Also in the ride to the hospital, you could be hit by a bus. Life is against you, sometimes you have to live with it or not. JimHang Fire wrote:If you are going to write something like this, you should state what symptoms and signs you had and what you asked the doctor. Otherwise, your post is of little value.PoolQ wrote: I walked in. I asked the Doctor. He said your going in.
That I agree with.PoolQ wrote:No one should ever have unnecessary procedures.
When The New York Times reported Tuesday that doctors at HCA Health Care hospitals in Florida might have performed cardiac procedures on patients who didn't need them, it raised questions about the risks of such unnecessary surgery.
ABCNews.com's Medical Unit breaks down the risks of such procedures for you, step by step:
Cardiac Catheterization
Since cardiac catheterization is a diagnostic test, doctors tend to disagree about when it is necessary to subject patients to it. As such, this area is a bit more "gray" than unnecessary stents, doctors told ABCNews.com.
"If you have a massive heart attack, almost everyone would agree you should undergo cardiac catheterization," Dr. Deepak Bhatt, who directs the Integrated Interventional Cardiovascular Program at Brigham and Women's Hospital in Boston, told ABCNews.com. "That's one end of the spectrum where really there's little room for debate."
On the other end, there are symptom-free patients who perhaps have abnormal stress-test results. Or maybe they're having chest pains in the emergency room but are only experiencing indigestion. Either way, they're told they need the test.
"How does a patient, when they're having a heart attack, say, 'I don't think so?'" Dr. Mark Adelman, the chief of Vascular Surgery at NYU Langone Medical Center, asked ABCNews.com.
When a patient undergoes cardiac catheterization, a wire tube, or sheath, is inserted into the arteries in the patient's groin or wrist area (femoral or radial arteries). The sheath carries equipment up to the heart, but before it can get there, the patient faces an initial set of risks:
Bleeding from the artery in the groin or wrist
Blood clot in the arm or leg, which could cause the patient to lose a limb
Bleeding into the belly (if the artery near the groin is punctured too high)
"Any of those can be life-threatening problems," Adelman told ABCNews.com. "Those are the local complications."
Next, the doctors thread the sheath up the artery toward the heart, resulting in the second set of risks:
Sheath disrupts plaque in the arteries, causing a clot
Equipment punctures artery walls
Stents
Once doctors have threaded their equipment inside the body, they can choose whether to insert a stent, which is a metal mesh tube that works with a balloon to expand and open up a narrow artery. If a stent is inserted, the patient faces another set of immediate risks:
Equipment disrupts plaque in coronary artery, clogging a blood vessel and blocking oxygen from the heart
Stent punctures coronary artery
Regardless of whether a stent is necessary, Bhatt said one or two out of every 100 patients undergoing stent surgery experiences major complications, such as heart attack or stroke, even death. He said the risk is higher in people who have heart disease, but even for patients who don't need stents, the risk isn't "zero."
Bhatt said there's less than a 1 percent chance a patient would experience complications from plaque breaking off and traveling downstream in the same artery to cause a heart attack.
Once patients makes it through stent surgery, they also face long-term risks as the body reacts to the foreign object.
Stents can develop blood clot
Stents accumulate scar tissue over a period of months
The blood clot risk is rare at this stage, however, occurring less than 1 percent of the time, Bhatt said.
"When it does happen, it can result in a heart attack," he said. "One minute the stent is open, and in less than a minute, it's closed."
Less than 10 percent of patients now develop scar tissue in stents -- before 2003, when stent technology was less developed, the risk was greater.
https://www.google.com/search?q=unneces ... 8&oe=utf-8
Worried about extreme tightness in chest during day
Re: Worried about extreme tightness in chest during day
Use data to optimize your xPAP treatment!
