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Medical Forum / General / Cardiology / May 2006

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Was this a heart attack?

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danielribeiro33@hotmail.com - 17 May 2006 12:33 GMT
About six years ago I was on the anti-depressant Clomipromine.  The
safe upper dosage is apparently 250 mg/day.  I was eventually on
150mg/day when one night I felt completely immobilised.  I couldn't
breathe or move or raise my voice.  I tried to call for help but just
couldn't make my voice any louder than a murmur and the only person in
the house was two rooms away.  I lost consciousness, regained it and
was in the same state, lost consciousness again and awoke in the
morning feeling very battered.
  About six months later - while having my ears syringed! - I told a
nurse working with my GP what happened and she said it was probably a
heart attack, albeit, I would think, mild.  I dread to think what a bad
one is like - it was really scary stuff to be paralysed like that.  I
am male and was 29 then.
  My GP brushed it off when I brought it up to him.  Maybe he was
worried about culpability for allowing the raised dosage of the
anti-depressant.  The nurse found that I'm fine blood pressure wise and
so on.  A psychiatrist while prescribing the legally-beleagurered
Seroxat said that it probably wasn't a heart attack, "merely heart
failure", which was a bizarre comment to cooly make.  Probably a bit
ideological, she was perhaps unable to acknowledge the dangers of what
she prescribes.  Not that I'm a silly hippy against science or anything
like that.  Absolutely not.
  So what do you think?  Was this a heart attack?  It occured to me,
all I can put it down to, is that my body shut everything down so it
could deal with the heart problem, that maybe in instances like this
where no medical help can be raised, thi sis what the body does?
  Apart from the depression and other relatively banal health problems
I feel okay.  No scan was ever suggested and I imagine that because it
was artifically induced I'm not at risk except through other factors,
the usual ones (my biological father has angina and heart trouble so
I'm trying to be sensible about diet) of a repeat of this incident.
 Thanks for any responses.
Andrew B. Chung, MD/PhD - 17 May 2006 12:40 GMT
danielribeir...@hotmail.com wrote:
> About six years ago I was on the anti-depressant Clomipromine.  The
> safe upper dosage is apparently 250 mg/day.  I was eventually on
[quoted text clipped - 27 lines]
> the usual ones (my biological father has angina and heart trouble so
> I'm trying to be sensible about diet) of a repeat of this incident.

If you are concerned about this enought to want a definitive answer,
would suggest you seek a referral to consult with a cardiologist.

>   Thanks for any responses.

Thanks be to the LORD, Whom I love with all my being.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/mpuzr
Jeff - 17 May 2006 23:37 GMT
> About six years ago I was on the anti-depressant Clomipromine.  The
> safe upper dosage is apparently 250 mg/day.  I was eventually on
[quoted text clipped - 28 lines]
> I'm trying to be sensible about diet) of a repeat of this incident.
>  Thanks for any responses.

You don't tell us about our medical history, like age and sex (I think
male), as well as your weight and height.

I think you should tell your doctor about this again, emphasize that you are
really concerned, and ask what he thinks it is. Without examining you and
getting your full history, we can' tell what happened. I think your doctor
didn't think much of the incident, otherwise he would have ordered an ECG
(EKG). If you had an EKG, he probably would have known that there was no
evidence, on the EKG, of a previous heart attack.

Jeff
Andrew B. Chung, MD/PhD - 17 May 2006 23:45 GMT
> > About six years ago I was on the anti-depressant Clomipromine.  The
> > safe upper dosage is apparently 250 mg/day.  I was eventually on
[quoted text clipped - 31 lines]
> You don't tell us about our medical history, like age and sex (I think
> male), as well as your weight and height.

It is unlikely that you would be able to help him, Jeff, since you are
only a pediatrician.

Still praying for your soul, dear Jeff.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/mpuzr
Ace Berserker - 18 May 2006 04:35 GMT
>It is unlikely that you would be able to help him, Jeff, since you are only a pediatrician.

*Only* a pediatrician? At least *he* appears to be sane.
Andrew B. Chung, MD/PhD - 18 May 2006 06:45 GMT
Ace Berserker wrote (edited for truthfulness):
> >It is unlikely that you would be able to help him, Jeff, since you are only a pediatrician.
>
> *Only* a pediatrician?

Yes.

Pediatricians have very little experience treating folks who have had
heart attacks.

> At least *he* appears to be non-christian.

That is how he appears.

