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.

@lisabis68

Interested in any responses to your question, as I have the very same questions and finding very little guidance , even from dr and surgeon. Working out is what helps me physically and mentally and in one years time since my AAA was discovered quite by accident, it has grown from 4.8 to 5.17. I am a nervous wreck and feel so very limited by what I can no longer do ( push-ups pull ups sit-ups ) and 30 lbs is the limit I’m told. I’d like to know if there is a certain heart rate that I should not go over? My BP has been good, I’m on Cardizem, and surgery is probably in my near future. I see cardio thoracic surgeon next week… my anxiety over this is crippling. Oh, and I’m 54 yo female.

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Since a chest xray nearly 15 years ago that found my AAA I've really watched my blood pressure and things that impact that.. my exercise is limited to walking and maintaining my acreage... scans and sonograms have been quite stable.. now 85 years old..

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@lisabis68

Interested in any responses to your question, as I have the very same questions and finding very little guidance , even from dr and surgeon. Working out is what helps me physically and mentally and in one years time since my AAA was discovered quite by accident, it has grown from 4.8 to 5.17. I am a nervous wreck and feel so very limited by what I can no longer do ( push-ups pull ups sit-ups ) and 30 lbs is the limit I’m told. I’d like to know if there is a certain heart rate that I should not go over? My BP has been good, I’m on Cardizem, and surgery is probably in my near future. I see cardio thoracic surgeon next week… my anxiety over this is crippling. Oh, and I’m 54 yo female.

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I have grilled my surgeon on this several times and he keeps telling me I can workout and lift weight as long as I am not straining (holding my breathe or huffing and puffing so much that my heart is not pumping steadily. Now that I'm on a beta blocker I can't get my heart rate up to 80% of max, so I've stopped worrying about heart rate. It's been a year of 65-70% max heart rate and steady yoga breathing anytime I lift anything and my AAA has not increased or shown any indication of dissection. I'm keeping my fingers crossed, but it is better for my health to exercise moderately than not at all.

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@mermaid1

I am also looking for some more specific guidance on exercise. I have no symptoms but decided to have a CT scan after some friends died and found out I have a 43mm ascending aortic aneurysm. The cardiologist said no heavy lifting that feels like straining and no aerobic activity beyond the point where I can carry on a conversation. I tried to get something more specific, such as a percentage of max heart rate and machines vs. free weights, but he really couldn't be more specific. I'm 64 and taking BP and Beta blocker meds. I'm nervous about what I can keep doing. I came a cross an alternative weight lifting technique called the hundreds where you lift 20% of your 12 rep max for 100 reps (broken into sets based on how many reps you can do in one set). Has anyone tried this? Is it effective? What about cardio. Has anyone been given a more specific set of guidelines?

Jump to this post

Interested in any responses to your question, as I have the very same questions and finding very little guidance , even from dr and surgeon. Working out is what helps me physically and mentally and in one years time since my AAA was discovered quite by accident, it has grown from 4.8 to 5.17. I am a nervous wreck and feel so very limited by what I can no longer do ( push-ups pull ups sit-ups ) and 30 lbs is the limit I’m told. I’d like to know if there is a certain heart rate that I should not go over? My BP has been good, I’m on Cardizem, and surgery is probably in my near future. I see cardio thoracic surgeon next week… my anxiety over this is crippling. Oh, and I’m 54 yo female.

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My brother has lung cancer spread from another part of the body, now in the lymph nodes, extreme weight loss, no appetite. complains of SOB. he cannot hold down much food.
diagnosed back in June because of UnitedHealthcare Medicare Medicaid dual community plan most doctors and hospitals wouldn't take it. His healthcare was switched to medicare A and B which started November 1st. Going to New York to get Stereotactic radiosurgery. Its been put off with doctor needing more tests, PET CT, then an MRI. I did see on his PET CT that he has an ascending aortic aneurysm at 4.6 cm. Can someone with AAA still get radiation treatment? No treatment began yet. He has lost too much weight.

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@upartist

Hello Teresa (Mentor). It has been one year since you provided me with very good direction regarding exercise, aneurysm, and other contributing health issues. Thank you! I am doing well. I have started swimming and gentle water aerobics, combined with hikes using trekking sticks. I always have a cell phone signal and medication list with me as back up. Events have happened, but I was prepared. My blood pressure has remained steady, and I pace my exertion to ensure this, to the best of my ability. My tortuous aortic arch has been measured again, and so far remains at 42 to 43. I use two forms of nitro. People should know about that option (nitro paste... consult with your Doc of course) if their blood pressure runs low already, and they deal with angina. The nitro paste allows me to exercise with minimal chest pain, and doesnt bottom out my blood pressure with its slower delivery. I hope these little pearls help in some small way for those individuals who struggle with unique combinations of health issues and are trying to stay active and truly live their lives. Thank you Teresa, for mentoring!

