Myocardial Infarction (heart attack) or Esophageal Spasm?
Posted: Tuesday, November 03, 2009
by Marijo Phelps
It started out being a really good day we splurged at breakfast and had bacon, something we usually didn't do. I was on my way to get my hair a bit curlier with a perm.
Hi, Marijo, please have a seat, would you like some specialty coffee with creamer?
That sounds yummy, Linda, thanks
A bit later, what with the twists and turns and laying down backwards into the shampoo bowl I was having some gastric reflux. Not a fun thing but I had overdone it a bit on the fats that morning.
(I WILL GO ON RECORD HERE SAYING DO NOT TO AS I DID PLEASE, GET EVALUATED RIGHT AWAY)
Somewhere in this process I decided to take an antacid. Just about as soon as I swallowed and it hit bottom I felt relief the pain subsided in the chest and in my jaw and teeth.
I called my MD the next day and she said it sounded like an esophageal spasm BUT didn't want to be overlooking something cardiac and sent me for a full cardiac workup including treadmill stress EKG and the works.
Turned out my heart was fine and it was an esophageal spasm. Apparently the combo of the fats and the caffeine in the delicious coffee set things off in a grand way.
Fast forward. I am working at a fairly large office. The young man across the cubical from me is having chest pains. I am thinking this young husband and father is way too young to be having cardiac issues. He is in the middle of a complete cardiac work up. The doctors were scratching their heads so far.
You almost never saw Mark without a can of Mountain Dew in his hand. He loved the stuff. Morning, noon and night it was never too early for a Dew, just ask him.
Mark, I have a challenge for you regarding your chest pains.
Man, I am so miserable I would try just about anything, what are you thinking?
Think you could stop the sodas for about two weeks? Maybe you could wean off so the headaches wouldnt be so bad but get off and stay off for 2 weeks?
I then told him about my experience and how every time I had anything with caffeine I could almost guarantee triggering an esophageal spasm add some fat to the mix and sometimes even carbohydrates like bread and it was a done deal.
Okkkkay, I guess I could give it a try this pain is terrible and thinking I might be having a heart attack and not knowing what to do is even worse. You're on!
By the end of his two weeks he had a super grin on his face AND no further chest pains. He checked with his MDs and told them what had happened and they confirmed that yes, this could be cause and effect.
Fast forward again.
We were building a house (whats news about that for the builder and his wife?) and our electrician was our friend who also owned land up this way. We were trading labor and spent much time working with him on our place and his.
Gray, whats with the grimacing face?
Man, my chest hurts like someone is squeezing the life out of me.
I ran and got him an antacid and he took it and the pain stopped. Whew, we didn't have to call the med-evac helicopter.and Gray said he wasn't about to go be checked anyhow (hum, maybe men are wired a bit like this stubborn RN?)
We began a dialogue. This guy was Mr. Coffee and we had affectionately called him that for months.
Ah, Gray, how long have you had these chest pains?
Oh, for months and months but they seem to be getting much worse lately. Sometimes I'm so miserable I can't work
Want to try an experiment that might fix them for good?
Are you kidding, what could I do?
I then told him my experience and Marks regarding caffeine and the antacid test I did. He looked at me like I had taken a glass of cool water away from a man dying of thirst but gave a reluctant yah. Guess I could try that by going slowly off the coffee..
I think I could really hear the sob behind his words.
We had finished out electrical part of the house for them and didn't see him again until it was time to do the next phase. He walked into the house with a grin on his face which told the whole story.
Hey, Doc, look at me, no more chest pain!
Ahhh, and how were the headaches going off coffee?
Oh, they were not too bad after the first couple of days and it was SO worth it! Do you know that even decaf causes reflux?
Well, there is something in the coffee bean, leaded or unleaded, that makes you produce more stomach acid so I guess that could be part of it all, couldn't it?
Yep and for the major relief I have gotten guess I will bum a glass of your wonderful well water.
Im really glad to see this little fix of mine work so well for you, Gray. Congrats for sticking it out and getting off the java, but now we can't call you Mr. Coffee anymore.
SO NEXT TIME YOU HAVE HORRIBLE CHEST PAINS, POP AN ANTACID ON THE WAY TO THE ER. BETTER YET, BEFORE YOU GET TO THAT STAGE MAYBE TRY TO MODERATE YOUR CAFFEINE BEFORE THE MISERY STARTS.
Also, I recently read an article about some who have a gene that makes them SLOW to excrete caffeine - that person can basically give themself a heart attack - this was published by the Journal of the American Medical association and bears reading. It explained why I can't sleep at night if I have even one cup of "leaded" in the morning. http://health.dailynewscentral.com/content/view/0002147/47/
(C) Marijo Phelps all rights reserved. Use with proper credits.
(C) Marijo Phelps all rights reserved. Use with proper credits.
Marijo Phelps,saved by Jesus grace in 1974, from 9 years atheism into His loving arms. She is wanting to spread the good news about His redemptive plan for our lives through written media. Her name is pronounced Mary Jo. She was an RN for 23+ years, missionary with YWAM,statistical analyst for Every Home for Christ 9 years. Her first poem published when she was four years old. (her mom had much to do with that!) She has been writing ever since.
