ER Visit

[CharlieFoxtrought15]

Hello everyone, about a month ago I went to the ER because I was having heart palpitations and my heart rate got up to 210. I just finished my workout and was about to leave the gym. When I got to the hospital they ran blood work, EKG etc. and never found anything abnormal. Went a second time a few days later for similar symptoms, but not as severe and still never found anything but this time they said it was most likely due to anxiety, I was definitely pretty worked up about my last visit. I followed up with a cardiologist a few days later and they ran the same tests plus a ECG, I believe it was called. Still, never found anything wrong and said it is most likely stress/anxiety. Just for context I am only in my early 20’s and workout regularly and stay active. How should I go about reporting this on my next medical? And any other tips would be greatly appreciated, thanks.

 

[SebIp]

Not to scare you but my boss had a heart attack after being cleared by all of the similar tests.

 

[TCABM]

Hello everyone, about a month ago I went to the ER because I was having heart palpitations and my heart rate got up to 210.….

No kidding, that’s abnormal if it’s accurately instrumented. I’m 50 and have 30 years of endurance training under my belt. My Thursday night workouts are coached VO2 max workouts that routinely have my HR hitting an instrumented max of 172 for a matter of seconds, with long periods of recovery afterwards. Yes, I trust the sensors I use, and no the sensor isn’t watch-based.

Especially if your workout wasn’t designed to be cardio demanding, I’d be looking for answers, whether it’s hydration levels, nutrition, medications, or physiological.

 

[robin ardoin]

FAA will likely want a 7 day Holter monitor that shows no tachyarrythmia or other abnormalities and a report from your cardiologist. Since this is episodic, a single twelve lead ECG can easily ‘miss it’. I had two episodes of arrhythmia, one lasted about 12hrs, the other about 5hrs without other symptoms. My internist ordered a 7 day Holter monitor which showed normal sinus rhythm and very rare PVC’s….essentially normal. My HIMS AME ordered another 24hr Holter because he thought the FAA might want one even though the episodes in question happened 3 years prior and I was asymptomatic since. It was a non issue in regards to my medical since I had thorough documentation. I suggest being proactive and getting a continuous monitor for at least 7 days. Worst case scenario, it was unnecessary, best case, it could uncover something that could be lifesaving and if normal, eliminate delays in your medical.

 

[bbchien]

Agency will demand the ER record, Echo and stress, and rhythm montior. Why? Ischemia can do the same thing....
Start now....you'll find access to non-emergency heatlhcare is a long waiting line....

 

[Mahneuvers]

Twice during an intense group bike ride, my heart rate for ~30 seconds jumped from the mid 170s to ~210 and it felt like my heart was jumping around in my chest. My doctor explained there's a bladder of blood that sits just above the heart which feeds the heart. If you deplete this bladder then your heart kicks into overdrive as your oxygen needs remain elevated but the volume of blood your heart needs to pump isn't available. Definitely get it checked out.

 

[idahoflier]

Sorry you're going through this, hopefully you will find an answer. As you have heard it's somewhat of a can of worms now and unless you need a medical, I would look into going BasicMed...

 

[CharlieFoxtrought15]

FAA will likely want a 7 day Holter monitor that shows no tachyarrythmia or other abnormalities and a report from your cardiologist. Since this is episodic, a single twelve lead ECG can easily ‘miss it’. I had two episodes of arrhythmia, one lasted about 12hrs, the other about 5hrs without other symptoms. My internist ordered a 7 day Holter monitor which showed normal sinus rhythm and very rare PVC’s….essentially normal. My HIMS AME ordered another 24hr Holter because he thought the FAA might want one even though the episodes in question happened 3 years prior and I was asymptomatic since. It was a non issue in regards to my medical since I had thorough documentation. I suggest being proactive and getting a continuous monitor for at least 7 days. Worst case scenario, it was unnecessary, best case, it could uncover something that could be lifesaving and if normal, eliminate delays in your medical.

Thank you very much for this information. I appreciate it!

 

[CharlieFoxtrought15]

Agency will demand the ER record, Echo and stress, and rhythm montior. Why? Ischemia can do the same thing....
Start now....you'll find access to non-emergency heatlhcare is a long waiting line....

Okay thank you I appreciate it!

 

[CharlieFoxtrought15]

Sorry you're going through this, hopefully you will find an answer. As you have heard it's somewhat of a can of worms now and unless you need a medical, I would look into going BasicMed...

Yeah, I already have my first class. Hopefully nothing bad comes from this when the time comes to get my medical.

 

[PaulS]

Yeah, I already have my first class. Hopefully nothing bad comes from this when the time comes to get my medical.

Agency will demand the ER record, Echo and stress, and rhythm montior. Why? Ischemia can do the same thing....
Start now....you'll find access to non-emergency heatlhcare is a long waiting line....

Here is your answer. Get the workup started now, especial for 1st class. Better to bring the test data with you to your next exam, than get deferred and have to wait for appointments to get the inevitable done while on the ground.

It's most likely nothing, stop caffeine and energy drinks should help.

 

[CharlieFoxtrought15]

Here is your answer. Get the workup started now, especial for 1st class. Better to bring the test data with you to your next exam, than get deferred and have to wait for appointments to get the inevitable done while on the ground.

It's most likely nothing, stop caffeine and energy drinks should help.

Started the process today. Thank you for the insight!