A Hiccup in my road

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Everything overall with my recovery is going well. My appetitite is picking up, I'm using less vicodin, my incision looks great, the sterry strips are starting to fall off, bruises are healing, I'm walking almost every day, and I'm only getting up about 3 times a night rather than 6.

My heart rate started taking off in spurts Thanksgiving day, return to normal and nothing more. Yesterday, we went to the mall to get my walk in because it was cold out and I felt fine. After being home about an hour, I was talking with my neighbor and my heart took off, lasted about a minute, came back a few minutes later, then disappeared. About 1:00 a.m., it woke me up from sleep and would not stop. Very irregular, flopping all over my chest, and uncomfortable. I had no shortness of breath or chest pain. Called the on call cardio at 1:15 a.m., explained what was going on and he told me to increase my beta blocker, if it did not stop, call my cardio in the morning and let him know, he may need to see me. I fell back to sleep after a couple hours only to wake again about 3:00 a.m. and I was up the rest of the night.

I had my INR test this a.m. at the same place my cardio had my echos done. I had to wait for the office phones to open and called at 8:00 a.m. His nurse said he was at this location doing stress tests this a.m. and she would call him, tell him what was going on and call me back on my cell. Sure enough 10 minutes later she called and said he will see me at 9:15 a.m. When they hooked me up to the EKG, my heart rate was initally at 165, BP 102/70. My cardio came in and said my heart rate was now up to 188, this happens to about 50% of valve replacement patients, the atrium becomes irritated from the surgery, atrial fib, he ran the strip, spoke with a cardiac rythm doc and was sending me downstairs to the ER, since the manuever we tried did not slow down the rate, they were going to give me a drug intraveneously to slow my heart rate.

Wouldn't you know it, by the time I got to the ER downstairs, undressed, hooked up to another EKG, and IV placed, my heart was settling down, though still going about 102 bpm. They did blood work, my potassium was low again, otherwise all looked good. I stayed there for several hours then the alarms went off and another 166 or so heart rate. I've been prescribed Flecainide, 50 mg twice a day to take in addition to my betablocker, will have a repeat EKG next Monday, and follow up with the rythm cardio 1 month later.

My chest xray showed some fluid on the left lung which is common with heart surgery so they were not concerned. I am using my spirometer every day.:)

I came home late this afternoon, took a nap, woke up and ate dinner.

The good news of the day: MY INR IS AT 2.7 :) :D :) :D

Dang Dick Cheney, trying to steal my thunder today with his a-fib. :p :p
 
Hi Louise,
These bumps seem to be pretty common. I hope you have better luck with the Flecanide than I did. I had a-flutter a few weeks after my mitral valve repair in February. I was put on Flecanide, at first 50mg, then the dosage was raised to 120mg. I had a negative reaction to the Flecanide and ended up going back to the surgeon. It's a long story but I ended up cutting my ties with a cardiologist I had been seeing for 13 years. I was lucky because my heart was back in rhythm by the time I saw a new cardiologist. I have had a few other bumps along the road but am feeling really strong now. I am still on 100mg Toprol and 1 baby aspirin.

Good luck and I wish for no more bumps for you! :)
 
Hiccups arecommon- hoping the Flecanide works for you and the rest of your recovery is easy.
 
Louise,
I just want to mention that if they're seeing fluid in your left lung you should be using the incentive spirometer several times each day.
I know I'm a little nutty on this subject (excess fluid in places it shouldn't be . . . . LOL!) but I feel it's much easier to work at the cause rather than dealing with the aftermath. It's good that you're walking; that is probably the most important thing you can do.
I was lucky to never have an episode of a-fib, and I am sorry that you are dealing with it. I guess you and Dick Cheney have something in common now!;) ;)
And at least around here, he didn't steal your thunder; you stole his!:p
 
Louise, yes, these racing beats and palps happen more often than we like.
In hospital 9 days post op I woke up at 3 a.m. with a HR of 170, they gave me Sotalol. Diagnosis was SVT. Started Metoprolol. At home 3 weeks post op it happened again, very fast HR, went to ER.
Thereafter it would happen occasionally but in shorter spurts, sometimes if I over did things or had some stress. The heart is re-modelling, it has been poked and jiggled....the heart needs rest and sometimes meds to find its rhythm again.
Otherwise, you sound like you are doing great!
 
A-fib and/or A-flutter issues...

A-fib and/or A-flutter issues...

Digoxen was given to me about a week post-op for A-fib/A-flutter but it didn't really work. I was rehospitalized a few days later and put on Sotalol which worked. I was also given magnesium IVs while in the hospital for the rhythm issue.

One thing though is that I'm not sure Sotalol didn't cause me some terribly bad pains where my legs attach to my body, with sudden onset where I could barely walk from the pain, which took about a year to completely resolve.

I hope your issue resolves safely and swiftly.
 
Common

Common

Louise, I think this is a common problem. Glad you got it checked out, and under control. Now use that spirometer, and keep uup the good work with the recovery! All the best, Brian
 
Louise,
As the others have said, these are common. I think it is "uncommon" not to have a hiccup or two. I had three but then again I'm a show off:D ;) I am sure all will be well.

Tom
 
Sorry you are experiencing a few hiccups, but it sounds like their under control. I hope these bumps resolve themselves soon and its smooth pavement going forward. Best wishes.
 
Louise, you'll be fine. Just hang in there.

I had some afib issues pre-surgery and had a "maze" procedure as part of my OHS. In the 2 weeks after surgery, I had 4 or 5 afib episodes, which was expected. Since then, I have had none. I don't expect to have any more.

Your heart will take a while to settle down, then it will all be good. Keep walking, keep your spirits up and do what the docs say. At less than 5 months post surgery, I am back to riding a bike 40+ miles on Saturdays and 25+ miles a couple of times during the week. It is amazing how quick you come back.

John
 
A-fib and A-flutter are very common after OHS and can be scary. However, since you are on coumadin, they present little danger (bloodclots being the primary worry).

Hope the meds continue to work and this is a short bout of hiccups.
 
These hiccups can be scary especially as you have just had your OHS. I also had the racing heart 2-3 weeks post OHS and was given 2 IV's of digoxin which brought it all back to normal. Mine was brought on by anxiety because I was re-admitted to hospital for a blood transfusion due to low iron levels.
I am sure our hearts dont like being operated on. Some of us are more sensitive to change than others and have a few of these episodes before we settle down to regular life with our mended hearts. I dont remember having anymore episodes since that one biggish one.
Its very normal to be anxious so soon after your surgery...this will settle with time.
 
Just want to add that I also had problems starting at two weeks out with A- fib, I was hospitalized and brought back to normal with drugs, since then have had two other episodes, none in the last week. Im now 5 weeks out and feeling much better as Im sure you will to, from now on it gets better fast. so hang in there youll be surprised how fast it gets better. hope you avoid future bumps. Kman
 

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