Athletic performance in your 40s?

[Supermoon]

Holy hell Phatty! Glad you’re going to be ok.

[bennymac]

Wow so fortunate you were seen collapsing. Maybe tell your siblings to see a cardiologist as well - especially if they aren’t as into exercise as you are. Godspeed on your recovery! Your fitness will serve you well here.

[mcski]

I've been following this thread for a long time as I'm a solid 48. I work out 4-6 times per week and love hiking/trail running. I do some cycling, but trails are where I prefer to spend my time.

This Tuesday I had a massive heart attack (near 100% blockage of my right coronary artery) while running and was fortunate to have been on the roads near home so people saw me collapse and were able to call 911 and get me help. It was a fluke thing (plaque ruptured and body caused a clot forming the blockage) but just goes to show that it doesn't always matter what you do. All my friends are starting to freak out because if it can happen to me, health and exercise are not going to save them.

For me, I'll be back running again in a month or so and plan to get back to where I was, though I won't push things too fast. I still got a lot of days on the trails ahead of me and kids I need to see grow up. Hug your families and friends and make sure to tell them you love them.

This happened to a friend of mine at about the same age several years ago. Super fit athlete. Out on a road bike and had a big heart attack. Just by chance a fire dept ambulance was on the road coming up the hill behind him so they got him loaded up and to an ER pretty quickly. He recovered and was released after a few days and got cleared to exercise again and back at a vigorous regimen and everything seemed like getting back to norma. Sadly, he had another MI on a ride just a couple months later but he wasn’t so lucky that time and that was it for him.

So, VERY glad you survived! Now just make sure you keep it that way with a good recovery plan and check ups!

[phatty]

Holy shit, so glad to hear you're not dead!

My first thought was that I was glad it didn't happen on Kessler on Saturday. Only saw 3 people the whole time.

[Norseman]

Holy fuck Phatty. Glad you're alright man!

[phatty]

This happened to a friend of mine at about the same age several years ago. Super fit athlete. Out on a road bike and had a big heart attack. Just be chance a fire dept ambulance was on the road coming up the hill behind him so they got him loaded at to Er pretty quickly. He recovered and was released after a few days and got cleared to exercise again. Sadly, he had another one on a ride just a couple months later but that time he wasn’t so lucky and that was it for him.

Glad you survived! Now just make sure you stay that way!

Don't like to hear that! They say everything looks good now, but have another appointment on Friday to get a better view of things. Needless to say, everyone I know is freaking out and getting appointments with cardiologists. Hopefully I can help someone else avoid what happened to me. I'm just glad I'm still around.

[altacoup]

I've been following this thread for a long time as I'm a solid 48. I work out 4-6 times per week and love hiking/trail running. I do some cycling, but trails are where I prefer to spend my time.

This Tuesday I had a massive heart attack (near 100% blockage of my right coronary artery) while running and was fortunate to have been on the roads near home so people saw me collapse and were able to call 911 and get me help. It was a fluke thing (plaque ruptured and body caused a clot forming the blockage) but just goes to show that it doesn't always matter what you do. All my friends are starting to freak out because if it can happen to me, health and exercise are not going to save them.

For me, I'll be back running again in a month or so and plan to get back to where I was, though I won't push things too fast. I still got a lot of days on the trails ahead of me and kids I need to see grow up. Hug your families and friends and make sure to tell them you love them.

I’ve been meaning to get a heart scan for a while now. I think they’re less that $80 out of pocket at St Marks. Just keep forgetting to make an appointment. Scan will show if you have plaque build up.


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[I've seen black diamonds!]

Holy shit, Phatty. Glad you're still kicking.

I need to make those doctor appointments I've been putting off. And carry my Inreach even when I'm close to civilization.

[phatty]

I’ve been meaning to get a heart scan for a while now. I think they’re less that $80 out of pocket at St Marks. Just keep forgetting to make an appointment. Scan will show if you have plaque build up.


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Yep. Make that appointment ASAP!

[Norseman]

Please ignore if it sucks too much to think about, but... what did it feel like?

Was there any sensation build‐up or hint of weirdness before the slam?

