Hi all, No stenosis or regurgitation, aorta 27 mm at the time. I think we would expect less enlargement over time with stopping strenuous exercise. This international evidence-based nomenclature and classification consensus document is intended for universal use by clinicians, imaging specialists . Would you recommend taking beta-blockers at this stage? March 6, 2023, Erin Feaker I have been checked by echo/CT every year for the last 7 years to monitor the progress of my valve regergitation and aortic aneurism. The pitfall, though, is that our native aortic valve is itself very efficient. This blog helped me a lot in my panic days, it put me at ease when I was worrying to much, just to see and to know your enemy and to realize that you are not alone is great help. which seems to suggest that he has returned successfully to the sport. Thank you for your expert opinion. A 2nd opinion might help by bringing another set of eyes and ears to your problem. Im really wondering at what point should I look into flying back to Thailand or Hong Kong to get re-checked. . Thank you! Eventually I will need valve replacement. The thing that keeps me sane is that I can jump on a treadmill or go play basketball for a few hours and feel relatively normal. I am 18 now, and I am interested in weight lifting. During the Ross Procedure, the aortic valve is removed. . My personal approach to endurance athletes in this situation would be to offer operation if the patient wanted to continue to participate in endurance sports (after operation) and was willing to assume the risks of operation. I had a David Tirone Operation a couple of weeks ago to repair a BAV with aortic dilatation (49mm), and a small leakage. Palace Insiders Say Prince William Is Already Furious About Prince Harrys Memoir Leaks, Prince Harry alleges Prince William attacked him over Meghan Markle in a new excerpt from, Scene Stealer: The True Lies of Elisabeth Finch, Part 1, Rupert Murdoch Knees Trump in the Balls While Hes Doubled Over Coughing Up Blood, By BG017/Bauer-Griffin/GC Images/Getty Images. My son will be 16 next month. however I have been getting pain (on the left side of my breast) and chest pain due to lack of oxygen. What Is Bicuspid Aortic Valve Disease? This almost seems like an off the shelf answer and Id therefore be really keen to find out your thoughts? He just turned 15 he is 511 203 lbs and has a heart of gold. Think to report back to let us know how things go for you, personally. Its conceivable that an echocardiogram a week afterwards could be abnormal simply because of the race. Notify me of follow-up comments by email. First, Id encourage you to follow your doctors advice. My father has struggled with heart disease since he was 50, and I lost him [in 2008].. I have not had any issues since my surgery. Hey has been physically active with restrictions of no contact sports, and no isometric exercise. In some cases a particular arrhythmia that is responsible for your feelings of palpitations or light-headedness could be identified.and options for treatment could be presented. I have a 15 year old son with a BAV, Aortic stenosis, Noderate regurgitation and dilatation of his ascending aorta. Any words you have for us would be greatly appreciated. There can be issues with aches and pains even months after operation that still relate to healing. Is it possible that the valve will get loose? Thank you so much! He is now 15. I was physically examined by a medical board at new Delhi for the post of a chemist in geological servey of India but they declared me unfit as I have BAV . If I ever need surgery to replace my root , I understand that there is an element of complexity for such surgery, but after surgery, is life expectancy for individuals assumed to be shortened at all ? Thats important to keep in mind. Typically, the aortic valve has three cusps (tricuspid aortic valve), but some people are born with an aortic valve that has two cusps (bicuspid aortic valve). Many congenital heart defects cause few or no symptoms. these conditions occur mostly during my exercises at the gym and Im left very lightheaded and shortness of breathe. Something they suspect is also from birth but never previously picked up. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Cond Nast. In addition to running, I also perform moderate to high intensity resistance (weight) training 5-6 times per week. TAVR is a relTively new technology where a new heart valve, shrunk onto a catheter, can be threaded through the bloodstream (usually through a leg artery) to where your current valve sits.and then expanded inside the current valve, pushing it aside. ), Your email address will not be published. The issues of when, how, what sports are safe, etc. Maybe a genewho knows. My son is a very active and healthy 14 year old. Log in, September 26, 2013 By Larry Creswell, MD 155 Comments. (Or do I just need to train even harder??). Thanks for sharing your sons story. Zdenko . Sometimes my cardiologist says there is minimal change and he thinks my aorta had slightly enlarged by 1-2mm. I am 26 yera old , I have aortic aneurisem. The GOPs failure to get the 118th Congress going shows how the performative nature of todays Trumpified party is making it incapable of governing. What advise can you give to someone in my position? 