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Help me understand my echo results (3 year blast)

FuriousAngus

Member
Registered
Joined
Aug 1, 2017
Messages
133
So I've been having issues with panic attacks and overall stress after a 3 year-long blast (no cruising, mostly on 750mg test). I've been on true TRT for two years now (after my blast, which I experienced 0 symptoms during) and recently had another panic episode so I decided to get an echo done to make sure it was my head and not my heart acting up.

Any input is greatly appreciated

Ao Dia= 2.7 cm
LADs = 3.5 cm
LA/AO ratio = 1.3
LVSd = 1.1 cm
LVSs= 1.4 cm
LVDd = 5.2 cm
LVDs = 3.7 cm
LVPWd = 1.1 cm
LVPWs = 1.3 cm
FS = 29%
LVEF = 55%

------------

AV max = 1.68
AV maxPG: 11
LVOT maxPG: 5
MV E Vmax: 0.92
MV A Vmax: 0.59
MV E/A: 1.56
MV Dec Time: 169


---------------

TR Vmax: 2.51
TR PGmax: 25
PV Vmax: 1.4
PV PGmax: 8

---------------

All is normal in appearance and function, except Mitral Valve it says Trivial MR
. Hoping this MR isn't something that's going to kill me. I'm 30.

Pics attached.
 

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dude panic attacks are super common, they have absolutely nothing to do with your heart, other than you can actually give yourself a heart attack via a panic attack.

Why are you asking this board to interpret a test that should come with a full cardiologist interpretation? What did your cardiologist say?

What my best guess? You are cruising at WAY above physiological levels, to your heart, 200mg/week very close to the same as 750mg/week, you need significant time at actual TRT doses (70-100mg usually) to see actual recovery.

But it's probably all just in your head. As a friend and cardiologist and fellow hypochondriac once said to me in regards to panic attacks on heart health, "Just stop thinking about it."

The reality is, any one of our hearts could stop at any moment, yes it is insane that we just go on like isn't that case, that is part of being human. It isn't because we are known for charging into battle that we are called the most courageous animal, it is because we understand the finality of the moment. People go to huge fanatical lengths to hide from this reality...

(edit: if you smoke weed, that is it, super common cause of panic attacks and "I'm having a heart attack" etc)
 
Last edited:
dude panic attacks are super common, they have absolutely nothing to do with your heart, other than you can actually give yourself a heart attack via a panic attack.

Why are you asking this board to interpret a test that should come with a full cardiologist interpretation? What did your cardiologist say?

What my best guess? You are cruising at WAY above physiological levels, to your heart, 200mg/week very close to the same as 750mg/week, you need significant time at actual TRT doses (70-100mg usually) to see actual recovery.

But it's probably all just in your head. As a friend and cardiologist and fellow hypochondriac once said to me in regards to panic attacks on heart health, "Just stop thinking about it."

The reality is, any one of our hearts could stop at any moment, yes it is insane that we just go on like isn't that case, that is part of being human. It isn't because we are known for charging into battle that we are called the most courageous animal, it is because we understand the finality of the moment. People go to huge fanatical lengths to hide from this reality...

(edit: if you smoke weed, that is it, super common cause of panic attacks and "I'm having a heart attack" etc)

Thanks for the response, I really appreciate it.

Cardiologist said my heart is 100% healthy and there were no abnormalities (not even LVH). I wrote this post because quite frankly I became VERY obsessive about health after I dropped to a cruise. My cruise is actually around 120-150mg and it puts me at 700-900. I've been there for two years now.

HDL is mid to high 60 and tris are 45-50. LDL a bit high at 150. I don't smoke weed or drink alcohol. I guess I'm asking for extra assurance in case my doctor missed something since I know a lot of guys here have gone through this and might have some insight, that's all.

It's very difficult for me to simply "not think about it". I was never like this, man. Hell, I never cared about my health a tiny bit when I was blasting. But now? If my heart beats weird for a split second I'll go insane.
 
