Widow Maker
I wrote this piece for the chronicles on my first rotation of my second year of residency. This patient eventually left the hospital, although, her quality of life was never the same again.
There is a young fifty eight year old mother of two currently walking the tightrope between life and death in my Coronary Intensive Care Unit (CICU). She had a massive heart attack earlier and was rushed to the angiography lab where one of the critical arteries supplying blood to the heart failed to appear on the monitor- it was completely blocked.
The “Widow Maker” was the affectionate name we give to a stenosis of this vessel. It’s all in the name, they say. Most commonly, this fatal stenosis usually affects fifty something year old men, fatally. But diseases never read textbooks and Ms. R had no idea of this horrible monster forming in her arteries. Now it threatens to end her life.
I told her family that the situation is grim, they cried, I had nothing to say to comfort them at all. She has a very slim chance of survival and they better be prepared.
At the moment she’s nearly maxed out on all the possible medication we could give her to raise her blood pressure and the only thing standing between her and the other Unit in Sky is the love of god and a resident with 14 months of experience.
I am scared.
Back to work!
For more information on the Left Anterior Descending arterys' nickname go here. Coronary artery disease is among this nations top killers. It is silent and deadly. If you experience symptoms of angina please go to you doctor to report them and have the appropriate work up.
posted by Internal Medicine Doctor at 4:14 AM
278 Comments:
Oh man....
Another thing that filled me with dread when I was in Coronary Care: a patient with an anterior MI who started having issues with second degree heart block.
Not only did you have to deal with pump failure, but conduction disturbances at
the same time.
Now this is in the old days, before angiography/angioplasty and calcium channel blockers were experimental and John Travolta was just a kid on a sitcom but as coronary care nurses we knew:
Hypotension, elephant on chest, tachycardia, diaphoresis and SOB = anterior
Epigastric/sternal pain like indigestion, bradycardia, vomiting and first or second degree heart block (third degree for the unlucky) = inferior
If I'm ever going to have an MI, make it an inferior one.
Doc,
Yikes...been there, done that.
http://attaboy.tommydoc.net/?p=1170
My block wasn't (I believe) in the wideo maker, as it was on the right (my left) side. They did need to defib me at the house three times, then once again at the second hospital. I don't recall any of that. That was all a year ago, and I'm doing a lot better. I have a great cardiolgist. And far more admiration and respect for folks like you and for the amazing ways you keep people like me alive.
I'm a walking dead man. I'm totally asymptomatic but I encourage you to read on. At 50 I had what one would call an "executive" physical. Part of that was a nuclear stress test (rather than a typical stress test) since there had been an occaisonal irregularity on my EKG's since I was about 20, and there is some CAD in my family history. The test revealed what appeared to be blockage, the next step was a cardiac cath which revealed a 100% blockage in my LAD, yep the REAL widowmaker and this was/is completely blocked. I have a medical background and while the cath was being performed I watched and spoke with the MD who was performing the procedure. After the initial shock to both of us, he attempted to get a wire through the blockage and was unable to make any headway, the calcification was solid, and apparently had been that way for years. Today at 53 I'm still ticking away, still asymptomatic, and now I go to my cardiologist regularly, I do all of the "right" things and take loads of expensive meds, but hey I'm here and that's a good thing. There are no other vessle abnormalities whatsoever. OK so there you have it, there is life after the Widowmaker comes to visit. I'm living proof.
Wow, I was shocked when the Dr told me this morning that my 53 year old husband suffered a massive heart attack and referred to it as the widow maker... I googled it just to see if anything came up and was shocked... (glad I didn't know this before I knew he was ok) luckily it didn't do any damage to his hear that it won't repair on it's own, and his other arteries look fine...
too odd...
I have left coronary artery failure 100% blockage
RFA- 6ER Jl4 JR4
Right function is barely getting by with 80% and 40% blockage at two seperate sites
Most of of my heart is getting by on collateral flow.
I have preserved systolic function thanks to 20 years of mountain climbing and a high level of fitness. I found out about this when I could not climb a hill one day, I finished the climb and walked home.
I will climb again after triple bypass.
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my husband just experienced the widowmaker, and thank God he's alive. It was 100% blocked and is now stented. He's only 38, so we know age is not a safety net. He was on Lipitor, but obviously not enough and also had family history that played a strong role. Don't ignore any symptoms.
My husband survived the widow maker about a month ago. Thank God for stents and for Dr. Cohen and the amazing team in our local ER.
Nancy, not a widow, near Philadelphia
My Dad miraculously survived this heart attack earlier this month. Not only did he survive it, but he is now ready to go golfing on friday(about 3 1/2 weeks after nearly losing his life. He coded in the ER and that is the only reason he survived. He has no damage to his heart or brain and is back to being himself(albeit with a little more respect for the fragility of life.
