I'm seeking reassurance after experiencing a number of concerning symptoms that are consistent with an...
Posted by An_258667
I'm seeking reassurance after experiencing a number of concerning symptoms that are consistent with an impending heart attack. The doctors have completed a thorough workup, but because I fall into the low-risk category, I'm told that anxiety is the culprit. My question is whether I should try to press the issue of additional testing in the very rare (but still possible) event that my symptoms are related to heart disease.
For the past year, I've had two different kinds of heart episodes. The first is a sudden-onset tachycardia while sitting/resting. My heart rate goes to 160 bpm then gradually decreases to baseline within ~5 minutes. I usually get lightheaded at onset, but am totally fine during the episode itself. The beats feel regular in rhythm. For the second kind of episode, my heart flutters/palpitates in my chest. It takes my breath away and lasts only 1-2 seconds (also occurs while sitting/resting). My heart rate typically goes to 100 bpm at onset and then gradually goes to baseline within a few minutes. In addition to these episodes, I've had chest pain, anxiety (which I rarely ever had before), and my limbs have gone numb in my sleep.
The doctors have performed multiple EKGs within the past year, some of which have been normal and others abnormal (I have sinus arrhythmia, and a couple of my EKGs showed 'inferior Q waves probably normal variation" and "abnormal T, consider ischemia, inferior leads"). The EKGs were never recording while I was having an episode. The doctors also did an echo (normal), chest x-ray (normal), and blood tests (normal thyroid, CBC, lipid panel, CRP). A one-month long event monitor showed only sinus tachycardia, sinus bradycardia, and the sinus arrhythmia. But again, I never experienced the two episodes I describe above while on the event monitor. Other tests include a tilt test showing only low blood pressure (102/64), brain CT (normal), and brain MRI (normal).
I'm particularly worried now because these episodes have been increasing in frequency from once every few months to everyday. I also have intermittent chest pain (pressure is on the left side), nausea, worsening anxiety and fatigue, burning in the center of my chest and lower neck, and pain in my fingers. I called the cardiologist to see if I should come in, but given the results of my previous testing, he said, "no, I'll give you a low-dose Metoprolol Tartrate for the tachycardia. You're low-risk for heart disease."
I'm considered low-risk for the following reasons: female, 28 years old, ~20 BMI (5'4", 115 lbs), low blood pressure, never smoked/no alcohol/no drugs/no caffeine. I eat organic fruits, vegetables, and meat but no dairy or grains because I have IBS and those foods exacerbate my symptoms. Before a year ago, I was an active gym-goer (1-hour lifting, 1 hour running 3-5x a week).
BUT I consider some things in my history to be high risk: all the men on my dad's side have died from atherosclerosis. My dad had a stent at 60 for an artery that was 90% blocked. In addition, I've been stressed more in the past year than I have been in my life, and I've stopped going to the gym because I'm too scared of having a potentially fatal attack. Finally, when I was active in the past, I'd occasionally get chest pain while running long distances but I never thought anything of it because I wasn't an anxious person back then.
I realize that my behavior has tiptoed over to the irrational and counter-productive zone, which is why I wanted the opinion of a second doctor before I let this issue go entirely. My question is whether my symptoms of increasing chest pain, nausea, palpitations, and chest burning, is reason to pursue additional testing or not. I would appreciate any advice.
If it's relevant, here are the results of a very recent lipid panel (mg/dL): total cholesterol 166, HDL 64, LDL 89, triglycerides 67, non-HDL cholesterol calc 102 View Thread
recently was taken to er for dyspnea following a hockey game. im 50 y.o and was in excellent condition. 2 years ago i had an echo and thalium stress test that came back perfect. my duke treadmill score was 12. i was floored that my dyspnea is now due to an enlarged right side of my heart as determined on echo. ecg was normal as was chest x ray and the ct scan with contrast on lungs.
next stop is a pulmonologist. any insights? reversible? lethal?
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my dad who was 93 when he died a few years ago of what they called myocardial infarction. My dad had been...
