Another so called event

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Texrose
Regular Member


Date Joined May 2005
Total Posts : 30
   Posted 5/30/2005 2:52 AM (GMT -6)   
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 eyes
 
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
 
Texrose

Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 5/30/2005 1:27 PM (GMT -6)   
Hi and Welcome TexRose, to HealingWell!! tongue
 
This is a hard call to make as it can mean different things...but to take aggressive action such as a cath, may have been necessary!
 
I found a site that can explain this much more than I can and I really hope this helps you!!

Please let me know if this explains what you needed to know, and come on back here to let us know how your are doing!!
 
Much good luck and best wishes to you!   Hugs, Teri tongue
 

"I Hope You Dance".............LeeAnn Womack
 
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Texrose
Regular Member


Date Joined May 2005
Total Posts : 30
   Posted 5/31/2005 7:39 AM (GMT -6)   

Thanks much, Teri for this information.   I got into the site and it states that Trop levels can be elevated when one gets heparin.  I was given a heparin drip before leaving the ER room and before the Next Serum Heart Enzymes were taken.  I am remaining hopeful that this is the cause of the rise in Troponin and that the A-fib was the result of the Albuterol I took twice the night before....

I am not sure if any one here has run into arrogant, "know it all" doctors that it is their way, their theory and close their mind to the thoughts of the patient.

Years ago, a group of gastro doctors thought I had a Carcinoid tumor somewhere in my body as one of the blood test they took was elevated.  (serotinin) I went thru a whole battery of testing including an abdominal angiogram and no tumor was found BUT the serotonin levels still remained high.  I went to a medical library and researched serotonin levels and found that Tomatoes, Plums and EggPlant will raise serum serotonin levels and a pateint being tested for these Must be off all these foods for 4-5 days for accurate results. nono    It was summer time and I was eating plums every day and I eat tomatoes also every day. :-)   I stayed off these things for a week and then had a repeat of the serotonin and it was normal.  I presented my findings to these Gastro Surgical Nerds and they did not want to hear about my findings. Needless to say, I never returned to this group. Stangely, this group disappearred from this area shortly afterwards. confused ....

Teri, I will keep you posted.  I see the Cardio doc next week.  Hubby was going to call him today with the discrepancies but I told him to wait.

I apologize for my long novels. sad


Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 5/31/2005 12:37 PM (GMT -6)   
Long Novels can be nice! lol
 
TexRose, you hang in there and please let me know what the Dr. has to say next week-it should be interesting. yeah
 
Re Dr.'s, I think we've all had our share of ones that we would have loved to tell off & I'm sure sorry you had that bad group!-but remember there are always very good ones out there that really do care!!  Sometimes, you need to 'shop' around! :)
 
Best Wishes!
 
Hugs, Teri tongue
"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
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vinny1957
Regular Member


Date Joined Dec 2004
Total Posts : 96
   Posted 5/31/2005 8:59 PM (GMT -6)   
Hi,
This can be really scary stuff. You did the right thing having been checked out. I know one thing for sure, listen to yuor body. You know what feels right and what doesn't. And your posts are never too long.
We're glad your here.
Vinny

Texrose
Regular Member


Date Joined May 2005
Total Posts : 30
   Posted 6/1/2005 12:25 AM (GMT -6)   
Thanks Teri and Vinny.
 
Hubby did call one of the cardio's today and he told hubby that I disect the forest from the trees!~! and know too much and this is not healthy!! nono
 
The doc said I had a cardiac event and to leave it at that.  Hubby asked if it was a heart attack and all the doc said was that my heart was strong!  Hubby could not get a clear answer out of him.  I really think they are trained to avoid some questions.  I know I suffered an attack of A-FIB as it was apparent on the EKG in the ER and by being converted to Normal Sinus via a drug called Corvert.
 
Teri, I read that you have had a by-pass.  Are you OK now?  I also read where there are more than 2 stents needed that a by-pass is better?  Maybe I read that wrong.  I am on my thrid stent. 2 in December and one last week.  Weeks ago. I happened to get my heart cath disks and sent them to a heart surgeon at the Heart Institute.  He e-mailed me back and said I was not a surgical candidate at this time and to follow up with a cardio doctor.
 
HD is such a gray area.
 
Wishing everyone better days ahead.

Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 6/1/2005 12:04 PM (GMT -6)   
Texrose,
 
Apparently your Dr. is skirting the issue a bit-that's a term "event" that can be used loosely.  People use "event monitors" all the time to see if they're having irregular heart beats.  Perhaps you had an MI but maybe left minimal damage?  I wish they would just tell it like it is.  I know sometimes they don't always have the time to answer every question, but it would seem simple enough to tell you if you had a heart attack, or not. 
 
My Dr.'s and nurses encourage me to learn as much as I can about heart disease.  Knowledge can be power and can help you to stay on top of things before they get out of hand.  With some people, perhaps it can cause them to over worry about something that not's there, but we all need to learn to take things one step at a time.  Talk to your PCP (Primary Care Physician) when you see him/or her next and ask them to explain to you what occurred.
 
I assume you wrote to the Texas Heart Institute?  They are a great organization!  If they've told you to follow up with your cardio, that would indicate to me that they believe you are getting done what needs to be done-however, maybe you need to get things straight with your cardio, or find another who's more willing to explain things to you so that you understand what took place in Your body!
 
Re stents...most of these things are documented in "studies" which normally mean they're on their way to maybe finding something, but it's not written in gold yet. :)
 
You take care!  Hugs, Teri :)
 
I'm doing okay, Tex!  Thanks for asking-sometimes a few problems crop up with heart disease, but I'm hanging in there! :)
"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
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Texrose
Regular Member


Date Joined May 2005
Total Posts : 30
   Posted 6/3/2005 4:15 PM (GMT -6)   

Hi Teri and all..

