Opinion wanted - back from cardiologist spec.

[M@NU]

Hey guys,

i just came back from a specialist in the cardiology segment and would like to hear your opinion on the results/opinion of the cardiologist.
I got the letter in german, i try to translate as much as i can.

ECG results:
blood pressure = 110/70, heart rate 54, no abnormalities ("perfect" in here words)

ECHO:
Aorta (AO) = 35mm, LA (left chamber(?)) = 37mm, LVDD (left ventricle diastolic diameter(?)) = 64mm, LVSD (systolic(?)) = 49mm, IVS (?) = 9mm,
heart wall (HW) = 9mm , EF = 46%, TAPSE = 22mm
EF biplan = 41% (?)

"left ventricle enlarged with slight global restric. of function @ diffuse hypokinesis mainly @ septum and posterior. right ventricle basal dilatated with normal function. aortic valve echo increases(??) with normal opening amplitude. other heart chambers and valves unobstruve. grade I mitral insufficiency. Slight Arota- and tricuspid regurgitation. No indication of increasement in pressure of small circulatory.

opinion/assessement:
- grade I restriction of LV function @ diffuse hypokinesis and enlarged left ventricle. Most likely/could be beginning of a dilatative cardiomyopathy. (due to family history).
- therapy with candesartan (16mg/daily) should be continued, no further medicamentation required.
- i can continue with every sports i do right now but i should keep cardio up.
She told me not to worry

next steps which she would like to do with me:
- 24 hours ecg, done as soon as possible
- cardio-MRT with Adenosin-infusion and contrast infustion to get more detailed information. (already scheduled @ 15.02.18 in a hospital)

what made her wonder:
according to her, the echo results and the ecg results do not fit together.
She said she is surprised that my ECG was perfect because she suspected to see at least some abnormalities @ ecg.


so guys, what is your opinion on that?
i am sorry if some words are not correct, just try your best, haha
thanks alot for your help

 

[nothuman]

So everything was good except ejection fraction. Time to throw literally every EF boosting supplement in your regimen immediately and do HIIT cardio a few times a week.

Supplements: arjuna gold, ubiquinol, pycnogenol, and ribose. Add them all. They have the potential to put you back in the normal range. Absolutely essential to try.

 

[M@NU]

So everything was good except ejection fraction. Time to throw literally every EF boosting supplement in your regimen immediately and do HIIT cardio a few times a week.

Supplements: arjuna gold, ubiquinol, pycnogenol, and ribose. Add them all. They have the potential to put you back in the normal range. Absolutely essential to try.

i am not sure if everything else is ok.
dilatative cardiomypathy sounds bad. i have googled it (yeah, guess i shouldnt) and it says most of the ppl die within the next 10 years.. wtf.
i already take all those besides pycnogenol. 200mg ubi enough?
i do more steady state than hiit. should i change that?
(right now 1-2 hiit, 3-4 ss)
thanks for your help dude!!

 

[nothuman]

i am not sure if everything else is ok.

dilatative cardiomypathy sounds bad. i have googled it (yeah, guess i shouldnt) and it says most of the ppl die within the next 10 years.. wtf.

i already take all those besides pycnogenol. 200mg ubi enough?

i do more steady state than hiit. should i change that?

(right now 1-2 hiit, 3-4 ss)

thanks for your help dude!!

I’m not sure how else I can help besides what I already said and it sounds like you’re doing those things already. Make sure you’re dosing them adequately. Otherwise, I’m not qualified to go any farther. Hopefully things improve.

 

[M@NU]

I’m not sure how else I can help besides what I already said and it sounds like you’re doing those things already. Make sure you’re dosing them adequately. Otherwise, I’m not qualified to go any farther. Hopefully things improve.

nono, i am thankful you have answered but i am wondering if rly everything besides EF is good according to this "letter".
you are doing a great job at helping others, dont get me wrong please

 

[nothuman]

nono, i am thankful you have answered but i am wondering if rly everything besides EF is good according to this "letter".

you are doing a great job at helping others, dont get me wrong please

I am sorry, I didn’t know how to interpret the other part and shouldn’t have said you were fine besides EF because I honestly don’t know. If he doesn’t respond, I’d send a PM to gotgame who would be able to help

Also, thanks. I’m always rooting for guys to fix these types of issues. It feels like we’re in some kind of group together. Wishing you the best

 

[kscowboy]

Stewie will tell you what all of it means.

 

[warlock]

I'd also keep "Slight Aorta- and tricuspid regurgitation" in check. You don't want it to get more severe.

