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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Exercise Be Performed If Having Diastolic Dysfunction And Heart Failure?

I had a RHC 5 months ago that showed normal pressures-- PA 28/12, Mean PA 16, PCWP 10. Becasue I was still having dyspnea and had a CPET that showed gas exchange abnormality, my doctor decided to do a RHC with exercise, but I never did exercise because the presures had changed. The new pressure was PA 48/23, Mean PA 31, PCWP 23. He diagnosed diastolic dysfunction and heart failure. I am 39 years old, no HTN, no sleep apnea, no CAD. I exercise regualrly and normally I push to the top end of my heart rate. Is this O.K. to do? Is it still O.K. to lift weights?
Mon, 9 Mar 2015
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Cardiologist 's  Response
Hi,

Exercise has favorable effects on cardiovascular system. Even in advanced heart failure light exercise is encouraged.
If you don't have breathlessness during the exercise, it means that exercise is normal for you. You can lift even weights if you don't have dyspnoe.
My only advise will be try not to reach the maximal heart rate, better a bit lower that maximal heart rate.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask.

Regards,
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Can Exercise Be Performed If Having Diastolic Dysfunction And Heart Failure?

Hi, Exercise has favorable effects on cardiovascular system. Even in advanced heart failure light exercise is encouraged. If you don t have breathlessness during the exercise, it means that exercise is normal for you. You can lift even weights if you don t have dyspnoe. My only advise will be try not to reach the maximal heart rate, better a bit lower that maximal heart rate. Hope I could help you Wishing you good health In case of further questions don t hesitate to ask. Regards,