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- Joined
- Feb 5, 2022
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- 214
(Longish read)
Posting these up as heart issues abound amongst our community.
Background:
I am 52 and have been lifting since 21. In my 20s I went up to just north of 250lbs, not fluffy either, and ran quite a few cycles. This was in the 90s, so we sort of threw shit at the wall to a certain degree. Never went above 1g/week had ZERO AIs. At this time I was doing dirty bulks/extreme cuts (boiled chicken etc). It was the 90s.....
Through my 30s-45 I was eating pretty shitty, drinking too much. Still training, but obviously not to the extent I should have been. No use of steroids in this time period
At 45 was put on TRT and cleaned up my shit. Last 4 years been tracking all calories, training very seriously....did a few very light cycles. These were topping out at 400test/week with some primo (200/week) and some Ment (12.5/ED was tops).
95% of the time I do 20minutes of LISS on the treadmill (winter) or walking my dogs.
I tend to abuse stims, my excuse being my job I suppose. Caffeine, moda, and nicotine gum.
Currently I sit at 201 and pretty damn lean.
Given a family history of heart disease I requested multiple tests through my doctor. He is a great conduit as he will typically do what I ask. If I dont ask, he wont do shit. History is my father died from a heart attack at 46.
I went for a nuclear stress/rest test and echo cardio gram over the last 3 weeks. Results are as follows:
Stress/Rest test:
Resting BP 118/74
Maximum BP 172/88
Duration 11 minutes
Heart rate 160 (they stop you at 160. I was completely fine and have had my heart rate into 180 during weights...measured with watch though)
Dukes score is 10.4 (low risk)
"FINDINGS:The patient had exercised using Bruce protocol for 10:44 minutes and achieved 12.9 METS and 95% of the maximum heart rate. Exercise treadmill study report noted good exercise tolerance with no chest pain or significant ECG changes. Raw images are unremarkable. No abnormal extracardiac radiotracer identified. Tomographic images show diaphragmatic attenuation artifact which resolves with attenuation correction. No true fixed or reversible perfusion abnormalities are identified. The left ventricle chamber size is moderately dilated
Gated images show normal wall motion and myocardial thickening of all left ventricular segments. Using the Emory Cardiac Tool Box Software: LVEF stress: 51 % LVEF rest: 57 % Post stress EDV: 173 ml Post stress ESV: 84 ml IMPRESSION:No evidence of myocardial infarct or ischemia. Moderately dilated left ventricle but preserved left ventricular function"
Echo:
This test was, frankly, awesome. First the woman doing it was super cute and she explained everything she was measuring. Main points below (copy paste resulted in odd spelling issues with I did not fix).
1. The left ventricle is normal in size and systolic funcon. No segmental abnormalies wereidenfied. LVEF 56%.
2. The right ventricle is mildly increased in size with normal systolic funcon.
3. The LA volume is mildly dilated 36 ml/m².
4. No significant valvular abnormalies
Method View: This was a technically fair study.
Rhythm The patient was in normal sinus rhythm during this study.
Left Ventricle The leC ventricle is normal in size and systolic funcon. No segmental abnormalies were identified on this study.
Left ventricular wall thickness is normal. The ventricular ejection fraction, as measured by Simpson's Bi-plane method, is estimated at 56 % (normal).
Peakglobal strain value is within normal parameters measuring -19 %.
Right Ventricle The right ventricle is mildly increased in size with normal systolic funcon.
Left Atrium The LA volume is mildly dilated 36 ml/m².
Right Atrium The right atrium is normal in size.
Aorc Valve The aorc valve is tricuspid and normal in structure and funcon for the paent's age. There is no evidence of stenosis or significant regurgitaon by Doppler assessment.
Mitral Valve The mitral valve is slightly thickened. There is no evidence of stenosis or definite prolapse. There is mild mitral regurgitaon seen.
Tricuspid Valve The tricuspid valve is normal in structure and funcon for the paent's age. There is trivialtricuspid regurgitaon. The RVSP is esmated to be 24 mmHg assuming an RAP of 3 mmHg.
Pulmonic Valve The pulmonary valve is normal in structure and funcon for the paent's age. There is noevidence of stenosis by Doppler assessment. There is trivial pulmonic regurgitaon.
InteratrialSeptumThe atrial septum appears intact by 2-D imaging and with no shunt flow by colour Dopplerinterrogaon.
Pericardium The pericardium is normal and there is no pericardial effusion.
Aorta The aorc root measures 3.8 cm. The ascending aorta is not well visualized. The pulmonary artery is normal.
Systemic Veins The inferior vena cava is normal
Conclusion - get your shit checked if you are worried so you can adjust lifestyle OR accept the fact you might have some issues coming your way.
