Looks like I might have a had a heart attack?

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MNJames
New Member


Date Joined Aug 2017
Total Posts : 5
   Posted 8/13/2017 10:01 AM (GMT -6)   
I am looking at my first ohs soon to replace my aortic valve and fix a 5cm root aneurysm. During the work up last week I had my angiogram which came out very well. At 46 my cardiologist said I had the arteries of a 25 year old, which was very surprising as my family history is filled with coronary artery disease. I had an EF of 65%, good pressure, everything looked great.

Well this morning I looked up e actual test results, and saw my EKG test online that I took right before the angiogram (had an echo a month ago when they found my valve and aneurysm, which was otherwise normal). Anyway to my shock the cardiologist wrote that I had had a previous septal mydichardial infarction of undetermined time. So at some point the EKG says I had a septal heart attack, but I have no memory of it, no symptoms and my cardiologist never even mentioned it to me, and he signed the test prior to my angiogram. He did not mention it at all during the talk we had after the angiogram when I was in recovery, he said everything looked great.

Is it safe to write this off and bad leads on an EKG do you think? My heart seems pretty healthy other than the bicuspid valve and aneurysm. I will call my cardiologist, obviously.

What has been your experience with old undiscovered heart attacks? Is there any sense in trying to treat it? Assuming it was genuine of course? Or if I had one, the damage is done and drive on, especially since it doesn't seem to be causing me hassle at all.

Finally, my main worry was that it would stall or prevent my surgery. Many others getting aneurysm repairs seem to contradict that and say it did not interfere with their surgery.

Would love to hear from others who have gone through anything like this. To me the idea I had a heart attack was a rude awakening and quite a shock.

Any survivors of silent heart attacks out there? What steps did you take to avoid further heart issues?

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14818
   Posted 8/13/2017 10:52 AM (GMT -6)   
Hello & welcome to the forum. I will give you my brother's experience with a "silent heart attack". Had high BP for yrs on meds to control it. He always had EKG's done yearly, all normal. At 50, his PCP decided he should see a cardiologist for an evaluation. Saw the cardiologist who said lets do an echo to make sure everything checks out ok. Had echo, serious issues with the aortic valve. Next step was a heart cath, & the dr came out & said at some point he had a silent heart attack with no damage. We were shocked too & he certainly had never exhibited any signs of being in trouble. The dr was not concerned at all about this either. By the way, his aortic problems were not the result of the silent heart attack either, the dr made that clear to us. Silent heart attack usually does not present itself like other will. He had the valve replacement done & did great & was not put on any different meds as a result of the silent heart attack.

Four years ago I got sick & ended up in the ER & was admitted. Because of my long history of high BP (was 28 when dx'd) they checked my cardiac enzymes which came back elevated & stated I had a mild heart attack, age unknown. Mine was not classified as a silent heart. However, I didn't know I had one. The good news just like my brother no damage to the heart, that is when to worry. I do yearly testing because of a long standing valve issue that is monitored. I am on the same BP meds as before, nothing new added.

I can assure you, if the dr feels this situation would be placing you in any danger, he would not go forward with surgery. If you would like perhaps go to the Mayo Clinic's website & type in septal heart attack & read about them. If I want correct info this is where I look because there is so much garbage on the net.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

MNJames
New Member


Date Joined Aug 2017
Total Posts : 5
   Posted 8/13/2017 11:02 AM (GMT -6)   
Your brother sounds a lot like me. It is amazing what they can deal with these days. I have had an echo, an angiogram/catherization, and so far the only issue seems to be my aortic valve and aortic aneurysm. There is no evidence of any other damage to my heart, and it seems to be working very well. Better than I expected actually.

When you say "that is when to worry," you are meaning when there is damage to the heart, right? I might have misread what you said there.

My BP is good, my heart works well, I have no blockages, my O2 levels are 97-100% and I have no symptoms, no thickening or enlargement of the heart, no evidence what so ever I had a heart attack other than the EKG reading. I guess I will call my cardiologist and see what he thinks, but him not mentioning it is probably a good sign.

As an aside, thank you very much for sharing your story. I was just so shocked to hear I had a heart attack (assuming the EKG is right) that is kind of set me back on my butt a bit.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14818
   Posted 8/13/2017 3:35 PM (GMT -6)   
Sorry, I should have been more specific. It is always much better to have no damage than to sustain damage from a heart attack. People can have some damage after one & do fine, it just depends on how much is done. You have excellent stats going in to your surgery & will do very well.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

MNJames
New Member


Date Joined Aug 2017
Total Posts : 5
   Posted 8/13/2017 6:42 PM (GMT -6)   
Perfect, thanks! I would assume--if I did in fact have one--that the EKG is, in fact, registering heart damage. As such, it must be minor, because I feel good, and have no negative results on an echo, an angiogram/heart catheter, or CT chest scan. I will call my cardiologist, and hope for the best.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14818
   Posted 8/14/2017 6:16 AM (GMT -6)   
If there was any damage it would have been picked up on the echo & cath. These two tests are far more definitive than an EKG. For years I have thrown bad EKG's. When this started when I was younger my PCP sent me to ER thinking I may be trying to have a heart attack. I was not having one, for myself this is just a quirky thing with me.
Susie
Moderator in Chronic Pain & Psoriasis Forums

MNJames
New Member


Date Joined Aug 2017
Total Posts : 5
   Posted 8/14/2017 7:08 AM (GMT -6)   
Thank you Susie. I was wondering if I should be worried, given I already have the root aneurysm to deal with. I will let it ride, but call my cardiologist regardless. It is both a blessing and a danger for the layman to have access to his or her own records sometimes. We live in a world of self-diagnosis. I am sure if my cardiologist thought the SMI on my EKG was vital, he would have reached out. He is the one who did the cath immediately afterwards, so given that he was happy with that, I will be too.

Thanks again!

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14818
   Posted 8/14/2017 9:23 AM (GMT -6)   
Please let us know when you are scheduled for your surgery. Yes, you are exactly right about your dr, if he felt this may be even a remote complication to your surgery, surgery would not happen.
Susie
Moderator in Chronic Pain & Psoriasis Forums

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 19621
   Posted 8/14/2017 11:03 PM (GMT -6)   
yep. susie is spot on. keep well and strong. your in good hands.
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