1

votes

Was my Heart Attack really a Pulmonary Embolism?

Answered on August 19, 2014
Created April 11, 2012 at 2:52 PM

Two and a half years ago I went to the ER with chest pain (accompanied by sweating, shortness of breath, overall odd feeling). Troponin levels were elevated and I was dx as having a NSTEMI. My heart cath showed no blockage and I've since done a few stress tests that were normal.

After recently discovering I have Factor V Leiden (via 23andme), I started researching what it is, and what it causes. Reading about PEs, the symptoms are similar to heart attacks and PEs can also raise troponin. I do recall that I was very tired and slept a lot (come home from work and sleep till I had to go to work the next morning) the week leading up to my nstemi.

So what do you think? Is there any way to confirm this 2.5 years later? Or am I way off track?

12da944d1e1782c66d3edfd60da18c5e

(130)

on April 11, 2012
at 05:28 PM

My troponin was 3.19. Thank goodness we have friends to look out for us. I have been working in my own (been through a lot of dr. whose only answer is to medicate - NOT my answer) my current doc it trying...and I appreciate him for that. Good luck to you

870fdea50f2a9f1cd2890c8e22549300

(2056)

on April 11, 2012
at 04:31 PM

Well, by posting this question you did get a referral to an MD. So...

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 04:31 PM

Thanks Atkins-witha-loincloth!

Cbb1134f8e93067d1271c97bb2e15ef6

on April 11, 2012
at 04:22 PM

@berger6696:Paleo MD's info is: John Rosell MD University of Arizona Family and Community Medicine Email: johnfrosell@gmail.com which was previously publicly posted on PH.

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 04:13 PM

Just noticed your tag. FYI my doctor put me on a statin to make it all better.

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 04:11 PM

Sorry Kamal. I've posted a few questions here over the past 6 months related to my Heart Attack and odd lipid reactions to change in diet. Received some great advice (including being tested at 23andme). This is how I discovered I have FVL. Just seemed appropriate to finish it up here.

21fd060d0796fdb8a4a990441e08eae7

(24543)

on April 11, 2012
at 03:58 PM

While this is quite an interesting question, I'm not sure it is appropriate for paleohacks. Can you tie it in more explicitly to ancestral health? We tend to shy away from issues that fall squarely into the medical realm, especially emergency medicine, if they do not deal much with nutrition or other paleo-type topics.

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:47 PM

Thanks PaleoMD. I would love to chat but I do not see how to PM on here. My email address is at yahoo. Thanks.

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:43 PM

Unfortunately Jenn if your Drs are like mine you will have to figure this out on your own. While my pain was not as severe as yours sounds and my troponin was not "Highly elevated" everything else sounds similar. I was also forced to go to the ER (only went bc I was really hungry for a cheeseburger lol). FVL is a blood clotting disorder and 23and me is a website that maps your DNA and can tell you if you have inherited certain disorders. Good luck.

12da944d1e1782c66d3edfd60da18c5e

(130)

on April 11, 2012
at 03:40 PM

What are your feelings on magnesium deficiency causing this type of condition?

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:35 PM

Oh come on. There are some very smart people on here. I never would have got this far without this board or my seemingly weird questions. http://paleohacks.com/questions/68443/had-a-heart-attack-need-suggestions#axzz1rjdtzSBW http://paleohacks.com/questions/96201/so-im-apoe-2-4-what-now#axzz1rjdtzSBW http://paleohacks.com/questions/75930/got-my-vap-test-results-now-what#axzz1rjdtzSBW I feel like I'm closing in on this thing and know there are people here more knowledgeable than me.

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5 Answers

2
2ecc80ae7725b243b35e80b43eec4a9b

on April 11, 2012
at 03:37 PM

I'm a Paleo MD and the short answer is that you're not way off base. PE is one of the most commonly misdiagnosed conditions. From the Internet journal of Family Medicine, "the high rate of pulmonary emboli maldiagnosis may be an important contributor to the large number of deaths from that disease each year. In fact, there are more deaths from pulmonary emboli each year (60,000-200,000) than from AIDS, lung cancer, and motor vehicle accidents combined."

So it's possible you had a PE and were misdiagnosed as having an MI. The presentations of these two are very similar.

And factor V leiden puts you at increased risk for PE without a doubt.