Amazing.
Doctor,
Your understanding of heart attacks due to blocking of the "widow maker," or LAD, reads like bad scare literature. You were a resident, and maybe when you become a bit more experienced you'll realize that there can be much hope after an attack due to a clogged-up LAD. While treating your patient was no doubt an eye-opening experience back then, you should be glad that she made it out, and realize that she can have a very fulfilling and active life once she leaves your capable hands, as is the case of the father of poster Adam above.
Your hands are less capable in the blogosphere, and I suggest you revise your tone so that the thousands of Americans who hear the words "widow maker," google it, and then arrive at this site do not feel like they're reading about an intense opening scene from /ER/.
I wish you the best of luck in improving your tone not only in your writing on the internet, but also when speaking about coronary defects with the families of patients in the future.
October 13 2007 @ 10pm I forgot to take out the trash for the morning pick up.I got up from bed walked to the garage opened the door took two cans of trash out walked back to the door and started sweating somehting terrible and felt very sick to my stomach my jaw started aching and then started throwing up as i walked back to the bedroom my wife asked whats wrong i said i didnt know ireally didnt know i figured at this point i may need to go to the hospital which is minutes away so we loaded up the kids and drove to the emergency room she stoped at the door i got out of the car and walked in the lady behind the desk ask whats wrong i said i didnt know she sat me down in a wheel chair and began to take my blood pressure and looked at my wife an said he has no pulse or pressure he is having a heart attack iwoke up two days later in intensive care not knowing what had happened and was told i had the widow maker heart attack i had one blockage at 100% and one at 99% she said if i hadnt forgot to take out the trash i wouldnt have woke up the next morning because i was lucky to just survive the massive heart attack i would consider myself the luckiest person in the world i suffered the most signifigant damage to the lower part of my heart but there is hope it may with drugs and hard work i will live past my 39th birthday stephenabumgarner@yahoo.com
I am a registered nurse and on Nov. 15, 2008 I developed chest pressure that I could barely tolerate. I spent several days in the MICU..my LAD was 100% occluded, RCA 90% and circ 80%.I was only 5 blocks from the ER.... I am very fortunate to be alive and am thankful for each day that I have.
wolflover804@aol.com
My Dad has his widow maker blocked and can only be helped by a triple bypass. He has one schedule for the end of January but went to the hospital with bad chest pains(my dad does not say when he has chest pain. His cardiologist said to wait to hear from the surgeon because he would probably need the surgery done sooner which they wanted to do but my dad insisted on waiting. The surgeon could not make it so the cardiologist let him go home for now. Now keep in mind the surgeon called and told him he would be up there to see my dad but now can't make it.
Is that ethical to send my Dad home even though he really wanted to? How can they release him knowing his condition?
This is 17 February, 2009. Last Saturday, Valentines Day, I started by climbing a 30 ft. ladder to work on my roof. I own a contracting company, and went to work later in the morning. I have felt chest "twinges" for years, and periodically complained to a few doctors. Despite being a heavy smoker, I passed several stress tests easily. I went to dinner for the occasion with my wife, and then laid down back at home because I did not feel well. Within an hour, I awoke with a very heavy, steady pain localized in the center of my chest. I got hold of my wife, (an RN) to take my blood pressure, but before she could even get her cuff, things went downhill so swiftly, that I could not even dial 911. My son took over on the phone and my wife rode with me in the Rocky River squad wagon to the hospital. At 10:55 PM I was in my kitchen, at 1:00 AM I was in my room at St. John Westshore with my new stint, no pain, and a new lease. Monday morning, I was released to go home, contact my doctor, and get my new rules.
This particular hospital has established a special team of CC nursed and doctors who are on call, who drop everything to show up for any kind of heart attack or stroke. Between a well equipped squad, who hooked me up to a machine that goes direct to the hospital, and the doctor and nurses who attended me--I owe them everything. Amazing though, Saturday night I had 100% blockage of the so-called, (with good reason), "widow maker", and Tuesday morning I was in my office. Here's to St. John West Shore Hospital, Westlake Ohio, with the fastest door to balloon time in Ohio.
Sincerely
Brian Ruic
Feb 12, 2009 4:33 pm, I got a call at work, My husband was at the cardiologist, he was having a heart attack and being taken by ambulance to the hospital. By 6:20pm he was out of the cardiac cath lab with cleared occlusion and stenting of his lad. He is a very lucky man. 40% blockages in other arteries, not sure why they couldnt get it all, but we love our life saving physician.
My husband had crushing pressure for 3-4 days prior, we thought it was due to a new medication, Flagyl, tried to see the doc, not unitl Tuesday they said, told of the chest pressure (not pain he says), they said go to ER.