Last edited:
dude panic attacks are super common, they have absolutely nothing to do with your heart, other than you can actually give yourself a heart attack via a panic attack.

Why are you asking this board to interpret a test that should come with a full cardiologist interpretation? What did your cardiologist say?

What my best guess? You are cruising at WAY above physiological levels, to your heart, 200mg/week very close to the same as 750mg/week, you need significant time at actual TRT doses (70-100mg usually) to see actual recovery.

But it's probably all just in your head. As a friend and cardiologist and fellow hypochondriac once said to me in regards to panic attacks on heart health, "Just stop thinking about it."

The reality is, any one of our hearts could stop at any moment, yes it is insane that we just go on like isn't that case, that is part of being human. It isn't because we are known for charging into battle that we are called the most courageous animal, it is because we understand the finality of the moment. People go to huge fanatical lengths to hide from this reality...

(edit: if you smoke weed, that is it, super common cause of panic attacks and "I'm having a heart attack" etc)

Amen..I've gotten the same advice about my kidney stuff. My insurance won't even pay for...not a dime (and they shouldn't) because I'm seeing a nephroligst every 12 weeks due to anxiety over my kidneys.

My kidney doc said the same thing "you are going to give youself a f*cking heart attack giving yourself so much anxiety over your health kidneys".

I'm an extreme hypochondriac as well. The good news is it does help keep doses very low, from a mental aspect lol.
 
Thanks for the response, I really appreciate it.

Cardiologist said my heart is 100% healthy and there were no abnormalities (not even LVH). I wrote this post because quite frankly I became VERY obsessive about health after I dropped to a cruise. My cruise is actually around 120-150mg and it puts me at 700-900. I've been there for two years now.

HDL is mid to high 60 and tris are 45-50. LDL a bit high at 150. I don't smoke weed or drink alcohol. I guess I'm asking for extra assurance in case my doctor missed something since I know a lot of guys here have gone through this and might have some insight, that's all.

It's very difficult for me to simply "not think about it". I was never like this, man. Hell, I never cared about my health a tiny bit when I was blasting. But now? If my heart beats weird for a split second I'll go insane.

I feel you man. I have this with my kidneys. Spent over $5,000 out of pocket last year to see specialists for basically peace of mind.
 
I feel you man. I have this with my kidneys. Spent over $5,000 out of pocket last year to see specialists for basically peace of mind.

Thats exactly what I'm doing right now. Spending money for peace of mind. You know, I feel that I neglected my health so much during that 3 year blast that I'm over compensating right now trying to do everything it takes to reverse this "damage" that I can't even quantify or be certain even exist to any relevant degree.
 
Thats exactly what I'm doing right now. Spending money for peace of mind. You know, I feel that I neglected my health so much during that 3 year blast that I'm over compensating right now trying to do everything it takes to reverse this "damage" that I can't even quantify or be certain even exist to any relevant degree.

I think it’s great you are being diligent! BUT it’s a balance. I’m going on 15 years and by quick math at least $15,000 out of pocket.

My insurance literally told me “what you are doing would be like a patient without cancer going to an oncologist every 12 weeks”.

I’m actually, quite mentally healthy otherwise. I’m did talk to someone and they said it’s almost brought on mild ptsd. I actually passed out once when my creatinine was slightly raised even with all other tests normal.
 
I guess this is better than the guys who comes in with permanent LV dilation, and an EF of 40% asking when he can start running tren again :)

Seriously man, monitor your health but go live your life too. What's the point of being in good health if you can't even enjoy it's benefits.

I swear, bodybuilding doesn't really make people whole. It just aligns them with something to fill their anxiety filled brains with (this includes myself) :eek:
 
Just trust in your cardiologist. I don't know enough to interpret most of it but I key in on the ejection fraction(LVEF) which is 55%. That is perfectly normal. If you had cardiomyopathy that would be lower and there would probably be wall motion abnormalities along with thickness or a dilated ventricle. Your cardiologist would have notified you immediately.

