Questions posted in the
Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: 911 treatment saved me I posted on 8/21 about being confused and receiving 2 different diagnosis. I think my neuro and my cardiologist will kill me indirectly. Help, what is going on. Thursday, suffered bad bad pain, starting in left back and went right through my body to my front chest, had cold sweats, pain left me unable to move my body, even to sit, had tingling in left hand. 911 was called by time they got there I thought I was a gonner, god the pain, unbearable. ECG done, oxygen put on and they tried to lower me to floor then stretcher..finally, IV got in and drug to stop my heart administered (heart rate was 220, relief of pain immediate. They still took me to ER. Called my neuro and he again said not neurological, cardiologist saying neurological no heart disease. I think I almost died. Will I die from this SVT before I can get to a internist. Shouldn't I be getting some kind of treatment so these attacks will stop? Can that SVT have damaged my heart? Why aren't I getting any help? Why did my cardiologist not allow them to do CPK blood test. Am I being discarded, and they are indirectly trying to tell me its hopeless? I'm tired, I'm scared and I'm confused. ------------------------------------------------------------------------------------------------------------- If your cardiac catheterization was normal, your symptoms are unlikely to be due to coronary artery disease, and the stress test was likely incorrect. I suspect that your cardiologist does not think that there is anything wrong with your heart. That is why he did not want any blood work drawn in the ER. If your heart rate really went to 220, that is quite high. Sometimes pain and anxiety can raise heart rates substantially - I cannot say if this was the case with you. An isolated SVT will not damage the heart. If you are really having SVTs (and not just fast, but normal, heart rates) you do need to see a cardiologist about it and have it evaluated. It seems from what you have said that the neurologist does not really think that anything is wrong with you neurologically either, though some of the symptoms you describe do sound neurological. I do not think that your cardiologist and neurologist think that you have a serious ailment. I do suggest that you take all your records to an internist and tell him all your symptoms. Perhaps some of the symptoms are due to gastric problems and seeing a gastroenterologist may be in order. Finally, if after a comprehensive evaluation, your cardiologist, neurologist, internist and gastroenterologist cannot find anything causing your symptoms, you should make an appointment with a psychiatrist. I hope this is useful. Feel free to write back. I wish you the best of luck. If you would like to set up an appointment with one of our cardiologists here at the Cleveland Clinic please feel free to call 1-800-CCF-CARE. Information provided in the Heart Forum is intended for general medical informational purposes only. Actual diagnosis and treatment of any particular medical condition can only be made by your physician(s).
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