Still struggling a bit

I'm a 33 year old female. They discovered that I had Hypertrophic cardiomyopathy when I was 9 years old. Up until recently it was pretty manageable, I just took verapamil and didn't over exert myself too much. Recently I went in for a routine check up and they discovered that I had some kind of block. My heart rate was running low and my heart was having excessive pauses I guess, dropping beats. They took me off verapamil for a while and I was scheduled for a biventricular pacemaker on the 20th of December. However, Thursday night while visiting my father in the hospital I had a severe episode where I felt faint and very weak. I went into the ER and they all seemed very concerned that my heart rate was too low and I was dropping too many beats. So they rushed me to the critical care unit. Many cardiologists came in and out. They decided they needed to put a temporary pacer in through my neck until they could bump up the permanent pacemaker implantation to the following night.

I have a few concerns really. For one, I have very sore achy pain in the center of my chest that hurts when I take deep breaths. Not shooting pains, but sore. One doctor said that this could be due to some bruising in the area around the surgery. Has anyone else ever dealt with this? It seems like most people's recovering and pain has been manageable or central to the shoulder and incision area. I wonder if this is from the temporary pacer? I had two doctors working on me, one seemed to be over seeing a less experienced doctor, instructing her and I did hear him say a couple times, " you are caught on something there, pull back." So I wonder if all the "catching" could have caused bruising and the soreness internally?

Last night I felt a little short of breath, light headed and had some palpitations so I went back into the ER. They gave me blood tests, an ekg, and a cat scan and they found no punctured lung, blood clots or fluid. I was initially paced at 50 but My cardiologist came in and raised my heart rate on the PM programmer thingie. That seemed to help some. She said everything was working fine and checked out ok so I left feeling better.

Tonight however, I was visiting my father in the hospice ( he has cancer and has very little time left which makes all this even more difficult) and I was sitting at the table talking when all the sudden my heart started beating rapidly. it would beat rapidly where I could feel it pounding in my chest and pulsating in my neck. It would slow down a bit after a minute and then start up again. It kept going up and down like this for a good 10 minutes then it stopped. I called my doctor, where I didn't have chest pains, pain my arm or numbness or really short of breath they didn't seem super concerned. I hadn't taken my verapamil yet, so they just told me to take that, and if symptoms worsened go back into the ER.
Now I'm laying on the couch. No more rapid heart beat for now just tired.

So, I know I can't really get any clinical answers here, I'm just writing because this whole thing has been so scary and frustrating. A month ago everything was business as usual. Now I am fearful for my own health and also dealing with the sudden news that my father is dying. I'm sure the stress of it all is not helping. I know they often need to tweak these things to get it all right but I'm just nervous and frustrated. I just want to feel better and not afraid all the time.


8 Comments

Hi

by jeanlancour - 2013-12-16 11:12:23

Really a bad time for you. It does sound as if something could have caused the soreness in your chest. If it were to get worse I would call your cardio again. You have a lot of emotions going on in your life that will cause your heart to beat faster and harder. Things going on in our lived affect our bodies, Knowing your Father is not going to live is a very big thing, it is going to affect you, mind and body. Then when your body reacts to it, it scares you and causes even more of a reaction.Take the meds the drs give you, I would let them know, if they don't already, about your Father. Perhaps what is going on will give them a little more insight. There are many more people on here that will have things to say that might be more helpful. Please keep us posted as to how things are going. Best to you Jean

Feelings

by Theknotguy - 2013-12-17 01:12:20

You will have different feelings just after the PM is inserted. I'm one of the few lucky people who can tell if I am in a-fib and what kind. After they did a heart cath I felt like I had fallen down and been scraped on a sidewalk - from the inside. So if you are one of those lucky people who can feel what's going on that may explain part of what you felt inside your chest.

Your heart wants to do the same old thing but the PM won't let it. So you'll have different feelings because your heart isn't doing the same old thing. With the PM working that can also explain the pounding in your neck and chest. Until your body gets accustomed to the new rhythm you may notice what's going on. Remember you PM is making your heart beat stronger so you'll get pounding feelings sometimes. You'll also notice some

I had pain all the way up into my jaw from the leads being inserted in the vein under my collar bone. Once I got used to the PM and the leads the pain went away.

Your stress can make your PM adjustment more difficult. I talked myself back into the hospital from stress. Only in my case I kept raising my blood pressure. It went up so I got concerned, so it went up some more, so I got more agitated. Eventually it hit the point where I punched the button and ended up in the hospital ER. So you gotta watch stressing yourself out.

Sometimes you just have to tell yourself that if you are seeing any flashing lights and don't fall to the floor, you are OK.

Hope this helps.

