Ascending Aortic Aneurysm and Exercise

Posted by bryanfox @bryanfox, Aug 31, 2019

New to this, nervous (like everyone). 44YO male, 5'10", 195 lb, diagnosed with 4.3cm ascending aortic aneurysm last month. Doctors put me on beta blockers, resting BP around 128/70 since I started with them (it was over 140 before, but only in the last year did I see abnormally high BP). I go to the gym 5 times a week. Cardiologist told me to continue exercising, but not to lift over 100lb (I use machines, not freeweights, so I'm not lifting over 100lb anyway). But I'm curious about cardio as well - I go 3-4 miles on the elliptical 3-4 times a week, and I sweat. I'm sure my BP is raised while doing that. Is this healthy?

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

@mermaid1

It's best to check with your Dr., but mine said nothing over 50 lb and no dead lifts or overhead presses. I'm doing 100 reps with 25 lb and I'm someone who used to leg press 100 lb for 2 sets and 80 lb lat pulldown for 3 sets. It is weird, but I'm getting used to it.

Jump to this post

I was diagnosed a few months ago with a 4.4 cm aorta aneurism, been lifting heavy for long a long time my doctor told me nothing over 50lbs, so like you i do 75 to 100 reps, it's hard to get use to

REPLY
@malcorozan

I'm 45 with an ascending aortic aneurysm currently at a 49mm and a bicuspod aortic valve. My Dr said keep exercising as normal but I couldn't. I lose my breath and my heart races. My second opinion Dr said definitely keep the heart rate below 130 bpm and nothing heavier than 70lbs. So I've gone from kickboxing 5 to 7 times a week to walking and light weights. It's an adjustment.

Jump to this post

I'm sorry to hear that. I made that post 4 years ago, and so far (crossing fingers/knocking on wood/etc.), my aneurysm has grown as slowly as the diagnosing doctor said it might. I'm due for another scan in January/February, but last year it was only about 0.1mm larger than when it was found, and with BP under control and no other major health factors, I haven't felt shortness of breath or tachycardia. I will say that, since the beginning of the pandemic, I have switched to lower impact exercise, only because my gym was closed for 8 months, and by that point, I had already bought resistance bands and taken to exercising outside (walking and running stairs). Honestly, I don't miss the gym, but that has nothing to do with my heart!

It seems like in your case, it is already big enough to cause noticeable symptoms, which is rough. Hang in there - the good thing is, these treatments seem to be improving all the time. My hope is that if/when I do need surgery for this, it will be (somewhat) less major than what it was 4 years ago when I was originally diagnosed. But we'll see.

REPLY
@bryanfox

Only weightlifting, nothing over 100lbs. He said cardio was ok when I got the diagnosis a few weeks ago, but in reading various forums since then, it seems like there should still be some sort of restrictions. Perhaps I'm being paranoid, but clearly cardio is going to raise BP, right?

Jump to this post

I'm 45 with an ascending aortic aneurysm currently at a 49mm and a bicuspod aortic valve. My Dr said keep exercising as normal but I couldn't. I lose my breath and my heart races. My second opinion Dr said definitely keep the heart rate below 130 bpm and nothing heavier than 70lbs. So I've gone from kickboxing 5 to 7 times a week to walking and light weights. It's an adjustment.

REPLY
@kj10

I have not experienced any issues during my activities. I am taking blood pressure medication and monitor my BP at home but I go about my workouts as I did before finding out about the aneurism. I do follow my cardiologist’s advice as you noted, and I am cleared for any activities. I feel I may be fortunate and unique in my experience with the aneurism and hope I can continue on the same path for many years to come.

I bike, entering time trials and endurance events, as well as water, snow and cross country skate skiing. I also lift as regularly as possible. I did a lot of road running races for years but switched to biking a decade ago. I have always been active and involved in endurance activities.

I tore my Achilles tendon water skiing last July so have been sidelined for the last three months but am steadily recovering. I will have another scan in December to check on the aneurism.

Jump to this post

What size is your aneurysm?

REPLY
@hopeful33250

Hello @upartist,

I appreciate your post and your interest in continuing to exercise with your cardiac diagnoses. If you haven't discussed these questions with your cardiologist, I would do so right away.

Also, have you considered asking your cardiologist about cardiac rehab? I know that this type of rehab is usually offered after a heart attack or heart surgery, but perhaps a physical therapist could offer you some suggestions on the best exercise program for your heart problems.

Do you generally exercise alone or with others? This is probably an important consideration. While I like to be outdoors when the weather is good, I will often just walk in the nearby neighborhood, with my cell phone nearby, just in case I have any problems.

I also have a membership with my local Y and use their treadmills or exercise bikes in the case of inclement weather.

