Er, my heart seems sick. Not the love kind. anyone knowledgeable? also, surpise!

I’m not sure where this post belongs, but this forum (which I’ve only rarely checked in on) seems to be the place for personal stuff that isn’t necessarily a rant.

Over the last few days, I’ve had these… attacks. I’ve mostly working on the theory that they are panic attacks, but I’ve never had such things before, nothing happened to set them off at the start, and they seem to happen even when I’m perfectly calm. However, my vitals are normal when I can get them measured, and they do seem to “calm” away. However, there are also constant symptoms: my neck feels like there is a “pressure” inside, particularly on the left side (where, oddly enough) my blood vessels are.

I went to get this checked out in the ER on tuesday after a sleepless night of “rollercoaster” feelings. I basically got laughed at: nothing wrong that they could tell. They seemed to think I was faking, as if a person without medical insurance gets their kicks by pointlessly blowing hundreds on an ER visit.

They had no idea what my neck feeling could be (nothing out of the ordinary, though a bit hot). The resident listened to my heart and told my med student domestic partner that I had an s2 split: a reasonably normal rythmn where the two weaker valves don’t quite match pace with each other No big deal.

And aside from my continuing neck feeling and some jitters, I was mostly fine for Tuesday and Wednesday.

Today I had two huge attacks, out of the blue. I wasn’t expecting it: I was mostly just feeling stupid for wasting hundreds on what I assumed must have been a sore throat or something: maybe tosilitis?

Anyway, my pulse was suddendly nutty, and it felt like hot chocolate was spilling out inside my chest (I did not, and HAVE NOT felt pain, which is reassuring, just these feelings almost exactly like when I donated too much blood without eating enough beforehand). I splashed water on my face and felt a little better. I went back to work (my temp legal job where my master’s degree is put to work by copying and pasting serial numbers frmo one part of a scanned document to another).

Then, an hour later, it happened again. This time, it felt like the entire right side of my face, ear down to the neck, just went spastic: throbbing very powerfully. Never felt that before… and I felt awful in my chest again. By the time I got to the hospital, I was gasping, tearing, and dizzy. But then the nurse took my vitals, and they were perfectly normal. My panic quickly went away, and I quickly got to see the (much more competant seeming) attending (this was at a different ER).

He listened to my heart and immediately pointed out that I had a fixed s1 split, not a s2 split. This is not life threatening, but it could be a sign of any number of things that are not so good. My EKG was fine though, so no immediate danger. He said I needed a Hostler montior and one of those heart sonar things to look for various problems. Of course, I have no money, no health insurance. Even if I could have afforded some, I’m going to get through a physical and a background check without two ER visits within two days showing up. So anyway, my solution on that later.

First, does anyone have any theories?

The best one I have is that my throat is somehow mildly infected, and is refferring the feeling to my outer neck or otherwise causing swelling that can only be felt internally, by me. This infection is then perhaps responsible for my funky heart split: causing what’s known as mitral valve regurge.

But I have no experience with this. My med school student domestic partner girlfriend, etc. hasn’t done heart stuff in depth yet. Has anyone had experience with these sorts of diffuse symptoms? Anxiety attacks? Spastic rythmn (my mother had this: had to be surgically corrected). Could my blood sugar be messed up (lots of diabetes in my family, and the first attack came after a M&M gorge and a hard day of coffee) somehow? Am I low on potassium or something? I’m geniunely a little worried, especially since everything in my life is going really well now, and I feel just horrible: there’s nothing quite like the feeling that something is going wrong with parts of your body that you can’t control: crackling fingers of something cold crawling out from my chest towards my nice juicy brain. I doubt this feeling means I’m dying, but it’s nasty nasty to have it come and go without warning, and it’s basically making my life unlivable for the moment.

So what’s the surpise? Well, I just got married. We did that thing that is denied to gay couples: I’m getting health insurance through my partner’s med school by abusing the institution of marriage (they grant HI to same sex domestic partners, but not opposite sex). To us, it means paperwork that saves us money. We are already committed, and the funny thing was: this last sunday we just told our parents that we are having a commitment ceremony in a year and half to celebrate for both families and friends: just to celebrate a union that basically already exists. And that that’s as close to marriage as we’d be getting. We don’t need no paper from the city hall, keeping us tied and truuuuuee!

Well, now we have to go visit a justice of the peace tommorow (24 hour waiting period). Both, did that shut us up. My dad drove in from to be with me at the hospital, afraid I might die, and he ended up driving us to City Hall, me with those gooey EKG things still plastered all over under my shirt.

