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From: Ron Deane <rdea6314_at_bigpond.net.au>
subject: [Paddlewise] Re coronary bypass recovery
Date: Sat, 21 May 2005 20:50:55 +1000
Chuck,

Like you, I had no symptoms, except a couple of unusual "heartburn" episodes,
which defied diagnosis by cardiologists. Finally after a colonoscopy and
gastroscopy, the gastrologist, rather than either of the highly regarded
cardiologists, detected an unusual heartbeat.

Diagnosis was a prolapsed mitral valve, causing a murmur.

An angiogram disclosed about 70% recirculation through the mitral valve.

In hindsight, (I am 57) my theoretical heart rate max is about (210 minus age
= 163), I was able to sustain heart rates on the stepper at the gym of about
190 - that should have told me something.

Surgery was similar to yours, open heart, to give me a "valve grind" on the
mitral valve by suturing the valve to tighten up the tolerances and eliminate
the recirculation. Luckily it did not need a mechanical replacement. That was
in August 2003

Recovery has been excellent, with the "chest zipper" scar hardly noticeable
now, and the fitness level back to a better level than that previously
attainable. Max heart rate is now down to about theoretical max at around 165
before I feel discomfort or nausea.

A couple of observations.

One of the physical therapy excercises I was prescribed was a lung function
excercise, which required sustaining exhalation into a device to keep a ball
or disc in suspension in the exhalation airstream. I found that very useful in
redeveloping lung function, because the surgery tended to make me restrict
inhalation to avoid pain. The lung function excercise, repeated every 20 min
or so, eased that pain considerably, and forced the pace of recovery.

The excercise regime is essential, to recover mobility and lung and heart
function. Keeping to flat terrain helps initially, followed by progressively
increasing the undulation and grade of the terrain you walk.

Because the open heart surgery is so protracted - about 4 hours - the level of
anaesthetic in the system is substantial and takes a couple of months to be
fully purged. I found that, like others with a chest zipper, I would have
irregular periods of hallucination (about 2 to 10 mins duration) for up to
about 3 months after the operation, with occasional occurances out to about 6
months.

Now, 20 months later - I feel great, and have no limitations on lung function,
nor mobility nor fitness, that I can detect. In fact I feel better than I did
before the operation, and I was pretty fit then!

Good luck with the recovery.

Ron Deane, Brisbane, Australia
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