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What would be the best way to evaluate my husband's unusual symptoms? 

My 56 yr old husband had a 6-way bypass 9 months ago. He never suffered chest pain. He was diagnosed with a congenital defect of vessels the size of a 10 year old's on his heart. He now has normal EKGs, and no significant damage to the muscle. I have noticed in the last few months, he will exercise at a high level, no cardiac symptoms but within a few hours he is weak and lethargic.  Sometimes he will have a sudden urge to vomit that will go away immediately. No chest pain, no diaphoresis, no sob. Often he will sleep 12 or 16 hrs a day for several days after exercise. When he had been diagnosed with blockages of all his major vessels including the widow maker, he had a normal EKG.  It was only when he passed out on the treadmill and they did a cath they figured it out. Could he be having a cardiac issue now or is this weakness something else? Our cardiologist seems to think he's fine. I can see him declining. What would be the best way to evaluate this?

submitted by Janet from Seattle, Washington on 8/26/2013


Michael J. Mihalick, MDby Texas Heart Institute cardiologist, Michael J. Mihalick, MD  

Dear Janet:  Be sure that your cardiologist is aware of these symptoms and the amount of concern that they are generating. If noninvasive testing has not been done, it should be. If it is negative, other causes should be considered. But, if the symptoms continue without an obvious cause, repeat coronary angiograms should be performed.

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Updated September 2013
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