PM me if you have more questions

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 04:31 PM

Thanks Atkins-witha-loincloth!

12da944d1e1782c66d3edfd60da18c5e

(130)

on April 11, 2012
at 03:40 PM

What are your feelings on magnesium deficiency causing this type of condition?

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:47 PM

Thanks PaleoMD. I would love to chat but I do not see how to PM on here. My email address is at yahoo. Thanks.

Cbb1134f8e93067d1271c97bb2e15ef6

on April 11, 2012
at 04:22 PM

@berger6696:Paleo MD's info is: John Rosell MD University of Arizona Family and Community Medicine Email: johnfrosell@gmail.com which was previously publicly posted on PH.

0
7b91be6e22d4e2960f40935e306bdee5

on April 11, 2012
at 03:37 PM

And for those that have been helping with my low HDL over the past 6 months, how about this:

Pulmonary embolism patients have low HDL cholesterol http://www.medwire-news.md/40/86651/Lipidology/Pulmonary_embolism_patients_have_low_HDL_cholesterol.html

0
12da944d1e1782c66d3edfd60da18c5e

(130)

on April 11, 2012
at 03:30 PM

Hi, I cant' answer this either but I can commiserate. In 2009 I had horrible chest pain (8 out of 10 on a 10 point scale), odd feeling (no shortness of breath). Was forced to go the ER by boyfriend and coworkers. Troponin was HIGHLY elevated (they wanted to life flight me to different hospital). Also told it was NSTEMI heart attack. Heart Cath was also clean (as a baby bottoms said the doctor). I lost about 10% of my ejection fraction. 3 months later they did a MUGGA and function was fully restored (or better). Have had 2 stress tests and 1 cardio=light stress test. All coming back as a happy healthy individual.... go figure.

I have had 3 instances in the last year of this chest pain (ranging from a 3-6). I did not return to the hospital but seek out cardiologist after the event. All of these events were about 22-24 hours after an extremely stressful moment (child being significantly injured, etc,). Doctors have no clue but all of them (3) want me on beta blockers and I refuse. I had not heard of Factor V Leiden (via 23andme) but I will look into it. It was once suggested that I may have Printzmetals disorder. That is still undetermined.

Other than these events I am an a very healthy 40 year old woman, once figure competitor, with 2 teenage children.

Thank you for sharing your story.

12da944d1e1782c66d3edfd60da18c5e

(130)

on April 11, 2012
at 05:28 PM

My troponin was 3.19. Thank goodness we have friends to look out for us. I have been working in my own (been through a lot of dr. whose only answer is to medicate - NOT my answer) my current doc it trying...and I appreciate him for that. Good luck to you

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:43 PM

Unfortunately Jenn if your Drs are like mine you will have to figure this out on your own. While my pain was not as severe as yours sounds and my troponin was not "Highly elevated" everything else sounds similar. I was also forced to go to the ER (only went bc I was really hungry for a cheeseburger lol). FVL is a blood clotting disorder and 23and me is a website that maps your DNA and can tell you if you have inherited certain disorders. Good luck.

0
870fdea50f2a9f1cd2890c8e22549300

(2056)

on April 11, 2012
at 03:28 PM

Honestly, how could you expect a bunch of people on the Internet, however well-meaning, to be able to answer this question?

870fdea50f2a9f1cd2890c8e22549300

(2056)

on April 11, 2012
at 04:31 PM

Well, by posting this question you did get a referral to an MD. So...

7b91be6e22d4e2960f40935e306bdee5

(245)

on April 11, 2012
at 03:35 PM

Oh come on. There are some very smart people on here. I never would have got this far without this board or my seemingly weird questions. http://paleohacks.com/questions/68443/had-a-heart-attack-need-suggestions#axzz1rjdtzSBW http://paleohacks.com/questions/96201/so-im-apoe-2-4-what-now#axzz1rjdtzSBW http://paleohacks.com/questions/75930/got-my-vap-test-results-now-what#axzz1rjdtzSBW I feel like I'm closing in on this thing and know there are people here more knowledgeable than me.

0
77877f762c40637911396daa19b53094

(78467)

on April 11, 2012
at 03:18 PM

Unless Kurt Harris or (ugh) Jack Kruse swing by I don't think most people here have the level of training needed to answer this. Have you tried finding a Paleo-friendly MD who can work with you?

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