I think it is great that you are just on trt now 100 to 150 mg/wk tops. That should be fine for you. I had a major heart attack and I am taking 100 mg/wk now for almost 11 years no problems. You could try to go natural, but it is really hard to tolerate. I tried for nearly a year and mine never came back. You could try if you want.

I think the mild MR refers to mitral valve regurgitation and since it is mild it isn't anything to freak out over. It is rather common I believe. My wife has some and her's only showed up when she was pregnant, carrying all those extra fluids and weight. She had symptoms then but after birth she is fine. If you aren't having any symptoms from the MR then I wouldn't worry, especially if the doctor isn't worried about it. Later down the road when you are much older it might get worse and require surgery, but I don't think there is anyway it can be predicted. Ask your cardiologist about the valve, what he thinks might happen when you are older.
 
Last edited:
Great to see your heart doing so well after 3 years of heavy use.

During this time, did you do cardio regularly, use cardiovascular health supplements, etc.?
 
Thanks for the response, I really appreciate it.

Cardiologist said my heart is 100% healthy and there were no abnormalities (not even LVH). I wrote this post because quite frankly I became VERY obsessive about health after I dropped to a cruise. My cruise is actually around 120-150mg and it puts me at 700-900. I've been there for two years now.

HDL is mid to high 60 and tris are 45-50. LDL a bit high at 150. I don't smoke weed or drink alcohol. I guess I'm asking for extra assurance in case my doctor missed something since I know a lot of guys here have gone through this and might have some insight, that's all.

It's very difficult for me to simply "not think about it". I was never like this, man. Hell, I never cared about my health a tiny bit when I was blasting. But now? If my heart beats weird for a split second I'll go insane.
Time to start blasting again

Sent from my SM-G960U using Tapatalk
 
So I've been having issues with panic attacks and overall stress after a 3 year-long blast (no cruising, mostly on 750mg test). I've been on true TRT for two years now (after my blast, which I experienced 0 symptoms during) and recently had another panic episode so I decided to get an echo done to make sure it was my head and not my heart acting up.

Any input is greatly appreciated

Ao Dia= 2.7 cm
LADs = 3.5 cm
LA/AO ratio = 1.3
LVSd = 1.1 cm
LVSs= 1.4 cm
LVDd = 5.2 cm
LVDs = 3.7 cm
LVPWd = 1.1 cm
LVPWs = 1.3 cm
FS = 29%
LVEF = 55%

------------

AV max = 1.68
AV maxPG: 11
LVOT maxPG: 5
MV E Vmax: 0.92
MV A Vmax: 0.59
MV E/A: 1.56
MV Dec Time: 169


---------------

TR Vmax: 2.51
TR PGmax: 25
PV Vmax: 1.4
PV PGmax: 8

---------------

All is normal in appearance and function, except Mitral Valve it says Trivial MR
. Hoping this MR isn't something that's going to kill me. I'm 30.

Pics attached.

Your echocardiogram looks good to me
 
dude panic attacks are super common, they have absolutely nothing to do with your heart, other than you can actually give yourself a heart attack via a panic attack.

Why are you asking this board to interpret a test that should come with a full cardiologist interpretation? What did your cardiologist say?

What my best guess? You are cruising at WAY above physiological levels, to your heart, 200mg/week very close to the same as 750mg/week, you need significant time at actual TRT doses (70-100mg usually) to see actual recovery.

But it's probably all just in your head. As a friend and cardiologist and fellow hypochondriac once said to me in regards to panic attacks on heart health, "Just stop thinking about it."

The reality is, any one of our hearts could stop at any moment, yes it is insane that we just go on like isn't that case, that is part of being human. It isn't because we are known for charging into battle that we are called the most courageous animal, it is because we understand the finality of the moment. People go to huge fanatical lengths to hide from this reality...

(edit: if you smoke weed, that is it, super common cause of panic attacks and "I'm having a heart attack" etc)

I agree with all of this except the part where you said he shouldn't post his echocardiogram here. There are a small number of individuals on this site who can make some sense of them and it's always good to get more interpretations/opinions. You never know who is reading with knowledge.

