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Old 07-18-2012, 11:53 PM   #1
James A Stevens
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Help regarding Pulmonary Embolisms

Hi Guys,

Picking the forums brains here and seeking a little advice as well.

I recently ended up with bilateral pulmonary emboli (nearly 4 weeks ago) and after a raft of questions the medico's can't figure out how it happened. Anybody have exercise related embolisms before?

My doctor is fine with cardio and okay with bodyweight but says no to weights. Anybody know why?

Now I was pushing hard prior to the PE's but was only in Hospital for 23 hours, no major complications and already back to full running speed over a 2.4km course (actually no a little faster than before PE). My workouts were on average covering about 30 mins of warm up and anywhere from 15min - 45min of bodyweight/weights/kettlebell/run (very CF style, but endurance focused).

Any input, suggestions or advice greatly appreciated
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Old 07-19-2012, 05:02 AM   #2
Sean Rockett
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Re: Help regarding Pulmonary Embolisms

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Originally Posted by James A Stevens View Post
Hi Guys,

Picking the forums brains here and seeking a little advice as well.

I recently ended up with bilateral pulmonary emboli (nearly 4 weeks ago) and after a raft of questions the medico's can't figure out how it happened. Anybody have exercise related embolisms before?

My doctor is fine with cardio and okay with bodyweight but says no to weights. Anybody know why?

Now I was pushing hard prior to the PE's but was only in Hospital for 23 hours, no major complications and already back to full running speed over a 2.4km course (actually no a little faster than before PE). My workouts were on average covering about 30 mins of warm up and anywhere from 15min - 45min of bodyweight/weights/kettlebell/run (very CF style, but endurance focused).

Any input, suggestions or advice greatly appreciated
did you have family history of PE or clots or any blood work showing genetic tendencies?
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Old 07-19-2012, 09:52 AM   #3
Frank E Morel
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Re: Help regarding Pulmonary Embolisms

cause he doesnt them want to break loose. If they break loose the clot will end up in your brain , heart or other organ. Its a serious warning ... follow the treatment plan.
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Last edited by Frank E Morel : 07-19-2012 at 09:55 AM.
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Old 07-19-2012, 05:15 PM   #4
James A Stevens
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Re: Help regarding Pulmonary Embolisms

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Originally Posted by Sean Rockett View Post
did you have family history of PE or clots or any blood work showing genetic tendencies?
No no family history and so far nothing showing in the blood work. Specialist keeps saying "hhhmmm" and looking thoughtful everytime. I seem to have them somewhat confused!
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Old 07-19-2012, 05:32 PM   #5
James A Stevens
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Re: Help regarding Pulmonary Embolisms

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cause he doesnt them want to break loose. If they break loose the clot will end up in your brain , heart or other organ. Its a serious warning ... follow the treatment plan.
Yeah I get that but wouldn't aerobic stuff be the same risk?
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Old 07-19-2012, 08:08 PM   #6
Katherine Derbyshire
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Re: Help regarding Pulmonary Embolisms

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Originally Posted by James A Stevens View Post
Yeah I get that but wouldn't aerobic stuff be the same risk?
I think the problem with weightlifting is probably blood pressure spikes. Aerobic stuff doesn't have you holding your breath with more than your bodyweight on your back.

Katherine
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Old 07-19-2012, 08:44 PM   #7
James A Stevens
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Re: Help regarding Pulmonary Embolisms

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I think the problem with weightlifting is probably blood pressure spikes. Aerobic stuff doesn't have you holding your breath with more than your bodyweight on your back.

Katherine
That kind of makes sense. But I tell you what, I miss weightlifting and it's only beennnearly a month! :-(

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Old 07-20-2012, 08:59 AM   #8
Scott Kraatz
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Re: Help regarding Pulmonary Embolisms

James,

I've had PEs. I'm Factor V Leiden positive. It's a clotting disorder (WFS http://en.wikipedia.org/wiki/Factor_V_Leiden). It predisposes one to blood clots, which caused my PEs (yes, it's happened several times).

You can get blood clots from flying in plane or sitting too long. Would either of these apply to you?

You should have them test you for Factor V Leiden. You may require chronic Coumadin treatment.

Good news: I've been cycling heavily for the last 10 years and doing CF for the last 2 years. I have had no complications. I live a completely normal life, with the exception of taking Coumadin daily.

I don't know how long your doctor advised to stop hitting the weights but you should stick with his recommendation for as long as you can. If he says never again, maybe look for a different doctor.

It's important to test for Factor V, especially if you have/plan to have kids. It's genetic and they may get it from you. It's good to know if they ever require surgery, have a leg in a cast, or if they fly long distances. If so, they can take precautions so they don't get a blood clot in these situations.
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Old 07-24-2012, 12:19 PM   #9
Frank E Morel
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Re: Help regarding Pulmonary Embolisms

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Originally Posted by Katherine Derbyshire View Post
I think the problem with weightlifting is probably blood pressure spikes. Aerobic stuff doesn't have you holding your breath with more than your bodyweight on your back.

Katherine
this is a close simple explanation. but here is a more scary numbers version
Anticoagulant treatment decreases mortality to less than 5%. At 5 days of anticoagulant therapy, 36% of lung scan defects are resolved; at 2 weeks, 52% are resolved; and at 3 months, 73% are resolved. Most patients treated with anticoagulants do not develop long-term sequelae upon follow-up evaluation. The mortality in patients with undiagnosed pulmonary embolism is 30%.

In the PIOPED study, the 1-year mortality rate was 24%.[30] The deaths occurred due to cardiac disease, recurrent pulmonary embolism, infection, and cancer.

The risk of recurrent pulmonary embolism is due to the recurrence of proximal venous thrombosis; approximately 17% of patients with recurrent pulmonary embolism were found to have proximal DVT.

do you want to gamble with numbers like that?
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Old 07-26-2012, 11:58 AM   #10
Andrea Kirk
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Re: Help regarding Pulmonary Embolisms

I'm wondering how common this is. Looking at the medical literature it seems to a occur in athletes very very rarely, but we recently had a friend get an Embolism along with diagnosis of Thoracic Outlet Syndrome, which is apparently where pressure builds up on veins leading to the arms. The pressure can increase from growth of tissue, overuse etc. from weight lifting. I wonder if its under-diagnosed or under reported. Others heard of this happening with weight lifters?
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