Do I have a Heart Problem? - Update

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*Bella*
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Date Joined Jan 2007
Total Posts : 1254
   Posted 1/16/2007 2:06 PM (GMT -7)   
I'm a 24 year old female, who, until November 2006 was in good health with the exception of kidney stones.

I started having left side chest pain and left shoulder pain and went to the ER, where they did an EKG which came out fine.

The pain continued and I started having bad muscle pain all over, in my arms, jaw, ribs. I've also had tingling on the left side of my face, hands and feet

I have been to the ER twice since my original visit and they all did EKG's that supposedly came out fine.

I saw a Cardiologist who did an EKG and a Stress Test and Echocardiogram, all of which they said were normal.

My EKG says

Vent rate 89 bpm                                    Normal sinus rhythm with sinus arrythmia
PR Interval 122ms                                   Biatrial enlargement
QRS duration 72ms                                  Low voltage QRS
QT/QTc 360/438                                     Abnormal ECG
P-R-T axes 73-72-43

When I asked about the biatrial enlargement, he said it could be because I have larger breasts or the way the leads were placed.

I want to believe these hospitals and doctor, but the symptoms are continuing, along with shortness of breath and the feeling of something being in my throat, so it's very scary.

Any help is so greatly appreciated. I feel like the last 2 months have been a rollercoaster.
 
I also have saline breast implants, so I don't know if that would make it harder to read an Echocardiogram?<!-- / message -->

Post Edited (*Bella*) : 2/9/2007 3:57:28 PM (GMT-7)


DREAMGIRL
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Date Joined Jan 2006
Total Posts : 600
   Posted 1/16/2007 2:36 PM (GMT -7)   
sad  sorry you have to deal with this at such a young age.  your synptoms sure do sound like heart related issues, but there are so many things that mimic heart attack.  just know this  if you were having a heart attack, you probably would not be discussing it with us right now, so i would think it could be something else.  do you have an "a '" type personality? somethimes if we tend to be stressed out about things it can cause stomach problems that seem like it is your heart.  i do not remember you saying you had chest pain. for now  just see the responses you get and take a deep couple of breaths...

*Bella*
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Date Joined Jan 2007
Total Posts : 1254
   Posted 1/16/2007 2:59 PM (GMT -7)   
Thanks for your reply! I'm definitely stressed since I started getting these symptoms, but they just came out of the blue on Thanksgiving Day. I think my Cardiologist thinks I'm crazy! I just don't know what else it could be.

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 1/16/2007 3:19 PM (GMT -7)   
Hey Bella...gosh you sound like me. I am 25 and have been having symptoms for a year. I've done so many ekgs, chest xray, heart monitors, etc. The only think was some palpitations that were not often at all and considered normal. Finally, they did an echo and found a small pfo (hole in the heart) nothing serious as it is very common. I wonder if you could request an echo since this shows alot more, even things that wouldn't show up on an ekg.

Any symptoms of breathing difficulties or vision

*Bella*
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Date Joined Jan 2007
Total Posts : 1254
   Posted 1/16/2007 3:22 PM (GMT -7)   
I had a Stress Echo done which my Cardiologist said was perfectly normal. I've been having some shortness of breath/feeling of something in the throat and tightness in my jaw this past week. I just feel like I have so many symptoms and the doctors have no answer for it.

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 1/16/2007 4:30 PM (GMT -7)   
What is a stress echo. Did it involve an ultrasound of your heart. Like a transducer with jelly rubbed on your chest?? Also, dont' be upset with me but did you ever think of the possibility of anxiety or stress. That seriously can do a number on you. You are so young and otherwise healthy and they ran tests on your heart. Most likely, its nothing. And if its something, it just maybe hasn't manifested yet or they are looking in the wrong areas. These symptoms aren't always heart related. Maybe get the doctor to run other tests. Also, try to take it easy and don't stress.....are you a stresser/ full of anxiety???

*Bella*
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Date Joined Jan 2007
Total Posts : 1254
   Posted 1/16/2007 5:58 PM (GMT -7)   
I've never been an anxious person, which is why it was so odd that these symptoms came on all of a sudden. I had the Stress Echo where they rub the jelly on you and use the transducer, then put you on the treadmill, then use the transducer when you lay down again. That came back normal.

My Dr. sent me for an MRI of the brain when I first started having any tingling in the face, hands, and feet, which showed some white matter, but the neurologist said that everyone has white matter and mine most likely was not MS or anything like that.

I just don't know where else to look. I haven't seen a GI doc yet, though.

DREAMGIRL
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Date Joined Jan 2006
Total Posts : 600
   Posted 1/16/2007 7:57 PM (GMT -7)   
bella, did they inject you with anything before you got on the treadmill.  honestly, i have something else for you to try just to check things out.  first, other than an angiogram the best thing is a nuclear stress test. you are injected than wait about 30 mins then you get on a treadmill then wait 30 mins and get on an xray machine, next to an angioram i wouldn't trust all the other stuff.  my drs thought i was fine so i insisted on a test that is relatively new and some question it, it shows the calcium buildup in your arteries, my test showed serious blockage issues, if that is clear for you i would stop worrying about it, it could be your stomach.