Of coarse we didnt go. My husband showed up at the doc office, they walked him to the cardiologist, and lo and behold, we should have gone to the ER a few days prior.
Please, anyone else out there, do not make the mistake and wait. I am planning on making my appt with PCP to get to the cardiologist myself.
On may 9th after 4 days of chest pain with no other pains I went to the er. I was put into the hospital and had angiography/angioplasty on may 11th One stint lad with 95% blockage. I feel lucky to be alive. I hope to live a lot of years to come. This is not the end of your life just the begining of your second chance.
I had a widow maker attack in September of 1999. They lost me 5 times and barely revided me the last time. They stablized me long enough to place the stent.
I have been prblem free since that time. Friday, 19 June 2009, I am having a heart cath performed to check my stent. No problems really, just kind of a ten year check up.
One of my best friends just died. He was the picture of health and only 41 years old. He was slender and he always ate right. Doctor said it was what they call a widow maker. He complained of chest pain and played it off. He went to sleep and didn't wake up. He left his wife and 8 year old daughter behind. Please keep his family in your prayers,,,
I am a 54 year old Male who lived through the "Widowmaker heart attack". August 11, 2009 at 9:30 P.M. I started feeling odd pain in my chest. I did not have any of the normal signs of a heart attack. My wife, who works in the health industery, asked all of the questions she asks the patients when they are having a heart attack. I answered all of them no. She said I had indigestion becuase I had eaten a large dinner that night. I waited 10 minutes and woke her up again and told her I thought I needed to go to the ER now. She then drove me to the ER in the closest city with heart labs. I was taken right into the ER and hooked to machines and she came in and they told her I was in the middle of a heart attack. This got both of our attentions. I was having a heart attack in the Widowmaker. Thirty minutes after I arrived I was in the Cath Lab. I had a stent put in that night. I needed three more, but was to weak for the other three. I went back two weeks later and I had already plugged the stent up again. Two weeks later I had 5 bypass surgery and Mitro valve repair done. One month later here I am writing this. I survived with God's hand on my soul. They say only 10% survive the Widowmaker. I am glad to be in the 10% club!
I was 47, having terrible back pain (angina), an irregular ekg and then a cath that showed 100% blockage on the LDA and couldn't budge it. Doc said I had a heart attack but gave no plan, just bp pills. 2nd opinion confirmed heart attack with "considerable" damage. Six months later I saw Doctor #3 and he had me in surgery in 2 days as half my heart was not beating. During surgery, they flopped over a mamarory artery and the whole heart came back with no damage. 2 years after surgery I was off all pills. Played softball for 7 more years before my feet gave out. BP is fine and total cholestral is 153
I recently returned home from a "Widow Maker" bypass over Thanksgiving. I'm 57, there's no heart disease in my family, my wife and I eat a heart/diabetic friendly diet and my symptoms were very slight in being winded with exercise and slight shoulder discomfort. All of which I could easily attribute to working out and having a chest cold. Fortunately my wife was convicted that there was something more to this. Even more fortunately for me...I listened to her. My physician fast-tracked me to a nuclear stress test. Sure enough, 99% blockage of the LAD but everything else looked great. The care and attention I received at Sierra Medical and the Sutter Hospitals made me feel that I was cutting to the front of the line at Disneyland. It turned out that surgery was a better solution for me using a mammary artery graft since stints don't hold up well with diabetics. All went very well and I can't say enough positive words to commend Dr's Sanjay Ladlapalli, Robert Kincade and Daniel Sewell. I'm also blessed to have had people praying for me coast to coast and for such a caring wife.
Yep, I had the widow maker. 99.999 percent blockage of the left main artery feeding the left ventricle. I just posted an article about my experience in Climbing Magazine and the Mountain Gazette, called "Luckiest Man Alive and the Widdow Maker.
http://www.mountaingazette.com/
So here's the gist. I was experiencing pain in my right lung (that's right) some in the center of my chest, and was out of breath on 5 mile hikes, rock climbs and extreme skiing.
When I finally went into the ER and got a 12 lead EKG, my EKG came back with a normal sinus rythm, my bp was 128/78, heart rate was 68, no blood enzymes, and a clear chest x-ray, and at the time no pain.
Lucky for me I ran into (house) who looked at me and sent me in for a catheter dye test. Oops, that turned up the Widow Maker.
The article in Climbing Magazine and Mountain Gazette give this news a bit more life! Cheers to our mutual survival!
Hi, So very blessed to be alive. I too found out I had a blockage in my LAD on July 9th, 2010. Here's my story of Gods amazing grace.
On June 28th 2010 I unfortunately/fortunately suffered fall down some steps resulting in a severe tear to my right quadricept mucscle/knee area. I was away from home on business when this happened. My wife came to where I was in NJ to bring me home to get my knee taken care of.
