Complications after cardiac catheterization?
Hello, doctor.
I would like to ask you about my condition.
I have a congenital ventricular septal defect, and I underwent cardiac catheterization surgery in July two years ago to close the hole in my heart.
Right after the surgery, I started experiencing headaches that persisted for a long time, and even throughout high school, I frequently had headaches accompanied by visual disturbances such as flashes of light.
I have been consistently taking the medications prescribed by my doctor and only stopped when advised to do so.
This headache phenomenon has continued for a year, occurring almost once a month, and sometimes more severely, up to twice a month, with headaches intense enough to cause vomiting.
I have returned to Chang Gung Memorial Hospital multiple times for check-ups, but no cause has been identified.
I have also seen a neurologist and undergone EEG testing, all of which returned normal results.
The only time I have been symptom-free was during the two-month summer vacation, when I experienced no symptoms at all.
Before the surgery, I would faint about once or twice a year, but post-surgery, that has become less frequent, while the headaches have persisted.
I have been wondering if this could be a complication from the cardiac catheterization.
Additionally, I read online that individuals who have undergone cardiac catheterization should avoid smoking and secondhand smoke.
Could this be related to my situation? My relatives have a habit of smoking.
Could you please help me with this?
Emily, 10~19 year old female. Ask Date: 2016/10/25
Dr. He Dongjin reply Cardiology
Hello, it should be unrelated to cardiac catheterization.
You might want to consult a neurologist instead.
Changhua Hospital cares about you.
Reply Date: 2016/10/25
More Info
Post-cardiac catheterization complications can manifest in various ways, and headaches are a common complaint among patients who have undergone such procedures. In your case, it is essential to consider several factors that may contribute to your persistent headaches following your cardiac catheterization for congenital ventricular septal defect repair.
Firstly, it is important to understand that headaches can arise from multiple sources. After a cardiac procedure, particularly one involving the heart and blood vessels, changes in blood flow, pressure, and even medication side effects can lead to headaches. The fact that you experienced headaches immediately after the procedure and that they have persisted for over a year suggests that there may be a connection to the surgery or the physiological changes that occurred as a result.
Your description of headaches occurring monthly, sometimes accompanied by nausea and visual disturbances (such as flashes of light), raises the possibility of migraine headaches. Migraines can be triggered by various factors, including stress, hormonal changes, dietary factors, and even environmental stimuli. The fact that you experienced a reduction in headaches during your summer break may indicate that stress or environmental factors related to school could be contributing to your symptoms.
Additionally, the relationship between your headaches and your congenital heart condition should not be overlooked. Although your heart defect was repaired, the body may still be adjusting to the changes in blood flow and pressure. This adjustment period can sometimes lead to headaches as the body recalibrates itself. Furthermore, if you had a history of fainting before the surgery, it is possible that your body is still adapting to the new normal, which could also manifest as headaches.
Regarding your concern about smoking and secondhand smoke exposure, it is well-documented that smoking can exacerbate headaches and migraines. Nicotine and other chemicals in cigarettes can lead to vascular changes that may trigger headaches. If your family members smoke, it is advisable to minimize your exposure to secondhand smoke, as it could potentially worsen your headache symptoms.
Since you have already consulted with neurologists and undergone tests such as EEGs without any findings, it may be beneficial to explore other avenues. Keeping a headache diary can help identify potential triggers, including dietary habits, sleep patterns, stress levels, and environmental factors. This information can be invaluable for your healthcare provider in determining a more tailored approach to managing your headaches.
In terms of management, consider discussing with your doctor the possibility of preventive medications for migraines, especially if your headaches are frequent and debilitating. Lifestyle modifications, such as maintaining a regular sleep schedule, staying hydrated, managing stress through relaxation techniques, and avoiding known triggers, can also be beneficial.
In conclusion, while your headaches may be related to your cardiac history, they could also be influenced by a variety of other factors, including lifestyle and environmental triggers. It is crucial to maintain open communication with your healthcare providers, continue monitoring your symptoms, and explore comprehensive management strategies tailored to your specific situation. If your headaches persist or worsen, further evaluation may be warranted to rule out any underlying issues that may not have been previously identified.
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