Scientists are calling for widespread heart screening of people before they begin weight training. That's based on new evidence that lifting more than half your body weight could put you at risk of sudden death, as this ScienCentral News video explains.
Strong Evidence
"They wanted let me go home ... They gave me the option to stay but said 99 percent I'd be fine to go home ... They wanted me to come back the following day for a stress test," Bill Linski recalls. He was only 21 years old and in great shape from his 6-day-a-week gym workouts when intense chest pains sent him to his local hospital emergency room. Luckily, he let his mom decide. She thought he should stay.
It turned out that pumping iron earlier that day had pumped up Linski's blood pressure, which caused a tear in his aorta, the heart's main artery. He was airlifted to Yale New Haven Hospital where surgeon John Elefteriades performed lifesaving surgery.
Sadly, Elefteriades says similar scenarios all too often end in the death of a healthy young man. "A problem and a tragedy arises in the fact that it's uncommon for physicians to think of an internal tear of the aorta in healthy young athletes," Elefteriades says.
In 2003, he and his team wrote in the Journal of the American Medical Association that they'd noticed a pattern: five young patients, including Linski, with torn aortas following heavy lifting. All had a previously undetected aneurysm, or enlargement of the aorta.
Now, they report even stronger evidence of this association in the journal Cardiology, where they've documented that link in 31 patients.
"Of the 31 patients," says Elefteriades, "10 of them are dead."
He's grateful to family members who contacted him and allowed him to investigate the deaths of their loved ones. "Through the generosity of families who shared their stories with me ... I've heard the most tear-wrenching accounts," he says.
His team's new recommendations are based solely on trying to prevent such terrible losses, he says. "For heavy strength training involving weight lifting or similar activities like pushups, we're recommending screening for unknown or undetected aortic aneurysm."
Elefteriades says that includes people who do heavy lifting on the job, and that the team defines heavy lifting as more than half your body weight.
The screening test they recommend is a heart echo exam, technically called transthoracic echocardiography, also commonly called a heart ultrasound. It's "a very simple test which is painless, it's fun to have and relatively inexpensive," he says.
"They wanted let me go home ... They gave me the option to stay but said 99 percent I'd be fine to go home ... They wanted me to come back the following day for a stress test," Bill Linski recalls. He was only 21 years old and in great shape from his 6-day-a-week gym workouts when intense chest pains sent him to his local hospital emergency room. Luckily, he let his mom decide. She thought he should stay.
It turned out that pumping iron earlier that day had pumped up Linski's blood pressure, which caused a tear in his aorta, the heart's main artery. He was airlifted to Yale New Haven Hospital where surgeon John Elefteriades performed lifesaving surgery.
Sadly, Elefteriades says similar scenarios all too often end in the death of a healthy young man. "A problem and a tragedy arises in the fact that it's uncommon for physicians to think of an internal tear of the aorta in healthy young athletes," Elefteriades says.
In 2003, he and his team wrote in the Journal of the American Medical Association that they'd noticed a pattern: five young patients, including Linski, with torn aortas following heavy lifting. All had a previously undetected aneurysm, or enlargement of the aorta.
Now, they report even stronger evidence of this association in the journal Cardiology, where they've documented that link in 31 patients.
"Of the 31 patients," says Elefteriades, "10 of them are dead."
He's grateful to family members who contacted him and allowed him to investigate the deaths of their loved ones. "Through the generosity of families who shared their stories with me ... I've heard the most tear-wrenching accounts," he says.
His team's new recommendations are based solely on trying to prevent such terrible losses, he says. "For heavy strength training involving weight lifting or similar activities like pushups, we're recommending screening for unknown or undetected aortic aneurysm."
Elefteriades says that includes people who do heavy lifting on the job, and that the team defines heavy lifting as more than half your body weight.
The screening test they recommend is a heart echo exam, technically called transthoracic echocardiography, also commonly called a heart ultrasound. It's "a very simple test which is painless, it's fun to have and relatively inexpensive," he says.
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