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Afib and heart problems

Superdave profile image
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AF and Bradycardia

I have had Afib for over 15 years. It was acquired from decades of intense training. I had a congenital heart defect(bi-leaflet Aortic valve) and was stricken with Endocarditis after a dental procedure.

After the successful valve replacement the doctors had me on Tykosyn (Difatulide) but because of my resting heart rate combined with Afib (below 50) they took me off that med and tried twice to cardiovert me without success. This was in 2008. I never had a tachycardia event since my diagnosis, but have had exercise intolerance recently. I had an electrophysiologist examine me to see if ablation could help resolve my Afib and allow me to tolerate exercise again. He told me that after 12 years, my heart has remodeled and the probability of an ablation correcting the problem was low. He said it would probably last only for a brief time.

I then consulted with my CardiacThorasic Surgeon from Stanford who performed 2 Trachea dilations post surgery because of a stenosed Trachea caused by prolonged intubation. He recommended a Pulmonary Function test to make certain my airways were able to reach capacity when inspiring or expiring. This will occur in March. The electrophysiologist thought my resting heart rate was slow from years of exercise, but advised me that I may need a pacemaker when I’m in my late 70’s. I have studied about Heart Rate Variability, Heart Rate Recovery and cardio fitness and adopted a hybrid high intensity interval training program based on my lifetime of exercise and research on professionals training regimes. I’m confident I can live with Afib and still improve my running speeds to levels of elite for my age.

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Superdave
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You seem to be well informed about your condition and receiving helpful medical advice. We are told that extreme sports activity is a major cause of AF, wish you luck.......

rosyG profile image
rosyG

The problem is the heart muscle enlarges like other muscles from training so AF has a good time!!

Well that’s ambitious. Is your left atrium (LA) up to coping with elite performance at marathon distance? Do you know your LA volume? Also, will your replaced valve take the strain?

Have you found much evidence about the safety of elite training when taking an anticoagulant, perhaps in relation to blood pressure?

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