pressure gradients across your aortic valve?
Quoted message said:
> > 5mm delta p across the valve. I didn't see any numbers on valve
area
Quoted message said:
Quoted message said:
but the flow rate was ~2m/s.
Quoted message said:
> Cardiologist was less concerned about immediate problems with
the
Quoted message said:
Quoted message said:
valve. Is there a correlation between valve disease and HR.
Quoted message said:
Yes.
> I've not seen this > mentioned anywhere. > > Phil Holman
I'll see if I can dig up a ref for you.
I'd appreciate that. I've searched pubmed but the data that comes up
is
Quoted message said:
Quoted message said:
not really applicable (I assume). It appears to be for people that have suffered an MI and now cannot increase their HR to 85% of an age predicted max. Not that I'm in denial but I have a hard time relating my immediate problem with my valve. My valve will not any get better which does not explain an increase in sustainable HR from a previous 128 to 147 currently. What has been *normal* for me is anything in the 150s.
Phil Holman
The heart rate effects of your aortic stenosis may be transient.
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:[email hidden]...
Quoted message said:
Phil Holman said:
"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in
message
Quoted message said:
Quoted message said:
> > > There should be a concern that what you have been experiencing
are
Quoted message said:
Quoted message said:
the early manifestations of decompensating valvular heart disease. > > > What is your functional aortic valve area? What are the peak
and
Quoted message said:
Quoted message said:
mean pressure gradients across your aortic valve? > > > > 5mm delta p across the valve. I didn't see any numbers on valve
area
Quoted message said:
Quoted message said:
but the flow rate was ~2m/s. > > Cardiologist was less concerned about immediate problems with
the
Quoted message said:
Quoted message said:
valve. Is there a correlation between valve disease and HR. > > Yes. > > > I've not seen this > > mentioned anywhere. > > > > Phil Holman > > I'll see if I can dig up a ref for you.
I'd appreciate that. I've searched pubmed but the data that comes up
is
Quoted message said:
Quoted message said:
not really applicable (I assume). It appears to be for people that have suffered an MI and now cannot increase their HR to 85% of an age predicted max. Not that I'm in denial but I have a hard time relating my immediate problem with my valve. My valve will not any get better which does not explain an increase in sustainable HR from a previous 128 to 147 currently. What has been *normal* for me is anything in the 150s.
Phil Holman
The heart rate effects of your aortic stenosis may be transient.