Otherwise spot on
 
Thanks for the response, I really appreciate it.

Cardiologist said my heart is 100% healthy and there were no abnormalities (not even LVH). I wrote this post because quite frankly I became VERY obsessive about health after I dropped to a cruise. My cruise is actually around 120-150mg and it puts me at 700-900. I've been there for two years now.

HDL is mid to high 60 and tris are 45-50. LDL a bit high at 150. I don't smoke weed or drink alcohol. I guess I'm asking for extra assurance in case my doctor missed something since I know a lot of guys here have gone through this and might have some insight, that's all.

It's very difficult for me to simply "not think about it". I was never like this, man. Hell, I never cared about my health a tiny bit when I was blasting. But now? If my heart beats weird for a split second I'll go insane.

What you are experiencing is very common, it's called hypochondria, your cardiologist cleared you, those feelings in your chest aren't your heart, they are pec/ribcage issues or heartburn issues, and occasional palpitations are normal, especially when pushing your heart hard, give it a break imo.
 
What you are experiencing is very common, it's called hypochondria, your cardiologist cleared you, those feelings in your chest aren't your heart, they are pec/ribcage issues or heartburn issues, and occasional palpitations are normal, especially when pushing your heart hard, give it a break imo.

I've had these same symptoms and freaked myself out thinking they were cardiac related. Turned out they were not.
 
I think it’s great you are being diligent! BUT it’s a balance. I’m going on 15 years and by quick math at least $15,000 out of pocket.

My insurance literally told me “what you are doing would be like a patient without cancer going to an oncologist every 12 weeks”.

I’m actually, quite mentally healthy otherwise. I’m did talk to someone and they said it’s almost brought on mild ptsd. I actually passed out once when my creatinine was slightly raised even with all other tests normal.

That's insane. I wish you the best brother; this is one of the most difficult things to deal with. I know exactly how you feel.

I guess this is better than the guys who comes in with permanent LV dilation, and an EF of 40% asking when he can start running tren again :)

Seriously man, monitor your health but go live your life too. What's the point of being in good health if you can't even enjoy it's benefits.

I swear, bodybuilding doesn't really make people whole. It just aligns them with something to fill their anxiety filled brains with (this includes myself) :eek:

True. It's a struggle but I'm really hoping to beat this one day. I'm much better now than I was right after my blast, tho.

Just trust in your cardiologist. I don't know enough to interpret most of it but I key in on the ejection fraction(LVEF) which is 55%. That is perfectly normal. If you had cardiomyopathy that would be lower and there would probably be wall motion abnormalities along with thickness or a dilated ventricle. Your cardiologist would have notified you immediately.

I think it is great that you are just on trt now 100 to 150 mg/wk tops. That should be fine for you. I had a major heart attack and I am taking 100 mg/wk now for almost 11 years no problems. You could try to go natural, but it is really hard to tolerate. I tried for nearly a year and mine never came back. You could try if you want.

I think the mild MR refers to mitral valve regurgitation and since it is mild it isn't anything to freak out over. It is rather common I believe. My wife has some and her's only showed up when she was pregnant, carrying all those extra fluids and weight. She had symptoms then but after birth she is fine. If you aren't having any symptoms from the MR then I wouldn't worry, especially if the doctor isn't worried about it. Later down the road when you are much older it might get worse and require surgery, but I don't think there is anyway it can be predicted. Ask your cardiologist about the valve, what he thinks might happen when you are older.

Tried going natural and would never go that route again. I'm perfectly happy on TRT even if I miss my second shot of the week sometimes (I'd forgot once every few weeks). I stil fee much better than I did when I was natural. I've been following your progress for a very long time brother; I appreciate/respect how positive and brave you are despite having gone through a lot. Yea I looked into this mild abnormality and it doesn't seem too bad, surgery isnt a bit deal either.

Great to see your heart doing so well after 3 years of heavy use.