2. Elite triathletes and heart problems Some people with bicuspid aortic valve will have symptoms in early childhood. If you havent yet seen a surgeon, perhaps a visit would all wan opportunity to talk about these issues, even if operation is not yet needed. I have completed two marathons. The most common type was type 1 (1 raphe with the raphe positioned between the right and left coronary sinuses (75%), while the second most common type was also type 1 . Im guessing that my muscles are building up again and since everything was messed up, especially on left side, maybe some scar tissue or damaged nerves are coming up. Editorial Review: Andrea Cohen, Editorial Director, Baldwin Publishing, Inc. Additional types of patients who should ask for a TAVR evaluation include: Bicuspid aortic valve patients who are experiencing symptoms. Today at my hospital, we do most 1st time aortic valve replacements for aortic stenosis (narrowing) this way and have started using TAVR for patients with previous AVR using tissue valves who need re-replacement. It was her death that prompted me to get checked out. Im 53. Athletes with BAV who have no stenosis or regurgitation of the aortic valve AND have no enlargement of the nearby aorta may participate fully in their sports. These leaflets open and close to regulate blood flow from the heart into the aorta, and prevent blood from flowing back into the heart. It is believed that Schwarzenegger had a bicuspid aortic valve which led to a Ross Procedure operation performed in 1997. Does lifting weights up to 100 pounds and being cleared for push-ups, pull-ups, all cardio, etc., sound reasonable? It is very frustrating as my doctor would prefer to see me live the rest of my life with restrctions and have the aneurysm stabilized rather than take a chance on surgery and possibly returning to my normal lifestyle. No enlargement of aorta or any other problems. For example, are there data that shows what happens to aortic diameters once sports have been stopped? Should I stop jiu-jitsu as it is a mix of anaerobic exercise (which I hear is bad) and aerobic exercise (which I hear is good)? Since my initial post i decided to call another pediatric cardiology hospital in our state, University of Michigan Pediatric Cardiology. There are certainly athletes whove returned to their sports after valve (and aorta) repair/replacement. I cant imagine life without activity, but Im not fool to risk my life, not any more anyway :). There is not much scientific evidence about what to expect. Dr. Larry, very helpful content. Thoracic aortic aneurysm, an abnormal bulge in the part of the aorta located in the . I didnt get it.". Hi Dr Creswell, 5 months ago was diagnosed with severe AR and 5 cm long aneurism (root 3.0 cm, sinusi valsave 4.3cm, ST 3.6cm, ascending aorta 3.6cm) on regular yearly checkout, with no syptoms. Thank you so much for your reply. I too am looking for information on effects to performance since I am a Masters racing cyclist with 25 years of racing/riding long events. Many athletes with bicuspid aortic valve (BAV) may continue to participate in their sports.provided there are no other problems, either with the aortic valve or nearby aorta. Your responses mean a lot to myself and no doubt others on this forum. Throughout the years he has played football and basketball. Last i took him for the check up and everything is still the same but they said now the guidelines has changed and he is on the borderline of Mild to Moderate which will move him to restricted activities. He posed next to statues of Thomas Jefferson, Jesse Owens (whose family moved to Cleveland when he was nine, and who later attended The Ohio State University), and Abraham Lincoln. . Thank you to every doc and nurse on my team.". First, youre not alone! My aorta diameter is 4.0 cm and has increased by 0.8 cm (from 3.2 cm) in the past 5 years so the diameter is increasing rapidly. Could he be over-cautious? An article at Endurance Corner about Normann Stadler, A blog post about elite triathletes and heart problems, Aortic stenosis and bicuspid aortic valve (BAV), http://www.athletesheart.org/wp-content/uploads/2013/12/Classification-of-Sports-300217.png, https://academic.oup.com/ejcts/article/50/3/400/2197426, If there is enlargement of the beginning portion of the aorta to greater than 4.0 cm, the individual should have a. I cant wait to be back, completely rested with my heart recharged, my passion for the work ahead purposeful and my joy at lifes pleasures high," the statement continued. A cadaver if valve is then used to replace his pulmonary valve. I would pose these questions to your doctor(s) since they are most familiar with the details of your situation. My son at 11 months was