*Bella*
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Date Joined Jan 2007
Total Posts : 1254
   Posted 1/16/2007 8:05 PM (GMT -7)   
I never had a nuclear stress test, just the Stress Echo. Is there a big difference? I don't know if my current cardiologist would do it. I think he thinks I'm crazy! He's like "I give you a 100% guarantee that your heart is healthy"

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 1/17/2007 8:28 AM (GMT -7)   
I also had a CT Pulmonary Angiogram with contrast. I don't know if that would show anything or not, though.

els
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Date Joined Oct 2005
Total Posts : 4031
   Posted 1/17/2007 9:16 AM (GMT -7)   

Hi Bella, I see you have gotten some great responses from some of our members so far.  I just wanted to welcome you to HW and let you know that we are happy to have you posting here.  I was a bit curious though since most of your pain has been on the left side...have any of your doctors done a chest X-ray?  You stated that you have breast implants and perhaps there could be a leak with one...Just wondering if that possibility has been checked as I know that the symptoms you’re complaining of can be caused by this.


Elisha
Co~Mod: Depression
Moderator: Heart & Cardiovascular Disease
http://www.healingwell.com/donate


*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 1/17/2007 11:49 AM (GMT -7)   
Hi Elisha, I did have a chest X-Ray in November when everything started and they didn't say anything so I'm assuming it looked ok. My cardiologist sent me for a CT Pulmonary Angiography to look for a blood clot, and that came out normal too. I don't know if that would have shown a leak or not. Do you know of any other tests they can do to see if there was a leak or problem with the implants?

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 1/17/2007 1:08 PM (GMT -7)   
Hey Bella...I am going to be getting a CT Pulmonary Angiography...can you tell me what the test is like..is it painless??

DREAMGIRL
Veteran Member


Date Joined Jan 2006
Total Posts : 600
   Posted 1/17/2007 1:24 PM (GMT -7)   
bella, is your cardiologist did all that testing, breahe a sigh of releif, it must be something else, truly  forget about it being your heart
 

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 1/17/2007 2:26 PM (GMT -7)   
Neurogirl, the CT Pulmonary Angiogram that I had was pretty painless. The only painful part was getting the IV (I never have good veins) and the warm sensation that I got from the dye. It only takes a few minutes and then you're done. What is your doctor testing for?

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 1/17/2007 2:27 PM (GMT -7)   
Dreamgirl, I hope so. I keep trying to tell myself that they wouldn't have missed anything, it's just so frustrating to have these symptoms and not know what's causing them.

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 1/30/2007 9:37 AM (GMT -7)   
Hey Bella...I've been having symptoms for about a year now and by the way, you remind me of me so much. Feeling like the doctors missed something. Im 25 and before these symptoms I was soo healthy. I get heart palpitations, shortness of breath, lightheaded, low blood pressure. I've had alot of tests done with everything coming back normal. I don't understand. I want to believe the doctors when they say leave it alone your fine except the symptoms are really bothersome. And you know when something isn't right with your body. Don't let anyone tell you otherwise..even doctors can miss things. I know some people that had symptoms for years before they were finally diagnosed. And along the way, some doctors tell them its anxiety. Could you believe it. Doctors aren't perfect and sometimes it can take a while before something manifests itself. Dont worry too much tho because stress and anxiety can make things worse.

tshl36
New Member


Date Joined Feb 2007
Total Posts : 4
   Posted 2/2/2007 10:18 AM (GMT -7)   
Hello All!,
 
       Bella, I am also having the same problems that you are. I just went to the cardiologist yesterday. They ran a EKG on me and did see some palpitation activity. What did your doctors say about your EKG's...I mean did they notice anything unusal? My doctor first thought it would be stress or anexity...but after the EKG he took it a bit more seriously and ordered more tests(echocardiogram, stress test with thallium, and holter moniter). He said until I take these tests they won't be able to tell me much more.
 
My synptoms....same as yours...chest pains, shortness of breath, dizziness, lightheadiness, and even pains in my shoulders or back. All my friends told me its probably stress...and I hope it is...I would rather have a stress problem then an actual heart problem.
 
Reading all this gets my hopes down a bit.....I mean everyone had almost every test and no one really seems to be happy with their results.
 
Feeling this really sucks...and it really doesn't seem like much can be done. What are we to do?????

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 2/3/2007 3:08 PM (GMT -7)   
Hi Tshl36!
 
The Dr. said that my EKG was normal, even though it said Abnormal ECG.
 
These were my EKG and Echocardiogram Results:
 
These were the results of my EKG and Echocardiogram, in case that helps.

