Posted 6/6/2015 8:09 AM (GMT -6)
I had surgery in January for Prostate Cancer. By soon after the surgery I started having palpitations, or a feeling that my heart was occasionally skipping a beat. It happens on and off. Stopped for a while then started again.
I have a history if very high triglycerides, which is now under control, at 148, no meds for it any more, since I lost 30 pounds., only OTC Niacin
I went to my longtime PCP today for a checkup, first since the surgery. My bloodwork was all perfect, (i did the bloods in advance of the appointment). Cholesterol was 136. Triglycerides 148, down from 300 in December, he did about 30 other tests, all normal, so i was feeling good going in.
But i mentioned to him that i was having what felt like palpatations on occasion. He did an EKG, which showed an "extra heart beat". which i guess, is an arrythmia. So he did an echo cardiogram, which was normal. Then an echo stress test, which was "positive". When I questioned him further he said the pictures on the echo stress were "pristine". It was only the EKG part of the echo stress test that showed an "unspecified ST abnormality. Not sure what that means,
He told me to stop the Cialis immediately (which I take daily at the direction of my urologist, since the surgery) and he put me on a beta blocker, wants me back a week from Monday (i'm going away on vacation next week). He said, depending on what happens between now and then, he will probably give me a ho,ther monitor, and worst case scenario, he will possibly send me for a CT Angiogram to look for blockages.
These palpatations started soon after my surgery, which is why i thought it might be related to the Cialis. But i called my surgeon and spoke with his NP, she said she had never seen a heart problem caused by Cialis.
I called him later to ask if I can continue my exercise (mostly 3 mile walks at a brisk pace) and he said yes. He also asked me to call his old office and have them send him my latest Nuclear stress test, (he moved a few months ago and they didn't send it to him despite my written request). He said he thinks he remembers seeing a minor abnormality on my last nuclear st, but nor sure, and if that was the case, he might not be concerned right now if there was no change
I'm gong on vacation this week don't think I'll have much peace of mind. Seeing him for a follow up when I get back. But thought I'd ask for any comments you more knowledgeable folks might have. I've become an expert in Prostate Cancer, unfortunately, but not in Heart issues