Hi,I am a 40 y/o male, until 3 years ago I was a very active elite athlete when I had an ablation for PSVT and subsequent iatrogenic complete heart block, a pacemaker was implanted and I am paced nearly 100% of the time. A month ago I had my pacemaker and atrial lead changed due to an under-sensing problem. A day and half after the change I reported back to the hospital due tremendous pressure in my chest. After an echo it was determined that I was in tamponade and had a pericardial window and drainage tube placed two hours later. I stayed in the hospital for four days. Apparently what had happened was when the lead was extracted it left a tiny hole allowing fluid to collect, it was not noticeable at the time of surgery. The surgeon that performed the window had said that when he went in the hole had already closed up. I was discharged and sent home. I was told that I had atelectasis in the lower part of my left lung and told to use an inspiratory spirometer. I continued to have a pain in my chest, right under the sternum and was given a ten course of Indocin. After the ten days I still had the pain, it was not alleviated at all. I was then told that it will go away on its own. I still continued to take ibuprofen and it still has not gone away. Now, seven weeks out from the surgery I still have this pain and it is worse when my heart rate goes up due to minimal exertion eg: carrying my daughter up the stairs. The pain coincides with each heart beat and feels like a lot of pressure behind my sternum, it also travels to my head. Upon release from the hospital and subsequent visits to the surgeons I have not had another echo or CT scan to see if there was still fluid around my heart. Do you have any ideas as to what this I am feeling and when will it go away? What do I have to do? etc...Thank you very much,TG
Person's Gender: Male
Person's Age: 40
Indocin, Ibuprofen, rest
Answers are for informational purposes only.
First of all, let me say that I am very sorry for all of this.
Going from being an elite athlete to having all of these problems must be very hard
A few questions, when was the last echo and CT done?
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information. What happens now? If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Answers are for informational purposes only.HI thereFirst of all, let me say that I am very sorry for all of this.Going from being an elite athlete to having all of these problems must be very hardA few questions, when was the last echo and CT done?
Hi Dr. Phil,
And you have had recurrent symptoms and haven't had any scan since, TG?
That is correct. I was just told that it will go away on its own.
Oh Geez...I am very worried that this fluid is re accumulating.At the very least, you need a repeat echo. It's been 6 weeks and ALOT can change in that time.Please don’t click “expected more” (one star) or “helped a little” (two stars) as this leaves negative feedback for me. If you aren’t 100% satisfied, click “continue conversation” instead.
Is it possible that the fluid is re-accumulating? They said the hole left by the atrial lead when it was extracted had closed and that there was practically no chance that it could happen again.
Yes, it's possible.I wouldn't say its not fluid until I see an echo that says its not.Its been almost 2 months and a lot can changeIf there is no fluid in there then its probably just chest wall inflammation that will go away with time but I need to see an echo before I call it that, TG.
Thank you very much Dr. Phil. Unfortunately I am out of the country and do not return until the end of August. I will be looking to get an echo where I am currently and then follow up with my doctors back home.
You're very welcome.Don't forget to rate me with great service so I'm credited for my work