Posting these up as heart issues abound amongst our community.
Background:
I am 52 and have been lifting since 21. In my 20s I went up to just north of 250lbs, not fluffy either, and ran quite a few cycles. This was in the 90s, so we sort of threw shit at the wall to a certain degree. Never went above 1g/week had ZERO AIs. At this time I was doing dirty bulks/extreme cuts (boiled chicken etc). It was the 90s.....
Through my 30s-45 I was eating pretty shitty, drinking too much. Still training, but obviously not to the extent I should have been. No use of steroids in this time period
At 45 was put on TRT and cleaned up my shit. Last 4 years been tracking all calories, training very seriously....did a few very light cycles. These were topping out at 400test/week with some primo (200/week) and some Ment (12.5/ED was tops).
95% of the time I do 20minutes of LISS on the treadmill (winter) or walking my dogs.
I tend to abuse stims, my excuse being my job I suppose. Caffeine, moda, and nicotine gum.
Currently I sit at 201 and pretty damn lean.
Given a family history of heart disease I requested multiple tests through my doctor. He is a great conduit as he will typically do what I ask. If I dont ask, he wont do shit. History is my father died from a heart attack at 46.
I went for a nuclear stress/rest test and echo cardio gram over the last 3 weeks. Results are as follows:
Stress/Rest test:
Resting BP 118/74
Maximum BP 172/88
Duration 11 minutes
Heart rate 160 (they stop you at 160. I was completely fine and have had my heart rate into 180 during weights...measured with watch though)
Dukes score is 10.4 (low risk)
"FINDINGS:The patient had exercised using Bruce protocol for 10:44 minutes and achieved 12.9 METS and 95% of the maximum heart rate. Exercise treadmill study report noted good exercise tolerance with no chest pain or significant ECG changes. Raw images are unremarkable. No abnormal extracardiac radiotracer identified. Tomographic images show diaphragmatic attenuation artifact which resolves with attenuation correction. No true fixed or reversible perfusion abnormalities are identified. The left ventricle chamber size is moderately dilated
Gated images show normal wall motion and myocardial thickening of all left ventricular segments. Using the Emory Cardiac Tool Box Software: LVEF stress: 51 % LVEF rest: 57 % Post stress EDV: 173 ml Post stress ESV: 84 ml IMPRESSION:No evidence of myocardial infarct or ischemia. Moderately dilated left ventricle but preserved left ventricular function"
Echo:
This test was, frankly, awesome. First the woman doing it was super cute and she explained everything she was measuring. Main points below (copy paste resulted in odd spelling issues with I did not fix).
1. The left ventricle is normal in size and systolic funcon. No segmental abnormalies wereidenfied. LVEF 56%.
2. The right ventricle is mildly increased in size with normal systolic funcon.
3. The LA volume is mildly dilated 36 ml/m².
4. No significant valvular abnormalies
Method View: This was a technically fair study.
Rhythm The patient was in normal sinus rhythm during this study.
Left Ventricle The leC ventricle is normal in size and systolic funcon. No segmental abnormalies were identified on this study.
Left ventricular wall thickness is normal. The ventricular ejection fraction, as measured by Simpson's Bi-plane method, is estimated at 56 % (normal).
Peakglobal strain value is within normal parameters measuring -19 %.
Right Ventricle The right ventricle is mildly increased in size with normal systolic funcon.
Left Atrium The LA volume is mildly dilated 36 ml/m².
Right Atrium The right atrium is normal in size.
Aorc Valve The aorc valve is tricuspid and normal in structure and funcon for the paent's age. There is no evidence of stenosis or significant regurgitaon by Doppler assessment.
Mitral Valve The mitral valve is slightly thickened. There is no evidence of stenosis or definite prolapse. There is mild mitral regurgitaon seen.
Tricuspid Valve The tricuspid valve is normal in structure and funcon for the paent's age. There is trivialtricuspid regurgitaon. The RVSP is esmated to be 24 mmHg assuming an RAP of 3 mmHg.
Pulmonic Valve The pulmonary valve is normal in structure and funcon for the paent's age. There is noevidence of stenosis by Doppler assessment. There is trivial pulmonic regurgitaon.
InteratrialSeptumThe atrial septum appears intact by 2-D imaging and with no shunt flow by colour Dopplerinterrogaon.
Pericardium The pericardium is normal and there is no pericardial effusion.
Aorta The aorc root measures 3.8 cm. The ascending aorta is not well visualized. The pulmonary artery is normal.
Systemic Veins The inferior vena cava is normal
Conclusion - get your shit checked if you are worried so you can adjust lifestyle OR accept the fact you might have some issues coming your way.
