Hi. My husband was rushed to the hospital at the end of August with a pulse rate of 38bpm. On the 1st Sept, he had a two lead pacemaker fitted to regulate his pulse (currently set at 60bpm by the pacemaker).
Can anyone help us understand what the heck the discharge letter means? We have visited our GP, phoned the cardiac clinic - all in an attempt to get an easy to understand explanation of all the medical jargon. No help. One says he has had a silent heart attack, one says he hasn't. One says there is heart damage (apparently shown during the echocardiogram - which he was not allowed to see) nor was it explained where the damage might be or what effect the damage might have. I'll post excerpts from the letter below. If anyone can translate we would be eternally grateful. It is so difficult to know what his level recovery should be at now when no one will take the time to explain it. Obviously, we understand that his coronary arteries are all clear.
His 6-week Pacemaker follow up check is in DECEMBER! His 6-week follow up appointment with the cardiac clinic is in FEBRUARY 2018!!
HERE WE GO WITH THE EXCERPTS:
'SUMMARY: Severe left ventricularsystolic dysfunction (LV EF 35o/s, normal QRSd)
Probable septal infarction and aneurysm
Paroxysmal iRRegular atrial tachycardia
Dual chamber pacemaker for sino-atrial disease
Possible aortic root and ascending aorta dilatation
'Transthoracic echocardiography on 30 Aug 2017 showed moderate left ventricular (LV)
dilatation with severe systolic dysfunction (ejection fraction, EF, 35o/o). There were
aneurysmal mid-ventricular anteroseptal and inferoseptal segments and basal anteroseptal
and inferoseptal akinesia. The inferolateral and all apical segments contracted well. All other
segments were hypokinetic. The aortic root (41 mm) and ascending aorta (42 mm) were
reported to be dilated but were not corrected for body surface area.'
'The aetiology of his left ventricular dysfunction is unclear. He does have septal Q waves with
a mid-ventricular aneurysm, suggesting infarction. However, invasive coronary angiography
revealed unobstructed coronaries. Differential diagnoses include plaque rupture with
subsequent recanalization and thromboembolism due to episodes of as yet undetected atrial