With the 4th of July weekend looming, trying to get an orthopedic surgeon to look at my knee proved to be a challenge. I managed to see a doctor at Johns Hopkins on Friday July 2, 2010. My knee surgery was scheduled for July 13, 2010. As things would turn out, I would not make that 13 July knee surgery date.
A few days earlier I suffered major pain in my lower right leg (in time we would discover the pain was from blood clots forming in my right leg from the knee injury).
On Friday morning July 9th 2010 I was teleworking from home due to my knee injury when I felt my heart fluttering in a way like it never had. I could not get my breath, I began to sweat profusely. I was barely able to summon my wife for help who lay sleeping in the same room. When she came to me she said I looked grey and like I was having a seizure, I saw myself in long dark swirling tunnel, with a very bright light at the other end, I then felt myself coming back to consciousness. My wife called 911 and I was taken to a local hospital then later transferred to Christiana Hospital in Delaware.
By the way! I am a 56 year old male. Only previous known heart concerns was mildly elevated cholesterol and milady elevated blood pressure. Previous EKG's showed normal to include one I had a few days earlier as part of my knee pre-op physical.
I was stabilized at Union Hospital in Elkton, MD where I live and transferred to Christiana Hospital in DE shortly thereafter. Because they really did not know what was going on with me, they took me immediately to the heart cath lab where Dr Varma Cardiologist interventionist proceeded with heart cath procedure which revealed a 95 % blockage in the LAD affectionally known as the "widow maker." I was stinted but was still not out of the woods.
A bad as the LAD finding was, what really was most immediately life threatening for me was what was diagnosed as a major pulmonary embolism. My knee injury had decided to send major blood clots to both lungs. Treatment was begun to address the blood clot issue?
I am now at home, still no knee surgery, but thanks be to God, prayer, great doctors and nurses, I am feeling much better. I am a retired Army Officer, Never had the slightest indication that I may have a major blockage to my heart, especially in the widow maker?
I've read your stories and have and am more convinced of Gods loving care, providence and healing.
As I look back I see Gods loving hand, while I do not believe He caused my fall, I do believe he worked mightily through it to bring my LAD blockage to light in way short of a major (possibly fatal) heart attack would have revealed?
God has left me here for a special purpose, one that I want to be sure I cooperate to the fullest extent?
Take care,
John
In 2006 I posted "I'm a walking ..." as the third post in this thread. It's been six years from the discovery of the blockage; I'm 56 now and still completely asymptomatic. The LAD is 100% blocked as it was when it was discovered and there are still no other signs or indications of any problems. My followup nuclear stress tests have shown no progression in disease, and my EF is right at 70%. I do about 45 min to 1 hr of cardio daily, and work with a trainer two days a week doing crossfit a very intense workout routine. My labs are better than most 20 somethings and I feel "fitter" than I was in my mid 20's when I played professional ball. The point here is that after survival of the widow maker event, you need to do everything you can that is prevention oriented to maintain your well being; having stents and bypass surgery does not give you a hall pass. Eat healthy and exercise regularly at the level that you can. Everyone here that is a survivor gets kudos from me ... just don't take any day or anything you can do to improve your situation for granted.
I am a 60 yr old male. I travel a lot out of town an during my last trip, I exercised as I usually do. I changed clothes and went for a walk, during the walk my elbow started to hurt and I felt a little bit of pressure near my clavicle. I walked for an hour and it stayed with me and when I got back to my room and rested it went away. I worked out two more times while away and in those times it always went away. I shrugged it off; however, when I got home the first day I returned to work, I started to walk across the parking lot to my office and the symptons returned. The next day was the same. I realized that this was not normal for me, I called my doctor and he referred me to a cardiologist. I explained the symptoms to him and he stated this are indicative of a blockage. On the following monday I had a Heart Catherizationa and doctor found my LDA to be 90 percent blocked. On friday I had a stent put in. I feel totally blessed and am so thankful for the professional staff that took care of me. Men dont shrug off anything.
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There is an antidote to all this, just as former President Bill Clinton. If you're willing to dramatically change your diet (and remove the cause of this disease), you can make yourself heart attack proof. See http://HeartAttackProof.com
My husband survived a widow-maker heart attack at age 49. He had no prior symptoms but experienced chest pressure (not really pain) after my daughter had a car accident a few blocks from the house. I was away on business at the time. He dealt with the aftermath of that, took an aspirin, cooked dinner, then went to the hospital. His LAD was 95% blocked, and he'd had the heart attack. They stented him, and because of kidney problems kept him 3 days to get meds worked out. He was amazingly fine in a few days--better than he had been. The ONLY symptom before this was shortness of breath on walks, but because we were on new trails, he thought they were harder than he was used to and that he'd overeaten.
Skip ahead 18mths. He died in his sleep. He was walking, in better health, seemingly, than he had been in years, looking forward to starting an exciting new job, then . . . died.