Her new blog can be found: http://myincrediblelord.blogspot.com
Her new blog can be found: http://myincrediblelord.blogspot.com
This Article has been viewed 2,562 times. (Not updated in real-time.)
More commentsBayer aspririn now makes a fast dissolve under the tongues pill for just such scares.Many people have heart attacks in bed and need to keep this product on a night table by the bed and in the car just in case.Many people perish yearly because they write off a heart attack as a likely esophageal spasm.I totally hear you - now that I have had the spasms off and on for years it is even more strange - did you read my piece about us hiking and me having one about 2 hours out from any help? I do take the baby aspirin each day. Notice that in the above I stressed that they SHOULD seek medical help. It was interesting that 2 relative young guys had sympts that the MD were scratching their heads over and it all stopped once the caffeine was stopped. I can stop most but still do a bit of chocolate - not sure what happened on our hike - all I had was a cheese stick - maybe too much exercise. Marijo
Hi thanks for this article, the infomation was a little scary, but all in all very intresting.Believe me, is was scary especially as an RN - you know just enough to make you dangerous when it comes to yourself and family - perspective seems to fly out the window! this happened again a couple weeks ago when we were hiking about 2 hours from anywhere - I was reading and my hubby hiked on - wrote about that one too and I was seriously ready to go... but it was the esophagus again. Marijo
Thanks Marijo for sharing. I'm a one cup of coffee sort of person and other than that I, practically have no caffeine intake. I'm happy that you made it alright sister. Thanks again for sharing and informing.You are welcome and thanks for your encouraging boost! Marijo
Excellent, Marijo. I have read and seen documentaries on the 'down side' of Mountain Dew. Horrible - even rots your teeth! Yeah for you . . . . the gentlemen that you gave advice to should be eternally grateful.HE sure smiled a bunch more and both docs just shook their heads... Marijo
What an eye-opener for people who likes coffee and Mountain Dew. Yes, the gentleman to whom you have given the advice will never forget you and will be very thankful. Great article Marijo and has chock-full of information. Thanks for sharing. ~Nenita~Hope it is helpful for those caffeine addicts among us. Marijo
myocardial infarct is an impact of angina pectoris which is not cured at the long time. this manifestation can be seen as an obstruction in the blood vessel inside the heart.Yes, it is the medical term for what lay people call "heart attack" - and is a blockage of one of the vessels which nourishes the heart. (I am an old RN and didn't want to speak in terms that lay people couldn't understand) Angina is pain caused when the heart muscle doesn't get enough blood and is not always due to a blockage I think... Marijo
I finally got around to reading your article, Marijo. Coffee is a likely suspect!I am down to 2 cups a day, two or three days a week.Great article!Wow, I can't believe it that I was writing this one while you were writing yours and walking it out - glad you have some answers and sorry you had to go through the drama and trauma! Marijo
Very informative and important stuff Marijo! You may have saved a life today, or at least a trip to the hospital for someone. Thank you.Thanks for reading and commenting! They do need to be checked out to make sure it is not a real MI (heart attack). Did you see what Ken wrote? Marijo
Hi Marijo! I've just now come across your article on esophageal spasm vs. MI. I had a similar experience some years back while I was at work. I have a high pain tolerance but this nearly stopped me in my tracks! My pain went from my neck into left jaw and shoulder and all the same thoughts went running through my head. Of course bring a stubborn RN I reasoned that since the pain didn't go away with rest it had to be esophageal. It was; for days I couldn't swallow anything except ice chips that would slowly melt and trickle down. Don,t ever want to go through that again!!! TerriScary isn't it? thanks for reading and your comments - welcome to Searchwarp!
Marijo, An excellent article, five-star information! Fortunately the cases you discussed did not involve a heart attack but it would instill real concern. You had the classic female signs of heart attack - I mean you had the jaw bit and everything. As you know, this heart subject is near and dear to me, so I've got 2 questions: When you pop the antiacid, if you were really having a heart attack, does it interfere somehow? Would you not only pop an antiacid but also add a baby aspirin or stronger aspirin as well just in case it is a heart attack? You're an RN and I'm wondering if you've heard any benefits to the aspirin bit. Thank you for writing on this subject!Oh, yes, was hiking Saturday and had unusual and incredible knots across my shoulders - my hubby suggested maybe it was a heart attack.... I have aspirin in the fanny pack and took 320 mg along with an antacid. The pain settled. The antacid doesn't help or hinder a heart attack but if you chew it and swallow and the pain stops you can be pretty sure it was an esophageal spasm and breathe a sigh of relief. If it continues be sure to take the ASA and get help.Although in my case, ASA gives me esophageal spasms and heart burn.... my cardiac work up when I had the first episode was great (that was a few years ago) My gastric reflux leading to spasms is much better when I am losing weight and staying away from bread and high fat foods _ sometimes people are set off with spicy things (not me) but fat, bending along with bread type carbs will set me off each time!Hope everyone pays attention to this - we are what we eat ha ha ha or at least we can adversely react to what we eat! Reflux isn't fun either. My daughter has it. At least you are aware, had the workup and can take care. AND, you gave us great information.
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