diagnosed with BAV. Lastly, a human donor valve was inserted into the pulmonary valve position. There are a multitude of patient-specific circumstances that must be considered when deciding if and when operation is needed. The rest of the aorta is normal (visualized to just above the bifurcation in the abdomen). Congenital heart issues affect approximately 40,000 people born each year in the U.S. and are one of the most common types of birth defects. I recently also did a 24hr EKG (holter) which was fine. Randyyour situation has many similarities to mine; I would be very interested in sharing experiences. ( I was much worse though). To no surprise, people are worried about me running tomorrow. Ascending aorta is normal and so the rest. So it is very possible to continue athletic activities after surgery. In practice, the indications for aortic valve replacement for severe aortic stenosis or severe aortic regurgitation are straightforward and uncontroversial. In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. I'm new to this group, so I'll be rather short. The worse the narrowing, the greater will be the difference in blood pressure between the arms and the legs. Jeffrey Howell didn't know he was born with a bicuspid aortic valve until December 2015. "I am lucky to be here.". Thanks for the article! Those figures are funny to me because before I was doing three or four times more intense training beside my job (air force pilot). Patients with BAV who have a normal size aorta, with no stenosis or regurgitation of the aortic valve, can participate in sports without restriction. You didnt mention your age, but obviously youd hope that whatever operation is performed.lasts a lifetime. My son is desperate to be able to play sports without any restrictions. I asked my surgeon and also the echocardiographist about my sports performance after full recovery, about 6 months after the surgery. Or is the real risk related to further deterioration of the heart in the longer term that would be picked up by 6 monthly monitoring, which may indicate the need for surgery but not an immediate risk of dying suddenly? There are just so many causes of shortness of breath, lightheadedness, and chest pain.even besides the heart-related causes. Parenthetically, it may be time for an update. In the blog post, I talked about the circumstances when operation is needed.as well as when sports are generally safe. Is there any research on this? Also he told me I can lift weights and do other activities. Down side: must take blood thinners to prevent blood clots from forming on mechanical valve. I dont doubt there is variability in recovery among athletes who have operation for AVR and aortic replacement. This is ridiculous. However, randomized, controlled trials have excluded bicuspid aortic valve (BAV), which is the most frequent congenital heart disease occurring in 1% to 2% of the total population and representing at least 25% of patients 80 years of age or older referred for aortic valve replacement. His doctor recommended he see a pediatric cardiologist within 1-2 weeks but when I called they cant get him in until April 14th. Best for athletes like you to have a discussion with their doctor(s) and settle on a defined, mutually acceptable course of action about which sports activities are safe. Will I need meds? They may also disrupt the normal flow of blood through the heart. (Have you heard of the studies by Dr. To the extent that any operation fixes the stenosis or regurgitation, we might expect better efficiency from the heart. This can be a life-threatening problem and is more apt to occur with progressive enlargement of the aorta and with uncontrolled high blood pressure. Push for earlier date? I got checked out by my GP who detected a murmur then had all the other heart related tests and was diagnosed with BAV with stenosis and regurgitation. His story is typical. Sadly, no crystal ball is available. Like I said, peoples experiences are all different. He sees his cardiologist every year. And my wife is screaming at me every time I try to exercise :)). I do not do any kind of sport and I want to have healthy life at make sure my situation not getting worse and I weight 90 kg. The only prudent course is to have periodic follow-up imaging to keep track of size/growth. As of Monday, my BP at the echo appointment read 115/66. While my surgeon said that I can do whatever normal healthy person would do my cardiologist gave me some restrictions basically not to raise my HR over 120. Hector V. Ive never heard about a mechanical aortic valve becoming loose because of high HR. . I am 6ft 3 . I would encourage you to have further discussion with your doctor(s) about EXACTLY what forms of exercise are safe. Many of us are not familiar with the many types and facets of the martial arts. I dont have any ayptoms. My cardiologist Said to not lift heavy weights. Check out Anthony DiLemmes blog, Anthonys Heart Valve Replacement Saga. I cant do that justice here. I take bisoprolol (low dose) and