I look forward to hearing from you again as you develop a plan for your exercise routine.

Jump to this post

Hello Teresa (Mentor)! I just read this old post from myself and then your response to it. Your response was the best advice I have ever had. I changed my patterns as a result. Fast forward a few years and through extraordinarily stressful events in my life, and unrelated to my aneurysm.... I have actually been able to reign things in. I was unable to exercise all together at times due to chest pain. I have had the cardiac issues dissected through by my cardiologist at Mayo, following tests to clarify what is going on. (Too multifaceted to share online). I always go back to your specific suggestions on how and where to arrange my daily exercise. By doing so, even my rough days become effective. The value of "staying Active" at any level, can only be understated. As I age, activity brings me happiness! Each year my body changes, and I must adapt. I have talented, kind, and engaged physicians providing guidance going forward. I am thankful for them, and for you mentors doing your thing out of the Mayo system for real people like me. 🌸

REPLY
@JustinMcClanahan

I'd like to welcome @bbarb and @kj10 to the discussion.

@kj10, it sounds like you are extremely active and work closely with your provider to monitor the safety of your activities. Have you experienced any issues during your activities? It is wise guidance to share with other members that each person's experience may differ.

@bbarb, are you currently exercising and what sort of activities do you like to do?

Jump to this post

I have not experienced any issues during my activities. I am taking blood pressure medication and monitor my BP at home but I go about my workouts as I did before finding out about the aneurism. I do follow my cardiologist’s advice as you noted, and I am cleared for any activities. I feel I may be fortunate and unique in my experience with the aneurism and hope I can continue on the same path for many years to come.

I bike, entering time trials and endurance events, as well as water, snow and cross country skate skiing. I also lift as regularly as possible. I did a lot of road running races for years but switched to biking a decade ago. I have always been active and involved in endurance activities.

I tore my Achilles tendon water skiing last July so have been sidelined for the last three months but am steadily recovering. I will have another scan in December to check on the aneurism.

REPLY
@kj10

I have had no adverse reaction to any of my activities. I experience no pain or issues when I reach my aerobic and anaerobic thresholds.

I have become a little concerned after reading the posts and how most people are guided to avoid the very things I am doing regularly. I have had stress tests and show a good response to the exercise load. I go back in for a scan in December and plan to discuss what I have learned here.

Jump to this post

It's not about feeling pain but rather the load placed on the aortic aneurysm by straining. Think of it like a balloon with a weak section. If you push really hard on that weak spot it will burst. If you perform exercises that cause you to strain, such as heavy weights or intense aerobic activity that increases blood pressure to very high levels you are putting strain on your aneurysm.

REPLY
@JustinMcClanahan

I'd like to welcome @bbarb and @kj10 to the discussion.

@kj10, it sounds like you are extremely active and work closely with your provider to monitor the safety of your activities. Have you experienced any issues during your activities? It is wise guidance to share with other members that each person's experience may differ.

@bbarb, are you currently exercising and what sort of activities do you like to do?

Jump to this post

I have had no adverse reaction to any of my activities. I experience no pain or issues when I reach my aerobic and anaerobic thresholds.

I have become a little concerned after reading the posts and how most people are guided to avoid the very things I am doing regularly. I have had stress tests and show a good response to the exercise load. I go back in for a scan in December and plan to discuss what I have learned here.

REPLY
@bbarb

Thank you UP Artist! Common sense for all of us.
B1

Jump to this post

I'd like to welcome @bbarb and @kj10 to the discussion.

@kj10, it sounds like you are extremely active and work closely with your provider to monitor the safety of your activities. Have you experienced any issues during your activities? It is wise guidance to share with other members that each person's experience may differ.

@bbarb, are you currently exercising and what sort of activities do you like to do?

REPLY
@upartist

Hello fellow TAAA's. This is a general comment, in support of all of you who are are attempting to stay active. The ascending aortic diseases are extremely variable. Get with your treating physicians and their supporting clinicians to understand your specific contributing etiologies, before you initiate an activity program. Some of us may feel like we are not doing enough as we listen to the stories of the various athletes with aneurysms. Its very good for them, but not for everyone. Sometimes a little to just moderate is enough, sometimes its too much. There is a lot of research going on with familial aortic disease due to the occurrence of premature dissection. The take away is: follow your basic cardiovascular guidelines and really monitor your blood pressure. The blood pressure fluctuates with various activities from weights, to cardio, to daily activities, to body positions (like putting on socks), and to stress levels. So pat yourselves on the back for working towards staying active!!! Stay with your personalized treatment strategies for your particular aortic situation. And most of all, embrace happiness!!!
UPArtist

Jump to this post

Thank you UP Artist! Common sense for all of us.
B1

REPLY
Please sign in or register to post a reply.