Doctor insights on:
What Are Activities To Avoid For An Aortic Aneurysm
Heavy lifting: We tell people with aortic aneurysms to avoid activities that will increase intraabdominal pressure. This would include lifting anything so heavy it makes you grunt, doing sit-ups or crunches, or forceful straining on the toilet. ...Read more
"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more
Not sure.: It is not a particular equipment that is key to rupture of an aortic aneurysm. Rupture can happen even when asleep or at rest. On the other hand, any activity, whether physical or emotional, that suddenly raises blood pressure and heart rate may predispose to rupture. I trust your judgement. Moderation is key. ...Read more
Can I exercise with aortic aneurysm? My father is in his 70's and had a slight aortic aneurysm. He wants to start exercising in the gym, but I'm concerned it may be dangerous. Are there any particular machines or exercises he should avoid?
Your: Your father should avoid activities that raise the blood pressure excessively. Heavy weight lifting should be avoided at all costs, and he should focus on light aerobic activity such as briskly walking on a treadmill. A good rule of thumb is to exercise just enough to break a light sweat while maintaining the ability to carry on a conversation. I would recommend that he have an exercise stress test with a cardiologist to assess his blood pressure response to exercise and to help develop an exercise prescription. Any chest, back or abdominal pain or pressure with exercise should be taken very seriously and prompt immediate medical attention. ...Read more
Ok, is it possible to engage in vigorous physical activity with bad heart valve and or aortic aneurysm without experiencing symptoms?
Not likely: The cardiac valve problem, especially aortic or mitral, will cause shortness of breath issues which would make it unlikely to continue what your were doing. The aortic aneurysm would have little to no symptoms with activity. Doesn't mean that the aneurysm can't rupture, in which case your symptoms would be pain and likely death. Very unlikely to happen unless the aneurysm is greater than 5 cm. ...Read more
Why does the aha recommend people with thoracic aortic aneurysm avoid heavy lifting when my cardiologist says there is no study supporting this?
Weak wall: The aorta is a living pipe. It has 3 layers, the inner layer or intima, the middle layer or media were some muscle like cells dwell and the adventitia rich in collagen fibers. The process of arteriosclerosis may result in slow death of the media which then gets replaced by collagen scar. The pressure inside the aorta and the wall weakness will result in dilatation of the aorta and it could burst. ...Read more
The aorta: The aorta is the large, main artery that carries blood from the heart. An aneurysm (a portion that dilates or expands to a larger than normal diameter) can occur anywhere along its length, from where it emerges from the heart in the chest (thoracic aortic aneurysm) to where it travels through the abdomen & splits into the iliac arteries (abdominal aortic aneurysm, or aaa) - or anywhere between. ...Read more
Depends: An aortic aneurysm can be the result of inherited conditions like marfan's syndrome. Conversley, aortic aneurysms may appear 'de novo' in those without a family history and only clinical risk factors such as atherosclerosis and hypertension. Since the relationship between genetics and environment is complex, if there is a family history one should always be extra vigilant and monitor. ...Read more
Cysticmedialnecrosis: The aorta is a living organ. Has 3 layers. Intima, media, adventitia. The aortic wall is nourished by the vasa vasorum. Arteriosclerosis creates cholesterol plaque, the vasa vasorum occlude, the media slowly dies and becomes replaced by collagenous tissue, pressure and Collagenase activity weaken wall and it dilates excessively, if not repaired claims 17, 000 americans/yr.70%infrarenal. ...Read more
Several things: About 5% of men over the age of 65 have abdominal aortic aneurysms. Risk factors include: increasing age, male sex, family history of aneurysm (may increase your risk 4-fold), hypertension, and history of smoking. Dissecting aneurysms can be caused by localized damage to to the artery from hypertension or trauma (deceleration or sheering-type injury) or catheter injury from an angiogram. ...Read more
No but its not rare: Abdominal aortic aneurysms are more common than thoracic. An aneurysm is defined as an enlargement of the aorta 1.5 x the normal diameter. The incidence is around 37 per 100, 000 patient yrs. There is a 3% prevalence in those over 50 yrs old. Male to female ratio of 9 to 1. Risk factors hypertension, high cholesterol, smoking, diabetes, family history and age. ...Read more
Aortic Aneurysms: It is not entirely clear exactly what causes aortic aneurysms, but we know of a few risk factors, probably the most significant of which is smoking. Other risk factors include atherosclerosis and high blood pressure. There is also a hereditary component, so these can run in families. There are also genetic syndromes such as Marfan's or ehlers-danlos which are associated. See a vascular surgeon. ...Read more
Often there are none: Over 75% of aortic aneurysms are found while tests are performed for another reason. Other aneurysms are found after a thoughtful physical exam raises a suspicion for AAA and a subsequent ultrasound identifies the problem. Screening exam programs are very effective, non-invasive, and inexpensive. ...Read more
Typically non: Most of them are asymptomatic. Abdominal aortic aneurysm can cause mid abdominal and back pain sometimes. Severe pain and fever if infected. Unusually emboli or clots to legs and ischemia. Thoracic aortic aneurysm may cause back pain, or compression on structure like esophagous (difficulty swallowing), trachea or bronchus (difficulty breathing) or nerves like recurrent laryngeal nerve (horesness). ...Read more
Marfan's?: Repair when diameter 4.5cm or greater if bicuspid aortic valve or marfan's, ehrles danlos, with or w/o aortic insufficiency. Otherwise 6cm. Your cardiac surgeon is the one that can advise you on the timing of your repair, earlier repair may be indicated depending on anatomy and sinus of valsalva size. ...Read more
Arteriosclerosis: Most arteriosclerotic aneurysms result in cystic medial necrosis of the aorta resulting in dilatation of the artery secodary to the internal pressure and weakness of the arterial wall. Any part of the aorta and its branches may be affected. Infections with bacteria, fungus, syphillis may also produce aneurysms in the aorta. ...Read more
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