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Old 11-29-2008, 04:09 AM
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Default A Nurses Account of her own MI

This was written by an ER Nurse, very informative reading,

Women and heart attacks (Myocardial infarction). Did you know that women rarely have the same dramatic symptoms that men have when experiencing heart attack ... you know, the sudden stabbing pain in the chest, cold sweat, grabbing the chest & dropping to the floor that we see in the movies. Here's the story of one woman's experience with a heart attack.
'I had a heart attack about 10 :30 PM with NO prior exertion, NO prior emotional trauma that one would suspect might've brought it on.
I was sitting all snugly & warm on a cold evening, with my purring cat in my lap, reading an interesting story my friend had sent me, and actually thinking, 'A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up.
A moment later, I felt that awful sensation of indigestion, when you've been in a hurry, grabbed a bite of sandwich and washed it down with a dash of water. That hurried bite seems to feel like you've swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn't have gulped it down so fast and needed to chew it more thoroughly and this time drink a glass of water to hasten its progress down to the stomach. This was my initial sensation---the only trouble was that I hadn't taken a bite of anything since about 5:00 p.m.
After it seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (hind-sight, it was probably my aorta spasming), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when administ ering CPR)..
This fascinating process continued on into my throat and branched out into both jaws. 'AHA!! NOW I stopped puzzling about what was happening -- we've all read and/or heard about pain in the jaws being one of the signals of an MI happening, haven't we? I said aloud to myself and the cat, Dear God, I think I'm having a heart attack!
I lowered the footrest dumping the cat from my lap, started to take a step and fell on the floor instead. I thought to myself, If this IS a heart attack , I shouldn't be walking into the next room where the phone is or anywhere else ...on the other hand, if I don't, nobody will know that I need help, and if I wait any longer I may not be able to get up in a moment.
I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics... told her I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn't feel hysterical or afraid, just stating the facts. She said she was sending the Paramedics over immediately, asked if the front door was near to me, if so, to unbolt the door then lie down on the floor where they could see me when they came in.
I unlocked the door, laid down on the floor as instructed and lost consciousness. I don't remember the medics coming in, their examination, lifting me onto a gurney or getting me into their ambulance, or hearing the call they made to St. Jude ER on the way. I briefly awaken when we arrived and saw that the Cardiologist was already there in his surgical blues and cap, helping the medics pull my stretcher out of the ambulance. He was bending over me asking questions (probably something like 'Have you taken any medications?') but I couldn't make my mind interpret what he was saying, or form an answer, and nodded off again, not waking up until the Cardiologist and partner had already threaded the teeny angiogram balloon up my femoral artery into the aorta and into my heart where they installed 2 side by side stents to hold open my right coronary artery.
'I know it sounds like all my thinking and actions at home must have taken at least 20-30 minutes before calling the Paramedics, but actually it took perhaps 4-5 minutes before the call, and both the fire station and St. Jude are only minutes away from my home. My Cardiologist was already to go to the OR in his scrubs and get going on restarting my heart (which had stopped somewhere between my arrival and the procedure) and installing the stents.
'Why have I written all of this to you with so much detail? Because I want all of you who are so important in my life to know what I learned first hand.'
1. Be aware that something very different is happening in your body not the usual men's symptoms but inexplicable things happening (until my sternum and jaws got into the act). It is said that many more women than men die of their first (and last) MI because they didn't know they were having one and commonly mistake it as indigestion, take some Maalox or other anti-heartburn preparation and go to bed, hoping they'll feel better in the morning when they wake up ... which doesn't happen.
My female friends, your symptoms might not be exactly like mine, so I advise you to call the Paramedics if ANYTHING is unpleasantly happening that you've not felt before. It's better to have a 'false alarm' visitation than to risk your life guessing what it might be!
2. Note that I said 'Call the Paramedics.' And if you can take an Aspirin.
Ladies, TIME IS OF THE ESSENCE!
Do NOT try to drive yourself to the ER - you are a hazard to others on the road.
Do NOT have your panicked husband who will be speeding and looking anxiously at what's happening with you instead of the road.
Do NOT call your doctor -- he doesn't know where you live and if it's at night you won't reach him anyway, and if it's daytime, his assistants (or answering service) will tell you to call the Paramedics. He doesn't carry the equipment in his car that you need to be saved! The Paramedics do, principally OXYGEN that you need ASAP. Your Dr. will be notified later.
3. Don't assume it couldn't be a heart attack because you have a normal cholesterol count. Research has discovered that a cholesterol elevated reading is rarely the cause of an MI (unless it's unbelievably high and/or accompanied by high blood pressure). MI's are usually caused by long-term stress and inflammation in the body, which dumps all sorts of deadly hormones into your system to sludge things up in there. Pain in the jaw can wake you from a sound sleep. Let's be careful and be aware. The more we know, the better chance we could survive.
A cardiologist says if everyone who gets this sends it to 10 people, you can be sure that we'll save at least one life.
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Old 11-29-2008, 05:31 AM
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That is something that we all need to read. Imagine what that would feel like, how scary it would have been, beginning to recognise those symptoms in yourself, and knowing the impact/importance it can have on your life!
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Old 11-29-2008, 08:58 AM
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Quote:
Originally Posted by nyapa View Post
That is something that we all need to read. Imagine what that would feel like, how scary it would have been, beginning to recognise those symptoms in yourself, and knowing the impact/importance it can have on your life!

I?m a nurse and I didn't recognize it in my Dad or I would have called 911 rather than taking him to the ER in my car. His color was off, he said his chest hurt but it wasn't clutching it or didn't have any feelings of pressure on his chest, no SOB, VS all WNL. His pain was relieved by drinking soda and burping. But...I felt that he needed to be checked out at the ER because I felt that something serious was going on. I felt like it may be gastrointestinal rather than cardiac.

When we arrived to the ER I told them he had chest pain knowing they would take him back right away. They did an EKG, which was normal, they placed nitro paste which didn't help, his cardiac enzymes were normal. The doctor felt too that something wasn't right but he wasn't convinced either that it was cardiac but decided to err on the side of caution, put him on heparin and in the CCU overnight. The next morning the cardiac enzymes were elevated so a decision to cath was made. I was shocked when the cardiologist came out and told me the results. I would never have dreamed that he had blockages that bad. The doctor said the only thing that saved his life from a major infract was the fact that otherwise he was in excellent health, even for a man 30 years younger than him.
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Old 11-29-2008, 10:07 AM
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Wow. Great story and feedback. This really makes you feel more aware, not paranoid but informed and aware. Thanks. Glad to hear about the positive outcomes.
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Old 11-29-2008, 09:12 PM
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Okay, now I'm going to worry. Not about the fact that my heart skips beats; it's done that, on and off, for some 52 years now, and I'm still here complaining about it. Not about the funky T wave that showed up on an ekg before my rotator cuff surgery 2 years ago; I had a stress test, and it was Kosher. And not even about the weird tightness I get in my chest every now and then that, up to this moment, I had convinced myself was asthma. No, I'm worried about the fact that I can't go get all this investigated and put my mind at ease. I hope I live long enough for something to be done about health care accessibility in this country. If I don't, I can at least count on Shoshana to take care of my cats.
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Old 11-30-2008, 07:11 AM
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That was a great read, thanks for posting that and for the great outcome. We all learn from others experiences.
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