I feel 50:50 about my new ICD

Hi all, 

Ive just returned home from hospital after a 6 week stay....I'm a 36yr old female & last month I suffered a cardiac arrest at home. My girls (aged 13 &11yrs) immediately got me help from a neighbour who performed my CPR until ambulance arrived. Long story short: I spent 2 weeks in CCU in local hospital (during which time I had a recorded sinus arrest of 15.2sec, requiring CPR before self-reverting). I was then transfered by ambulance to specialist hospital in Dublin for another 2wks. Here I had 2 lead ICD implanted. However, due to discreet rib fracture from CPR and pressure required to fit ICD into position/pocket, my left lung collapsed on the ward 2hrs later. I ended up having emergency chest tube which remained in place for 6 days.  I was then discharged all being well....I wasn't home 6 days when the vision in my right eye went: ambulance was called, during transit my vision slowly returned but remained blurry, and I was again taken to local hospital.  5hrs later on a&e trolley I was eventually seen and admitted to the hospital....3 nights later, in the hospital bed, my right side of my face went numb, I couldn't speak and lost all the movement down my right hand side. After positive FAST test I was admitted to the Acute Stroke Unit 5hrs after I regained all movement back (although my jaw and check remained numb) and Heparin Infusion started.  It was confirmed I had 2 TIAs (mini-stroke) 2weeks later I was discharged, last Friday, and now I'm laying in bed feeling a bit shell shocked by it all.  I've no family living here, but my mum flew over at the very beginning of all this to mind my girls and is still here (along with my dad who later joined us) but they intend on returning back to the UK this week.  I've also an amazing partner of 4yrs (although we are not living together, yet) and he has been my absolute rock through all of this - for my girls too.

Anyway, my biggest anxiety at the moment is towards the ICD and when it's going to 'jolt' me again. You see I had 2 interrogations while I was in hospital because although I feel it pace regularly (regular strong flicking sensations that you can also feel by hand over heart) I'm also getting random single jolts between 2 & 7 times a day.  It literally feels like I've touched an electric fence, only instead of that snap sensation you get going up your arm, I'm feeling it from my heart all the way out through my chest. It literally makes me jump out my skin and is a horrible experience!!  The tech did standard pacing tests and I was really sensitive to all of them...they decided to turn off the Auto RV function to reduce "inappropriate jolts" but I still experience them. I'm slightly reassured as they say leads and device are working great and it's just a matter of getting used to it over time.  However, they couldn't tell me why I was feeling these jolts and nor could they initiate them.  They couldn't make any further adjustments at this stage (implant is 4wks in situ) due to the fact I have Polymorphic VT, Sinus pauses and history of previous ablations for Atypical AVNRT resulting in AV disassociation with Junctional Accelerations and intermittent heart block - hope you're following me lol!......l.

My question is this:  has anyone else here experienced sensations like this while their device is pacing, or "correcting" their heart beats?  

I know I need to accept it with time, and hope to trust it as my friend, but having an ICD is overwhelming me at times.  Any feedback greatly recieved and appreciated.

kindest regards to you all.


3 Comments

Traumatised

by Mapleshaz - 2017-11-27 02:17:39

My dear girl, if you had experienced only one of those life changing events, you would be showing signs of post trauma but to have had so much to take in and process in such a short time frame,  it is little wonder you are feeling....50/50?... “a BIT shellshocked? I’m impressed!

Also, you are dealing with the emotional responses from your very level headed girls, your parents, your partner. And now, in the back of your mind....dealing with how you will cope when your loving parents leave for home.

You need time to accept and understand what has happened. You need time to process each event, almost individually. You need to be kind to yourself. And you need help from your friends too. They will help with practical chores and distract you and make you laugh and allow you to cry.

When you read my profile, you will see that I needed 18 months to adjust.....and this was BEFORE I received my CRT-D! 

Mine doesn’t make a noise or vibrate or let me know it’s working (it was implanted prophylactically)  so I can not comment on that aspect of your post but others will step up to the mark and come up trumps.

Are your Consultant Cardiologist and Arrhythmia nurse aware of your anxieties? Are you able to seek a second opinion? I know that Ireland’s health system differs from the UK and depends a lot on private health insurance (am I correct?)

You have come to the right place for support. As a group, we have pretty much had experience of most events.

I wish you and your girls all the best for the future.

