am I exercising too much with a 4.3 ascending aortic aneurysm?

Posted by kmailloux @kmailloux, Mar 15, 2023

I am a 60 year old female, who has been very active her whole life. I was a very competitive gymnast, then moved to triathlons, then to cycling and running, strength training has always supported these activities. I am a certified personal trainer, and the aneurysm is a new diagnosis as of Dec of 2022. it was shocking - I now have a heart condition. I ran a marathon 2 weeks after I turned 60. My Cradic surgeon has stated that I can train for a 50k (31 miles) race, as well as a 150 mile bike ride. I have a 50 lb lifting weight limit. My BP is low and I am on no medications. My questions are .. is the activity too much? I run 5-6 days a week plus strength training and biking. I have mild chest pain - all of this has been told to my doc. they keep telling me everything is ok - I am just so nervous about all of this - but want to keep doing what I love. Any input will be appreciated.

Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.

Their email address is:

Canadian Pharmacy Store.com

I had been paying $52 for a 90 day supply. Went up to $68 due to tariffs.
They are very easy to work with, just takes a long time for delivery because it comes from overseas.

The generic name is “Apixaban “ and my dosage is 5mg.

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Profile picture for beebo @beebo

@trots72 Yes. It is the generic equivalent and was recommended to me by my Cardiologist. It is a lot less expensive than the original.

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@beebo What one do you use I was looking at canada pharmacy services.

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What one do you use I was looking at canada pharmacy services.

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Profile picture for trots72 @trots72

Eliquis from Canada pharmacies anyone ever order from any of them are they legitimate?

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@trots72 Yes. It is the generic equivalent and was recommended to me by my Cardiologist. It is a lot less expensive than the original.

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Profile picture for scotty45 @scotty45

I'm an 80 year old Aussie. I've led a reasonably healthy life, having been a competing athlete in my youth. 6 years in the army with 2 tours of Vietnam, and since, an avid fly fisherman, travelling to places like New Zealand & Kiribati. As well as around Australia. So I've been pretty active most of my life. Although, the covid epidemic, along with a serious leg infection caused by a tropical bug has had me fairly sedentary for the past few years. So, I've subsequently put on some weight that refuses to go.
I gave up a 60 cigarette per day smoking habit in 1992 & was a heavy drinker up to 3 years ago. I now drink no more than 3 - 5 glasses of Shiraz per week.
In 2015, during my yearly health check, an ultrasound found I had a 34mm aneurysm in my aorta. Now, 10 years later the aneurysm has increased to 46mm, and has extended to my right iliac artery. My annual Cat scan performed 2 weeks ago has shown the AAA is the same as when I had the scan at the same time last year. That has to be good news. I have an appointment with my vascular surgeon in mid June, so it will be interesting to hear what he has to say.
Also, about 12 months ago, I joined a Vietnam Veterans exercise group, which meets 3 days per week for 1 hour at a local gym, where we exercise under supervision of Exercise Physiologists.
Reading some of the discussions here, has me thinking the light gym work i've been doing could be the reason for the slowing of growth of the aneurysm.
Comments will be gratefully received.

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Hi @scotty45,

I wanted to check in and see how you are doing now that some time has past since your diagnosis and the increasing of size of your aortic aneurysm. Your post have been moved to a discussion titled:

"am I exercising too much with a 4.3 ascending aortic aneurysm?"
- https://connect.mayoclinic.org/discussion/am-i-exercising-too-much-with-a-4-3-ascending-aortic-aneurysm/

There are many members in this discussion who share your concerns and questions regarding aneurysm size and exercise risks that you may wish to join back into discussion with.

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Profile picture for scotty45 @scotty45

I'm an 80 year old Aussie. I've led a reasonably healthy life, having been a competing athlete in my youth. 6 years in the army with 2 tours of Vietnam, and since, an avid fly fisherman, travelling to places like New Zealand & Kiribati. As well as around Australia. So I've been pretty active most of my life. Although, the covid epidemic, along with a serious leg infection caused by a tropical bug has had me fairly sedentary for the past few years. So, I've subsequently put on some weight that refuses to go.
I gave up a 60 cigarette per day smoking habit in 1992 & was a heavy drinker up to 3 years ago. I now drink no more than 3 - 5 glasses of Shiraz per week.
In 2015, during my yearly health check, an ultrasound found I had a 34mm aneurysm in my aorta. Now, 10 years later the aneurysm has increased to 46mm, and has extended to my right iliac artery. My annual Cat scan performed 2 weeks ago has shown the AAA is the same as when I had the scan at the same time last year. That has to be good news. I have an appointment with my vascular surgeon in mid June, so it will be interesting to hear what he has to say.
Also, about 12 months ago, I joined a Vietnam Veterans exercise group, which meets 3 days per week for 1 hour at a local gym, where we exercise under supervision of Exercise Physiologists.
Reading some of the discussions here, has me thinking the light gym work i've been doing could be the reason for the slowing of growth of the aneurysm.
Comments will be gratefully received.

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Eliquis from Canada pharmacies anyone ever order from any of them are they legitimate?

