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Crash and burn

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Crash and burn

Post by twal on Mon Nov 10, 2014 10:26 pm

After my crash and burn on my relay leg yesterday, I was advised to follow up with a doctor visit. I tried emailing the cardiologist and phoning in but was told to go to the emergency room. My nightmare.

I got to the ER at 1:00 pm and they did triage and took my insurance information. I then sat in the waiting room among the rest of the walking wounded until they actually let me in to the ER at 5:00 pm.

When they finally hooked me up to the EKG, it was alternately reading afib, irregular heartbeat and OK. After a three cardiologist conferred, they finally classified by condition as "Slow atrial flutter", a fairly uncommon arrhythmia.

They finally sedated me at 7:40 pm and sent 360 joules of energy through my heart at 7:45 pm. I was discharged at 9:30 pm. What a miserable way to spend the day.

Because of my gasping for breath in the race, I developed pleural pain in my chest which also contributed to the tough diagnosis. I still have chest pain but I think I understand it.

They suggested I should think about catheter ablation.

That explains why is sucked yesterday. Of all the days for this to happen. I'm consoling myself with a PR to 6.4 mi *while in atrial flutter. You have to really look hard for the silver lining in this one.




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Mitral valve repair
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twal

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Re: Crash and burn

Post by RoadKillBill on Tue Nov 11, 2014 4:47 am

Wow, Tom - sorry to hear about all of that. That sucks, but I'm glad to hear the docs got it figured out and that you didn't have something awful happen while you were racing or training. Additional "silver lining" -- it was at least helpful that your heart was misbehaving while at the ER while under observation. The dx you got is so much more useful than "I dunno, ya look OK to me."

Thanks for posting this. I think we've all been heart patients long enough to know that we've got to be our own advocates; this is the sort of "case study" info that helps us understand the complexities we potentially face, and the related treatment options. Please keep us posted on your progress. I have read that being an endurance athlete is a risk factor for a-fib, as is being a post-surg heart patient. I assume that being both raises the risk. As our membership grows I expect that others will unfortunately encounter similar situations.

Good luck with your follow-up treatment. I hope this is just a speed bump for you and that you're back to full throttle before too long.

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Re: Crash and burn

Post by Guest on Tue Nov 11, 2014 8:51 am

Sorry to read this Tom. You would think a heart patient in an ER would be taken care of much more quickly than you were.....can't believe they let you sit around that long.

Looks like a full cardiac workup is your next step, then seeing an EP. Possibly meds for the flutter.

Good for you looking for and finding a silver lining, take that PR and stand proud. Smile

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Re: Crash and burn

Post by Dave Tuttle on Tue Nov 11, 2014 10:12 am

Glad to hear you're getting this sorted out Tom, good luck with it... You had us worried there for a while!

I was amazed they didn't do an EKG when they had you in the medical tent??

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Re: Crash and burn

Post by Bean Counter on Tue Nov 11, 2014 10:40 am

Sorry to hear, but at least you have it somewhat figured out now and know you were not just imagining things.
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Re: Crash and burn

Post by Rachel August on Tue Nov 11, 2014 11:14 am

Tom - I'm just glad you're okay - I was freaking out at the race after I heard the news that you had to visit the medical tent after your leg!!!

Sorry to hear about your doctor visit - I wish you some peace around this event - and a quick resolution for the long term!!!

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OHS - July 15, 2011
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Re: Crash and burn

Post by echoguy on Tue Nov 11, 2014 7:42 pm

sorry to hear this twal....I agree that it is a crash...but by no means a burn.....you have been hit by lots of bullets over the past few years and have been great for our group that you share the frustrations....it makes it all the better for us to celebrate with you when you come steaming out the other side of this one...I look forward to seeing running full ahead again soon.

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Re: Crash and burn

Post by Marc Thayer on Tue Nov 11, 2014 10:01 pm

I like the PR..but not the scenario.....and they wonder why we don't go to the medico's unless we really really have to go...ARRRGGGHHH.


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Re: Crash and burn

Post by EugeneRunner on Tue Nov 18, 2014 2:09 pm

Tom - That is wild stuff! That is quite a bit different than my situation, so I'm not sure what it means. Are you okay now that they have shocked you back into a normal rhythm?

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Re: Crash and burn

Post by twal on Wed Nov 19, 2014 7:11 pm

I saw my cardiologist yesterday. He didn't do much. He's referring me to an electrophysiologist. We're going to talk about ablation vs. meds vs. doing what we've been doing (beta blocker and blood thinner).

Anyone have any device, anecdotes, etc.?

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