Sending big sqwadgy hugs from South West England. 🤗 ❤️

 

 

 

You have been through a lot!

by LondonAndy - 2017-11-27 03:33:51

I can't comment directly as I don't have an ICD, but to have needed a 6 week stay in hospital for all that has happened demonstrates a seriously traumatic time in your life, and it is no wonder you feel as you do.  When I had open heart surgery for a replacement valve, which then resulted in my pacemaker being inserted because of surgical complications, I was "only" in hospital less than 4 weeks!

As Mapleshaz says, it will take time to adjust, and life will feel better.  It is good that you see your ICD as your friend - I see many posts here where people are struggling to come to terms with needing a cardiac device, and anxiety can be a serious condition in its own right.

But it is important to be properly supported during this transition.  It is good to hear of the support you have around you, but if your parents are having to leave then I wonder if you should ask your partner to move in for a while whilst you continue your recovery?  Be open with your family about your feelings, and it is only slightly in jest that I suggest you consider a sign on the door that your daughters will see when they come home from school such as "go easy on mum!" and look forward to the day you can tear it down!

Thankyou for your comments....C

by Zoë - 2017-11-27 19:21:25

@Robin1: Thankyou for welcoming me to the group, already I'm finding it comforting joining ye all here.

@Mapleshaz: Thankyou for your kind, supportive words.  You touched on coping with the emotional responses from loved ones and your right, that the thought of my parents leaving (tomorrow!!!), 4 days after I was discharged from hospital is on my mind, to say the very least!! Dad explained my mum is exhausted, having minded my girls and ran my home for the past 6weeks, and he needs to get her home.  Of course I entertained the idea as I don't want to make them feel they HAVE to stay any longer as its obvious they want to go home.  However, I'm absolutely terrified of being alone and dealing with the anxiety that my device is causing me at the moment.  When I don't feel it pace, I'm ok and can 'manage', but when I feel it start to give those jolt sensations I become so nervous and frightened anticipating the next one that my palms actually start to sweat and I've found myself starting to fidget badly trying to distract myself.  It really upsets me and I'm finding really hard to over come....whilst it's not nice to know it took you 18mth to adjust before getting your CRT-D, it is reassuring though to know that it is common/normal that so many here felt or feel this way about getting, and having, a cardiac intervention and/or device....

Youre right that the Irish health system relies on private healthcare (as well as government budgets) for funding but Ireland's health system is not "free" like the UK. I mean that as in every G.P visit, prescription, hospital admission etc.. has a fee. However, when it comes to seeing a specialist and getting treatment here, it makes no difference if you are public or private, you are seen in accordance to priority - which is a good thing!  And I must say, the care I recieved from both my cardiac and stroke team here was second to none.

I will be able to explain my anxieties to my G.P tomorrow as I've asked my parents to stay around long enough to get me to the doctors and back lol (I can't drive, on medical advice, for next 6months...thank god I live in well equipped town and the girls can now walk to school!!). I'm also seeing my cardiac specialists back In Dublin next week for check up so I shall stress all my concerns with them then and ask, again, if they can "turn down" my device settings?...

@LondonAndy: Thankyou for your reply.  Open heart surgery must have been a massive life changing experience for you to get your head around and I hope you are doing well now?

That is a good suggestion that I ask my partner to move in.  Funnily enough though, we are in the process of getting a mortgage but for the time being he lives in the next city but spends all his free time with us. As for having friends, I'm a loner at heart & don't have any to call on as such. I must say though, that the girls schools have been absolutely fantastic and so supportive and helpful.  There's a great community spirit in Ireland and once my girls are coping then that's my main priority right now.  My biggest problem right now is just mentally absorbing what has happened and trying to accept that my device is here to help, not hinder, me.  It's very hard, if not impossible, to be open with my family about my feelings when I already feel such a burden on them and that they so desperately want to get back home....  You made me laugh though with your suggestion of a "go easy on mum" door sign for the kids though as I think they need one saying "go easy on me mum" for them!!! They've been so courageous and strong through all of this and I'm so incredibly proud of them.

 

Many thanks again to all of you for taking the time to post a comment here. I do find it a great source of reassurance.

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I have had my pacer since 2005. At first it ruled my life. It took some time to calm down and make the mental adjustment. I had trouble sleeping and I worried a lot about pulling wires. Now I just live my life as I wish.