Anyone else with severe chest pains immediately after Dialysis?

[dialysis.sucks]

Ever since my heart attack Ive had some pretty severe chest pains immediately after diaylsis. I'm talking about after I get up and walk to the scale, I'm already popping a nitrostat. It's getting to the point now where I'm going through 5 or 6 nitrostat's after every treatment along with a couple of vicodin. I have to admit a few times Ive thought about calling 9/11 as the pain radiates down my arm the same way it did when I had my original heart attack (again after dialysis). Anyone else dealing with the same thing? and if so how are you dealing with it? My blood pressure is normal to low and never really fluctuates on dialysis. I typically leave in the 112-122/78-85 range. It's making the idea of going to Dialysis that much harder when I know what the end result is going to be each time. 

James

[SteveK87]

What is your pulse rate after treatment?  Do you relax for a minute or immediately jump up out of the chair?  Are you always pulling off alot of fluid or are you able to control that and not always have to pull off the max for the day?  What about the last time you had blood work done?  Potassium or Calcium levels in range?

[amanda100wilson]

Ate you under the care of a cardiologist?  Are you doing in-unit or home haemo?  If you ate doing in-unit, any chance of doing home extended?  Short duration dialysis definitely puts a strain on the heart.  You definitely need to get this reassessed.

[CebuShan]

When I was doing in-center treatments, there were several times that I had severe chest pains afterwards. I've never had an heart attack but the center called the ER just to be safe. Since I have been doing home hemo, I have not had any chest pains.

[M3Riddler]

Ever since my heart attack Ive had some pretty severe chest pains immediately after diaylsis. I'm talking about after I get up and walk to the scale, I'm already popping a nitrostat. It's getting to the point now where I'm going through 5 or 6 nitrostat's after every treatment along with a couple of vicodin. I have to admit a few times Ive thought about calling 9/11 as the pain radiates down my arm the same way it did when I had my original heart attack (again after dialysis). Anyone else dealing with the same thing? and if so how are you dealing with it? My blood pressure is normal to low and never really fluctuates on dialysis. I typically leave in the 112-122/78-85 range. It's making the idea of going to Dialysis that much harder when I know what the end result is going to be each time. 

James

James,
Do you think they may be removing too much flulid off too fast ?    Doing this long term can cause heart disease, specifically LVH Left ventricular hypertrophy... It can be caused from the constant ups and downs in fluid removal/removing fluid too fast as well as a high blood flow that they may be using....  what is the nephrologist saying?

[amanda100wilson]

If you think of it, when too much fluid is removed too fast, the body is put into hypovolemic shock, just as it is if you cut yourself badly and haemorrhage.  Makes you think.  Not sure why in 2013 it is considered acceptable to do this to people during dialysis.

[katieking1981]

This is concerning to me. Have you consulted with your nephrologist and cardiologist?

 John has never had heart problems before starting dialysis. This year he has been treated for an arrhythmia and complains of frequent chest pain. He has been worked up and told that there is nothing going on other than "normal" heart enlargement from dialysis. It's frustrating to me that no one thinks chest pain is a big deal. I really hope your doctors are carefully monitoring you after a heart attack.