Been doing absoultley nothing these days and staying off the computer as tsitting causes my feet to swell and in this Texas Heat...well...

Yes, it was a top notch surgeon I sent the Cath/Stents disk to at THI.  His secretary was wonderful also.  My doctors are at St. Luke's which is affliated with Texas Heart. But, one can always get a cardio in a group that is not willing to open his mouth and this is what is happening to me.  He is young and frankly I really do not think he knows all that much and does not want to admit his ignorance.  He told me last month that he has only seen one other case like mine.  I asked what he meant and he walked out the door.  I think he means that he has only seen one other case of a distal lesion that cannot be stented or by-passed. 

But, on a happier note, I chose not to use the heart cath/stent guy he referred me to in December.  The December Cath caused severe swelling and black and blueness all the way down my thighs, across the whole abdomen and this caused a fistula.  I was in pain for almost a month from the Decmeber Cath.  This Cath doctor was also a youngster. sad

This time...absolutely not one spot of black and blueness and not an ounce of pain.  I had much better care with the new Cath Doctor that I chose and he was older and much more experienced.  If I have to, we will make an appointment to see him for information although I suspect the younger cardio doctor may have a come apart but it is our lives. Right? yeah

There is also a top notch Electrophysiologist doctor there at St. Luke's. He came into my room and the whole room lit up as he has a way about himself that makes you love him!

Yes, there is good and bad in everything.  It is up to us to weed those weeds out of our lives to be comfortable with our decisions and decisions are made via good information. 

~~~~~~~~~an informed patient makes for a better patient~~~~~~~

Have a nice and healthier week-end folks.


Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 6/3/2005 6:40 PM (GMT -6)   

Hi Texrose! tongue

I found the website for THI and it's affiliated with St. Luke's...it's pretty much one in the same, isn't it?  Or are there different locations?  I didn't go that far. lol

If you ever need some back up...here it is! tongue

http://www.texasheartinstitute.org/

Big Hugs from Texas!!  Teri tongue


"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
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Texrose
Regular Member


Date Joined May 2005
Total Posts : 30
   Posted 6/3/2005 8:35 PM (GMT -6)   

Hi Teri,  I have that web site memorized for the last year or so. eyes

Many ofhe doctors listed as Professional staff are in private practice and not employees of St. Luke's or Texas heart Institiue but have privelges there.

I might add that with the other cath, the youngster Cath doctor had a fellow in there that caused a problem with one of my arteries...Not good. I also had a reaction to the meds they gave me.  Not good.

This time the more expereinced Cath doctor who takes no %^&%&( off anyone called in a Vascular Anesthesiolgist that is an employee of the Heart Institute.  He was Wonderful.  This is the firrt time in my life that I had  General Anesthesia with no residual side effects.

It really makes a big difference in who you get to oversee your health care.  it can make you or break you. But, you have  to open your mouth.

Today, I received some blood reports in the mail on my ER visit last week.  My glucose was 144 and the white count was 13.9 and the Chloride was 110. The Co2 was very low...I am not diabetic and the chloride indicates kidney failure.  I need to have this addressed soon. 

I still think the Albuterol inhalers had a lot to do with whatever happened to me that morning.

Thanks Teri...

 

 


Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 6/3/2005 9:16 PM (GMT -6)   
I found a good link for Chloride Testing. Have you had an A1c test done for diabetes?

Hope these help you, Tex!! Hugs, Teri :)

http://www.labtestsonline.org/understanding/analytes/a1c/test.html

http://www.labtestsonline.org.uk/understanding/analytes/chloride/test.html
"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
Please allow HealingWell to continue helping others by donating:


Redrosenat
New Member


Date Joined Mar 2016
Total Posts : 1
   Posted 3/22/2016 7:13 PM (GMT -6)   
HI I know this is a very old post an I hope u r well... about seven years ago I wound up in the hospital,but first I must go back further,ever since I was a little girl I had rapid heart beat doc says I will grow out of it an I did,that is till I hit 24 an it came back with an avengence,was told it was called P A T paraxamol arterial tacecartia,sry can't spell it,,, was 140 to 180 beats a minute would last a few minutes as got older lasted about an hour was told hold breath like u r going to bear down an after a few attempts it goes back to normal like it never happened,ok back to the hospital I started to hemerage out the rear went to the Er an they admitted me it was something called divaticulouses an I was bleeding on an artery next day I went in to the a fib trib u were talking about lasted nine hours ( found out later it was from so much blood loss heart need all that blood to work right) they right away put me on all kinds of heart meds one was sotolol 80 mgs did u know that it got rid of my P A T? Well it did,appearently it puts your rhythms back where it belongs even when one of those episodes tried to happen it took ten seconds for that med to fix it, so stick with the sotolol will keep your heart beating,,came across your page cause I to take albutoral been on it for years, but was trying to find out if it raises seratonin levels,cause appearently I now have anixity so almost every med u take raises seratonin,,even cough meds,I am on buspirone it is a seratomim leveler if it's to high it lowers it to low it raises it,to where it belongs an it's not a narcartic,they started me with those benzo craps I wanted off that as soon as I read about it plus it controls how u feel,making anixity worse an hour before pill time an soon u need to raise doses to keep up an hard as hell to get off of then so thank you buspirone, email me if you get this I might not come back to this page,,Natalie. Thank you for your ear


I have removed your email address from your post as the administrator does not like for personal information to be put in a post. Thanks

Post Edited By Moderator (straydog) : 3/24/2016 1:09:31 PM (GMT-6)


theHTreturns...
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   Posted 3/22/2016 9:48 PM (GMT -6)   
e-mail goes in profile, for members to see, on the forum it is open to all persons. and since you may not post again I see that it is a waste of time in doing so.
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