Partial Recovery



P

Phil Holman

Guest
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
 
Phil Holman wrote:

> 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
Board-Certified Cardiologist
http://www.heartmdphd.com/
 
"Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in message
news:[email protected]...
> Phil Holman wrote:
>
> > 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?

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.

Phil Holman
 
Phil Holman wrote:

> "Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in message
> news:[email protected]...
> > Phil Holman wrote:
> >
> > > 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?
>
> 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.

Yes.

> I've not seen this
> mentioned anywhere.
>
> Phil Holman

I'll see if I can dig up a ref for you.

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
 
"Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in message
> > > 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?
> >
> > 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.
>
> 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
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
 
Phil Holman wrote:

> "Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in message
> > > > 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?
> > >
> > > 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.
> >
> > 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
> 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.

Here's a ref describing an extreme case:

http://tinyurl.com/o062


--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
 
"Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in
message news:[email protected]...
> Phil Holman wrote:
>
> > "Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in
message
> > > > > 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?
> > > >
> > > > 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.
> > >
> > > 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
> > 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.
>
> Here's a ref describing an extreme case:
>
> http://tinyurl.com/o062

Thanks Dr Chung. The related articles were also very informative.

Phil Holman
 
Phil Holman wrote:

> "Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in
> message news:[email protected]...
> > Phil Holman wrote:
> >
> > > "Dr. Andrew B. Chung, MD/PhD" <[email protected]> wrote in
> message
> > > > > > 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?
> > > > >
> > > > > 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.
> > > >
> > > > 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
> > > 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.
> >
> > Here's a ref describing an extreme case:
> >
> > http://tinyurl.com/o062
>
> Thanks Dr Chung. The related articles were also very informative.
>
> Phil Holman

Glad to help :)

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
 
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