my pressure is currently normal . When you start seeing changes with regurgitation does it progress quickly? Thank you so much for your explanations, Im 30 years old with BAV 2 instead of 3 leaflets since birth, doctors recommended me to have Echocardiography test each year and so. Bicuspid Aortic Valve: Symptoms, Diagnosis & Treatment, Biological Tissue Valves: Pig, Cow, Horse & Human, The Patient's Guide To Heart Valve Surgery. But, three heart valve surgeries! September 13, 2017 1:00 PM. Latifah has taken on her mom's caregiving duties, along with relatives and a nurse, whenever she is on the east coast. Hi dr. Do we have a choice with him only being 15??? Does the BAV with aortic dilatation and small leakage prevent the blood to flow less efficiently? I have found in my case( an athlete with bav)the typical response from doctors is, thats life, you cant do it anymore, be grateful for what you have. Kinda like a marathon but it will take me at least 9 hours. I mean, when competing, my average heart rate is close to 159 and my max HR is around 170. Index to blog posts and online articles, Filed Under: Heart problems Tagged With: aorta, aortic aneurysm, arotic valve, bicuspid aortic valve, congenital heart disease, heart, heart surgery. All rights reserved. At the age of 12, she had a procedure to widen her valve as her heart condition continued to have an impact. In fact, one young man died 5 years after operation (from other non related causes) and the study on his aorta tissue revealed that the device helped it to heal, presenting a healthy histology. Perhaps that will provide so e reassurance. Then, a Dacron fabric tube can be used to reconstruct the aorta, in a so-called valve-sparing aortic root replacement. Assuming that 2% of the US population has bicuspid aortic valve disease, that is 6,278,281 people. Star Jones. She says now it is stable and I dont have to see her for 2 years. Aortic dilatation is a common feature of BAV with a prevalence ranging from 20 to 84% , due to differences in assessment techniques, study population, aortic size thresholds, and heterogeneous nature of the . I lifted weights for many years and spent almost all my life in physically demanding jobs. They included a web link to the European medical guidelines. Sadly, most school/sports physical exam programs dont include echocardiogram.and the absence of a heart murmur in a child wouldnt preclude the diagnosis. The guidelines do not address the frequency of surveillance for individuals with BAV and no enlargement of the aorta. Many endurance athletes are able to return to their sports after operation for BAV. While it was anticipated that a minimally invasive, transcather device would be used during the procedure, a surgical valve was ultimately used during an open-heart procedure using a median sternotomy. You have a good understanding of the issues. Substitute valves. In your experience, can patients with BAV go a lifetime without having AVR? Im followed by a cardiologist who only says not too much weight lifting.. The exact cause of aortic enlargement in patients is not known. Do you recommend any particular diet, exercise, vitamins,etc.? And I dont know if my Cardiologist follows the same guidlines, but I dont think hes under the impression that Im any kind of athlete either. The doctor said she would see if she could talk about his case with the surgical panel but she said even if he did have surgery he couldnt have a career in sports??? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Dr. Larry Creswell on athletes and heart health. With the blood thinning needed for a mechanical valve, serious bleeding may occur with injuries. The fusion (sticking together) of the valve leaflets causes abnormal valve opening and closing. "Women are the natural caregivers; we take care of everyone else under the sun," she says. Is operation needed? Ive starting going to the gym again and doing cardio with weights to tone up. What is your opinion about dissection in low/controlled messures? I used to be very muscular prior surgery and 3 mounts ago I started with 5 km runs, push ups and pull ups 3 days a week, slowly progressing. I was wondering if you could give your opinion on my scenario. Aortic dissection, a tear in the wall of the aorta. Some information about myself: Im 28, 186 cm, 77 kg, max pulse 194, rest 50 bpm, live in Russia. Im afraid Ill end up like my Mom. I am now 60. While the defective valve may be easy to see, the defect also causes changes in the tissues of the aorta and the heart. Surgery. Moderately dilated aortic root (max 46mm), mild ascending aortic dilatation. ODonnell, now 54, said her heart attack began after she helped an enormous woman struggling to get out of her car in a parking lot. She said not until it gets to 5cm. The valve can gradually become harder to open or leakier . Shes quite the athlete. "Were saying to put the focus back on you and make a date with your heart.". Hi again Dr. Creswell, Since Im very active in sports, Id like to have your