He had not been watching his sodium intake as closely as he should have been and wouldn't listen to his wife or daughters. His drs. were pleased with how well he was doing.
I think what did him in was an electrolyte imbalance, along with the day before lifting something quite heavy that he'd been offered help with but went ahead and did on his own, which may have dislodged some plaque build-up we didn't know about (yes, he was on statins).
Thanks to all who've posted here who've helped me understand what I awoke to--my huband dying in about 5 seconds. I don't want anyone else to go through what I went through if I can help it by telling this story.
PLEASE, PLEASE, SURVIVORS, FOLLOW THE LOW-SODIUM DIET ASSIDUOUSLY AND DON'T THINK OF THE MEDS AS MAGIC PILLS. You have to take care of yourself, or you'll be leaving your partner to care for two children in college without your income. GET YOUR AFFAIRS IN ORDER NOW! Because (I don't want to scare you, just apprise you of the situation that I didn't fully appreciate either) you just never know with this. The fact that you're back to work in just a few days is so amazing that it can seem like everything's fine when it really isn't. You have to be careful.
Be well and may God be with you.
There can be several kinds of chest pen but when it is related to heart disease, it becomes dangerous. It’s very important that we should keep this in mind. Dilse India provides information about chest pain. The information can be helpful for those who have chest pain and there is danger of heart disease.
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I am very sorry that the medicine can do nothing in such cases...
My husband is in CV ICU recovering from a 99% blockage widow maker. He's 52, non-smoker, healthy; 3 mile hike in the mountains 4 days before this happened. He had no warning in the weeks beforehand, nausea, vomiting and perfuse sweat/hot flash at the onset along with right side chest pain. Took approximately one hour from onset of vomiting til arrival at the ER. Cardiac enzymes were clear, 2 EKG's showed ST depression instead of elevation so they thought it was viral with a possible chest muscle strain from the vomiting, but kept him overnight anyway. By 7am triponin was 29 and they were ready to life flight him to a regional cardiac center 100 miles away. Due tot he snow he had to go by CC ambulance. He was still having chest pain and they took him straight into the cath lab on arrival and found the blockage. If not for the good health that he has he would not be here. His cholesterol was 172, triglycerides were 173. He had a stress test, lab work and EKG 6 months ago for a job and wall was ok then. He was laid off December 31st. I wonder if stress can cause this to happen?? He is so weak he can barely stay awake. Ejection fraction is 25-30% and the cardiologist told him his life is forever changed and he needs to apply for his disability. I am an RN, but cardiac is something I have never worked, so it is going to be something we will have to take one day at a time. God has a plan and purpose for this I am sure.
Well, I didn't fully appreciate either) you just never know with this. The fact that you're back to work in just a few days is so amazing that it can seem like everything's fine when it really isn't, thanx.
She has a very slim chance of survival and they better be prepared.
hm great I wish you the best of luck in improving your tone not only in your writing on the internet, but also when speaking about coronary defects with the families of patients in the future thanks.
In this The ONLY symptom before this was shortness of breath on walks, but because we were on new trails, he thought they were harder than he was used to and that he'd overeaten making..
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I have a medical background and while the catch was being performed by me.
Its so scary when things like that happen!
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Hypotension, elephant on chest, tachycardia, diaphoresis and SOB = anterior
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Thanks for such a nice and awesome blog about heart and widow maker and the age at which it attack people. I really appreciate your work. Well said and present.
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Nice you just never know with this. The fact that you're back to work in just a few days is so amazing that it can seem like everything's fine...
Awesome post I didn't fully appreciate either) you just never know with this. The fact that you're back to work in just a few days is so amazing that it can seem like everything's fine...
Well The fact that you're back to work in just a few days is so amazing that it can seem like everything's fine...
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Hello. I am 44 year old male. I just had a stent put in. I had 99 % blockage in the widow maker. It started on Friday. My daughter and I were running to the park and I immediately stopped like I hit a wall. I called for my daughter, who wasn't stopping. My left chest was heaving in pain. I said, "WOW! What was that?" I eventually called the EMT's, and they said you are not having a heart attack. Later I found out the only way to figure your heart is damaged or trying to repair itself is the heart produces enzymes and protein. No one, EMT's or Cardiac care, can tell just by EKG's. Thank God my Dad and me agreed to go to the hospital anyway. Life is strange now considering it has only been 4 days since my stent was put in. Sometimes I feel like a ghost walking around. I forgot to mention I am battling testicular cancer as well, so my plate is full. It is so much better trying to figure how to live better while you are alive, then the alternative. I would urge ANYONE who is having any upper chest issues, please go to the ER, don't just let them give you an EKG and then get answers. God Bless you all. Edward.