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
- n0hardmask
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Re: Worried about extreme tightness in chest during day
cancun wrote:While it is good that you were checked in April that that was almost four months ago. I wore a heart monitor for a month and had a stress test and an echo test and EKG and all showed my heart was in great shape and a month later I had a heart attack spent nine days in ICU and had stents put in. Better safe than sorry.ada wrote:Thank you for your concern...but I feel more concerned that PAP is doing something weird to my breathing
(Maybe I should have mentioned this before)....
but I have felt this before occasionally, and when I mentioned this sensation to a doctor in April, they did one of those breathing tests on me ...and diagnosed me with mild asthma
I did mention the concern of my heart (esp after just being diagnosed with a sleep breathing disorder), but they did a heart test and a chest xray , and said they both came back normal
I just took my pulse and it is normal.
DITTO to Cancun's comment. I've had 2 stress tests in past 10 years, then WHAM, I have a big heart attack the earned me two stints and 8 days in the hospital... plus I'm back in hospital tonight because I had some fluctuations this morning. From everything I've heard, I likely would be dead if I hadn't gotten myself to ER ASAP. Very best wishes for your health.
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Re: Worried about extreme tightness in chest during day
speaking of such. A couple of weeks before I first met with a sleep doc, I went to the ER with trouble breathing (this is what later caused me to seek out a sleep doc). They took an xray, put an O2 monitor on my finger and waited (oh and blood work) then they discharged me with a shrug, nothing said about sleep apnea. They billed insurance $4,000 for nothing.chunkyfrog wrote:There is no one set of symptoms for heart attack.
Some are more common than others, and lazy "physicians" often only go after the low-hanging fruit.
{{{maybe YOU are too difficult for their above and beyond!}}}
I wish every doctor were as driven and curious as the ones on TV,
but real life is not so well-arranged.
Behind the mask, you may find Frank Burns or Dr. House.
Now think about all the dips you knew in school. Yeah, that's what I mean.
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- zoocrewphoto
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Re: Worried about extreme tightness in chest during day
Also, considering that sleep apnea leads to heart problems, ad often goes undiagnosed for many years, many people with sleep apnea have a higher risk of a heart attack. Just because you are suddenly being treated, doesn't mean that the risk has gone away.BlackSpinner wrote:That is very bad advice, we do not give that kind of advice on this forum. ALWAYS check out chest pains ALWAYS. Heart attacks can happen to anyone, anywhere, anytime. A healthy 32 year old coworker died at a pool party from a heart attack in front of his kids.Susie Kay wrote:I haven't been here very long, but I have read a lot of posts, both new ones and old ones. There are many new CPAPers who report chest pains in the beginning. I never read that any one of these was having a heart attack.
If you go along without chest pains and then you start CPAP and have chest pains, then why be scared of a heart attack?
!
When I was 38 (before being treated for sleep apnea), I experienced vertigo really badly. I went to an emergency room right away, and another ER a few days later when it returned. Both ER doctors checked me for stroke. I was 38, looked a lot younger, and still they checked and ruled out stroke. Just because you don't like high risk for something doesn't mean it can't happen. It was actually a very good scare for me as my doctor had not mentioned sleep apnea, but had told me that my high blood pressure was putting my at high risk of a stroke.
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Re: Worried about extreme tightness in chest during day
PoolQ wrote:A couple of weeks before I first met with a sleep doc, I went to the ER with trouble breathing (this is what later caused me to seek out a sleep doc). They took an xray, put an O2 monitor on my finger and waited (oh and blood work) then they discharged me with a shrug, nothing said about sleep apnea. They billed insurance $4,000 for nothing.
n0hardmask wrote:I've had 2 stress tests in past 10 years, then WHAM, I have a big heart attack the earned me two stints and 8 days in the hospital
So getting back to Ada, what are we to take from these three anecdotes? Don't see the doctor because they won't find anything and you will just have a bad heart attack later???cancun wrote:I wore a heart monitor for a month and had a stress test and an echo test and EKG and all showed my heart was in great shape and a month later I had a heart attack spent nine days in ICU and had stents put in.
