Do any heart issues run in your family?
No. Just high blood pressure from parents. Parents are 70.
The Dr who called is covering for my Dr. The Dr who called happens to be the director of interventional cardiology at St Francis in Roslyn. Great heart hospital.
I mention trt , he said you may want to hold off on that. Fuck. Obviously he did not even care why am on trt.
Did you ever use stimulants or abuse anything?
I think thyroid disease can also affect your heart bro.
Thyroid is fine. I never abused anything. Not even pot. Nothing. I rarely drink alcohol.
Do you know why? EF between 40-50% is considered borderline, have to look at the complete picture. Valves OK? Muscle thickness? Coronary arteries? Hypertension? Diabetes? Sorry if you posted any of this earlier, I went be over a few dozen posts but may have missed any with these details.
Anyway, it can be improved, once the cause is addressed. I doubt TRT and Cialis would be a problem, but not positive at this point. Some use the ED drugs off label for hypertension (which was the original intent for Viagra, until a particular side effect was discovered). Hang in there. Maybe some follow up tests are in order, stress echo, MRI, etc., to nail down the cause. This is likely manageable.
I did not get full echo report yet. Once I get I can read about valves and size.
i had a CT angio done on December. Zero calcium score. No CAD
I did start taking metformin 8 weeks ago.
Am researching this medication now.
Thanks for your reply. And I am no way near diabetics. Took metformin for belly fat. Which I may stop as of today.
What do you think the chances are heart failure actually caused all these symptoms and caused low t? It happened so acutely October 2017. Hot flashes. Insomnia. Major heart paps . High blood pressure.
Not sure if an overthinking this nowā¦but abdominal bloat ā¦ urgency to pee(which I thought was e2),ED are symptoms of HF. @highpull
I currently feel very good.
The low T could well have contribute to the heart issue, actually. The abdominal bloat could be a heart thing, but the TRT isnāt causing it, you havenāt been on it long enough to do that. The heart condition could be from a lot of things, or may not be an actual condition. Do you have an old echo from years ago to compare? Mine showed slight thickening, whatās known as āAthletes Heartā. I had one done about 15 years ago and they were identical, which shut the idiot PCP up.
Am going to try to get an echo I did about 10 years ago.
It is possible the acute stuff am talking about perhaps was a minor heart attack back in October 2017. And the damaged caused heart muscle damage. Itās a small possibly. I had cold sweats, high blood pressure, hot flashes , insomnia, heart paps all this started quickly and lasted weeks.
I expect the cardiologist to order a PET stress/rest myocardial perfusion test that can detect muscle damage and blood flow through heart.
Yeah, but perfectly understandable. A few years ago I was given a diagnosis that led my wife to the internet. I donāt know where her search ended up but she came away thinking I was going to die and wasnāt being forthcoming with her.
Bears repeating. A good sign.
Iāll post my echo report for reference even though knowledge on this is very limited.
My problem is if trt caused this? Maybe it actually helped this. It just complicates things. I hate to get treatment when it was trt that caused this. If I stop trt do I take clomid or Nova to restart faster?
A EKG done before i started trt was completely normal. After trt all had some minor adnormality. Now that I found this out- i wonder if my cold hands was actually from not getting enough blood to hands from heart.
I am not a cardiologist, just as a disclaimer. No thickening is noted, and the only thing shown to be related to androgen use is thickening of heart muscle and enlargement of the heart. This can reduce tissue flexibility and decrease function, and possibly lead to damage to tissues like the mitral valve (although that is conjecture - I donāt know that there is a clinically established link). You donāt have any thickening of the heart wall mentioned. It would appear coincidental, and unlikely to be related as you havenāt been on TRT long enough to affect any of those things. The low T you had for probably years is a more likely culprit, but this is probably just a thing that happened to you separate from all of that.
Thanks for this hardartey.
So I spoke with the Dr who āwroteā the report. He reviewed the actual images and states the ejection factor is not 35-40% but is 45-50%
He will be modifying the report. He must have relyed on the sonographer.
I also asked that he review all measurements.
Unreal.
Found one from 2012. Has 55% EF.
It does say mild mitral valve thickened
I mistyped that a little. I meant thickening of the heart wall. The mitral valve can have congenital abnormalities that arenāt particularly significant, and sometimes they are wrong. My wife supposedly had Mitral Valve prolapse for years. Turns out, no she doesnāt.
Another dr called me. Going for a cardiac mri for way more accuracy
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Thatās a good call. Iām still guessing (hoping) youāll end up with a good prognosis and follow-up observation.
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Opinion anyone?
I can run . I get to 160 or so. Not short of breath.
Itās about recovery HR.
So within a minute it drops pretty quickly to about 120. But I stay close to 100 for at least 2 hours.
My rhr is just under 80. I know the key is the initial first minute and that drop is good.
Is this normal? I donāt think so.
@NH_Watts @anon10035199 @hardartery @highpull
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Yep. You have minimal regurgitation, theyāll probably want to follow it and make sure there is no progressive damage to the heart, increased wall thickness, etc.
Not sure dude. All I know is me and whatās normal for me.
How long are you running for Charlie?
Have you ever had your adrenaline checked?
A resting HR of 80 is already slightly high, so maybe nothing to be too concerned about. How do you feel when it wonāt go down?