I have a complicated cardiac history but here it is in a nutshell. I'm a 41 year old female ICU nurse, active all my life in competitive sports.
3/24/10-developed crushing chest pain, rushed to cath lab at work and found to have a single coronary artery with an anomalous right coronary artery originating off the left main and coursing between may aorta and pulmonary artery.
3/25/10-underwent a CABG x 1 (RIMA to RCA) to correct blood flow to RCA.
Relatively uncomplicated post-op recovery except underwent another cath 5 weeks postop for angina while exercising (showed normal coronaries and graft maturing nicely).
but continue to have angina monthly, usual around menstrual cycles (just before period starts and just before ovulation). Angina is relieved with SL NTG always.
Have passed 2 post-op stress echos, last in September 2010 and achieved 100% of predicted heart rate and 12.5 METS. Normal EF on echo with no wall motion abnormalities and slight LVH (hx of hypertension).
Have had PVCs prior to surgery and continue to have a large amount now, 13 months later. Underwent a Holter test revealing about 15,000 PVCs in 20 hours so about 20,000 in 24 hours. No VT, several couples, 1 salvo. My cardiologist at work says they originate in the RVOT.
My cardiologist through my insurance says not to worry, shouldn't be a problem. When in trigeminy I do get tired, short of breath, and diaphoretic.
My question is, what further follow up tests do you recommend if any? At this time we are just planning on occasional 12 leads and an echo every 3 years. I do exercise 4 days a week vigorously.
Sorry for the long post! As my surgeon kindly said, "I'm a mutant"!