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So good to hear from you @upartist. I'm glad that you are adjusting and are able to engage in physical activity. That is great news!

Your suggestions certainly are "little pearls" of help. I did not know about nitro paste before you mentioned it. Thank you for checking in again with such a positive update.

Continue to do well and be as healthy as possible. Can I tag you on occasion when I see a member who could use encouragement?

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@hopeful33250

I am glad that you are being seen at Mayo, @upartist. I'm sure that this combination of endocrine and cardiac problems makes it difficult. Keep working at it.

Please take a look at this discussion, which discusses how to manage fatigue when you have chronic health problems, https://connect.mayoclinic.org/discussion/how-do-you-plan-your-day-and-conserve-energy-are-you-a-spoonie/.

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Hello Teresa (Mentor). It has been one year since you provided me with very good direction regarding exercise, aneurysm, and other contributing health issues. Thank you! I am doing well. I have started swimming and gentle water aerobics, combined with hikes using trekking sticks. I always have a cell phone signal and medication list with me as back up. Events have happened, but I was prepared. My blood pressure has remained steady, and I pace my exertion to ensure this, to the best of my ability. My tortuous aortic arch has been measured again, and so far remains at 42 to 43. I use two forms of nitro. People should know about that option (nitro paste... consult with your Doc of course) if their blood pressure runs low already, and they deal with angina. The nitro paste allows me to exercise with minimal chest pain, and doesnt bottom out my blood pressure with its slower delivery. I hope these little pearls help in some small way for those individuals who struggle with unique combinations of health issues and are trying to stay active and truly live their lives. Thank you Teresa, for mentoring!

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@hsminc

My 78 year old husband, who is in good physical shape otherwise, was told not to lift over 25 lbs. He was also told to keep his BP under 120/70. He takes 100 mg cozaar at night and 25 mg extended release metropolol. He is doing fine. The aneurysm, which is 46 by the cardiothoracic surgeon's measurement and 48 by the radiologist, has not grown in a year. Of course, at some point it WILL grow.

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Thanks for the info! Next time I see the cardiologist I am going to ask about the slow release metropolol vs the 2x a day I was prescribed. My dog is 27 lb with arthritis and relies on me to put pick him up, I may have to put him on a diet 😂.

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@mermaid1

I am also looking for some more specific guidance on exercise. I have no symptoms but decided to have a CT scan after some friends died and found out I have a 43mm ascending aortic aneurysm. The cardiologist said no heavy lifting that feels like straining and no aerobic activity beyond the point where I can carry on a conversation. I tried to get something more specific, such as a percentage of max heart rate and machines vs. free weights, but he really couldn't be more specific. I'm 64 and taking BP and Beta blocker meds. I'm nervous about what I can keep doing. I came a cross an alternative weight lifting technique called the hundreds where you lift 20% of your 12 rep max for 100 reps (broken into sets based on how many reps you can do in one set). Has anyone tried this? Is it effective? What about cardio. Has anyone been given a more specific set of guidelines?

Jump to this post

My 78 year old husband, who is in good physical shape otherwise, was told not to lift over 25 lbs. He was also told to keep his BP under 120/70. He takes 100 mg cozaar at night and 25 mg extended release metropolol. He is doing fine. The aneurysm, which is 46 by the cardiothoracic surgeon's measurement and 48 by the radiologist, has not grown in a year. Of course, at some point it WILL grow.

REPLY
@mermaid1

I am also looking for some more specific guidance on exercise. I have no symptoms but decided to have a CT scan after some friends died and found out I have a 43mm ascending aortic aneurysm. The cardiologist said no heavy lifting that feels like straining and no aerobic activity beyond the point where I can carry on a conversation. I tried to get something more specific, such as a percentage of max heart rate and machines vs. free weights, but he really couldn't be more specific. I'm 64 and taking BP and Beta blocker meds. I'm nervous about what I can keep doing. I came a cross an alternative weight lifting technique called the hundreds where you lift 20% of your 12 rep max for 100 reps (broken into sets based on how many reps you can do in one set). Has anyone tried this? Is it effective? What about cardio. Has anyone been given a more specific set of guidelines?

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i was told nothing over 50 pounds. Cardio was ok to do, so i bike a lot once snow is gone

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