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Had the "widowmaker " heart attack on August 28,2011; I am 60 years old. Taken by ambulance to ER then to stent lab and stented within one hour of pain onset, I am fine, it is very scary and now i eat right , take my meds and have lost 20 ppounds and exercise regularly, go to heart rehab, great place and I can do everything i did before and back to work, i apppreciated the fine people who helped saved my life--TAKE CARE OF YOURSELF,DON'T SMOKE EAT RIGHTS, GET SOME EXERCISE-STAY ALIVE---AB
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Count your blessings!!! I am the 53yr. old widow... my husbands 1st heart attack was at age 41 and we got our miracle then...He lived a great life for 16 more years. He drove himself to the hospital last month and was in the right place at he right time when the widowmaker visited him. I got to the hospital 2o minutes after his call. They has just used to diffibulator on him for the first time. He was joking with the nurses...he said, wow did i just barely dose off???? And it just felt like I was kicked in the chest by a horse.That sure did wake me up... I had one minute to give him a hug and a kiss and a prayer before they rushed him to the cath lab for a stent. He smiled and said... Do not worry, I will be just fine. His cardiologist od 16 yrs. followed him to the lab. His heart went into V-fibb. and they never had a chance to do any procedure. Yes they used the difibbultor many times. If you have had a previous heart attack and the widowmaker strikes, be ready to meet your maker and rejoice that you got your ticket home to the God that gave you life!!!My husband had heart disease. It ran in his family. He went to the cardiologist every year and followed the reccomendations.If you are one of the lucky ones to live... then enjoy every day... make sure to count your blessings and serve all those around you!!! Leave an awesome legacy... we all are born..we all live and love and serve... and then we die... and report to the the God who gave us life!!!My husband is one of the lucky ones, he got a second chance, he got 16 more years to raise his family and this Christmas he is spending it with God!!! Make it a Merry Christmas...
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Had no idea or knowledge of the heaart condition labeled the widow maker, my husband didnt either. His pcp thought he had the flu, my husband thought he had the flu, it wasnt the flu. He only felt sick. I took him to the doctor twice for it. On the third day I took him to the doc who then said he was sure it was his heart. Then to the ER, unfortunately, my beautiful, handsome, wonderful husband did not make it through the ER, he did not get better or go home. I lost him that day, a week ago, I became a widow from the widow maker heart attack that he had. The doctors said there was nothing that could be done. There are no words to say how this feels, how much pain I feel, and how guilty I feel. I dont know how or if I am going to make it through this, its all like a horrible nightmare I cant wait up from. I read how others have made it through, how others have survived and just cant believe or figure out why this has happened, why he didnt make it, like others have. This hurts and I am so lost...and scared
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Here's my story. I had my widow maker in 2006, at the age of 58. Despite a family history of heart disease and a terrible diet of Southern cooking, I wasn't worried about my health because I exercised regularly and kept my weight under control. I jogged, played ball every Saturday, danced weekly (I am the director of an exhibition clogging team, a very strenuous type of dancing - similar to tap or Irish step dancing). I thought I was in great shape. When the incident occurred, I was working in my back yard, digging a trench in rocky soil with a pick ax. It was 100 degrees outside that day, and I was working in the sun without a shirt. I never had any pain - I just kept getting out of breath after a few swings with the pick ax, and would have to stop to catch my breath. When I bent over to scoop the loose dirt out of the trench, I would get dizzy and lightheaded when I stood up. I was starting to get a little nauseous, and decided I must be getting too hot. I went into the house, and, being too sweaty to lay on the couch, laid down on the floor to cool off. My daughter, an RN, happened to be visiting, and took my pulse. She had trouble finding it, but finally thought she got a reading at about 25 bpm. I was starting to get more nauseous, got up to go the the bathroom, but was too weak and collapsed on the way. Over my objections, my wife called EMS. When they arrived, everyone thought they were treating heat stroke until they hooked up the monitoring devices and announced "He's having a heart attack!". They shifted into high gear & got me to the hospital, about 20 min away. (The attending physician said if they had been 10 min later I would not have made it.) By now I was throwing up, and my EKG was showing rounded "tombstones" instead of spikes and they had to hit me with the paddles. I had a 100% blockage in the main artery, and 90% & 75% in two others. They were able to stint me, and I recovered, thankfully, with minimal damage. It's been 6 years, and I apparently have had no further incidents. I am, of course, on multiple drugs - statins, ACE inhibitor, beta blocker, etc. I can't do anything about the family history, but I have drastically changed my diet - my wife, who was already an excellent cook, has now become an expert on low-cholestrol, low-sodium meals. I am still playing ball and clogging.
