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Wendy’s Story

Welcome to our CaringBridge site. We've created it to keep friends and family updated. We appreciate your support and words of hope and encouragement during this time when it matters most. Wendy has been through a lot the last week and miraculously she is still alive, by the grace of God, prayers and luving support. She did not just have a heart attack, she had the worst kind possible. This will explain it for you better than I can......

 Spontaneous Coronary Artery Dissection: Not Just a Heart Attack

Sometimes a heart attack is not just a heart attack, but the result of spontaneous tearing in the coronary artery wall.

The artery wall has three layers and when a tear occurs, blood is able to pass through the innermost layer and become trapped and bulge inward. This narrows or blocks the artery and can cause a heart attack because blood flow cannot reach the heart muscle.

Spontaneous coronary artery dissection is an uncommon occurrence , but because it occurs spontaneously, it’s important to recognize the symptoms and get treatment immediately.

“If you have a young patient who doesn’t show atherosclerosis in the arteries and has symptoms of a heart attack, then you need to look for SCAD,” said Kathy E. Magliato, a cardiothoracic surgeon and director of Women’s Cardiac Services at St. John’s Health Center in Santa Monica, Calif., and author of “Heart Matters.”

Researchers aren’t sure what causes SCAD, but patients are often women who are otherwise healthy, with few or norisk factors for heart disease.  Some studies have pointed to a hormonal link, showing a greater incidence among post-partum women and women who are experiencing or close to a menstrual cycle.

“Thirty percent of all SCAD patients have recently had a child,” said Dr. Magliato, who is also president of the Greater Los Angeles American Heart Association. “When we see it in men, it’s after extreme exertion, such as isometric exercises.”

Recent studies have also shown many SCAD patients also have fibromuscular dysplasia, a condition that causes abnormal cell growth in the arteries that can cause narrowing, beading or tearing in the artery walls, or aneurysm. 


SCAD is difficult to diagnose before it causes a heart attack, because it doesn’t have any warning signs. And although it can cause a life-threatening heart attack, SCAD patients don’t typically have other heart disease risk factors.

That’s why recognizing the symptoms of a heart attack is so crucial for SCAD patients.  Warning signs may include chest pain or pressure, shortness of breath, profuse sweating and dizziness.

“Around 80 percent of the time, we see this disease in fairly young, healthy and active patients,” Dr. Magliato said. “Seek immediate treatment if you think you’re having a heart attack. ”

Treatment for SCAD patients differs from other heart attack patients, who may require a procedure to insert a stentto hold the artery open or bypass surgery. For SCAD patients, more conservative therapy that emphasizes blood pressure control and medication can have better results, Dr. Magliato said.

“When you put a stent in a SCAD patient, there’s a higher risk of complications and a lower success rate,” Dr. Magliato said.

Doctors may be able to recognize the signs of SCAD using an angiogram, but an intravascular ultrasound or optical coherence tomography screening, which allows doctors to see the artery from the inside out, is needed to make a definitive diagnosis, Dr. Magliato said.

SCAD patients have a high risk of recurrence, and should let their doctor know about any changes to their health. They should also make sure they are reducing any other risks they may have for heart disease, such as high blood pressuresmoking or high cholesterol.

“The bottom line is that any type of chest pain is abnormal,” Dr. Magliato said. “If you’re a young healthy woman and you have chest pain, you need to get medical attention.”

Latest Journal Update

Beginning another month

Well hope everyone had a safe and memorable 4th, sorry it's be so long since I updated. No excuses, just not liking the speed things are going at.There plans to get her into a rehabilitation center "Texas Terrace" in St. Louis Park has been at a halt for a few reasons. She has contracted thrush and that needs to be treated, she always has been having fevers and they thought there was an infection, besides the thrush but cannot seem to find one. She is getting around and gaining muscle real well, she stills needs a walker for balance and such, but seeing all tubes were removed she has to get up to go to the bathroom. The LVAD pump seems to be a challenge for her and her short term memory is not good. They had hoped to see improvements seeing she is off most pain killers (only as needed) but that is not the case. They do not seem as optimistic as we do, but hey she is a miracle and prayers are powerful. She has to learn the machine and know how to work it, what they have been trying to teach her sometimes is gone the next day :( She has some water around her heart and their not to sure why seeing she is on water pills, so they planned to put a catheter in her heart to keep her out of ICU. Her vision has been affected by the strokes and they want to work on that also. It sucks to even write this, we are on the 4th month now and no plan yet for her to come home. 
 Prayers are needed folks
 
 On a lighter, more positive note..... the benefit is coming along great, the luv and support we all feel is overwhelming on every level. There are still some donations to collect and ticket money to turn in, so if need, contact one of us and we will figure it out. We have 10 days until the benefit and lots to do ;) We would luv help the day of if anyone is willing, again let us know. Hope to see everyone there and bring your friends, we have so much cool and awesome stuff, you won't leave a loser that's for sure.
  
Have a blessed night