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Heart Valve Replacement and Heart Valve Repair Surgery

Heart Rate After Heart Valve Surgery – EMAIL BAG

May 10th, 2007

Heart Rate After Ross ProcedureI recently received a question from Roger Sudbeck about heart rates after heart valve surgery. Roger recently had open heart, valve surgery and noticed that his heart rate was still elevated several weeks following his procedure. FYI, Roger had aortic valve replacement in Lincoln, Nebraska by Dr. Ed Raines.

HERE IS ROGER’S QUESTION:

I want to know if you experienced an elevated heart rate post op. I am sure you have seen my posts indicating that I am running higher than pre op normal which was about 60. Now it seems I am running at about 80 to 90 which feels strange. I am just curious if you experience that as well and if so, how long did it take to come down? Also, did Dr. Starnes have you on BP med post op or a Beta blocker?

HERE IS MY RESPONSE:

Thanks Rog. And, it’s a great set of question about heart rates following heart valve surgeries – repairs and replacements for mitral valves, aortic valves, pulmonary valve, and tricuspids.

FYI, my heart rate has always been high but, like you, it spiked considerably following my aortic valve replacement.

However, it has come down a decent amount since the surgery. So, be assured that what you are experiencing is normal. No need to get worried. While I do not have any scientific data to share with you. I have spoke with several patients about this. In fact, in the new printing of my book, there is a survey of 75 former patients about many issues of the heart valve surgery process – from diagnosis through recovery. The survey results are fascinating.

That said, it’s interesting to watch the heart rate decline, over time, both at
rest and during exercise.

Actually, it’s amazing to watch.

I monitor my heart rate primarily when I’m riding the bike. (I think it would quite hard to do when I’m surfing… :) )

When I started cardiac rehab, my heart rate would rocket to 160 at
the slightest increase in tension on the wheel. The nurses at Torrance Memorial Cardiac Rehab were very sensitive about not pushing the heart too quickly following my Ross Procedure.

Now, however, I’m fifteen months post-op and I’m peddling away at level 11 with my heart rate hovering just over 170. I even pushed it the other day and got above 180.

I guess my point is your brain and body are still coming together, still integrating, still healing. In time, I believe you will see a drop.

Plus, I think you are only post-op 40 days or so, right? Give it
some time.

So you know, although I considered my physical recovery complete when I surfed in February, I still have a tough day here and a tough day there.

I still listen to my heart with a stethescope every once in a while. Maybe I’m crazy. Or, maybe I’m still mentally healing from open heart surgery.

I hope that helps.

Keep on tickin!

Adam

About The Author: Adam Pick is a double, heart valve surgery patient and author of The Patient's Guide To Heart Valve Surgery. This unique book integrates clinical research with the personal experiences of 135 former patients to help future patients and their caregivers better understand the problems, the opportunities and the realities of heart valve surgery. To learn more about Adam and his heart valve surgery book, click here.

2 Comments... Click here to add one.


Paula Pullen says on August 10th, 2011 at 5:31 am

I am 2 weeks post MV repair due to endocarditis. Since my I am fairly athletic and my pre-surgery resting HR was ~ 52-58, I became a bit concerned as I am now ~100 at rest. This article helped to reassure me that this is a usual post surgery phenomenon. I now have a pulse monitor on and will monitor the changes, as time goes by.

Regards,

Paula

 


Tim says on August 22nd, 2011 at 6:24 pm

I am 7 months post MV repair. During a unrelated doctor’s appointment last week, my heart rate was 93 bpm. Admittedly, I’m not as active as I was pre-surgery, but I’m beginning to wonder if it will ever come down. Perhaps with a bit more exercise and less stress at work! :-)

Best regards,
Tim

 

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