On Tuesday May 15th,about ten p.m.I suddening had a crushing feeling to the chest and both arms went numb in the shoulders. Cathy (my wife) who is a coder for thirty years immediately called 911. Between them entering our home and the time the stents were done was 48 mins. My LAD had two lesions that had colapsed to 99.9% on both. No heart damage. If you want to live in a small town with clean living and a top-notch Cardio response system I highly recommend Hutchinson,Ks. PS,The cardio team got out of bed and were there before the ambulance arrived to meet us in the E.R.
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I am a 35 year old male who just survived this type of heart attack three days ago. It is amazing to be a walking miracle. Like the lady in this post, I was totally occluded in the LAD coronary artery for nearly an hour by the time the occlusion was releived. I was fortunate enough that the cath lab team was already in place from a prior case when I arrived at the hospital Saturday morning at 5:00 AM. From arrival at ER to being in the cath lab with procedure being performed was less than 15 minutes. All I can say is I am grateful and thankful.
I just lost my 54 year old brother 2 weeks ago to the widow maker. He leaves behind a wife and a 23 year old son.
He smoked. His marriage was on the rocks. They had fiancial issues. He was depressed.
He went to bed and never woke up.
We miss him so much. He complained of arm pains but didn't take it too seriously.
Please keep an eye on yourselves, stop smoking, and be willing to go to the ER and have them tell you it was only indigestion - it is better to be safe (and alive) than sorry (an possibly dead)!
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My MI wasn't like any described so I thought I'd add the symptoms I had. Seven months ago I was in court for possible jury duty. I felt a gripping sensation inside my chest somewhat like heartburn. I tried rapid breathing to get rid of it for two or three minutes then I finally realized I was having a heart attack. Five or six minutes later when the paramedic told me to open my mouth and lift my tongue I was so out of it I had to think about how I was going to do it. In about one second after the nitro was sprayed into my mouth the gripping was gone and I felt almost normal. I've dropped 50 lbs since then by eating properly.
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I am a diabetic since age 3. I am 53 years old now. In August 2012 I finished a 25 mile bike ride and was sitting on a large bean bag watching TV. I was almost asleep when I felt a sharp pain in my left breast about 1.5” from my sternum. As I rubbed it, the pain increased and moved so that my entire left chest was very painful. Suddenly the pain shot across my entire chest and I sat up wondering if it wouldn’t hurt so much if I sat up. It was slightly better. I knew I was having a heart attack and I had some interesting thoughts. My father had a stroke at age 55 and over the next 16 years had 4 more heart attacks until his death at age 73. At the age of 8, Doctors and nurses taught me that I wouldn’t life to the age of 16. I had thought that I had been living on borrowed time, and I had I was ok with dying but as I stood up the pain staggered me and I put my hands on my knees. It’s kind of funny, I was ok with dying, but someone had to stop this pain. I am grateful that the pain was so bad that I had toget up and find a way to stop it. My wife heard me and called 911. I arrived at Pioneer Hospital and the Doctor and nurses were ready . I had a Widowmaker. 100% blocked. I was in the hospital getting nitro and aspirin within 45 minutes. I was stinted but other areas were also partially blocked with plaque. I was awake during the entire visit, and felt much better after the angiogram. I left for home after three days and was feeling so much better that during my stay I harassed the doctor about riding my bike as soon as possible. I am very careful now about the food that I eat. I am back to biking along the Jordan River Parkway, and the Legacy Parkway. I am amazed by what I have read that I could have survived this with my other health issues. This was a month and a half ago and I am my family went to Yellowstone to bike the park three weeks after my hospital stay. Well that didn’t work out the way I hoped, they biked and I sat around the drove the support vehicle, unable to breath . Oh well I will keep biking and working for my family. I am grateful that I have been given more time with my family. I thank God for his blessing and I thank God for my family.
I had nothing to say to comfort them at all.
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BLESS YOU DOCTOR!
Wow, does this post hit home to me in a deep way.
I had the widowmaker, and a very critical 99.99% blockage of the left main artery of the left ventricle of my heart. When I asked how did they know it was 99.99 and not 100% they told me they could see blood platelets dropping through my artery like a capillary and not like one of the most critical arteries in my body.
Doctor, I was lucky, I walked into an ER and had a bit of pain, earlier that day, in the center of my chest when I breathed, and some shortness of breath, following a case of bronchitis I picked up while working in Canada.
I got so very lucky, and ran into "House," the chief of the surgical staff at Foothills Hospital who was not on his scheduled New Years vacation because of an injured ankle, due to a ski accident.
He asked me if I was hurting now, and I said no. He asked me what brought me in, and I told him about the pain in my lung and shortness of breath experienced the day before.
I then had a 12 lead EKG, blood test, chest x-ray, bp, heart rate, and O2 checked.
My EKG turned out to be a very nice normal sinus rhythm, BP 127/78, heart rate 68, negative for chest x-ray, and no heart attack enzymes in my blood either, including the fact that at the time I was symptom free.