[XXX-er]

Shop bro's sponsored rider had a massive heart attack dying on the indoor trainer I think he was mid 40's and easily THE fastest guy in town

on a positive note my ski bud/ pot smoking/ beer drinking 69yrs old ex-md buddy had heart issues last year riding a bicycle to Tuktoyaktuk on the arctic ocean, so they had to stop the ride

The pro's worked on him I think put in a stent and and this year he made it all the way there and back so I guess there is always hope

apparently the beta blockers would slow ski bro down enough on the skin track so he was really easy to keep up with

Life is fragile so you never know

[phatty]

Please ignore if it sucks too much to think about, but... what did it feel like?

Was there any sensation build‐up or hint of weirdness before the slam?

I was feeling light headed and queasy when I was running. Then I passed out. Once the ambulance got there, I started to have a hard time breathing and tightness in the chest. This was when I was having the actual heart attack. I was lucid and able to talk the whole time.

I had not felt anything funny in the lead up, so it was out of nowhere.

[bennymac]

Plaque ruptures leading to sudden blockage (from your blood clotting onto the ruptured plaque) don’t always have preceding warning signs - which is scary AF. You go from a minor narrowing to complete blockage in minutes.

[phatty]

Plaque ruptures leading to sudden blockage (from your blood clotting onto the ruptured plaque) don’t always have preceding warning signs - which is scary AF. You go from a minor narrowing to complete blockage in minutes.

Yep. That's why I was so fortunate. I don't even have excessive plaque build up.

[carlh]

Phatty that’s some scary shit. Glad you got help and hoping for a full recovery for you.

[SeatownSlackey]

So glad you’re still with usand on the mend. Heal up quick amigo


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[The SnowShow]

Glad to hear you’re ok Phatty. Holy fucking shit!

Do doctors recommend annual heart scans when one reaches the late 40s?

[AK47bp]

Oh man, that is crazy. Glad you’re okay and quite the eye opener. Guess we aren’t indestructible during our 40’s.

[stapes]

Damn Phatty! Glad you’re alright. That’s scary.

[The AD]

Wow, I'll say. Scary shizz! I started Peter Attia's "Outlive" and this is exactly the kind of thing he talks about a lot. His believe is medicine should be screening people for potential issues way earlier than is the current norm. Hard to argue that point, and I think Phatty's experience proves it.

[muted reborn]

Good luck phatty, that's scary. I just came out of the ER today because of a heart issue that I'm hoping I'll get a positive outcome/solution for. Mentally it's unnerving, ack. It's nothing like a massive heart attack though!

[yeahman]

Damn you guys, this is tough to read. Best wishes for healing.

I am in my 50s and am very conscious about not over-working my heart. Steady uphill hiking is perfect for me, but no trail running or anything that is going to push me too hard, even though I still feel capable. Even mountain biking gets my heart going more than I would like, so I take it easy and stop on the uphill to bring my heartrate down. It's a completely unscientific approach but I really don't want to jar any of those plaque chunks loose!

[Dantheman]

My first thought was that I was glad it didn't happen on Kessler on Saturday. Only saw 3 people the whole time.

Seriously.

Please ignore if it sucks too much to think about, but... what did it feel like?

Was there any sensation build‐up or hint of weirdness before the slam?

If I remember Attia correctly, for about 50% people their first overt symptom of heart disease is death.

Glad to hear you’re ok Phatty. Holy fucking shit!

Do doctors recommend annual heart scans when one reaches the late 40s?

Heart scans will only pick up calcified plaques, which again IIRC correctly are more stable and less likely to rupture catastrophically. It's the gooey squishy ones that get you. There are scans that will pick those up, but I forget the names. I think they're pretty expensive.

[Trackhead]

Glad to hear you’re ok Phatty. Holy fucking shit!

Do doctors recommend annual heart scans when one reaches the late 40s?

Heart scans are NOT recommended as routine screening by USPSTF at all…yet. ASCVD risk calculation is used to determine need for statins. Routine aspirin is no longer recommended for primary prevention. In the future heart scans may be part of USPSTF guidelines but they currently are not.

[rod9301]

It depends on the density of the calcium deposits, which can be calculated from the scan results.

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