RA and Heart Health Check up: Hi All Hope everyone is... - NRAS

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RA and Heart Health Check up

Hessie5 profile image
45 Replies

Hi All

Hope everyone is as well as can be.

Just wondered if anyone has their heart checked with RA - never had it done so spoke to my Rheumy and told me to get it checked. I may go the private route due to how busy things are with the NHS understandably.

Has anyone had this done before? If so, what was the procedure you opted for?

Appreciate any feedback. - Hessie

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Hessie5 profile image
Hessie5
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45 Replies
3LittleBirds2 profile image
3LittleBirds2

Hi Hessie

I used to get this done, I was called in yearly by my GP for a heart health check as I had RA.

Then it suddenly stopped happening, when I enquired why recently, I was told they no longer offer it, so not sure if things have changed, but I guess there are more pressing matters to be dealing with at the moment, also my GP practice is very Diabetes focused, my husband is having checks all the time.

I need to check with Rheumatology really but will be interesting to find out as well if anyone else it.

Caza profile image
Caza in reply to 3LittleBirds2

Nope never have & never been mentioned

Hessie5 profile image
Hessie5 in reply to Caza

I had it mentioned once! Then nothing - thanks

orange33 profile image
orange33 in reply to 3LittleBirds2

Hi same here.

Hessie5 profile image
Hessie5 in reply to 3LittleBirds2

Thanks for your reply - sounds like you had a great GP! Probably budget why they stopped. It is important so I shall pursue! Have a lovely Friday. 🙂

3LittleBirds2 profile image
3LittleBirds2 in reply to Hessie5

Well, i only had one then it just stopped. They just took my blood pressure etc that was it really, it was a while ago. I did have a ECG there once too but that was because of side effects with Rituximab not a heart health check. You're right probably stopped because of budget constraints! Have a great weekend x

eastbournelady profile image
eastbournelady in reply to 3LittleBirds2

no never had it checked by RA team, or even mentioned, but have just recently been diagnosed with heart failure reason being guess what RA!!! so suggest you push for a basic check at least each year especially as getting diagnosis is simple at moment but getting further tests to see how bad it is are of course all delayed.

Hessie5 profile image
Hessie5 in reply to eastbournelady

Sorry to hear of your diagnosis and hope that they have caught it early - I don't feel as if I have anything but as we know RA just crept in one day all good the next jumping pain. I shall book so thank you. Wishing you well - Hessie

springcross profile image
springcross

Hi Hessie. No I never have and I have a leaky valve. x

nomoreheels profile image
nomoreheels in reply to springcross

You should, you have existing heart problems as well as an AD. It was a contributing factor for my Mum. Maybe it would be a good idea to ask?

Hessie5 profile image
Hessie5 in reply to nomoreheels

Agreed

Hessie5 profile image
Hessie5 in reply to springcross

Thanks - very strange how it's so up and down - we are all told different things. Take care now.

Dobcross1 profile image
Dobcross1

No there don't appear to be any heart checks offered and I've often thought about this - although bloods are monitored (I'm on mtx) no heart or lung checks are available and they should be.

Hessie5 profile image
Hessie5 in reply to Dobcross1

That's why I am going to pursue - often we leave things until the horse has bolted. Thanks for your feedback. 🙂

helixhelix profile image
helixhelix

Under shared care agreements your GP should normally offer you an annual cardiovascular check......so you could ask.

The alternative route is the 5 yearly NHS Health Check

nhs.uk/conditions/nhs-healt...

Neither would give you a full work up most likely, so depemds what you feel would reassure you.

(If I describe my cardiovascular, dermotology, optical, and dental monitoring regime you will all throw stones and never talk to me again I fear!)

Hessie5 profile image
Hessie5 in reply to helixhelix

Hi HH - never been offered and to ask now not a good idea as they are so overworked - plus appointments times are horrendous!

Please do share your regime - now you have put it out there! Shall make for a good read during life in lockdown 😁 - take care...

helixhelix profile image
helixhelix in reply to Hessie5

My blood pressure is checked and heart listened to every time I go to GP - no matter what for! Each year rheumy sends me off for a dermatology check, to have my gums and teeth looked at, and for an ECG. I do have minor heart problems with a dodgy valve and some damaged heart muscle. So did have the full works 2 years ago.

As a hang over from being on hydroxy (and a mother with macular degeneration) I also have eye health checks. Every couple of years I have lung function tests and hand/feet x-rays if I want.

She also has an ultrasound in her office which she uses to check joints at most appointments, which are every 6 months. I really cannot fault the healthcare I’ve received and get so cross that this isn’t universal. It’s what we all deserve.

So, since I had some new problems last year my entertainment and social life during this pandemic has been medical appointments!

Hessie5 profile image
Hessie5 in reply to helixhelix

Wow HH - you have a fabulous set up - exemplary service! If only this were universal for us all. When I asked for my blood pressure by a nurse at my GP Surgery, she refused exclaiming she is too busy! I was in her office all of 2 minutes. That's why I end up jumping the fence over to private as I have had such under par experiences - so flick between both.

Many thanks for sharing, very useful - shall add lung check-up to my list.

Hope overall life is treating you well - take care, Hessie

Dobcross1 profile image
Dobcross1 in reply to helixhelix

I asked about the 5 yearly health check before Covid and was told they were discontinued!

helixhelix profile image
helixhelix in reply to Dobcross1

🤬

Hessie5 profile image
Hessie5 in reply to Dobcross1

Why am I not surprised 😕 as said be your own Dr - I persist and insist but even that can be trying - take care.

teresa2711 profile image
teresa2711

I’ve had a heart and BP check yearly. This year I had a phone call from my gp surgery telling me to do a 24 hour bp check at home and email the results to them. I told the receptionist I didn’t have a bp monitor and her reply was “I suggest you invest in one then”. I was rather taken back by her answer but I duly purchased one and did 8 checks over the course of 24 hours and sent results in.

