Heart Symptoms since 6/5/17

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Betty644218
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Date Joined Sep 2017
Total Posts : 3
   Posted 9/23/2017 8:32 PM (GMT -6)   
My husband has been having ongoing heart symptoms since June 5th. On June 5th we ended up in the hospital with heart attack symptoms. They did the standard tests, everything looked O.K. his symptoms subsided and they sent him home saying to take a couple weeks off work. He did not work for 2 weeks, having chest pressure and shortness of breath off and on.

He went back to work for 6 days, called me on day 6 telling me he cant do it anymore and I needed to get him a Dr. Appt. The next day he saw the Dr. They scheduled a stress echo for 2 weeks later. After the stress echo he saw the Dr. a week later. He was told the stress echo looked good.

He was scheduled to see a pulmonologist. The pulmonologist wanted a pulmonary function test done. The pulmonary function test showed mild obstruction. During the whole time he has constant chest pressure, occasion chest pain, often short of breath, dizziness, extremely fatigued. He ended up back at the ER. On 9/1. He was having bad chest pain, nauseous, left arm/shoulder pain. While there the ER Dr. Said he has left anterior fascular block, PVC and PAC. ER Dr. Prescribed albuterol for his shortness of breath, nitro for chest pain and 5 days of steriods. He felt pretty good (except for the constant chest pressure and occasionally short of breath) for those 5 days.

The ER Dr. Also refered him to a cardiologists. He was able to see the cardiologists on Thursday. He said everything is a symptom and risk factor. I asked specifically about checking his small arteries because the stress echo looked O.K. the Dr. Said no because it wont matter, there is no treatment. I said yes but shouldn't we know? The Dr. Said he probably has problems with his small arteries but it is just another risk factor. He prescribed Amlodipine 5mg for angina and cad. He also prescribed Atorvastatin 80mg because his cholesterol is horrible (we did not know his cholesterol before this). He also said he has pulmonary hypertension, but there is no treatment for that either. He put him on a 2 week halter monitor. We will not see the pulmonologist until Sept. 17th.


His father died at 62 of a heart attack (had several before the fatal one). His mom died at 54 of COPD. 1 brother has CAD and TIA, 3 heart attacks, 2 stints, high cholesterol. 1 brother had pacemaker 6 years ago (his heart stopped they did CPR, it stopped again at the hospital so they put in a pacemaker). 1 sister has had a heart attack. 1 sisters have high cholesterol.


My question is; should we see another cardiologists? Everything I have read says we should look at his small arteries, there is no fix if they are diseased but we should know.


I have given your post some paragraphs to make it easier to read. Some of our members have problems tracking when reading.

Post Edited By Moderator (straydog) : 9/24/2017 6:08:08 PM (GMT-6)


straydog
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Date Joined Feb 2003
Total Posts : 16019
   Posted 9/24/2017 7:31 PM (GMT -6)   
Hi Betty, I happened to see your post & wanted to respond. Keep in mind, none of us are drs here. First let me assure if either of the cardiologist saw something on the echo that warranted them to be alarmed, you all would have been told so. No dr will put his license on the line by not telling a patient correct tests results.

You talk about small arteries, not sure where that is coming from or the problem you are associating with it. What I do know is when a person has pulmonary hypertension the the vessels become constricted & hence this is where a medication like Amlodipine comes in. It is a vasodialator & it helps open the constricted arteries up for better blood flow. If you will go to the MayoClinic.com & type in pulmonary hypertension & read the symptoms, you will see your husband has the classic symptoms. This is very much treatable & needs treatment.

The left AFB does not always need any type of treatment. I cannot give you the proper terminology on this, however, it has to do with the electricity type thing in the heart. If it were to become severe they put in a pacemaker. No treatment is normal.

If this were my husband the main two things I would be really concerned with is getting that cholesterol down & work with the dr on the pulmonary hypertension. The cholesterol would get my utmost attention. Again, this is treatable.

Keep in mind when we go to ER's we are seen by drs that do not know us. They treat symptoms & go by what testing reveals. There is no established patient/doctor relationship with those drs. Your husband needs to get established with a good cardiologist. It needs to be with a dr that is excellent, he has confidence in the dr to take care of his needs. Yes, you need to be comfortable with the dr too, but you are not the patient. I know this from personal experience. I started treating with a cardiologist at the young age of 28 & am now 64. I treated with one that I just did not like & was his patient almost 10 years. I switched to one in the same group & felt much better. I had no issue with his care it was just a personality conflict.If your husband is ok with cardiologist number 2, then give this dr a chance. If your husband is not comfortable with him, seek out another. The sooner he gets established the better. But, at some point again, he needs to get established with one. Specialist tend to be a little different depending on their specialty. Heart guys are different I think. At the end of the day you want the best one available that has the knowledge & is up to date on current treatments, not someone stuck in the 80's that will pat your shoulder & say see you in a year.

Careful surfing the internet. The internet is full of junk & incorrect information. It can be a great place to gain knowledge about a diagnosis that had been given & confirmed. I prefer places like the Mayo Clinic or John Hopkins to look up information. I know whatever I read there will be accurate.

Take care.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Betty644218
New Member


Date Joined Sep 2017
Total Posts : 3
   Posted 9/24/2017 7:40 PM (GMT -6)   
I totally understand what you are sayin. We are in Montana, it seems like everything is 20 years behind. A vast majority we appreciate (we moved here 2 years for a more relaxed lifestyle) but as far as medical care , it is not is not so good. I think we are going to OHSU for some more up to date diagnosis and treatment. I have looked to the Mayo Clinic as I have heard the DR give diagnosis, and say they think it is this condition or that condition.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16019
   Posted 9/24/2017 8:28 PM (GMT -6)   
I do know that the Mayo often will do all of the testing & make a dx. If travel is an issue, many times they will work with a local specialists & basically tell them how to treat the patient. So very sorry to hear that the care is not up to speed.

If you can get us know how this all turns out. By the way, I understand your concerns with his family history. I come from what I call the bad gene pool, I have it on both sides of the family.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Betty644218
New Member


Date Joined Sep 2017
Total Posts : 3
   Posted 12/9/2017 9:50 PM (GMT -6)   
UPDATE- we went to another cardiologists at OHSU in Portland. She ordered an angiogram. She could not understand why one had not already been done. On Nov. 2nd he had a stent on his LAD ( widdow maker) and another branch artery had the baloon procedure. The blockage on his LAD WAS 90-95% blocked. Lucky to be alive.
Never stop seeking help!!!
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