Confused : Hi everyone, I had a HA jan... - British Heart Fou...

British Heart Foundation

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Confused

Kazzy60
Kazzy60

Hi everyone, I had a HA jan 30th this yr so it’s all very new to me. I feel well recovered from the attack but have been having problems with my meds. I had some problems with my legs, feeling very heavy and like I’m dragging my legs through water it got to the stage where I was stopping every few minutes while walking, also I have been having with my breathing.. I’m not getting excessively out of breath but enough that effects me when I’m talking. Been in touch with my gp who has changed my statins but said none of my meds cause breathlessness so asked me to call in to have my lungs listened to.

Lungs are fine, still saying it’s not the meds and has given me an extra blood pressure tablet as my blood pressure was up .. which was unusual as it’s usually low. Anyways... she went on to tell me that she doesn’t think I had a heart attack... that it was an angina attack? She said my trapomium ( probably spelt wrong ) levels were low and she’s seen them much higher with other people. Nothing was mentioned about an angina attack while in hospital they said heart attack.. so now I don’t no what to put on my travel insurance...angina?.. heart attack?. My traponium levels were 700 she said. I no that you can’t tell me what to do but maybe advise who I can ask, I haven’t had an appointment to go back to see anyone at the hospital, I had an echo last Tuesday so maybe I will go back when the results are in but no one has said I will so I don’t no

13 Replies

Hi Kazzy and welcome.

Don't worry about the "it's new to me" - it was to all of us at some point!

First things first. Heart attack or angina:

Without wishing to criticise your GP unduly, if the hospital treated you as a heart attack (MI or myocardial infarction) and listed you as a heart attack on discharge, then you had a heart attack.

That determination in the hospital will have been made by a cardiologist, on the basis of blood tests, ecg results and clinuxal history, and your GP isn't really qualified to over-rule that on the basis of their personal opinion of "how bad" your blood results were while disregarding the other evidence and the cardiac specialist's assessment!

Troponin levels are a good, though not infallible, guide and a level of 700 is WELL into a clear indication of MI. Yes, they can go a lot higher (into the several or even 10s of thousands) but a small heart attack is still a heart attack and needs to be treated as such.

This early on, that treatment should be including referral for your current symptoms because, while they may well be meds related, they could also be symptoms of further issues.

That's particularly true for women, who will often NOT experience the "typical" chest pain symptoms.

None of the above is intended to frighten or worry you unduly, but it is important that you don't get sidelined because someone made an unsupported judgement call.

And I say that as someone who did as recommended and asked my pharmacist for advice about the 36 hours of "indigestion" I was suffering (as an obese, smoking, 51 year old male with family history of heart disease) and was sold a (larger size) bottle of Gaviscon.

Bad advice, based on only part of the evidence (I said it felt like indugestion), and did absolutely nothing to help the heart attack it turned out I was having!

Thank you so much for your reply. My discharge letter from hospital says HA so I will go with that. As for the other symptoms I am getting I will do as the GP says and see how I go and have a word with the cardio nurse at rehab next time I am there.

I too thought mine was indigestion while I was on the phone with my son, I asked my husband if he would get me an indigestion tablet.. then said in fact get me 2! He said if you need 2 you need an ambulance! ( he is a nurse) it wasn’t until I got shoulder pain and pain in my jaw I though this isn’t indigestion 😒

I hope your recovering well and once again thank you.

It sounds like you have a pretty safe pair of hands in your husband, which is good to know.

On the plus side, while every HA is different and depends on where, as well as how much, damage has occured (not to mention loads of other factors!) Troponin levels like yours were do suggest that - while there will be damage - the actual amount of heart muscle damaged was fairly small. Which is always a good starting point!

16 months on from similar levels and I'm doing up to 8 mile walks with 40lb packs and 2 hour-long gym sessions in a row (hour gym, 15 min break, then hour circuit class).

It's a little ironic that, thanks to a heart attack, I'm probably fitter than I've been in the last 20 years :D

You are putting me to shame, although I can’t do much in the way of exercise due to a problem I have with my spine... I can and should be doing some! I lost 9 stone a few years ago and due to my mobility problems I have gained 5 back 😓 and only being 5ft 1 its taking its toll... right that’s it!! I am going to phone my local leisure centre and find out the times for swimming. It’s probably the best thing for me to do.. wish me luck.. or maybe it’s everyone else there who has to see me in a swimming costume who needs the luck lol...

No shame involved - don't forget, 16 months v 36 days ;)

I see you say you had an echo, who sent you for that & did they say why you needed it?

Kazzy60
Kazzy60 in reply to shopman

When I was discharged from the hospital they told me I would get an appointment for an echo, they said it would be in about 3mths time but I was sent an appointment for last Tuesday. They didn’t say why I would be having it but the cardio nurse said it’s just to see if everything is pumping ok?

shopman
shopman in reply to Kazzy60

Thank you, the pump (your heart) and breathlessness sometimes go together so hopefully just trying to rule things out. Do you suffer with fluid retention?

Kazzy60
Kazzy60 in reply to shopman

My left ankle is very slightly swollen but to be fare that one does swell, I have nerve damage in my foot from my spinal problem ( something I was born with) so have no feeling in that foot at all and due to the ankle joint not working properly the muscles are seizing up. While in hospital both feet and ankles were very swollen but since coming home they have gone down. The breathlessness started around 2 weeks after I was put on the medication

shopman
shopman in reply to Kazzy60

It could well be some of your medication is not agreeing with you so to me should be asked about.

Kazzy60
Kazzy60 in reply to shopman

Thanks shopman , I will ask the cardio nurse

shopman
shopman in reply to Kazzy60

You could always ring the BHF Nurses for advice & explanation. I would phone the BHF Cardiac Nurse on Monday they are excellent in breaking things down in an easy to understand way BHF number is 0300 330 3311 open Mon-Fri 9am to 5pm

Kazzy60
Kazzy60 in reply to shopman

Thank you, I didn’t no we could do that. Much appreciated

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