Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Palpitations, Troponin increased
Clinical narrative: She got her vaccine, other than making her fatigue and tired she was doing okay.  6 days later at 2:00 AM she needed to use the bathroom, and when she got up she saw that she was not able to go back to sleep as she was too alert.  She noticed that her heart was pounding, she was not experiencing chest pain, shortness of breath, but her heart was incredibly beat.  Her fit-bit showed that her heart rate was 120-130, her BP was extremely high and she decided to go to the ER, which pulse was over double of what is usual for her.  They took her BP in the ER and it was 80-90s, and her pulse was 80-90s, and the BP was then high normals.  They asked her if she wanted to stay, she wanted to go home and go back to sleep and did, and went to see her PCP.  They had a record of her being seen but not being processed.  Between that and had her annual x-ray which came back with a mild enlargement of her heart, which she did not have the year before.  Her GP and with her family history of her father having heart blockage he recommeded she see a cardiologist.  She made an apponitment, she saw him on 11/2/23.  Then she saw him on that day, they did an EKG and did not show an issue, and they did not mention anything, but made an apponitment for a stree test, echo, calcium test in december.  On Sunday morning 11/5/23 she woke up at 4:00 PM that a dream that she was having labor.  She got up and went to the bathroom and noticed that she was having the same thing again, heart racing, and was going from 129-150, 160 and topped out at 180 bpm.  She went to the ER again for the same problem.  She is dressed for work, and got to the ER at 6:00 AM and walked in and did have her oxygen meter and it was all over the place.  She walked in and her pulse was 154, no chest pain or shortness of breath.  At registration it was 132, and 90 again.  Her BP was in 144/60's.  She decided to have the cardiac work up because this time her pulse was down to 67.  They did the troponin's and it took over 7 hours to complete.  After 4 tests her troponin's had climbed and she was admitted to the hospital.  They got her checked in by about 3:30-4:30 PM.  By that time she had told her husband that she was there, and other than monitoring her they set her up with tests.  She got an Echo, they did her rounds and her cardiologist was doing rounds, and all the tests were expedited that she was going to have in December.  They did a heart cath and her BP dropped 20 points when she found out she did not have any blockages.  They went through the radial artery in her wrist, and they had the pressure on it for an hour or so and checked her VS, and continued to monitor her wrist and hand.    The next morning she did not see any doctors, they talked to her cardiologist and said that she could be released and she got out on 11/7/23.  She saw her GP on Thursday and he said that everything sounded good, and she got a referral for sleep apnea.  She has an appointment in december for that.  She was on a heart monitor while she was in the hospital again.  She is going to be put on a heart monitor for 2 weeks starting tomorrow.  She has fear to go to sleep wondering if this is going to happen again.