Posted by An_258578
my dad who was 93 when he died a few years ago of what they called myocardial infarction. My dad had been kept overnight at the hospital, was scheduled to be discharged the next day. I stayed at the hospital all night with him the night before he died and he kept trying to remove the cathater. 1) Is is possible that the catheter was what helped to cause the catheter the next day? whilte still at the hospital, my sister told me that he started throwing up very dark liquid which got progressively more violent and within 1/2 hour, my dad died. is there anything that the doctor &nurses could have done for my dad to make his last moments on earth less violent? thank you for your response.View Thread
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My uncle is 57 years old. Leads a very sedentary lifestyle, vegetarian, not a smoker and doesn't drink alcohol. Borderline overweight. Has a family history of CAD both parents and siblings.
Upon a general checkup last week found that his cholesterol and triglycerides were in good range but his TMT was positive, which was stopped due to fatigue. Doctor suggested coronary angiogram, which showed
1.Distal LMCA has mild disease which extends up to LAD and LCX.
2. LAD is a type 3 vessel, Ostioproximal LAD has 60-70% irregular lesion, mid LAD has mild irregularities, distal LAD is free of significant focal disease. D1 is 1.5mm in size and irregular. D2 is 2.5mm in size has bifurcation and has 99% Ostioproximal lesion.
3. Circumflex: non dominant vessel. Proximal LCX has 40% disease. OM1 and OM2 are tiny. After OM2, LCX has 20% disease . OM3 is 1.5mm in size and normal, OM4 is 2.5mm in size, bifurcating and normal. Distal LCX is small
4. RCA: dominant vessel. Mid RCA has 20-30% disease. Distal RCA is irregular. PDA and PLV are irregular.
Impression: Single vessel coronary artery disease
He has a minor atypical pain on his left arm frequently which doesn't subside on administration of painkillers. ECG is normal, repeat ECG also normal no signs of attack. Troponin negative. LDH slightly raised,View Thread
I have been on 20 mg simvastatin for a year now with no issues and worked very well. Lowered my cholesterol from 220 to 178 and LDL from 158 to 101. I was experiencing some chest pain and had a calcium CT of my heart which found some build up. My primary care doctor immediately doubled the dose to 40 mg. At my next blood test they found that both my LDL and total cholesterol increased, 249 overall and 158 LDL ! My liver function also doubled. The PA said it makes no sense and I am going for another test tomorrow. Does any one have a clue as why this would happen. I am 49, exercise frequently, eat well, drink moderately and smoke a little.View Thread
I HAD 2 BYPASS GRAFTS 3 YEARS AGO BUT NOW I CANNOT DO ANY EXERCISE WITHOUT PAIN. SPECT SCAN SAYS DEFECT IN PERFUSION TO ANTERIOR WALL OF THE HEART WITH SUBTLE REVERSIBLITY. DOES ANYONE KNOW WHAT THAT MEANS? THANKS A MILL!View Thread
Hi - say I have been on Lipitor for many years - started on 10 mg, then 20 mg and now 40 mg so my numbers...
Posted by Anon_11642
Hi - say I have been on Lipitor for many years - started on 10 mg, then 20 mg and now 40 mg so my numbers are good now. My mom had high cholesterol and dad very little so guess I take after my mom. She lived to be 95 years old anyway.
Here's my question - Had my dosage increased last few months - last year my glucose was 104 and now it is 111. Had an A1c today and it was 6. Two years ago it was 5.7. Dr. said not to worry. I am thin, 70 years old, BMI 23 and work out every day 5-7 days a week for an hour on treadmill, nustep etc. I eat tons of fresh fruit and vegetables - I do have a sweet tooth though - so decided only one dessert or the most two once a week only and will recheck my A1c.
This is my question - doing a lot of searching on the net now - does Lipitor cause type 2 diabetes? My mother was on pravachol and it seems they have a lower risk???? Is this so. Neither my parents or family ever got diabetes - I surely don't want the Lipitor to cause this. Should I ask my dr to switch to pravachol?
Need some help here - dont know what to do. Asked my dr today and he didn't think Lipitor was causing this but when I do internet searching there is a 22% chance for older women? Should I be worried? Thank you - will look for a response.View Thread
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