 

[M@NU]

I'd also keep "Slight Aorta- and tricuspid regurgitation" in check. You don't want it to get more severe.

hey warlock,
thanks for your help.
how do i keep that in check?
the doc meant that my arb is already a very important step (which i take since mid of this year).
i asked her if i could add anything else prescription or not and she said not necessary in her opinion. Cardio should be done though and no powerlifting single reps

 

[M@NU]

any more opinions?
googled a bit and most seems to be typical signs for athletes heart.
some signs dont fit though (EF for example)

 

[M@NU]

will get my 24h ecg in january.
any more opinions?

 

[M@NU]

up

 

[pickapeck]

The elephant in the room is AAS and GH use. Probably best to cut these things out except for possibly a true TRT dose of testosterone. I have no expertise in cardiology so I am just stating the obvious. You seem to have some numbers that are concerning but maybe not to the point where they are irreversible. If it was me and I was a younger me with these issues I would probably try to come right off everything after a mild PCT and do a reset for 18 months and see where I am after that.

 

[M@NU]

The elephant in the room is AAS and GH use. Probably best to cut these things out except for possibly a true TRT dose of testosterone. I have no expertise in cardiology so I am just stating the obvious. You seem to have some numbers that are concerning but maybe not to the point where they are irreversible. If it was me and I was a younger me with these issues I would probably try to come right off everything after a mild PCT and do a reset for 18 months and see where I am after that.

Hey pickapeck,

i am natural. MK667 (Gharine) is the only thing that might be related to GH.
i am taking 15mg daily. should i drop it?

 

[M@NU]

Ok, got my 24hour ECG device right now . Bigger and more heavy than i have thought .
is there any command i can use to adress users?
@STEWIE
does this work?
thanks!

 

[MyNameIsJeff]

How about you listen to your cardiologist? You are not taking steroids, so noone here will have any expertise that the doctor does not.

The MK may increase water retention and thereby increase blood pressure slightly. So if your BP is elevated it would be better to take out from a heart health perspective. Steady state cardio (constantly elevated heart rate of 150-160) is the best thing you can do for your heart, assuming your doctor cleared you for intensive exercise.

 

[M@NU]

How about you listen to your cardiologist? You are not taking steroids, so noone here will have any expertise that the doctor does not.

The MK may increase water retention and thereby increase blood pressure slightly. So if your BP is elevated it would be better to take out from a heart health perspective. Steady state cardio (constantly elevated heart rate of 150-160) is the best thing you can do for your heart, assuming your doctor cleared you for intensive exercise.

Hey Jeff,
thanks for your answer
it is always good to get another opinion. Cardiologists in my area are no specialists concerning athletes. They are good for the "norm"..
If i would listen to my family doc i should only do 2 weight sessions a week a 30min, 5x cardio, no protein shakes, protein less than 60g/day, no creatine,...
(you get what i want )
bp is fine, heart rate is very good.
I am cleared for every excersise i want to do

 

[Pekkerwood]

Manu:

Please note that when you are looking at the data results that show the survival rates of heart failure patients you probably differ in several levels: Few of the tests are normalized for the ages of patients, few are normalized for the fitness level of patients, few are normalized for the discipline we are capable of in our regimes.

BTW I am a ten year survivor coming from an EF of 15% for 9 Months.

While NotHuman has forgotten more than I will ever know, I would not recommend High Intensity training. While your resting blood pressure may be fine, the spikes under heavy load can be damaging.

I think lower intensity, less straining, more controlled, focused on breathing is key.

Also, please pay attention to your sleep patterns. Sleep apnea can be a big contributing factor to heart failure.

I take around 600 mg of Ubiquinol daily due to a small study I read about extreme heart failure patients. You do not fall into that category.

It may be hard to believe, but you should consider yourself fortunate. You became aware of this condition in time to either reverse it, or arrest it. Many of us do not.

You are not a statistic. You are not a data point. You have a unique set of circumstances and a unique willpower all your own. You got this.


PWood

 

[Omegasox]

You need to sit down with a cardiologist (doesn’t have to be yours if you don’t trust them) and have them answer your questions explicitly. While some users here may have experience with similar tests I would not put my future health on the line based on forum advice. I’m a physician, not a cardiologist, and still would not feel comfortable giving you advice off some numbers with no other information.

 

[M@NU]

Hey Pekkerwood,
thanks for your opinion, really appreciate.
congratz on your improvement! You really had some problems and fought through it, i am not even sure yet about my condition
doc told me i should not limit any kind of excersise.
I had my 24hour ecg on thursday and although its usually my rest day ive went in and did some mixed stuff to see how my heart reacts. LISS - training with heavy sets and supersets - intervall training up to 166hr (not maxed out but it was hard)
now i wait for the results if there is anything not right..
i dont think i have sleep apnea.. usually it affects the heavy guys, no?
i am weighting 82,5kg @ 175 height..
and for ubi: just bought 3 packs of 60caps a 200mg again and started taking since beginning of the week
@omega:
well, thats what i do. but i also like to hear opinions from others.
thats what a forum is for, no? change experiences and get opinions..