been having some issues and diagnosis is acute pericarditis. theyre going to do an echo monday or tuesday. so hopefully ill know more then. such a bummer. wondering what others experiences have been like. cant wait to get back to normal.
I’ve had some intermittent symptoms that I checked on, but they resolved quickly, so don’t think I’ve had pericarditis.
This article is worth reading.
A member of my cycling club (female, mid-40s, excellent health previously and fast on a bike) suffered a pretty serious attack and it took her a good year to get back to real exercise. Hopefully it won’t be so bad for you, but the one lesson from her experience is give yourself ample time to recover and don’t try to rush back. She had a couple of relapses, despite feeling fit for normal life, as a result of restarting relatively intense exercise too soon. On the plus side, it’s eminently treatable and you can get back to where you were - hope all goes well and good luck with the patience.
A couple of years ago The Doctor’s thought I had it. They put me through all kinds of test. Nothing happened. I think I had pulled a muscle in my chest during Cyclocross season which I had to cut short due to the concern. They wanted to put me a drug before an ECHO. The ECHO came back fine. It eventually went away. I would just say make sure it’s proven to you that is what it is. Good luck.
I’m a cardiologist and I completely agree with the article posted from the ACC website. We generally discourage exercise or strenuous activity until the inflammation within the pericardium has completely resolved. I think the question centers around whether or not you truly have pericarditis. There are a million causes of chest pain, and I think it’s important to discern out whether or not you truly have pericarditis, as this determines the recommendations regarding exercise. It’s hard to know without seeing an EKG, some basic labs (CRP, ESR), and taking a complete history.
So did it turn out to be pericarditis?
I’ve had recurrent pericarditis since I was in high school (now 40). First episode happened while out on a cross-country training run when I was 17. Felt like I got stabbed in the back right between my left shoulder blade. Don’t really remember much almost like I passed out. Had to be carried back by one of the coaches. Had a bad grade 6 pericardial friction rub that could be heard without a stethoscope. Cardiologist did an echo and confirmed the diagnosis. Said it was most likely viral/idiopathic. I was pretty underweight then and training hard so immune system was probably really depressed and a little cold took me down. I was on ibuprofen for a month and felt really lethargic and fatigued along with having my heart gallop.
It’s happened probably 4 other times during really stressful times in my life. In fact, I just got saddled with another recurrence. New job, high training load, and a cold did me in a few weeks ago. A couple days prior to me figuring out that it recurred, I was having a nagging back issue again in between my shoulder blades. Then, picked up a bad cold. Heart sounds had a split S2 murmur and exacerbated when laying on my left side. I took a couple weeks off and another course of ibuprofen. Symptoms backed off and I’m slowly easing into training again. First real ride today and I felt like I have no energy and legs are like mush. I had to gradually back the intensity down 20% to finish the workout. But best to listen to your body and not push too hard.