So, my stupid heart is being stupid again. It is such an asshole sometimes.Stupid asshole.
I should start from Sunday night. I was having a weird scratchy throat. I didn’t feel sick and thought maybe it was allergy induced. Zyrtec made no difference so I TRIED not to worry about it and finally went to sleep a little after midnight.
I woke up around 5am sweating and feeling unwell. As I sat up, I realized my heart was beating too fast to count. Well over 150 bpm. I got some water and took my usual daily, tiny (12.5 mg) dose of beta blocker. I tried some vagal maneuvers and splashed cold water in my face. After a little while, it was clear that none of that was helping and that I needed to go to the ER.
I was put into a room and hooked up to machines within 10 minutes of arrival. My heart hovered around 150 – even after trying more vagal maneuvers (directed by RN). Doc came in within a few minutes and right away wanted to give me adenosine. This is a med given via IV that basically resets your heart. You feel as though your heart stops and from what I have heard, is an awful feeling…like you are dying. Needless to say, I did not want it. I have been terrified of that med since reading about it 12 years ago after my first sustained tachycardic event.
The doc was really pushing for the adenosine and seemed irritated that I wanted to wait. I knew I was able to convert (eventually) without it in the past and drugs always give me weird effects. So I was just not ready to try it yet. I will say, the RN seemed very supportive of my decision (both RNs and the tech I had were wonderful) and was super helpful.
I was given an IV and they drew some blood. She turned off the light for me as I laid there with my meditation app – trying like a crazy bitch to calm down. My rate would fluctuate between 130-150 for a while. As adrenaline surged through my body, I could not stop trembling. It was as if I was naked in the tundra. The shaking was insane. But I couldn’t control it regardless of a major effort. This is not great for my already pain in the ass muscle issues, by the way.
The new doc came in (she was also great) and we decided that I would take another 12.5 of my beta blocker. She also gave me a children’s dose of benadryl just to see if the throat thing improved (just to determine if it was allergy related). The benadryl did nothing but the beta blocker slowly decreased my heart rate over the next couple of hours. God, I am so damn thankful I didn’t do the adenosine.
All tests (including strep and urine) came back negative except for low potassium and phosphorus. Both of which can cause heart issues. However, the doc didn’t think that was the cause since they weren’t THAT low. Though she did make suggestions about taking Vitamin C to help my minerals absorb, because clearly they are not – which I already knew. I have not been taking Vitamin C, so I will be getting some today.
I do think the low minerals could cause this for me. I am super sensitive to any changes and I think I may have been a little dehydrated as well. This probably was enough to piss off my heart.
They said they think they saw some SVT in the beginning but most of my time there, I was in sinus tachycardia. This would be referred to as Inappropriate Sinus Tachycardia – since I wasn’t exercising or doing something to make my heart race. It all may have been triggered by SVT, however.
I was told to double my daily dose of beta blocker. This, I do NOT want to do. It makes me groggy (already exhausted as it is) and it affects my weight loss. Ugh. I just do not wannnnnnaaaa!!!
I will be seeing my cardiologist on Thursday. In the meantime, I am dumping the very low carb diet and adding high potassium foods. I think I feel better with fruits and more veggies. I wasn’t losing any more weight anyway. It is time to just eat a healthy, balanced diet – even if I stay the same size that I am, I think I will feel healthier.
I have had many heart issues in the past. Mostly with short bursts of SVT and PVCs. In the past two years, even those have been under control. Taking zantac for reflux has helped A LOT as that was a big trigger for my palpitations. I have been very proud of my heart up until yesterday. Right now, I am pretty pissed off and disappointed.
My last SUSTAINED (more than 20 mins or so) tachy event was about 12 years ago. So, I shouldn’t assume this is going to be “a thing” now. But it is difficult not to fall back into negative thinking patterns. My instinct is to catastrophize and assume this is the beginning of some fear filled rabbit hole. I need to really work at not letting this happen.
When this occurred 12 years ago, it literally robbed me of years – I was consumed with fear for so long. It took a lot of work to get away from that and I refuse to go back there. But I may need help. And I may have some brief set backs. So, I hope the people in my life can bear with me for a hot second.
We are going on vacation soon. We will be in the Dells. It is difficult not to worry about being away from a large hospital or going on a boat ride or drinking a bloody mary. I want so much to enjoy this trip. I cannot worry about my heart freaking out the whole time. So I need to figure out just HOW to make my brain work for me and not against me.
Today, I will rest, putter around the house and try to take it easy mentally and physically. I am slathered in benadryl and hydrocortisone creams because the damn EKG stickers give me a terrible (and ugly) rash. I am also drinking a glass of high carb vitamin C. And I am not feeling remorseful about it. I am bummed/guilty to be missing some events and meetings this week, but I gotta take care of myself. Priorities and all that.
Sigh. Stupid heart.