opinion on it. She is afraid, I can understand that. 1, 2 Much of the data relating to its complications derive from necropsy studies since reliable . Thanks for sharing. Abstract. My aortic root is 4.06 cms. I have been advised not to run any more marathons or half-marathons, but that I can still compete at up to 10km races. "Schwarzenegger's pulmonic valve was successfully replaced.". And lastly, the degree of healing in the remaining (unoperated) aorta probably has a big impact on the potential risk. For his second operation, Arnold Schwarzenegger, who was 70 years old at the time of this operation, had a pulmonary valve replacement procedure performed at Cedars-Sinai Medical Center in Los Angeles, California. In 2017, there were 3,046 deaths due to rheumatic valvular heart disease and 24,811 deaths due to non-rheumatic valvular heart disease in the United States. There were some procedural differences between the bicuspid and tricuspid groups. I am an amateur runner, I do not participate in competitions. Bicuspid aortic valve. Pop Medicine > Celebrity Diagnosis . Left Ventricular Mass (LV mass/BSA 93g/m2| 114 g/m2, Septal thickness 0.93 cm|1.0-1.1 cm, Posterior wall thickness 0.93 cm|1.0 cm). We saw cardio in April again and my sons symptoms are the same and no progression on the aortic regurgitation. However, my most recent scan in October revealed all Stenosis and LV thickening had gone completely (Doctor said this was a very positive result perhaps due to excercise and medication). The studies on Irbesartan for Marfans(I dont have Marfans) are showing some positive outcomes; and. This year he was told he couldnt do heavy lifting but all other sports are still ok. My son seems to sprain his ankles or have other injuries often that last longer than others kids, I also played sports and had injuries but they never lasted as long as his do. I wouldnt be happy just running I want to be the best that I can be at it. At approximately three months I became very ill and was diagnosed with prosthetic valve endocarditis. For some reason I did not receive a notification of your reply, so apologies that I havent thanked you before. I used to do HIIT and moderate to heavy weight 5 days a week before my physical complications. We expect the current generation tissue valve to last at least 12-15 years before problems. If 5% of them dissect, this means 313,914 people. I had an exercise tolerance test recently and they seemed happy with my results so fingers crossed thats a good indication I can carry on training hard! Should I increase amount of weight? The pertinent questions for your cardiologist is whether there is any stenosis (narrowing) or regurgitation (leakage) of the aortic valve and whether the size (diameter) of the nearby aorta is normal. Anyway, his aorta was growing at a rate of 2 mm per year (he was growing faster:).and they put him on 100 mg Losartan. I cant imagine life without CrossFit, but I wont be able to continue will I? Everyones symptoms are different but I felt compelled to share mine. Aortic Stenosis Etc? 2012; 109:1632-1636. I can tell my story. Bicuspid aortic valve is a common congenital anomaly but does not cause functional problems unless aortic valve stenosis, aortic valve regurgitation, aortic root dilatation, or dissection or infective endocarditis occurs. Consult your doctor to see if there are any restrictions that would be specific to your case. 140 miles at race pace. I am 46 years old today, 22x marathoner, 4x Ultra (50 miles) and 5x natural fitness competitor. While I recovered from surgery just fine, my return to my normal activity levels has been hampered by recurring arrhythmias, muscle atrophy during recovery, medication,and general inability to exert myself like I could prior to surgery. Very often, follow-up CT scans and echocardiograms are needed every 6-12 months to keep track. eventually was told everything was ok. I found a cardiologist with whom Im quite happy with. Open heart surgery is sometimes the best option, but it is not always the only option. Dr. Larry, I do appreciate your insightful article very much. The numbness/tingling has me constantly worriedand the slight chest pains have me always thinking is that my BV or Aorta causing issues?. Left ventricle (LV diastolic diameter 54mm|58mm, LV diastolic volume 142ml|167ml, LV systolic volume 39ml|57ml, Ejection fraction 72%|65%); Thank you for your ideas and I apologize for my gramma errors (English is not my first language). You already have a cardiologist looking after you. Thats an issue to pursue with your sons doctor(s). I will keep you posted. We were to see them in 3 months. We just saw the cardiologist in July and again same symptoms and no significant cardiac changes . Problem is, Im getting older (52) now and Im wondering the effect age, and should I be asking for more frequent followups. Arnold Schwarzenegger opted against a mechanical valve replacement and chose a tissue valve because he felt a mechanical valve might limit his physical activity and capacity to exercise. In January 2021, she underwent open heart surgery to install an aortic valve. I would like to get back into it, but obviously I have been having some concerns. Dwayne E. Russell Im 39 also diagnosed with BAV when I was 31. Women are 50 percent more likely to be given a wrong diagnosis after a heart attack and are at a greater risk of dying within a year of a heart attack than men. Celebrities With Heart Disease - Celebrity Heart Health Survivors. Finally, many patients are able to return to their sports after successful operation. 