During this time, did you do cardio regularly, use cardiovascular health supplements, etc.?

Thanks brother. Lots of supplements including 2-3 grams of Meriva a day. I had no idea it helped with anything tho I just took it because.

Time to start blasting again

Sent from my SM-G960U using Tapatalk

Not ready yet, mentally.

What you are experiencing is very common, it's called hypochondria, your cardiologist cleared you, those feelings in your chest aren't your heart, they are pec/ribcage issues or heartburn issues, and occasional palpitations are normal, especially when pushing your heart hard, give it a break imo.

I know what you're saying is true, but it's a process for me. It's like being afraid of ghosts after watching a horror movie. I know they don't exist, but I'm still a bit uneasy.

Your echocardiogram looks good to me
Thanks brother. Hoping to maintain my heart in good health blasting once a year (on 500mg test) from here on, when I decide to blast again that is (or if).
 
That's insane. I wish you the best brother; this is one of the most difficult things to deal with. I know exactly how you feel.



True. It's a struggle but I'm really hoping to beat this one day. I'm much better now than I was right after my blast, tho.



Tried going natural and would never go that route again. I'm perfectly happy on TRT even if I miss my second shot of the week sometimes (I'd forgot once every few weeks). I stil fee much better than I did when I was natural. I've been following your progress for a very long time brother; I appreciate/respect how positive and brave you are despite having gone through a lot. Yea I looked into this mild abnormality and it doesn't seem too bad, surgery isnt a bit deal either.



Thanks brother. Lots of supplements including 2-3 grams of Meriva a day. I had no idea it helped with anything tho I just took it because.



Not ready yet, mentally.



I know what you're saying is true, but it's a process for me. It's like being afraid of ghosts after watching a horror movie. I know they don't exist, but I'm still a bit uneasy.


Thanks brother. Hoping to maintain my heart in good health blasting once a year (on 500mg test) from here on, when I decide to blast again that is (or if).

Keep us posted man you seem like a good dude and many of us can relate. It seems bodybuilders fit into two extremes (of course, right lol) super paranoid and obsessed or "eh screw it I'll go to the doc when I'm 60 and hope I'm ok".

One thing that always calms me down is when I take a step back and think "I'm 36 years old and being proactive in my health, and fixing anything 'off' at the end of the day I'm ahead of the pack in that regard".

Best of luck to you man!
 
What you are experiencing is very common, it's called hypochondria, your cardiologist cleared you, those feelings in your chest aren't your heart, they are pec/ribcage issues or heartburn issues, and occasional palpitations are normal, especially when pushing your heart hard, give it a break imo.

I really appreciate all your posts and perspective. I've learned a lot from you posts and really just appreciate your comments on these issues.
 
I really appreciate all your posts and perspective. I've learned a lot from you posts and really just appreciate your comments on these issues.

No problem, I have dealt with these same issues, I had never had heartburn before 27 years old. My first heartburn experience combined with a full panic attack put me on a 1-2 year heart hypochondria experience (there was also some hypoglycemia helping confuse everyone). Luckily I had a friend who was an experienced cardiologist who also went through the same thing and guided me. Later I found that a LOT of people experience this same thing at usually around the same point in their life, it's even kinda the norm imo...
 
No problem, I have dealt with these same issues, I had never had heartburn before 27 years old. My first heartburn experience combined with a full panic attack put me on a 1-2 year heart hypochondria experience (there was also some hypoglycemia helping confuse everyone). Luckily I had a friend who was an experienced cardiologist who also went through the same thing and guided me. Later I found that a LOT of people experience this same thing at usually around the same point in their life, it's even kinda the norm imo...

On the opposite point, I once had what I thought was just heartburn and it turned out to be a heart attack. Crazy shit. Had that when I was doing some squats at the gym. I should have called 911 right away, but drove home while I was having a heart attack and took some baking soda when I got home. It felt exactly like heart burn and I had zero chest pains. I did have some other symptoms though like dizziness and nausea. I thought that was from squatting real hard though.
 

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