Theknotguy

stress

by judyblue - 2013-12-17 07:12:33

Jean,
I wish you the best in this very difficult time. I also experienced hospice at the end of both my parents lives. Even knowing they were going to die and they would be out of pain, it was so hard. I certainly feel the depth of your sorrow around this. I hope you get the pm soon to take care of your physical problem. But like already said here, stress makes it much more difficult. I just went to ER last Friday due to extreme chest pain that ended up as stress related. I physically feel the stress in my chest and PM site. I have had pain for 12 weeks now and when I asked the doc at the hospital WHEN will it go away? He said he could not say. when I kept guessing as to a time frame, he could not assure me that in a year I would feel better. We are all different.
Best to you, keep us posted.
judy

Hi

by rnff2 - 2013-12-17 11:12:30

I have HCM also and I received my pacemaker about 6 months ago. It took me several months to get my pacemaker settings and meds adjusted and learn to know the feelings the pacemaker was causing. Its good to know you had a good evaluation done in the ER. The SOB, did you have that pre pacemaker, you mentioned you don't over exert yourself to manage your HCM. It may take your heart a while to get used to beating more normally, SOB is pretty common symptom of HCM. Hopefully time will improve your pain and symptoms.
I wish you the best with all that you are going thru with your dad. Its alot to have going on at one time. Stress is not helpful when you yourself are trying to recover. Make sure you take care of yourself as you are caring for you father. Take it one day at a time. I hope you feel better soon.

Thanks Jean

by Kriskent - 2013-12-17 11:12:44

Your comment was very helpful. I appreciate it. A friend of mine who also has a pacer said something similar about the stress and things. I think with the confusion and all the realities of death around me right now that I definitely can make myself even more excited. I am just gonna do my best to be aware of things but not freak out so much. Today I woke up feeling much better. I'm hoping with some tweaking as far as meds etc. I can get to a place of confidence in my health and not constant worry. Thanks again.

Stress...

by lubro - 2013-12-18 07:12:30

Like others here have attested, stress can be a real killer. I lost my father several years ago...He was under home hospice care, living in Louisiana, and I live in NC...I made numerous "stressful" trips down there. Once I got a call from a good neighbor and friend... "your dad is not doing well...you'd better get down here":...
scrambling, I made work arrangements...flts and rental car arrangements... got down there and found him laughing and drinking coffee with said neighbor (btw..a very wonderful neighbor who always looked after my dad.)
After dad passed, I took mom to live in NC with us. Talk about stress... she was diagnosed with Alzheimers, and after about a yr & 1/2...we had to place her in a memory care facility...( should have done it earlier, but I wanted to take care of mom...)
All of this really took it's toll on me...
About 6 months thereafter, I found myself in the hospital...diagnosed with afib, and had my PM implanted...
Now I know stress was probably not the only reason for all this, but I believe it certainly was a "major" factor...
I'm really sorry about your dad and everything you are going thru...But, please try to take care of yourself...You could try some breathing exercises when your heart rate accelerates...I found that helped me...What you are going thru with your dad is an awfully stressing event...These things are never easy to deal with...so, hang in there... let us know how things work out for you...and remember, you are not alone...
take care,

Lubro

Thanks everyone

by Kriskent - 2013-12-24 12:12:29

Thanks to everyone here for your kind words and sound advice. I'm still having palpatations at least once a day. They come in short bursts where it feels like my heart rate is faster (not dangerously but certainly noticeably) and feels like my heart is beating out of my neck and chest. My cardiologist had me wear a 24 he. Holter and I did have one small episode while wearing it so hopefully they got it and can figure out what the deal is. I'm no longer afraid of these episodes when they happen cause they always seem to pass but they are terribly annoying and uncomfortable. I will be seeing a specialist at Tuffts come late January who is an expert on Hypertrophic Cardiomyopathy. I'm looking forward to maybe getting some real answers. I know I may never feel like I did 3 months ago but I'd love to feel better then this. I know stress is definitely amplifying it. You can't avoid this kind of stress though even if you tried. Thanks again guys.

Update

by Kriskent - 2014-03-25 11:03:18

Thanks again to everyone who responded. Just to update these issues. I went to see my regular cardiologist about the palpitation episodes I was still having and she said it could be a number of things but first they would try an adjustment to one if the settings on my pacemaker. If that worked, it would be ideal. If not, we would go through trial and error to figure it out. Well it worked! Palpitations disappeared! So happy. I wish I could tell you what it was they did exactly but the tech did it so quickly and didn't say exactly what the adjustment was. I'm glad it worked though, whatever it was.
I finally was feeling closer to normal again when I went down to Tufts Medical Center to see Dr. Martin Maron a specialist in Hypertrophic Cardiomyopathy. His recommendation was that I have an ICD upgrade as a precaution because I have a low EF and excessive scarring. So last week I had my second pacemaker procedure in 3 months! Luckily everything went smoothly and I'm way less sore than the first time. Overall I feel really good. I'm still mourning my father and grandfather and my old life pre emergency episode but my spirits are way better than before. I am feeling much more positive and hopeful. Just wanted to say thanks again.

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