I've mentioned a few times that I had a Cocksackie virus last winter. (Nothing to do with COVID-19. These viruses have been around forever and are known to cause heart problems in adults.) I was really tired all the time. My PCP diagnosed a general virus and said it would probably resolve itself. It did in about a month until I couldn't breathe on a bike ride. Not a good thing. I went back to the PCP and my cardiologist. I'll leave out the details, but I was diagnosed with myocarditis, inflammation of the heart muscle. By the time the myocarditis sets in, the virus is long gone. Time and rest for 8-12 weeks are the only treatments for it. I was able to ride my bike but with NO stress and keeping my HR at a very low threshold, and it had to be on a flat surface like my local rail trail. I also slept A LOT (think 2-3 hour naps on the weekends and sometimes after work). I also worked with a university rheumatologist to rule out any other issues; he is the one that diagnosed the Cocksackie virus.
The myocarditis resolved itself by early June, but I was left with symptoms that were still occurring like fatigue, shortness of breath, and general malaise. I had all of the tests from earlier in the year repeated. Sure enough, they showed that the mitral valve had damage and was most likely causing the symptoms. Because of COVID-19, the local university hospital had closed their cardio-thoracic surgical dept. except for emergencies until August. My cardiac medical "team" is all based here, and they are the only ones locally to do robotic mitral valve repair and replacement. The main surgeon is one of the robotic pioneers and has done over 3000 procedures. Needless to say, I'd be in good hands. It took time to get appointments and all of the prelim tests and procedures done. October 1 I had a mitral valve replacement.
Recovery is long?? I don't really know--I've read everything from 6 weeks to 6 month. Each person is different, and I don't know anyone that has had a mitral vale replacement. It takes 4-6 weeks just to get over the physical surgery, the 14+ incisions, and 6 "stab wounds" that go through the ribs for the robot. I've talked with a few athletes that have had an aortic valve replacement, and that recovery seems longer. I'm out of work for at least 6 weeks (thank you FMLA!). I am back on the bike very very slowly (think 8 mph on the rail trail vs. 12 mph I was doing with myocarditis and 16-17 mph is "normal."). At two weeks the surgeon and cardiologist want you MOVING. Not "working out" or "exercising" but just MOVING. That's what I'm doing. It will be a couple of months before I can really do yoga or weights. Until then it's just moving and keeping the legs going around in circles. I'm back driving and trying to do 1-2 "useful" things/day to keep moving before going back to the couch.
I'm sleeping a lot although trying not to after 4 pm, so that I can get my sleep pattern back within the next few weeks. I'm sleeping 9.5-10 hours/night.
Oh, wow. I’m glad they figured it out, and that it was fixed by someone who sounds quite capable. I hope your recovery goes well and that you’re back to biking how you like in due time. Rest up in the meantime!
My gosh sadlebred! I knew you were working through the diagnoses but wow. I know how much riding means to you. I hope your recovery is smooth as can be. Thinking of you!!
Post by lilypad1126 on Oct 19, 2020 7:40:23 GMT -5
Oh my gosh! I'm so glad to hear you had such a great medical team for this. I hope your recovery smooth and that you are back riding like you want to be soon!
Post by monkeyfeet on Oct 19, 2020 12:09:01 GMT -5
Wow! I am a lurker, but also wanted to wish you a speedy recovery! I’m glad they were able to diagnose you relatively quickly and that you received great care.
Post by keweenawlove on Nov 3, 2020 10:56:57 GMT -5
I'm sorry you're going through on this on top of everything else in 2020 but I'm glad you're being taken care of an wish you a quick and complete recovery.
Post by farfalla2011 on Nov 10, 2020 12:40:41 GMT -5
I haven't popped over here in a long time, but I'm so sorry to hear this sadlebred! I hope your recovery is going well and you'll be back to normal quickly.
Just wanted to give encouragement. My husband has had myocarditis twice with an active infection (5 years apart) and it sucks. We now see Dr Cooper with Mayo Clinic as he has been researching myocarditis almost his entire career. He and his research team are the best! Also, the myocarditis foundation is great for support and encouragement as well.