Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
libbylaz4
Hi all. I have not posted in quite a while. I hope everyone is making progress. I have not read through the board but I feel I need a little support. First I want everyone to know I care about this community and I have all of you in my thoughts and prayers. Its been 4 and a half months since my husband had the cardiac arrest. As you may recall I live in London so the system here is a little different. We have had the regular challenges during recovery and some ups and downs. His INR levels have been within range. He has a lung scan on October 15th to see what has happened to those clots. It is a little scary. Anyway on Monday he returned to work. Sadly he lasted only 3 days and walked out and quit. He is a consultant and the hours were far too long, the commute very long and I think he had anxiety. I got upset was not supportive. That triggered even more anxiety on his part which led to a bit of a meltdown yesterday and we ended up calling doctors, panicking a bit. All this has subsided. Of course I felt guilty for being mean. I was only trying to be encouraging. I think I am tired. But I am not posting for that reason. I need some advice because he is sweating a lot. His blood pressure is lower than it usually is and he has some dizziness. I have made an appointment for him to go to the doctor Monday. I think his heart is ok ( that was not the cause of the cardiac arrest) He will have another cardiology appt soon too. But his arteries are all fine. We still don't know if his heart is ok but I think it is just fine. It is different here and several doctors are involved and most visits to the doctor are clinic type visits. Anyway this all sounds long winded. The biggest fear I have is how do I know if he is having other clots? What point do you go to the hospital. what do you do when you dont know what to do! When it is out of hours it is even more difficult. Anyway, sorry for venting here but only people here understand this. xxxx
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So much of what you're describing could be from the stress and anxiety, but definitely see his doc to make sure everything is normal. If his INR is therapeutic then the chances of having a new PE is low. Since having my PE five years ago, my blood pressure is on the low end of normal. I can't speak to what's normal though for a person who's had a cardiac arrest so get some answers from his doc to feel more assured.
It really takes the wind out of you when you go back to work, whether you go back a few weeks after your clot, or months after you clot. Im sure he was exhausted and overwhelmed. And I am sure youre exhausted and overwhelmed too. I dont think you were being mean at all. This type of thing is hard on us, but its hard on our spouses too.
Its hard to know when to go to the doctor or the emergency room. That was something I struggled with the first 6 months and even on and off for a year or so after my PE. Eventually, you get back in touch with your body, and are better able to assess whats what. All you can do is pay attention to symptoms and react. One thing I found that really helped me was when I started to feel uncertain, like maybe I had chest pain, or shortness of breath or dizziness, Id lay down on my back, slow down my breathing, slow down my thinking, and took a second to do a mental body scan, and assessing everything, what I was feeling, where I was feeling it. By doing that, I was able to figure out, ok, chest pain, thats from stress, or that doesnt feel like I felt when I had my PE, and then my thoughts would start to calm down. I swear, if the PE didnt kill you, you feel like the anxiety will because it can be so intense mentally and physically.
He really needs to get the anxiety under control because when you are able to think a bit more clearly, sometimes you actually start to feel better, and are better able to assess whats happening in your body.
And you need to take care of yourself in all of this too. Rest, step away, do something for yourself, have lunch with friends, go to a movie, anything to give yourself a break as well
I can't say what symptoms are normal following a cardiac arrest, so you might want to check with his doctor.
But, I have dealt with low blood pressure and dizziness quite a bit. Make sure he's staying hydrated (especially with all the sweating going on!) and getting enough electrolytes. Maybe keep him on sports drinks for a while and see if that helps. If he likes bananas, get him to eat at least one a day and see if that helps.
I developed orthostatic hypotension a few months after my PEs. My blood pressure would drop whenever I was up and active, although I felt fine while sitting. As a result, the more active I was the worse I felt. Once we figured out what it was, I increased my liquid and electrolyte intake and felt like a new girl in a few days.
And RMB is right that it could all be anxiety and stress. That stuff can totally take over your life and make you feel like crud too.
I think in the early part of recovery, sometimes you just bite the bullet and go get checked out. Once you start to get medical feedback and what is (and is not) happening to you, it is easier to make decisions in the future about what warrants a trip in. If the stress is going to keep one or both of you up all night, just go get checked out.
Please hang in there and try to do something to treat yourself a little. These have been dark days for you both, but I'm hoping things will start to look up soon.
He could be sweating because his body needs lots of rest to heal and mend, therefore when he does too much he sweats and gets dizzy.....