So I had a heart attack last week. Not the widow maker, but a heart attack none the less. Have to start cardiac rehab next week. Has anyone been through that before? What can I expect?
What happened if you don’t mind sharing.
I was sleeping Tuesday night, and I was dreaming that I was having serious chest pains. Woke up and I was indeed having the chest pains. Got up and walked around for awhile trying to shake them off. My wife walked in wondering why I was walking around the bedroom. I told her and she immediately wanted to call 911. Me being pretty stubborn, said no. My pulse wasn't bad, racing a bit, but not bad, no sweating, no difficulty breathing, so I resisted. Finally about 45 mins later the pains subsided.
Weds evening they hit again, same thing about 30-45 mins. Thursday not bad, went to the Brewer game and had a little bit walking from the parking lot.
Friday I felt great. Called my Cardiologist to schedule a stress test, started telling the nurse what was going on and she's like, no, you need to come in to the ER right now, we need to run tests on you.
So I went in, and one of my tests, Tropinin (Sp?) level was over 3,000, and i guess normal is around 70 and is an indicator of a cardiac event. Had a heart cath on Saturday and he found one completely blocked artery and one partially blocked which he fixed during the heart cath.
Got out of the hospital Monday, starting cardiac rehab on Weds and off work for 3 weeks.
Said I was very lucky
thank you so much for sharing. my dad died of a massive heart attack. so it's more or less, always on my mind.
we, as men, tend not to share these stories. i'm not sure why. but it seems to be rooted in some sort of machismo/brave front/stoic thing. i'm guilty of this.
in early 2021 i had a heart incident. it's late. 1:30am i'm at home, watching a movie(the dig). having a glass of wine, eating a little cheese. out of nowhere my heart beat suddenly goes crazy! it's literally beating out of my chest. i slap on a work out, heart rate thing i had, and it's registering 150+ wtf!!?? i walk around a bit, no change. now it's 160+. I call 911. go upstairs and wake the wife up. fill her in. we're now consistently flirting with 170.
When I get to to the ER, pretty much the first thing the dr does is stop my heart

he says it all blasé, “so I’m gonna give you this protein, it’s going to stop your heart for a second”. it didn’t work. Heart still pounding away. This lasted for hours. The charge nurse tells me that if my heart rate doesn’t return to normal the next step is shocking me, like with the paddles. Except I have this huge patch stuck my chest that will do the trick. This also stops the heart. jeez.
I ask her if I can go to the bathroom. She says sure, but you’ll have to do it here. Good times. But you know what? Pushing one out in front of an audience did I the trick! Heart rate spiked over 200 while taking the dump, but then it normalized.

the nurse laughed and said she thought might work. spent the following night in the hospital. Heart never did a thing after taking a dump.
fast forward to now. I’ve had every test under the sun. I have a very healthy heart and have been diagnosed with atrial flutter. Essentially a congenital glitch in the electrical wiring of my heart. I’m having a cardiac ablation in 2 weeks. they go inside my heart burn it, in order to reroute the wiring. What’s that now?

but it’s an outpatient thing and apparently no big deal. The post op instructions are all about the incision in my thigh, where the catheter goes in. Nothing about the heart. I’ll be back in action in a week.
moral of the story, enjoy taking a dump.

Luff you guys.

I’ve also had issues with heart rhythm.
As you‘ve probably figured out by now, I exercise pretty compulsively. Well, one day before running, I randomly decide to check my pulse. It wasn’t too fast, but irregular. I checked again, same thing. So, I remember the iWatch my wife just bought me has an arrhythmia monitor. I check my rhythm, and it results atrial fibrillation. Uh-oh.
I call my cardiologist friend, who recommends I get an official EKG, which confirms the diagnosis. I‘m scheduled to see another cardiologist the next week.
The next day, I decide to do my own stress test. So I went hiking. The trail starts off pretty level, where my HR was 110ish. As the slope gradually increased, up to 130-150. But as the trail transitioned to minor scrambling, the rate jumped up to 200. The funny thing is, I felt OK, just a little more winded than usual. No palpitations or chest pain.
The next week I was cardioverted (shocked), to get the rhythm regular again. But I went back into atrial fib, and eventually needed an ablation (zapping the bad heart circuitry with radio waves, while leaving normal heart conduction pathways intact). Unfortunately, it didn’t take, and I required re-ablation in April. Both were outpatient procedures, with pretty easy recovery. So far, the re-ablation has worked, and I’ve been able to wean off all medications to control my heart rate/rhythm (was on a couple when we met).
While I was recovering a gained a little weight, and was pretty disgusted with my fitness level. That‘s the main reason I participated in the 75 Hard Challenge. Now, I’m doing pretty well, so expect my intensity to ramp up the next time we ski…
A couple things you should know:
The atria are responsible for establishing the rate/rhythm of the heart’s ventricles, the pumping chambers. When they don’t contract properly, there are two main consequences: 1. Heart rate goes too fast, which can cause palpitations, shortness of breath, dizziness, and passing out. It also can weaken your heart, causing heart failure in the long term, if unchecked. 2. Blood doesn’t flow smoothly through the atria to the ventricles, which can cause atrial clots. These clots can then dislodge, after which they usually travel to the brain.
So atrial arrhythmias are a major risk factor for stroke. A fib is worse than flutter, but they often coexist. If you have other cardiovascular risk factors (advanced age, high blood pressure, diabetes, heart failure, blood vessel disease in the heart or elsewhere), the treatment of choice is blood thinners, taken indefinitely. This is a major bummer if you want to continue doing activities with risk of head trauma, like climbing, or skiing.
While you’re relatively young, a successful ablation reduces all these risks, essentially eliminating them. This will keep you off blood thinners (though you’ll still take them for a while post-ablation - get it done ASAP, so they don’t interfere with ski season!). It also will keep you from needing to take medication to control the heart rate/rhythm.
One other thing: alcohol is pro-arrhythmogenic. Ideally, you should minimize, or eliminate drinking altogether.
Last PSA for the forum: Doing the “right” things doesn’t guarantee a disease-free existence. I eat nearly a vegetarian diet, exercise daily, have good blood work and maintain a healthy weight. I’ve never smoked, done drugs and rarely drink. Yet my heart started giving me troubles at age 49.
You can’t run away from your genes. And sometimes serious problems start with subtle, or no symptoms. I thought I was just slowing down with age, and I’ve treated hundreds of patients with a fib. All us middle age folks need to establish and see a primary care physician regularly.