Hi yes it’s basically the same. I am now on yearly ultrasound scans because I insisted on them. They are less stressful on the body. Still biking, running and strength training but yes, I do not strain. They are more worried about the bicuspid aortic valve getting thickened and not working properly, so I will have scans, yearly or every six months if it starts to thicken up. But yes, it was difficult for the first while but now I am living life to the fullest.