Jeffrey's Journal

I had a follow up echocardiogram last week having been first diagnosed with mild/moderate AS five years ago. I have been asymptomatic. I met with a cardiologist yesterday and have severe/critical AS with a .69cm2 opening and 4.9 blood velocity. He said no stress test is needed as if I presented to the ER with symptoms, I would have rolled up to surgery.

I've been riding my indoor bicycle trainer 3-5 hours per week and have even competed in a virtual race. Doctor wants me to cut that in 1/2 and only exercise when someone else is home. I meet with another cardiologist tomorrow to schedule an angiogram and then a surgeon. Looks like this process will go fairly quickly. I'll be 54 this summer. My cardiologist said the decision will be made between myself and my surgeon, but he's suggesting a mechanical valve given that I'm closer to 50 than 60. I understand probabilities and presently weighing the differences between a mechanical/warfrin vs. a bio valve with the expectation of a future re-do. Among my hobbies is blacksmithing (I literally make knives but also have exposure to high heat, abrasive wheels, etc.) I'll know more in a couple of weeks. This will be as difficult for my wife as for me. For the past 3 years, she's spent 7-10 days per month in Ohio taking care of her elderly mother and brother who has a disability.