My Valentine’s Day heart attack

My heart broke on Valentine's Day, literally.

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Greetings from the Christchurch hospital, where I’ve been loitering since Valentine’s Day when I had A LEGITIMATE FREAKING HEART ATTACK.

You see, when I think I’m in control and getting my life planned out and organized, the universe has a way of reminding me that I’m a pawn and that sometimes shit.just.happens.

Why me? Why is it always me? The universe, I’m going to need you to stick to the plan. Five days in the hospital for a heart issue is not part of my project! Get it together.

As you can see, I’m totally fine now, but please read on.

Friday morning, I was on my laptop sipping coffee, getting ready to start my day, when a feeling of total dread washed over me, building into the most intense crushing pain across my chest, neck, and shoulders down my arms and even into my jaw. The discomfort was immense and all-consuming.

I couldn’t breathe, eventually collapsing on the floor sobbing, gagging and heaving from the sheer pain of it all. Clutching my armpits and curled up in a ball, I thought to myself, oh my god, I’m dying. But out loud, I said to my partner Giulio, “I’m fine. I’ll be fine, just go to work!”

Luckily, he ignored me and dragged me to the hospital, where I was poked, scanned, prodded, wired up, and poked some more. Not after he first said, “babe, you shouldn’t have eaten that whole pint of Ben and Jerry’s last night,” before he realized the severity of what was happening.

Obviously, I will never let him forget that.

And here we are. I’m 31 years old with no history of heart issues in my family. I don’t tick any of the boxes around risk factors for heart attacks or heart problems minus the occasional B&J binge and a whole heap of stress.

On paper, I’m perfectly healthy. And yet, at 31 years old, I find myself bed-bound in ugly standard-issue hospital pajamas in the cardio ward surrounded by people twice my age.

I had suffered a mild heart attack. The culprit? My migraine medication, Sumatriptan (Imitrex).

Hands up if you had no idea this was a possible side effect of the most common migraine medicine?! Me neither!

All the doctors knew about this but had never seen it before.

My simple understanding is that migraines cause blood vessels in the brain to expand and inflame, and Sumatriptan is very useful in shrinking those blood vessels back down, causing the headache to stop. It certainly worked for me up until now.

However, it can also cause the blood vessels everywhere else to reduce down, including around your heart. The blood vessels shrank, cutting off the blood supply to my heart. This essentially causes it to spasm or cramp, technically a heart attack, though a minor one.

It’s not the kind of heart attack that you think of around blood clots or blockages. They know this because the enzymes in my blood were high and abnormal, indicating a heart attack, though a tiny one compared to my bedfellows in the cardio ward. It’s also why I felt fine the day after. Luckily I have no lasting damage or should have problems with my heart in the future – fingers crossed.

Five days later, I’m still in the hospital waiting for test results, and things are looking positive. Physically I feel pretty good, just exhausted with a damn lingering migraine that I can’t medicate for. The good news is that my heart and my brain look fine. I should be all good moving forward, trialing a new migraine medication that isn’t a triptan.

Emotionally is a different story. While my discharge papers are almost ready, my mental state feels bruised and fragile.

A deep part of me still feels like shit. Like in some way, this was my fault, especially after my burnouts of the past two years. If I eat cleaner, exercise more, manage my stress better, be more Instagram-Healthy, and even emotionally stronger, then this wouldn’t have happened.

I’m too young; I’m not supposed to be here.

I felt really really depressed in the hospital for a variety of reasons, the main one being that hospitals are fucking depressing.

Being on the public health system in New Zealand (in my new experience) is that if you aren’t dying, then you have to wait for your turn in the hospital. This makes sense, except I’m guessing that the public hospitals in most places are overworked and understaffed. Because I went in on the weekend, I was doomed to wait around for days with no answers; it was so frustrating. It didn’t help that I still had a migraine, no answers, and didn’t see the same nurse or doctor twice, and everyone I did see gave me a different answer.

I spent six hours in the ER on Friday night waiting for admission to the cardio ward, literally surrounded by people escorted by police and chained to their beds. It was a horror. Not Christchurch’s finest.

Combined with the fact that I just moved to Christchurch meant I didn’t know anyone here well enough with only my partner Giulio by my side meant I felt very lonely.

Twice I freaked out badly and looking back, I’m ashamed at how emotional I got. I went home on Saturday night against the advice of the doctors because I couldn’t stand to wait two more days in there for tests with no communication.

Upon reflection, I wish I hadn’t gotten so upset but at the time or was so impatient. I suppose situations like this don’t bring out the best in people, and even now, I fight against my desire to appear perfect to everyone all the time. Sigh.

It’s disheartening (pun intended) to be in the hospital for something that shouldn’t happen to people like me. I can’t even begin to wrap my head around it all. The girl whose heart literally broke on Valentine’s Day – oh the irony!

All I can say is that it was a massive wake up call for me to get as healthy as possible and really put my life back to order after a very stressful couple of years. And also to take drug side effects seriously.

Have you ever experienced something similar? How should I cope with something so surprising? Any advice for migraines and stress reduction? Share!

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38 Comments on “My Valentine’s Day heart attack

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  1. So happy to hear that you are okay and back at home. I had no idea about the side effect of that migraine drug. Glad that Giulio is there to help take care of you. Take it easy getting back on your feet.

  2. I feel you! About a year and a half ago I had a stroke. The only thing they could pin it on was migraines. Even though I get them very infrequently and they aren’t even that bad. Now I’m on a baby aspirin a day and magnesium. I’ve only have two migraines since. So one of those is clearly working for me. I’d try adding some magnesium if you haven’t tried that yet! I’m also 31 and completely healthy otherwise. It’s so scary and such a wake-up call.

  3. Oh my gosh, worst nightmare. I just wanted to send some good vibes to you and your man in these trying times. You handled it like a champ, and lucky you were in a place with a good hospital.

    As for the migraines, progressively adding anti-inflammatory foods and supplements to your diet may help. Things that can pass through the “blood/brain barrier”. Carotenoids like astaxanthin, high EPA/DHA omega (really high), for starters. Alpha lipoic acid is another antioxidant I recommend. I’d also cut down or remove sugar and processed carbs.

    Also be sure that you’re feeding your brain properly with the tools to rebuild; vitamin A (oil soluble), niacin (water soluble).

    Our health issues are different, but I think this might be a good place to start.

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