My internist asked me again why I came in, and I relayed my story of how several days before I was out of breath skiing half a dozen double black ski runs at Breckenridge, but that for me this was very odd, because usually on a weekend would hike three 13ers and ski avalanche troughs, workout in a gym, and then take a hot tub, and not have difficulty walking around.
Lucky for me, instead of dismissing me and sending me home, this doctor sent me to a hospital for an angiogram, and as luck would have it, my doctor Nelson Trujillo was able to place three stents in my heart and open up the left main. I later had a triple bypasss.
My cardiologist looked in my eyes when I awoke and said, "you are the luckiest man alive."
I think there are reasons in life that we sometimes get a second chance, I think mine is in part to tell this story, in hopes of maybe saving one person's life.
Here is my message, if you have pain in your lungs, left or right, and are out of breath, and that is very abnormal for you, get checked out! Stints are easy heart surgery and a fast recovery, and if you are like me, they can save your life.
Bless you doctor for making this post! I hope one person who doesn't feel well manages to type in a search, like I just did, and reads your post and this message in time to do something.
One final word, before my surgery I somehow knew in my gut, that something was seriously wrong with my heart, even though my symptoms did not seem all that bad.
I think they could call my type of stenosis the blindsider widowmaker.
If you are a significant partner to a person with widowmaker, and have been worried about such symptoms for months, as a gift give them a ride to the nearest ER. Even if it turns out okay, it is better to know than to watch them die.
Chris Hill
http://www.climbing.com/climber/luckiest-man-alive-and-the-widow-maker/
http://www.examiner.com/article/soft-voices-of-support-messages-of-survival
R had no idea of this horrible monster forming in her arteries.
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My soon to be father in-law just suffered this yesterday morning, his son lost him 7 times, i really hope abd pray he ends up like your story with no problems ten years on... Any words of advice for the family? We dont want to overwhelm him when he wakes up
I live in Arkansas and was on a motorcycle trip through new Mexico when I had a massive heart attack (complete blockage of the left coronary main trunk). While staying at a state park. The waited for ems to arrive from 18 miles away,then coded in the ems,coded at the first hospital,then coded while in life flight to las cruses. A stent was placed and still wasn't expected to live.........all I have to say is .....thanks to god,ems crew from deming and deming hospital, and las cruses hospital staff. Thank you all for choosing the profession your in.....because you saved my life....and may god bless yours...... Live as if there is no tomorrow.............James.......Summertime96@hotmail.com
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Let me chime in please because if one person reads this and it helps them that's all that matters to me now.. So.. Here U go... Don't judge me read more before you stop and say oh well another drug addict hurting himself... In Sept.of 2011 I was my own contract busn owner and hard worker .. And a everyday drug user for the past 15 years. But one Monday I felt a little ill . flu like.. Wensday felt like I was dying couldn't breathe at all. Called 911. Of course they narcomned me took me to local city hospital. Where I set in a bed in hallway overnight with a 180 beats per min they couldn't fix. Be my morning Thursday went to main hospital started all my testing. Finally the heart doctor came in my room alone shut the door and say down and said. You have endocarditis on you tricyspid valve in your lungs legs and door.. You are going to die. And its because you put drugs in your body... He said I can try to change your valve on iv antibiotic you but you need to stop drugs now... Not maybe... Now. I have been clean ever since that day. Well up to speed real quick I put on about 40 pounds water weight and been having breathing issues. Went to doctor.. After test same thing but no drug in volment this time.. My first replaced valve was failing. So I thought it would of been easier because I don't use and haven't over five years.. First changed the valve. Then put me back together.
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Let me chime in please because if one person reads this and it helps them that's all that matters to me now.. So.. Here U go... Don't judge me read more before you stop and say oh well another drug addict hurting himself... In Sept.of 2011 I was my own contract busn owner and hard worker .. And a everyday drug user for the past 15 years. But one Monday I felt a little ill . flu like.. Wensday felt like I was dying couldn't breathe at all. Called 911. Of course they narcomned me took me to local city hospital. Where I set in a bed in hallway overnight with a 180 beats per min they couldn't fix. Be my morning Thursday went to main hospital started all my testing. Finally the heart doctor came in my room alone shut the door and say down and said. You have endocarditis on you tricyspid valve in your lungs legs and door.. You are going to die. And its because you put drugs in your body... He said I can try to change your valve on iv antibiotic you but you need to stop drugs now... Not maybe... Now. I have been clean ever since that day. Well up to speed real quick I put on about 40 pounds water weight and been having breathing issues. Went to doctor.. After test same thing but no drug in volment this time.. My first replaced valve was failing. So I thought it would of been easier because I don't use and haven't over five years.. First changed the valve. Then put me back together.
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