Blair’s heart v. a tabloid’s soul

Blair’s heart v. a tabloid’s soul

: Drudge and the Sunday Mail are trying to act as if Tony Blair’s heart condition is a scandal and a secret. That’s a load of crap. Says Drudge:

DOWNING Street tonight is embroiled in sensational claims that Tony Blair risked his life by trying to hush up the true scale of his heart problems….

Instead, for criminally irresponsible political reasons, Mr Blair s office refused to acknowledge the scale of the health problems, he said. Dr Ward also claims Mr Blair was pressurised not to disclose his illness or seek the best treatment for fear of causing a national scare.

Utter cardiac crap.

I have the same condition — an occasional irregular heartbeat (which, in my case, developed after I was given a drug — a “beta antagonist” in a lung test because of the gunk I inhaled on 9/11). It’s bothersome and inconvenient as hell and even depressing but it’s not immediately life-threatening, my doctors have assured me frequently. Ventricular fibrilation can kill you quickly, yes. But with atrial fibrillation, the real threat is that pools of blood can build clots while the heart is in afib (as we call it) and once the heart kicks back into regular rhythm, those clots can cause a stroke. But the risk of that happening is not until more than 24 hours after the onset of afib and even so, one can be given anticoagulants or the heart can be treated well in advance of the day mark.

Blair has had only a few reported incidents. The treatment for both looks extreme to my amateur eyes, in comparison only to what I’ve seen in my case and others I know about from research (and from blog friends). In his last episode, Blair had cardioversion — that is, they shocked the heart into behaving. (I’m surprised Drudge and the Mail didn’t shout: Blair Has Shock Therapy! Shades of Eagleton!) This week, they stuck a needle into his heart to burn out a few nerves that cause fibrillation and that usually cures it. But it’s not often done unless afib has become so chronic as to interfere with life. In Blair’s case, I can imagine that he didn’t want it to interfere with the job and thus went the extra mile to get rid of it.

In the midst of afib, I’ve worked, driven, eaten hot dogs, gone to Starbucks, and, yes, blogged. It does not interfere with functioning. It feels pretty weird to have your heart going at a rapid rate and whumping with irregular beats but what’s most upsetting is the idea of it and the possibility of interrupting the day with a visit to the doctor.

So don’t buy what Drudge and the Mail are trying to feed you. I’m certainly not a doctor and don’t pretend to be an expert at this. But I have gone through a half-dozen episodes since 2001 — more than Blair — and I’m still blogging away … fact-checking asses an ocean away.

5 responses to “Blair’s heart v. a tabloid’s soul”

  1. Robert McClelland Avatar

    So don’t buy what Drudge and the Mail are trying to feed you.
    No sane person ever buys what the Drudge is trying to peddle.

  2. EddieP Avatar

    I was diagnosed with afib four years ago. I agree with you entirely, it feels strange when it’s happening. My cardiologist has me on constant blood thinners and some other meds as I have an enlarged heart as well. Cardioversion didn’t work for me and I hadn’t heard about the needle thing until you mentioned it. I’m going to ask him about it. Thanks

  3. annette Avatar

    jeff:
    thanks for the explanation and your personal experience. i haven’t been able to figure out what was exactly wrong with blair and you clarified it–as you do with many things. so glad you keep blogging.
    annette rogers
    scottsdale, az

  4. Jim McClintock Avatar
    Jim McClintock

    The seriousness/danger of atrial fibrillation ranges from benign to life threatening, with the electrophysiology of one’s heart governing where one lies within that spectrum. I experienced premeature heart beats (which felt like skipped beats) while in high school, which doctors diagnosed to be the result of an extra bundle of nerves in my heart, a condition they labeled Wolf-Parkinson=White Syndrome. Almost 15 years later (approximately 1988), I rolled over in my sleep and felt my heart kick into extreme overdrive. Drove myself to the hospital (not a good idea, I was told, as fainting often occurs while in this state). I was triaged immediately into a critical care room (in a major hospital in a major US city), hooked up to an EKG and heart monitor and watched my heart rate fluctuate anywhere from 150 to 320 beat per minute. To say I was unnerved by the chaos happening in my chest would have been an understatement. My consternation was compounded by the numerous nurses/orderlies who stopped by my room as if to observe a freak show; they stood there looking in amazement at the 250+ bpm reading on my heart monitor. Eventually a cardiologist showed up, explained to me that due to the W-P-W Syndrome, my heart could not be converted to normal rhythym by drug therapy, but would require electro-conversion. My wife got to the ER room just in time to see them apply the paddles to my chest and watch my body jump almost off the table in response to a shock that the doctor said was the equivalent to being kicked in the chest by a mule (they gave me an amnesiac, so I have no recollection, but I did have a hell of a sore chest for the next few days).
    Afterwards the docs told me this could reoccur at anytime and that I should not venture further than two hours from major city medical care. For those who can be converted with drugs, atrial fib really isn’t a big deal; but for those whose cardio-electrophysiology is a little more complicated, it can be life threatening. Extended acute atrial fib (heart rate exceeding 200 bpm) can induce complete cardiac arhythmia, followed by ventricular fib, which is fatal.
    Almost five year later, the same sequence of events occurred again. After that episode, my cardiologist suggested a (then) new procedure called catheter ablation. To eliminate this problem forever, I elected to undergo this procedure, during which five catheters were inserted into my heart (one via arteries in each arm and leg and one via my neck). These catheters are used to map out the electrical topology of one’s heart. This process revealed an even stranger abnormality in my heart which created an electrical shortcut that had precipitated my atrial fib and would have made frequent and dangerous recurrence inevitable. The ablation basically burned out the shortcut pathway, leaving only the normal circuit for electrical signals within my heart. Twelve years later, I have had nary a peep of a problem from my ticker.
    The point of this story: each case is different (as I understand is often said about cancer) and no one should make light of anyone else’s circumstances. Atrial fib can me a minor nuisance and a deadly diagnosis; where one falls between the two is the luck of the draw!

  5. sid Avatar

    I am in my early 30’s. had to take a lot of chemo and other drugs, especially steroids to control a very serious, though, non-cancerous, brain tumor I was diagnosed with. And as a result, among the many complications, last Sept, I suffered a massive heart attack, and almost died. Thanks to the fact that I live no too far away from the ER, and that the EMT/police/Fire services in my city of Ann Arbor are very efficient ( the had me in the ER within 9 minutes from the time when I made my first 911 call!!!) I survived the cardiac attack, but have now developed artrial Fibbrilation, and I carry my meds and my cell phone with me at all times. It is a serious problem, but, something that can be controlled if one is careful, and one can go about their normal lives.