Health
Related: About this forumThe Woman’s Heart Attack
IN medical circles, they call it the Hollywood Heart Attack. Youve seen it: grimace of agony, clutching of chest, sudden collapse, the whole purple-prose panoply.
For my husband, Harold Lear, a doctor who became a patient just that suddenly, it was the first stop in a five-year medical odyssey, one cardiac crisis after another, ending with the ultimate stop in 1978. . .
I was relieved of this assumption two years ago, when I had one of my own.
Mine went like this: altogether well one moment, vaguely unwell the next; fluttery sensation at the sternum, rising into the throat; mild chest pressure; then chills, sudden nausea, vomiting, some diarrhea. No high drama, just a mixed bag of somethings that added up to nothing you could name. Maybe flu, maybe a bad mussel, maybe too much wine, but the chest pressure caused me to say to my second husband, Could this be a heart attack? Of course not, he said. Its a stomach bug.
Still, that pressure, slight but there, nagged at me. I called my doctor and reported my symptoms. The mention of diarrhea, almost never a presenting symptom in heart attacks, skewed the picture. He said, It doesnt sound like your heart. I cant say a thousand percent that its not, but it doesnt seem necessary to go racing to the emergency room with the way you feel now. Just see it through and come in for an EKG in the morning.
The pressure eased. I slept, and woke the next morning feeling well. I went for the test mainly because I had said that I would, fully expecting to be told that I was healthy. First the EKG and then the echocardiogram told a different story: a substantial heart attack, less than massive, my doctor said, but more than mild. We were both stunned.
http://www.nytimes.com/2014/09/28/opinion/sunday/womens-atypical-heart-attacks.html?hp&action=click&pgtype=Homepage&module=c-column-top-span-region®ion=c-column-top-span-region&WT.nav=c-column-top-span-region&_r=0
Faux pas
(14,672 posts)thanks for posting this.
elleng
(130,895 posts)I've recently had some of my own 'symptoms,' none discussed here, so am particularly interested. Saw my doc and seeing cardio doc soon.
mopinko
(70,097 posts)long time ago, but what really upset her 2 years later when she had a more hollywood attack, was finding out that the people she had worked with and for for several decades had missed it. i think it was a major betrayal for her. tho this was not well known at the time, she was actually hospitalized for several days and they STILL missed it.
when she had the second one, the damage from the first one was found. it was big.
she had to have a resection because most of the lower tip of her heart was dead. she had a big clot in one chamber, also.
in the interim between attacks, she couldnt figure out why she was so tired all the time. but she was in her 60's and everybody seem to assume that she was just getting old. even tho she felt anything but before the first attack.
part of how i know i have a long sentence on this rock. she was so goddamned tough.
she lived 25 more years.
elleng
(130,895 posts)My Dad lived to 98, and had no cardiac issues that I recall.
I saw my GP few days ago after I had some 'symptoms,' none listed above. He did ekg immediately, 'normal,' and has referred me to a cardio doc for a broader check.
mopinko
(70,097 posts)all good, just the asthma talkin.
was also just told that my spine looks "darn good for someone your age."
ugh. yes i am that old.
30 more years, tho, like it or not.
elleng
(130,895 posts)more like labored breathing, and more frequent palpitations too. No asthma here tho.
And you, dear, are NOT 'that old,' I'll betcha! I AM, but not as old as my Dad was at his passing: 98!
I do think I need some sort of exercise regime, as much as I HATE the idea. Walking is all I do, and even that reluctantly at times.
mopinko
(70,097 posts)well, that an being sick. lost a lot of weight.
ideal bmi. the hard way.
hanging the hard way.
elleng
(130,895 posts)My weight and bmi are OK, but I suspect my heart the muscle could use more work. Will probably learn more at cardio doc, and then have to force myself to 'work.'
TBF
(32,056 posts)my primary doctor explained that heart attacks in the morning (6 am - noon) are on average more likely to happen and to be severe.
Scary stuff ... but a very good article. K&R
arikara
(5,562 posts)in my previous incarnation as a paramedic, I can attest to that. The calls coming in between 6 and 8 am were largely cardiac related. Even now, years later when I hear a siren around those hours I have an educated guess as to what the call is about, the only event that surpasses cardiac during that particular time frame is a rainfall after a dry spell, causing roads to become slippery during the morning commute.
That said, my Mr has had several heart attacks and many other issues with his ticker and his always seemed to happen in the afternoon.
AndyTiedye
(23,500 posts)Just wondering.
arikara
(5,562 posts)Although it could contribute. I think it's something more to do with the physiological act of waking up. I honestly don't remember though.
mopinko
(70,097 posts)asthma is known to be worse at night. beyond what is expected from the lack of activity, apparently.
waking up, as an asthmatic, means switching into a more active breathing mode, which require some waking up of my lungs. cough cough.
yup, i can see that stressing the heart, even at a low level.
PADemD
(4,482 posts)grasswire
(50,130 posts)TBF
(32,056 posts)the aspirin and broke out in hives. That's better if you can do it that way
grasswire
(50,130 posts)If you have cardiac history or are of a "certain age" always take your cell phone to the bathroom with you if you feel unwell in the night. If you collapse there, it could be catastrophic with no help.
I always keep my charged phone at bedside, and carry it with me to the john in the night.
elleng
(130,895 posts)Thanks.
daleanime
(17,796 posts)the only time my phones not on my person is when it's charging.