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Medical Forum / General / Cardiology / May 2008

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Marfan,aortic disection, and exercise.

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stryped - 27 May 2008 19:30 GMT
I have read about Marfans syndrome and was wondering how it is
diagnosed? DOes the fact that i have had a "clean" echocardiogram mean
I dont have it? I am 6 feet tall and have some of the traits such as
cold hands and feet and nearsigtedness. I think I have long arms too
but not sure.

Also, I know it can cause an aeortic disection. (As does high blood
pressure). I am an avid runner and run most days a week. I am assuming
my blood pressure gets elevated when I run If I do this (running) for
the rest of my life, will I be more likely to have an aeortic
disection due to my constant running? (And the subsequest rise in
blood pressure?
Andrew B. Chung, MD/PhD - 27 May 2008 20:14 GMT
> I have read about Marfans syndrome and was wondering how it is
> diagnosed?

It is diagnosed clinically by history and physicial examination findings.

The diagnosis can sometimes be confirmed by genetic testing.

> DOes the fact that i have had a "clean" echocardiogram mean
> I dont have it?

A truly normal echocardiogram with normal aortic root size and normal competent valves makes the diagnosis less likely.

> I am 6 feet tall and have some of the traits such as
> cold hands and feet and nearsigtedness.

Such traits are not specific for Marfan syndrome.

> I think I have long arms too
> but not sure.
[quoted text clipped - 5 lines]
> disection due to my constant running? (And the subsequest rise in
> blood pressure?

Concern about increased risk of aortic dissection would not be raised until you are diagnosed with Marfan syndrome and there is evidence of aortic dilation (i.e. aneurym).

Hope the above information helps you.

Be hungry... be healthy... be hungrier... be healthier:

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Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
 
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