Associations of Lifelong Exercise Characteristics With Valvular Function and Aortic Diameters in Patients With a Bicuspid Aortic Valve

Hey Everyone,
I came across this 2024 study regarding the effects of lifelong exercise on those with BAV and found the results insightful (and encouraging) and germane to a lot of the discussion that's been had on this forum specifically.

https://www.ahajournals.org/doi/10.1161/JAHA.123.031850

Those of us who love being active know at times we've had to apply our own guidance based on the limits we feel comfortable putting on ourselves (or not), so I wanted to share here to get the discussion going.

Hope you all have been well,
Patiently Waiting

patientlywaiting said:

Those of us who love being active know at times we've had to apply our own guidance based on the limits we feel comfortable putting on ourselves (or not)

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couldn't have phrased it better

Personally I've mentioned this here (without a citation) many times. There seems a polarisation between the "Athletes" and the "Couch Potato" (that should stir up a bit of that discussion you sought), for me this has always meant that (mixing with the general population) that I was never as capable as the "Athletes", but the "Couch Potato" types were never even interested in hikes or the like.

After 3 OHS's I've remained active. However when I play "low level" amateur sports I need to remember that almost everyone is more capable in cardio than me (more so now that I've over 60)

Lastly, whenever as a younger lad (first OHS was 10 yo) I asked my surgeon about these things he consistently replied "exercise is good, stay away from competitive sport"

So that's what I did .. training, no competition

PS: this

In this cross‐sectional study, exercise volume (metabolic equivalent of task minutes per week), exercise intensity, and sport type were determined from the age of 12 years to participation using a validated questionnaire.

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is pretty close to me, I was only allowed back into sport at school from about 14 ... and by then I'd already developed a dislike for the upper performing athletes (in my school grade) and PE teachers.

patientlywaiting said:

Hey Everyone,
I came across this 2024 study regarding the effects of lifelong exercise on those with BAV and found the results insightful (and encouraging) and germane to a lot of the discussion that's been had on this forum specifically.

https://www.ahajournals.org/doi/10.1161/JAHA.123.031850

Those of us who love being active know at times we've had to apply our own guidance based on the limits we feel comfortable putting on ourselves (or not), so I wanted to share here to get the discussion going.

Hope you all have been well,
Patiently Waiting

Click to expand...

Very interesting study:

"We found no deleterious associations between lifelong exercise characteristics, valvular dysfunction, and aortic dilatation in patients with a bicuspid aortic valve. Vigorous intensity and exercise in mixed sports were associated with a lower prevalence of moderate‐to‐severe aortic stenosis."

I read something in a string that disturbed me a while back, can't find the specific post. It had to do with vigorous exercise and artificial valve life being shortened by the intense heart rate elevation.
I've been wondering what the research said lately. I'm an active mountain biker at 67. AVR with a Perimont Magna Ease 5ish years ago. On a 6 month long mountain bike focused trip at the moment.
This study is not spot on my question, but it helps a bit.
Does anyone know of any post-surgery empiricism that is germane?