So, that was a pretty screwed up day.

I’m sorry the ER people belittled your concern. Every medical person I’ve ever talked to has said they would much rather that a person seek treatment for what turns out to be a false alarm than to die (or at least become more ill) unnecessarily.

I’m not a doctor, but we have had a number of cardiac patients in the family. The symptoms of coronary problems can vary widely from the classic “clutch the chest, pain down the left arm” thing, to what feels like heartburn to nothing at all, including symptoms like what you describe. And a panic attack can be much like any of those. Or not. And, as you found out, those symptoms can also be signs of something completely different.

I think you did the exact right thing in going to the ER. Hope you find some treatment that can help you keep from having that happen again.

im no expert…but it sounds stress related…if you got a feeling on the right side of your face it isnt heart related…at first i thought maybe it was acid reflux…i have that and i had heart attack symptoms with it…but yours seems to be stress/reaction to chocolate and coffee…and there seems to be a heart history with your family…remember im no expert…good luck

To be fair to them, it could have been that nothing serious had developed at that time, and ER doctors are not really accustomed to dealing with complaints that don’t seem to be that diagnosable or aren’t treatable emergencies per se. If I had medical insurance, it was something I would have taken to a GP.

Sorry about the heart flutters et al. My best friend has a heart conditoin, and watching what she and her husband go through with one of her episodes is heart-wrenching.

However, a moment of flippancy: could you have been getting all fluttery over the idea of getting married?

I thought so too, but then this is the LAST time in my life I would expect to be stressed. I have a job that doesn’t suck and isn’t very stressful (just dull, but I can listen to tunes), I got to buy a new computer, and everything else is going pretty great. I suppose it could be the coffee… but then I’ve been drinking it for weeks now, and before that I was a hardcore cola addict (meaning the only real change is that I get my caffine with less sugar than normal, not that I get less sugar than normal in general). You could well be right though. It’s good to know that other people get similar “attacks” in non-life threatening ways.

If the causality and chronology wasn’t exactly reversed, it could be. :slight_smile:

It actually isn’t a big deal for us, and in fact it’s sort of disappointing, because for our older family folks, it will overshadow what we really wanted to be our big union celebration. At this point in our relationship, me being afraid of a commitment would be like a cook afraid of food.

I have in front of me the *Reader’s Digest Guide to Medical Cures & Treatments[/i/].

What you have might be nothing, but just in case…

ANGINA
"Angina is a recurrent chest pan that originates under the breastbone (sternum), often spreading to the neck, jaw, arm, and upper back. The nature of the pain varies, but it is usually described as a sensation of pressure, tightness, heaviness, or chocking, and it is often accompanied by shortness of breath. Severe angina may feel like a heart attack, but it is a temporary condition that does not cause permanent damage. It does, however, signal an increased risk of heart attack.

“Angina occurs when the heart muscle is not getting enough oxygen. The most common cause is atherosclerosis, a narrowing of the coronary arteries due to deposits of fatty plaque.”

…and, farther down…

“Some people experience angina while resting or even sleeping. This unprovoked, or variant, angina is sometimes caused by a spasm in the coronary artery, usually at the site of fatty deposits. More often, it is classified as unstable angina, and is a warning sign of impending heart attack.”

You said you went to a doctor and they told you it was nothing. That good, but maybe you should seek a second opinion. Good luck, hope it really is nothing!

Evil Butterfly

Do the doctors know about the effect this had on your face? Only one side of your face had a reaction? Not both? Did it go numb at all? Droop? Or just twitch?
Dude, IANAD, but I would be concerned about some kind of blockage in the head. Did they check your head out?

Oh… and CONGRATS on the union/marriage thing!!!

Normally, you can hear any sort of blockage in the neck vessels. It’s actually fairly obvious. A horror story around the med school here is about a med student who was called to treat a famous conductor. She made the mistake of feeling his neck vessels before checking them out with a steth. In doing so, she dislodged clots that caused a stroke and ruined the man’s career. If she had just listened, she would have heard pretty clearly that there was some serious turbulence in there.

So, that they couldn’t hear anything pretty much rules out the most serious issue: bloackage or clots. But it doesn’t necessarily rule out something like an abcess that’s growing in my neck, giving the feeling of things being too crowded in there. That irritation could have caused the convulsions I felt. But, there’s really no way to tell.

“Now, who do I have to marry to get some dental insurance?!!”

Great job for a first post. And I love your quote, may I ask where you got it from?

And I do recommend a second opinion. For medical items, I so don’t recomment internet opinions either, but that’s just me. Kind of contradictory if you think about it.