Sounds about right to me. Thanks for the advice.
Re: Worried about extreme tightness in chest during day
Instead of trying to frighten a newbie with all caps and exclamation points, maybe you should tell her what even a sharp newbie knows to be common.Krelvin wrote:SEE A DOCTOR!
babypenguini wrote:Your chest hurts. Fix--time. Since I hadn't really been breathing at night and it takes different muscles to breathe lying down, my chest hurt for the first couple of weeks. Nothing to do about it but maybe some deep breathing while lying down for a couple weeks.
viewtopic/t106911/Side-effects-I-wish-I ... arted.html
Re: Worried about extreme tightness in chest during day
Chevie - that was already said by another poster, but the fact remains that her symptoms are potentially serious and rather than all of us speculating, she should FIRST see her MD, then go back and forth re Cpap etc. once she's been cleared.
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Re: Worried about extreme tightness in chest during day
WTH????Julie wrote:then go back and forth
- chunkyfrog
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Re: Worried about extreme tightness in chest during day
Meaning our alternating contradictory advice is not helpful.
"It is always better to err on the side of caution."
A false alarm is a much better outcome than a corpse.
"It is always better to err on the side of caution."
A false alarm is a much better outcome than a corpse.
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Re: Worried about extreme tightness in chest during day
lolchunkyfrog wrote:"It is always better to err on the side of caution."
Goodbye.
Re: Worried about extreme tightness in chest during day
Exactly!!!chunkyfrog wrote:Meaning our alternating contradictory advice is not helpful.
"It is always better to err on the side of caution."
A false alarm is a much better outcome than a corpse.
- Cereal Killer
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Re: Worried about extreme tightness in chest during day
I hope Chevie will quit bumping this thread up. Now I read it and have to laugh.
Ada saw her doctor yesterday, discussed the chest pains with him and is duly ignoring all of you. lol
The only "back and forth" is in the minds of some of you who are hopelessly addicted to posting in this forum.Julie wrote:she should FIRST see her MD, then go back and forth re Cpap etc. once she's been cleared.
Ada saw her doctor yesterday, discussed the chest pains with him and is duly ignoring all of you. lol
ada wrote:Thank you all
I will mention it to the doctor tomorrow (Monday) ...and get it checked out again
- chunkyfrog
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Re: Worried about extreme tightness in chest during day
The story of "The Little Boy Who Cried Wolf" has probably killed more people than were ever eaten by wolves.
Just a thought. Think of everyone you know who waited just a little too long to see the doctor.
It might be nice if they had lived longer.
Just a thought. Think of everyone you know who waited just a little too long to see the doctor.
It might be nice if they had lived longer.
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Re: Worried about extreme tightness in chest during day
So getting back to Ada, what are we to take from these three anecdotes? Don't see the doctor because they won't find anything and you will just have a bad heart attack later???
Sounds about right to me. Thanks for the advice.[/quote]
Well Duckie since anecdotes are considered amusing I do not consider my response to be an anecdote since I almost died but thanks for thinking of it in that way. I only mentioned it because she said she had her heart checked in April so I was just pointing out that was a long time ago and didn't mean her heart was in the same condition now than it was then.
I don't recall was there any sage advice to Ada in the thread from you?
Sounds about right to me. Thanks for the advice.[/quote]
Well Duckie since anecdotes are considered amusing I do not consider my response to be an anecdote since I almost died but thanks for thinking of it in that way. I only mentioned it because she said she had her heart checked in April so I was just pointing out that was a long time ago and didn't mean her heart was in the same condition now than it was then.
I don't recall was there any sage advice to Ada in the thread from you?
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Re: Worried about extreme tightness in chest during day
For goodness sakes, you are posting in a patient-run medical forum. Get someone to explain to you what "anecdotal evidence" is. SMHcancun wrote:since anecdotes are considered amusing I do not consider my response to be an anecdote