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Profile picture for andytheman @andytheman

@luhn thank you for the suggestion. I plan on seeking an opinion from a different cardiologist as this cardiologist is standing firm about the “ no need to worry “ mindset. I don’t like him as he tends to be dismissive of my issues. All he’s good for is monitoring my INR Coumadin level

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@andytheman
Hi...not sure if you want the extra expense, but Cleveland Clinic offers a "Virtual Second Opinion" on line. Your case is reviewed by an aortic specialist MD and written analysis is provided. Your allowed to ask questions prior to and after the "opinion" is sent to you. Best wishes to you and loved ones!

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Profile picture for luhn @luhn

@andytheman You mentioned having good insurance. Could you go for yet another opinion at a different facility? Maybe that would be too confusing, but might be helpful...Three times the charm?? Wishing you peace about this. I have an aortic aneurysm too, but do not have the tear and the Coumadin issue that you have that complicate things.

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@luhn thank you for the suggestion. I plan on seeking an opinion from a different cardiologist as this cardiologist is standing firm about the “ no need to worry “ mindset. I don’t like him as he tends to be dismissive of my issues. All he’s good for is monitoring my INR Coumadin level

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Profile picture for andytheman @andytheman

@patti1416 I have been on Coumadin for years and my aortic artery aneurysm is at 3.9 until I have it checked in 2 months. Yes it has a
“Tear “ in it. My cardiovascular surgeon doesn’t seem to be too concerned about it.
I don’t like being on Coumadin due to my mechanical aortic heart valve with a torn aortic artery aneurysm. My last INR was 3.0 last week borderline high end. Thin blood with a torn aneurysm bothers me more than it does my cardiovascular surgeon apparently. He must know when it’s time to correct it? I don’t know. A few years ago they found a 3.7 cm with a tear in it during an unrelated CT scan and they were like “ oh my God we need this repaired now “. They dressed me back up and threw me into an ambulance for a quick ride to a higher rated trauma hospital and when I got there they took an immediate CAT scan and confirmed the torn aneurysm but the cardiologist for that hospital said “ well, yes you have one but it’s not bleeding and doesn’t need to be treated today” “ but you will need to come back later under a non emergency appointment “.
That was it. I was like “ look, it’s torn, and I’m Coumadin with an NRI that is always variable in thinness “ and he went on to another patient. I have great insurance so it wasn’t that! First thing I know I was being given my discharge paperwork and waiting for an ambulance to take me home. All because it wasn’t bleeding at the time.
One hospital took a fit and the second one was like “ well, it’s not bleeding!”
Are they waiting for an all out rupture that can be fatal quickly?
It looks like if you have a torn aneurysm but you’re not fatality bleeding because it’s less than 5.0 cm
(The golden number) you can be ignored other than a once in a year quick sonogram? Granted, it’s far from a 5.0 cm but why wait for a rupture??
These doctors aren’t so bright. My original cardiologist said “I don’t see anything!!!” The second cardiologist treated it like “ oh wow, we need to operate” the third cardiologist says yup it’s 3.7 cm and said “ see you next year “ my current cardiologist says “ it’s at 3.9” “see you in 6 months “.
It’s not like I had a poor insurance plan. My insurance covers everything 100% so why wait? Is it because I’m on Coumadin and they are afraid to go in?
That’s not an excuse. I’ve had surgery that required a 5 day hold on Coumadin and bridging with Levonox . So what’s the big deal?
Are they afraid that I may bleed to death and my family will sue him and the hospital for “ killing “ me?

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@andytheman You mentioned having good insurance. Could you go for yet another opinion at a different facility? Maybe that would be too confusing, but might be helpful...Three times the charm?? Wishing you peace about this. I have an aortic aneurysm too, but do not have the tear and the Coumadin issue that you have that complicate things.

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Profile picture for patti1416 @patti1416

Oh my gosh, it sounds like what I' ve gone through many times since getting the mach.valve in 2003.
Luckily I'm a very pro-active patient! So I go into every situation loaded with questions, after I've read up on whatever is going on, First!
But obviously when its a sudden decision or an emergency, that doesn't help!
Coumadin RULES my life, as I'm sure it does your's too!
I will never understand why nothing has been done in regards to research, for finding a better way to control blood thickness or thinners, for Mech. Valve patients.
Mine RARELY stays in range, because everything we eat or take, can affect it! Even after 23 years, I'm never suprised when I test, and its too high or low!

And I aree with you abt. diff.reactions to the size of our aneurysm's, from diff.members of our cardiology teams! And that's maddening because we, as the patient's, are clearly anxious about having an enlargement in the 1st place, and they throw numbers around like its no big deal!🤷‍♀️😡

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@patti1416 I just read an article written by a police officer as I was one back in the day. He woke up in the middle of the night with mild chest pains and he ignored it figuring it was just heartburn. He briefly tried to get back to sleep but the pain was getting more intense. He got up and went to the bathroom and collapsed. His wife found him and called 911. When he got to the hospital they rushed him to the trauma unit of the hospital. His aneurysm had burst.
He ended up having 2 strokes and they had to paddle him twice to restart his heart. The hospital had to do many procedures to try to keep him alive although they weren’t sure if he was going to survive.

He ended up in the ICU and it took almost two months before he was released to rehab as his right arm didn’t work. He wanted to be able to resume being a police officer but his right arm had to work perfectly in order to qualify for the ability to use his sidearm. I will tell you that he is back to being an officer. He said that we should never take chest pains lightly and go to the hospital promptly.
He is ok now but the two strokes still haunt him as he still shakes at times. Good advice even though I always write off my occasional mild chest pains. It is a happy ending story.

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