Still praying for his soul while also praying for yours, dear Jack.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/mpuzr
Ace Berserker - 18 May 2006 07:37 GMT
Ace Berserker wrote (edited for truthfulness):
> >It is unlikely that you would be able to help him, Jeff, since you are only a pediatrician.
> *Only* a pediatrician?
Yes. Pediatricians have very little experience treating folks who have
had
heart attacks.

> At least *he* appears to be non-christian.

That is how he appears.

=========================================

Changing the text of my posts again, Andy? How cowardly of you.
Andrew B. Chung, MD/PhD - 18 May 2006 08:41 GMT
> Ace Berserker wrote (edited for truthfulness):
> > >It is unlikely that you would be able to help him, Jeff, since you are only a pediatrician.
[quoted text clipped - 10 lines]
>
> Changing the text of my posts again, Andy? How cowardly of you.

Sorry the truthful edits bother you so terribly.  Please forgive all my
iniquities.

Still praying for your soul, dear Jack.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/mpuzr
patriciaklunb@gmail.com - 18 May 2006 13:45 GMT
I am the original poster, but for some reason an email address I've
never heard of is attributed to the post.
  I would still like some further opinions if possible, but not from
our Christian friend who possibly needs to take early retirement.
  I am male, 35, 5 foot 8 and weigh about 10-and-a-half stone; I don't
know what that is in pounds or whatever.  Apparently I'm fractionally
below average weight for my height, but I've put on three stone in the
last three years after being engaged to a woman who only had a
microwave oven....
  The other reason my GP might no thave done anything - additionally
bear in mind this in England with our NHS - is because it was many
months before I asked about it.
  I mean, what does it sound like?  Does this not sound like a heart
attack?  It was pretty hairy.
Andrew B. Chung, MD/PhD - 18 May 2006 20:44 GMT
> I am the original poster, but for some reason an email address I've
> never heard of is attributed to the post.

It seems you would claim to be a man named Patricia.

>    I would still like some further opinions if possible, but not from
> our Christian friend who possibly needs to take early retirement.

Then instead of providing you with information, you will be in my
prayers, dear Pat.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/mpuzr
i8banks - 19 May 2006 00:33 GMT
Seems because of your rudeness you haven't obtained the answers to your
health concerns - it's back to the NHS for you and, as you are aware,
their health care is in great need of want.
kel@netcene.com - 24 May 2006 11:56 GMT
Although not an MD, I have experieced a heart attack and cared for a
parent with heart failure.

This definitely does not sound like a heart attack. I have never heard
of paralysis being associated with it.

Pain is also generally associated with MI, though it can be mild.

There is a neurological condition associated with nocturnal paralysis,
pressure on the chest, and some other symptoms. In medieval times
believed to be demonic visitations. Perhaps our MD friends here will
recognize this syndrome.

Or it may be something unrelated.

Blood tests and an EKG sohuld be able to ascertain if there was a
heart attack. If there was no heart damage, there was no heart attack.

Strange logic indeed, but  diagnostic.

>I am the original poster, but for some reason an email address I've
>never heard of is attributed to the post.
[quoted text clipped - 10 lines]
>   I mean, what does it sound like?  Does this not sound like a heart
>attack?  It was pretty hairy.
Robert Coe - 25 May 2006 02:45 GMT
: I am the original poster, but for some reason an email address I've
: never heard of is attributed to the post.
:    I would still like some further opinions if possible, but not from
: our Christian friend who possibly needs to take early retirement.
:    I am male, 35, 5 foot 8 and weigh about 10-and-a-half stone; I don't
: know what that is in pounds

147, I believe.

: or whatever. Apparently I'm fractionally
: below average weight for my height, but I've put on three stone in the
[quoted text clipped - 5 lines]
:    I mean, what does it sound like?  Does this not sound like a heart
: attack?  It was pretty hairy.

It doesn't sound anything like my heart attack, the only symptoms of which
were mild fatigue and great shortness of breath (no pain) under even mild
exertion. There's no doubt about what it was; a blood test showed it when I
arrived at the ER, and numerous diagnostic tests confirmed it in subsequent
days. A week later I had a sextuple bypass operation.

But heart attack symptoms are notoriously hard to recognize and categorize, so
YMMV considerably. I tolerated increasingly severe shortness of breath for
several months while telling myself I was just a little out of shape.
Pastor Kutchie - 18 May 2006 14:18 GMT
> > At least *he* appears to be non-christian. (was "At least he appears to be sane").
 
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