1. The actress, 44, found out she had a leaky valve in 2002. My sinus of valsalva is at 4.8 and my BAV is functional (discrete regurgitation). Heart disease and stroke are the number one killers of women, Streisand, 74, told PEOPLE about why she helped found the organization. I think hes amazed by what I have described for my workouts of 65+ mile rides several times a week. Last echo measurements LDid 6.3cm z-score 2.4, LVIDs 4.1 cm z-score 2.0, LVPWd 1.2cm z-score 1.9, asc aorta Diam 4.0 cm z-score 5.8. Jones' goal with the AHA is to help women "actively put themselves on the track to heart health." Is this true that you wont be symptomatic with only mild AR? I agree that its somewhat surprising that more detailed information isnt available. I appreciate your response, thank you for taking the time to write me back. On March 30, 2018, we learned that Arnold Schwarzengger required a second heart surgery. Could I continue to train and just cut out the blood chokes? Interestingly, bicuspid valves are one of the most common forms of heart valve disease. He isnt interested in anything else. It has allowed me to do the thing I enjoy doing in life. Body contact sports may pose some danger to athlete patients who take blood thinners. My heart rate some time is 100. Before that, I had never seen a cardiologist ever. Advertisement. There are a lot of variables here, even from the short story youve shared. I have also been advised that running intervals at over 80% max heart rate would not be sensible. Im wondering if you can advise me. In March 2019, media outlets hailed two new studies on transcatheter aortic valve replacement (TAVR) as potentially signaling the beginning of the end of open heart surgery for aortic stenosis. No information provided by Baldwin Publishing, Inc. in any article is a substitute for medical advice or treatment for any medical condition. I am 51 and leaning towards a tissue valve because of my activities and that I am a firefighter. I was diagnosed with BAV about four years ago now by fluke whilst looking into my high blood pressure (I was only 24 at the time so I underwent a lot of testing due to my age and HBP the conclusion was it is hereditary, with many members of my family with HBP). http://games.crossfit.com/athlete/39565 Barbara Walters - Aortic Valve Replacement. I was disappointed [when I was diagnosed]. Im in Philly today but Im from Central NY. Athletes should have detailed discussion with their doctors about any prudent limitations to exercise after operation and settle on a mutually agreeable plan. Great article! I had an echo because of a scuba diving accident and was discovered to have a BAV (no PFO). And, of course, aortic stenosis can affect ones native aortic valve or a prosthetic valve substitute. I am 18 years old . The flaps are called cusps. There is a risk of sudden death in individuals with BAV, probably related most to aortic stenosis or aortic dissection/rupture. Routine endocarditis prophylaxis is . Also, again, no stenosis or regurgitation, 35 mm ascending aorta. He was just diagnosed with functional BAV due to partial stuck together of two leaflets (out of three, as far as I understand, they are equal). Bicuspid aortic valve (aka BAV) is a form of heart disease in which two of the leaflets of the aortic valve fuse during development in the womb resulting in a two-leaflet (bicuspid) valve instead of the normal three-leaflet (tricuspid) valve. there was a tiny strand of tissue on the septal aspect of the muscular LOVT (LCOT Vmax 2.1m/sec;20mmHg peak gradient. But neither of these procedures are durable for the long-term. I have 4 children and a great wife. that suffer from heart valve disease along with a link to the reference story about heart valve disease and their Twitter handle to tweet on and promote the Valve Disease Day. My cardiologist (whom I trust) said to keep working out like I always have (good news for me). Bicuspid aortic valve (BAV) is the most frequent congenital cardiac defect, and affects 0.5-2% of live births. About a year ago a pulmonologist discovered a grade 2/6 heart murmur during a workup for a sleep study. i.e. Every 6 months it is getting larger. This was caused by an aneurysm in the ascending aorta (root) that measured over 6 centimeters). His cardiologist told him to focus on basketball. In addition, I will get a random bout of lightheadedness when standing or sitting in a awkard position.

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