Re: Medical advice needed:LBBB ___Competitive Athlete
From: Dr. Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 11/20/04
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Date: Fri, 19 Nov 2004 22:23:02 -0500
Pierre wrote:
>
> Let me introduce myself.
> I am 37. Height:175 cm, Weight:71 kg.
> Resting heart rate: 35* bpm,
> Max heart rate: 198* bpm
> (*determined with Holter monitoring)
>
> Last twelve years I was practicing sport. From 92'-93' MTB, 94'-97'
> Triathlon mid distances-severe inflammation of right tibia forced me
> to stop for 2 years.In 1999 I turned to road cycling world
> (20.000-25.000 km /year)
> In last three years I made great progress. I finished in top 100
> (3000-6000 participants)in some very demanding amateur cycling events
> in Italy (150-220 km).
>
> During period Nov 03'-Feb 04' I had very good and demanding weight
> lifting preparation. I had love romance with 22 year old girl in that
> period too.
> She didn't come to dinner on St. Valentine's Day and I was veeeeery
> upset because of that.I have to say that I am very emotional person.
>
> Then it happened. On 15th of February 04' I had Atrial Fibrillation.
> After unsuccesful medicine treatment with Rytmonorm infusion, I had
> electro conversion in the morning.
> Since then I don't feel O.K. First three weeks I had strange chest
> pain and discomfort.
> Passed 4 ultrasounds that showed no abnormalities. Passed normal
> Stress test in March (max stress at 154 bpm=275 Watts). It should be
> max stress test but the doctor stopped it because I reached age
> maximmum. He ignored request of my cardiologist for max stress test.
> 24 hour Holter monitoring after stress test
> didn't demonstrate abnormalities.
> I started with easy training knowing that my season is over. I felt
> great.
> Sometimes I had discomfort in my chest but...
> In July-Avgust I started with more demanding hill training (<170 bpm).
> Chest discomfort (like a huge load om my chest) occured next day after
> such training. My cardiologist suggested me to avoid that kind of
> training untill we clarify what is going on.
>
> On 3rd of September I performed max stress test.
> Blood pressure at start of the test: 110/65, 54 bpm.
> I reached maximum load at: 450 Watt, 185 bmp, Blood press: 180/100.
> Honestly I could reach 500 Watts but the bike was falling apart.
> I went into LBBB at 250 Watts load (165 bmp).
> Few minutes after test my heart turned to normal sinus beat.
> The day after test I felt awful with heavy feeling in my chest.
> Four days after test I performed 90 km training session with Holter
> monitoring.
> I reached my max (198 bmp) at the end of 1. category climb.
> Bad sleep the night after training but without discomfort.
> On 26th Of September I stopped cycling because of discomfort in chest.
> No sport for over 7 weeks.
>
> On 17th of November I went through myocardial scintigraphy.
> Stress test results: I went in LBBB at 150 Watts (125 bpm).
> At the end of 250 Watts (170 bpm) load the MD stopped the test. (no
> need for proceeding)
> He was surprised because I didn't even sweat.
> 3 minutes after test my heart returned to sinus beat.
> Scintiogram demonstrates LBBB.
>
> What is next? Electrophysiology?
Unlikely.
> Why I went so early (at 125 bmp) in LBBB?
The refractoriness of your left bundle is increasing.
> Is my heart failing?
No. You have a "rate-dependent LBBB" and not congestive heart failure
(CHF).
> How serious is my medical state?
Isolated rate-dependent LBBB (ie no structural heart disease) is not
associated with a poor prognosis.
> I am very concerned.
Understandably.
> Any professional opinion is appreciated. Thanx in advance.
You are welcome. All praises belong to my heavenly Father, Whom I love
with all my heart, soul, mind, and strength :-)
Servant to the humblest person in the universe,
Andrew
-- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867
- Next message: Dr. Andrew B. Chung, MD/PhD: "Re: How to Become a Christian, Version 1.01"
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