have to tell someone....(long)

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Cherokeegoddess

Hi...i came across your forums today while researching my son's condition and it just seems like this might be somewhere ot get more information and vent my frustrations.
My boy is 12 and started complaining of heart problems at 10. He has been diagnosed with Bicuspid Aortic Valve Disease and is being closely watched by his cardiologist and pediatrician. My younger boy is 10 and has just recently began complaining of the same symptoms. He goes in for a check in March. Not so bad for them. THey have military insurance and very good doctors. I am blessed.
But me....I have had heart issues since I was a child and no one ever paid much attention. Long story but 7 kids and one parent, a little chest pain is nothing to worry about. So here i am turning 33 tomorrow, I have been in and out of cardiology offices from Idaho to Wisconsin. Always the same story....aww you have PVC's you are young I wouldnt worry about it. OK, no problem right. Well in the last 5 years it has progresed to the point I cannot breathe after walking so much as a flight of stairs, I nearly pass out every time i stand up or move too fast, i have chest pain that radiates into my shoulder and I feel like I cannot breathe. I worked as a nurse until I couldnt take it anymore and now when I try to get a job I cannot pass the pre-employment physical. So you guessed it no insurance.
a month ago I had such intese chest pain and fatigue I went to my doctor who did an EKG and sent me to the hospital. EKG said left ventricular hypertrophy, sustained vtach. Got to the cardiologist and he said "without insurance I am not sure we want to do a whole lot of testing" Take this toprol for 2 weeks and see if you get better. Well I took it and it did nothing. So Tuesday I had an appt with a different cardio guy who did an EKG as well as having seen my previous info from the past 3 years and my family history (father dead at 44, uncle at 46 and grampa at 38 all with the same arrythmia). This guy says, I want to put you on a med called Solatol and see how you do. If anyone has had this drug I want to hear from you cause it specifically states not to be taken unless in a monitored cardiac unit as it can cause bradycardia and MI. Well I live a good 30 minutes from any medical help and this guy wants me to take this drug. He also wants me to come back for a 48 hr Holter moitor next week and might be able to "persuade" his collegues to do a EP study to try and excite my heart into an even more dangerous rhythm. Does any of this make any sense to anyone? Or am I really getting the "you have no insurance" shaft?
I am scared and I dont know what else to do.
Thanks to anyone that might have an opinion
Laura
 
Want to welcome you the greatest place in the whole wide world. You have a lot of friends here. So sorry about the family history. I have one with heart murmur on the aortic valve. On your present cardio, sounds great. At least he is doing something instead of the same old sonf of how you are too young. A lot of crazy doctors are like that. I woudl do as he suggests on the halter, except question the medication that is to be taken in a controlled inviroment. I would be worried also with what he told you on that. Never be afraid to question the doctors'. Information is the key to knowledge, heart knowledge, that is. Wish you luck on the halter. Take care and come back and keep us posted. Have a great day.
 
Hi Laura and welcome. I'm surprised that with your family history they don't do an echo to check to see if you have a bicuspid valve as well. It is genetic and tends to run in families. As far as the sotalol I think we have some members here that have been or are on that drug...hopefully they can give you more information on their experience with it.
 
Hi Laura -

I added you to my YM list but in case you don't get that I am also from WI and can possibly help you out with finding good Dors... I currently see an ACHD specialists (Cardio) at Chiuldren's Hospital of WI. And live in Belgium, WI. (Formerly from B.D)
All of my other specialists are at CHW as well. Can I ask where you are located? Where have you seen Cardios at? Where do your kids go for there hearts? I can reccomend some good names, and I can also try to help you..

Feel free to ask me anything I can try o help with!!!

Erica
 
Be wary of any doctor that wants to start hitting the major anti-arrhythmic drugs quickly unless you have some solid EKG samples of dangerous arrhythmia. Most should be started in a hospital monitored setting. There are other minor drugs that can be tried first. Even if one doesn't work for you, it doesn't mean none will. I had major arrhythmia problems prior to my mitral valve being replaced.

An EP study sounds hugely dangerous, but it's done in a very controlled setting. If you're going to have some serious arrhythmia, look at it this way, what better place to have it than in the hospital with doctors, drugs and machines around you ready to correct it. Unfortunatley my EP study didn't find a drug to correct my arrhythmia and nothing could be found to ablade. That was because my arrhythmia wasn't cause by an electrical issue, but the effects of a really messed up valve.

It's late, I've worked the last 14 hour, so if I sound a bit confusing, I'll try to be more clear headed tomorrow. Welcome to our family! :)
 
Weclome
To the greates sight and the greatest people that will support you all they can. I really couldn't remember how I even found this sight after my stroke before my replacement found this but it wa GOD sent for sure. There is a co. that will help you get SSD for a fee. The school corp. I worked for used them and theey did all the work for me. It took three yrs but it was worth it. They have their own web sight it is called Alsup.com . Good luck let me know if I can help I other way.
 
I would also be very wary of starting to take sotalol out of a monitored environment. My boyfriend Jim started taking it a year ago (40mg twice daily - lowest available dose) and they kept him in hospital for a few hours to make sure he had no adverse effects. At the time I was concerned as the info leaflet said you should be in hospital for 3 days when sotalol is started, but maybe that applies more to higher doses? Anyway, he's fine with it now but has REDUCED his evening dose to 20mg by breaking a pill in half as it was actually CAUSING some ectopic beats (of which PVCs are one kind). This was his cardio's suggestion and seems to have solved the problem.
But yes, I would certainly do as others have already suggested and ask about either a different drug or at least starting the sotalol under medical supervision. (incidentally, Jim's cardio did say that at his young age, sotalol was one of the least problematic anti-arrhythmics available).
Gemma.
 
Gemma makes an excellent point that my fuzzy head last night didn't recall. Antiarrhythmic drugs (these are the drugs that are specifically for arrhythmia usually not the others who's major use is another treatment but will work on arrhythmia -such as many blood pressure meds) can be pro-arrhythmic - they can cause arrhythmia. I had several that did this to me.

I'm sorry for your insurance issues. Hopefully you'll get some good leads/advice here.
 
Laura--I just wanted to say you have found the right place for the knowledge and support you need. I also have a 12 yr. old son with BAVD and a 9 yr. old son who is yet to be tested. I look upon the people here as guardian angels, they have been such a source of knowledge and the power that comes with it. I'm so sorry to hear about your own heart issues and wish you all the best in sorting them out. Be sure to search past threads on the forum. Best wishes, Jane
 
Welcome to our world Laura.

There are 2 ways to treat arrhythmias:
1 - control the heart rate which is typically done with Beta Blockers such as Toprol or,
2 - prevent the arrhythmia with an antiarrhythmic drug such as Sotalol (generic for BetaPace) or one of the heavy duty drugs such as amiodarone (works well but has LOTS of potentially serious side effects).

FWIW, my doctor started me on 40 mg of Sotalol twice a day after my Toprol would not control exercise induced Atrial Fibrilation due to a worsening mitral valve issue. Like you, I was a little concerned about NOT being monitored in the hospital at the onset. Fortunately it worked out OK. Two weeks after starting, my cardiologist did put me on a holter monitor to check my heart rate over a 24 hour period. It got pretty low in the wee hours but was above the range of concern (over 40 BPM). It took several weeks for my body to adjust to Sotalol, with some dizzyness and occasional PAC's (premature atrial contractions). Eventually the dizzyness went away and after a few months, the random PAC's stopped.

It wouldn't hurt to voice your concern to your cardio and ask about monitoring when you first start the Sotalol for your peace of mind.

Good luck with your insurance and treatment issues.

'AL'
 
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