Hessie5 profile image
Hessie5 in reply to teresa2711

Hi - thanks for your response. It's frustrating when you are at the other end of rudeness! Not sure why they do the job.

I have a BP monitor that I now use. Can you share when they did your heart check was it a basic check with the pads? ..Hessie 🙂

teresa2711 profile image
teresa2711 in reply to Hessie5

Hi. When I saw the nurse at my surgery she asked some questions and did a bp check that was it. The ones I did at home were read and given an average and that was out on record. I’ve heard nothing since. I’ve an appt with nurse to do my bloods as on MTX and Benepali. At least I’ve not been asked to take my own blood 🤔

Pulfs profile image
Pulfs

I check my BP regularly and recently had an ECG at Drs. Tuesday dr called me and said the last bloods said my diabetes was ok and tho cholesterol was 4.6 with my family history and my RA she said I was borderline for statins left it to me decide. Got rheummy appointment in couple of weeks so will discuss with them and also about taking vitamin D which I don’t at the moment x

Hessie5 profile image
Hessie5 in reply to Pulfs

Hi Pulfs - how fortunate you can have the ECG at your Drs! My last visit to my Drs he said I need to go on statins as I have RA - and even though my cholesterol is about 4.7 and my good and bad weigh out each other - he said I must. Spoke to my Rheumy who said no need 😕 - so confusing - I don't want to do the statin route unless I have to. Take care, Hessie

Pulfs profile image
Pulfs in reply to Hessie5

I’m not keen to go on them I’ll see what rheummy says at my appointment x

nomoreheels profile image
nomoreheels

I do. With having RD & as well both my parents had cardio history I have a cardiovascular check every year, done at my Surgery, plus I'm on statins. I had an echo most recently to try & solve another mystery, no great issues other than what is already recorded. I think otherwise it's recommended those with RD have a CV check every 5 years, though that may be old info now so best to ask.

Hessie5 profile image
Hessie5 in reply to nomoreheels

Thanks - I am going to be booking mine that's for sure. Heart issues are on my father’s side of the family sadly. So even more so I must check! Take care, Hessie 🙂

Kajo68 profile image
Kajo68

After I developed RA, my GP put me on their annual cardiovascular check list. My first one went ahead at the surgery last month x

Hessie5 profile image
Hessie5 in reply to Kajo68

Thanks Kajo - you sound lucky to have a good GP! Have a good weekend - Hessie 🙂

Kajo68 profile image
Kajo68 in reply to Hessie5

Have to say, I thought it was the norm. I don’t have any other medical conditions, or even family history. Sad to see we are not all treated the same x

Hessie5 profile image
Hessie5 in reply to Kajo68

Kajo - I have learnt being diagnosed with RA you have to be your own Dr...i don't rely on them personally

Boxerlady profile image
Boxerlady

I've never had a heart check - at least, I don't think so!

Hessie5 profile image
Hessie5 in reply to Boxerlady

Hi - After some of these guys responses are you going too? It's very 50/50

Boxerlady profile image
Boxerlady in reply to Hessie5

Having had a quick look at the link from oldtimer, I think that the health check that I have every five years counts...

oldtimer profile image
oldtimer

This is the advice on NHS website:nhs.uk/conditions/nhs-healt...

for checks for people between 40-74 every five years.

Being old and decrepit and having raised blood pressure (on treatment) I have one every year.

Hessie5 profile image
Hessie5 in reply to oldtimer

Thank you Oldtimer, very kind- it's that reassurance - and you’re as old as you look and feel he he 🙂

beeckey profile image
beeckey

I used to get called in to gp every year for RA check and then it stopped never new why

helixhelix profile image
helixhelix

I thought only pre-existing heart conditions/high cholesterol are excluded - not every single condition? Or maybe it is and that’ why they don’t do them as so few people without something!

BoneyC profile image
BoneyC

I've had RA a lifetime, since I was 6, now coming 57 and only in recent years has a GP done a Cardiovascular (CV) check based on the fact I take NSAIDs. The check up is done by a HCA when I have monthly bloods for MTX & consists of height, weight (BMI), BP and extra bloods taken for Cholesterol and Glucose. Nothing else. It frustrates me that sometimes they skip the Chol. & Gluc. bloods and calculate my CV risk using out of date results!

Hessie5 profile image
Hessie5 in reply to BoneyC

That's interesting - it is strange that we all get told different things - thanks for sharing, have a lovely weekend. 🙂

Hessie5 profile image
Hessie5 in reply to BoneyC

Hi - when you say HCA is that the healthcare company if so are they good?

BoneyC profile image
BoneyC in reply to Hessie5

HCA = Health Care Assistant

Hessie5 profile image
Hessie5

Hey Whaleroad - thanks for your response.

I have to ask for BP, ask for my blood results and it became such a hassle I gave up. I was told if my results were bad my Rheumy would let me know - so never able to spreadsheet my ESR or CRP. Just so darn backwards!

When I has to see a private haematologist with my blood results it was ridiculous as she needed to track it all....and couldn't easily as old clunky systems which holds this data. Yet my colleague has access to everything on his phone.

I now have a blood pressure machine at home save all the hassle.

It needs to be better that's for sure! Look after you, all the best, Hester

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