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PostPosted: Thu Sep 26, 2013 12:58 am 
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Joined: Tue Mar 29, 2005 12:20 am
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A young friend who competes at high level, recently had to stop riding because of asthma like symtoms(short breath, difficulty breathing) he went to hospital and doctors said his heart is enlarged to a man of the age of 60 (3x his actual age) anyone ever heard of a similar experience or know of it? does it sound more genetic or possibly from over training?
any input would be appreciated
thank you


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Posted: Thu Sep 26, 2013 12:58 am 


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PostPosted: Thu Sep 26, 2013 2:59 am 
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Hi,

This might provide more info:

http://cyclingtips.com.au/2010/10/exerc ... e-a-limit/


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PostPosted: Thu Sep 26, 2013 3:01 am 
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Finally got my login to work.
Your friend should ask to see a doc who has interest in sports medicine. High level endurance athletes naturally will develop a degree of cardiomyopathy. The question is whether this is normal or pathological.
As far as pathological a number of causes depending on what type of cardiomyopathy: Genetic, viral, hyperthyroidism, steroids.
Again the challenge here is a doc who doesn't work with athletes may have trouble discerning pathological from normal in this situation. The degree and type of cardiomyopathy also defines the degree of danger in regards to arrythmias.


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PostPosted: Thu Sep 26, 2013 9:17 am 
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Definitely have your friend check with a cardiologist that works with athletes. When I changed primary physicians years ago she freaked when listening to my heart and immediately did an EKG and sent me packing for a stress test. My heart takes a powerful beat then stops and restarts, its been doing this for years. The cardiologist was wondering why I showed up with running shorts and shoes. I told him if he wanted to get my heart rate up it was not going to happen by walking. He stopped the stress test midway and told me there was nothing wrong with my heart.

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PostPosted: Thu Sep 26, 2013 1:10 pm 
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Juan what you are having is almost certainly a premature ventricular contraction. It is a normal finding and not dangerous. essentially instead of the heart beat starting at the SA node and passing into the ventricle quickly through the ventricular conduction system via the AV node, it initiates in the muscle of the ventricle and passes like a slow wave through the ventricles. So instead of a nice coordinated beat of the ventricle where it all squeezes at once, you get a contraction that moves like a wave starting in one part of the ventricle and slowly passing to the others. Often there is a brief pause after as the ventricle has not reset when the next normal pulse comes through.
Absolutely normal especially in us athletes who have a resting bradycardia and not at all concerning as your cardiologist said. That is assuming I am correct about what is happening.


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PostPosted: Thu Sep 26, 2013 1:23 pm 
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On a similar vein (bad pun), I had my first ever ultrasound this year and was told my aorta was enlarged at 6.2 cm dia.

So, I don't know if this is recent, or from 20 yrs ago, or what.

I am 65 and always involved in sports - squash, marathon running and now cycling. I do 15-20,000 Km/yr on the bike.

I have high blood pressure, which is managed well.

Specialist basically told me to take it easier, which I ignored.

I suggested going back in a year to see if there was any change.

Any words of wisdom?

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PostPosted: Fri Sep 27, 2013 2:27 pm 
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appreciate all the input
thanks again!


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PostPosted: Sat Sep 28, 2013 12:54 am 
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Julio: Aortic or thoracic? A ruptured aneurysm is no joke, rarely do you survive. smoking and hypertension most common cause. From an exercise perspective I would certainly avoid heavy weight lifting that sort of thing. Certainly annual rechecks will be important. Often over 6cm it gets repaired or bypassed. Have you seen vascular surgery?


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PostPosted: Sat Sep 28, 2013 1:16 am 
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drchull wrote:
Julio: Aortic or thoracic? A ruptured aneurysm is no joke, rarely do you survive. smoking and hypertension most common cause. From an exercise perspective I would certainly avoid heavy weight lifting that sort of thing. Certainly annual rechecks will be important. Often over 6cm it gets repaired or bypassed. Have you seen vascular surgery?


Thanks.

Aortic I thought. Now I'm wondering if I remembered correctly. Because the research I'm doing is kind of scary. Specialist Dr didn't seem THAT concerned. In fact he said to come back in 2 yrs and I suggested 1 yr. Don't smoke and my hypertension has always been under control. I'm seeing my GP in a couple of weeks so I'll ask some more questions.

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PostPosted: Sun Sep 29, 2013 12:05 am 
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Sorry mistyped that: Thoracic or Abdominal was the question.


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Posted: Sun Sep 29, 2013 12:05 am 


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PostPosted: Thu Oct 03, 2013 7:18 pm 
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I started having some similar symptoms as above last month, went to the ER and they also did a nuclear stress test and Echo. Echo came back with Bicuspid Aortic Valve. I also have some enlargement of the walls, but not any more than a trained athletes heart, which should come back to normal with rest. I have gotten a cardiologist for more in-depth monitoring.

HUMP

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