Good morning. I am up searching the internet for what happened to me last Tuesday early morning. I got up at 5:00AM and made coffe for my son who was catching a flight from Houston to Seattle. I had a cup of coffee and went back to bed where hubby was still asleep. Hubby left for work and I awoke via a dream I was having and noticed quite an irregula heart beat. I have had palpitations before but this was different. I was downright scared. I quickly showered and got dressed and called hubby to come back home. I then called my cardio's answering service and tolds them we were on the way to the ER room. Backing up a bit, I had 2 stents placed in Decmeber but was told I was good to go and no heart attack and no damage, no nothing and I would live to be 100 years old. I think most doctors tell women what they want to hear
By the time hubby got home, I was sweating and very weak. Did not have much pain at all just the crazy heart rate, shortness of breath and talking was a chore. We were met at the ER room and I needed a wheechair as I was too weak to walk. They hooked me up and I was in Atrial Fib with 190 bpm. Had no idea what that was. They took blood heart enzymes and told me they were all normal but would repeat them in 4 hours. I was so happy to hear that news.
Told, I could be shocked into normal sinus rhthym or try IV Corvert medication. I chose the IV. Within 10 minutes I had normal sinus rhthym. I was sent to the cardiac floor for a heparin drip and to await the results of later enzyme tests and if they were normal, I would be sent home the next day with Coumadin. They also took Blood Electrolytes and Thyroid studies.
Finally, saw my doctor at 3:00PM and latest heart enzymes came back elevated. I was pretty shaken up by this. He said I need a cath and the cath doctor would come in that evening. My doctor was leaving for Atlanta that evening. The cath doc never came in that evening. I waited 24 more hours before I had the cath. They gave me a general for this cath which I was uspet about. I wanted to be somewhat awake.
When Troponin Enzyme is elevated it does mean "a cardiac event is happening to the heart muscle". Well, this doc told hubby that he saw a 40 to 60% blockage in the LAD close where they had put a stent in December. But, he saw No Heart Attack! Hubby asked him 3 times, "No Heart Attack". Unlike the December Cath where I was up in 2 hours, I had to lay flat for 12 hours. The next report on the Troponin levels was that it was coming back down even before the heart cath.
I was released the next morning to go home with no coumadin as the cath doc wanted me to stay on Plavix for another whole year and 3 baby aspirns daily. He also RX'd Sotalol for the A-fib in case it came back.
My doctor got backin town and I called him on Friday with the good news that I did not have a heart attack. He was shocked. He said that i did have a heart attack as the Troponin elevations are very sensitive to MI's...
So, here I am very confused and have no idea what happened to me as both doctors are not on the same page. I read where elevations of Troponin is also an indicator of a near future serious heart event. So, I am scard out of my wits that I will just keel over with "something" in the very near future.
Has anyone run into similar? Need as much info I can get. Trop levels are very very low in normal hearts. Elevations of 2.0 and above are of grave concerns. Mine went to 4.90 before it started slowing coming down. Do not have the final Trop level as I was dismissed by the cath doctor..
Sorry for the length....and Thanks