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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Monitored For Thoracic Aneurysm And Advised Not To Lift Heavy Loads. What Do You Recommend?

hi, I have an thoracic aneurysm that is being monitored.....it is 3.3mm presently. I was told not to lift more than 20 lbs. So, I realize that one exerts themselves in other ways such as opening a window, shoveling snow and even having a bowel movement. I was just googling for example, how many pounds of exertion does it take to open a window and somehow got this site. Are you able to give me an idea of the pounds of exertion that are involved in doing these physical activities ?
Thu, 21 Nov 2013
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General & Family Physician 's  Response
hello there!
Thank you for asking. read your query and i want you to know that
Aortic aneurysm is by definition beyond 4.5cm. between it and 3.5 is is simple aortic dilation a condition less severe than aneurysm. Aneurysms are fatal if they rupture, And there are the odds for it.
If the diameter is under 4cm, the odds of rupturing in 5 years are zero percent.
If it is between 4 and 5.9 cm. then the odds increase to 16 % ( that is every 16 people out of 100 will be at risk to rupture in next 5 years).

before talking about odds of survival or what weight to lift, ANswer my few questions.
-Do you have any chest back or abdominal pains.
-Do you have shortness of breath?Any blood in sputum or vomitus or stools? Any hoarseness in voice?
-Do you smoke?
-Are you hypertensive?
-Any connective tissue disease like MArfan syndrome, Ehler Danlos syndrome etc.
-Any rheumatologic disorders, such as giant cell arteritis, Takayasu arteritis, and psoriatic arthritis.?
-Any Syphilis history?
-Are ther any bleeding tendencies? deranged clotting profiles?
-Is your cardiac status Ok? MI history etc
-Are your kidneys fine?
-How is your lipid profile? is it atherosclerotic or deranged?

if the answers to these question are affirmative and good then less are the chances of trouble.

The goal of medical therapy is to reduce the pulse pressure (dP/dt) within the aorta. Reducing the heart rate, the blood pressure (BP), pain, and anxiety are the mainstays of therapy. Its not just about lifting a weight extent. Hope i was ofr some help

Regards
Dr S Khan
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Monitored For Thoracic Aneurysm And Advised Not To Lift Heavy Loads. What Do You Recommend?

hello there! Thank you for asking. read your query and i want you to know that Aortic aneurysm is by definition beyond 4.5cm. between it and 3.5 is is simple aortic dilation a condition less severe than aneurysm. Aneurysms are fatal if they rupture, And there are the odds for it. If the diameter is under 4cm, the odds of rupturing in 5 years are zero percent. If it is between 4 and 5.9 cm. then the odds increase to 16 % ( that is every 16 people out of 100 will be at risk to rupture in next 5 years). before talking about odds of survival or what weight to lift, ANswer my few questions. -Do you have any chest back or abdominal pains. -Do you have shortness of breath?Any blood in sputum or vomitus or stools? Any hoarseness in voice? -Do you smoke? -Are you hypertensive? -Any connective tissue disease like MArfan syndrome, Ehler Danlos syndrome etc. -Any rheumatologic disorders, such as giant cell arteritis, Takayasu arteritis, and psoriatic arthritis.? -Any Syphilis history? -Are ther any bleeding tendencies? deranged clotting profiles? -Is your cardiac status Ok? MI history etc -Are your kidneys fine? -How is your lipid profile? is it atherosclerotic or deranged? if the answers to these question are affirmative and good then less are the chances of trouble. The goal of medical therapy is to reduce the pulse pressure (dP/dt) within the aorta. Reducing the heart rate, the blood pressure (BP), pain, and anxiety are the mainstays of therapy. Its not just about lifting a weight extent. Hope i was ofr some help Regards Dr S Khan