These were my EKG Results


Vent rate 89 bpm                                    Normal sinus rhythm with sinus arrhythmia
PR Interval 122ms                                   Biatrial enlargement
QRS duration 72ms                                  Low voltage QRS
QT/QTc 360/438                                     Abnormal ECG
P-R-T axes 73-72-43

*I asked the Dr. about the biatrial enlargement and he said that could be because of how the leads were placed or because I have larger breasts. Either way, he claims I don't have it*

These were my Echocardiogram Results

M-MODE ECHOCARDIOGRAM MEASUREMENT                                         NORMAL

Left Ventricular Diameter (Diastole) 5.1                                           (3.7 - 5.4cm)

Left Ventricular Diameter (Systole) 3.3                                           (2.3 - 3.9cm)

LV Posterior Wall Thickness (Diastole) 0.7                                       (0.7 - 1.1cm)

Septal Thickness (Diastole) 0.7                                                     (0.7 - 1.1cm)

Aortic Root Diameter 2.7                                                             (2.0 - 3.7cm)

Left Atrial Diameter (Systole) 3.5                                                  (0.9 - 4.0cm)



TWO-DIMENSIONAL ECHOCARDIOGRAPHY
- Normal aortic root size
- Normal trileaflet aortic valve; no evidence of mitral valve prolapse or other abnormalities of tricuspid valve and pulmonary valve
- Normal left ventricular size, wall thickness and wall motion; visually estimated left ventricular ejection fraction 55-60%
- Normal left atrial and right atrial size
- No pericardial effusion
- Normal right ventricular size and wall motion
- Normal sinus rhythm at 70-80 beats/minute present during study

DOPPLER ECHOCARDIOGRAPHY
- Color Doppler study showed no valvular regurgitation
- No abnormal gradient across the aortic valve, mitral valve, and pulmonary valve by continuous wave Doppler or apparent intracardiac shunting; no evidence of aortic coarctation.

CONCLUSION
- Normal 2D-echo and Doppler study. Normal sleft ventricular wall thickness and function.
- No valvular abnormalities seen
 
 
Lately I've been having palpitations more and more and it's so scary for me. My Cardiologist thinks I'm crazy for worrying, so I won't be seeing him again. I hope I can find another cardiologist that takes these things seriously instead of just writing them off.

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 2/4/2007 1:47 PM (GMT -7)   
Hey Bella, well if it makes you feel any better, all of these tests (most importantly the echo) came back normal. Palpitations can absolutely be caused by stress and anxiety. And its quite obvious you are stressing and anxious about the palpitations. You know, ask you doctor about getting on a medication to control the palpitations. Normal healthy people get palpitations and its obvous that you dont have anything wrong with your heart. Also, there is a possibility that something else besides your heart is causing the palpitations. Like for example, someone with a thyroid problem can get palpitations, or someone with low potassium can get them. You should have other things checked besides your heart. These palpitations although originating from the heart, the heart may not be the cause. In fact, you have ruled out a heart problem. Try other things, other tests.

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 2/4/2007 3:34 PM (GMT -7)   
Neurogurl, would the heart be ruled out even with the dizziness, shortness of breath, lightheadedness, tunnel vision, etc? I worry about V-Tach and how dangerous it is. My palps have never been caught on EKG or Echo, which is scary to me. Since Friday I've just had this constant feeling of dizziness that I can't get rid of and frequent palps, so I'm very concerned about my heart.

tshl36
New Member


Date Joined Feb 2007
Total Posts : 4
   Posted 2/5/2007 7:20 AM (GMT -7)   
Bella,
 
       I know exactly what and how you are feeling. Lately, I have been feeling the same way. I mean I guess you should be happy that it seems you do not have any structure damage to your heart, which is a great thing. Since, you have been feeling this way have you done any phyiscal activites or have you been pretty much avoiding it? In fear...of your heart not going back to a normal rate.
 
I also went to a couple of cardio DRs. Definitely change your doctor if your starting to feel uncomfortable. I do not know in what area you live in...but I actually went to the a University hospital near my home. They all pretty much have a huge cardio dept. so I figured I'll give that a shot. They seem to know what they are doing..so..I feel OK with them.
 
Also, have you been taking notes on when you are getting palps, shortness of breath, or dizzy? And I'm sure at some point you have gotten blood work done.....did everything come back OK with that?
 
 

*Bella*
Veteran Member


Date Joined Jan 2007
Total Posts : 1254
   Posted 2/5/2007 9:53 PM (GMT -7)   
Hi Tshl36,

Everything came back ok with my bloodwork. I am supposed to see a new cardiologist on Friday. As of now, I'm on "bed rest", when I get up, it's like I'm on a ship. It's amazing to me that I haven't fainted yet. Between that and the feeling of my heart in my throat and that "flush" feeling, these are some very hard days.

AnnieInOz
Veteran Member


Date Joined Jun 2003
Total Posts : 3626
   Posted 2/6/2007 3:02 PM (GMT -7)   
That's terrible.   Hope your visit will help on Friday.   I hate that dizzy feeling.  You just want to stand up and not hold on to something. 

Neurogurl
Regular Member


Date Joined Dec 2006
Total Posts : 373
   Posted 2/6/2007 4:34 PM (GMT -7)   
Hey Bella I am so sorry your feeling this way. I can absolutely relate. Are you going to ask the doctor about Atenolol...to help the palpitations, they really help and its a safe drug.
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