Over the last few months, I’ve had symptoms of shortness of breath and mild chest pain / pressure. It’s particularly noticeable on mild exertion, but is only intermittent, and comes as a part of a flare.
I’ve been meaning to follow it up with my GP for ages, but I have had so many other (mostly non-PsA related) health issues it just fell by the wayside. I kind of assumed it was just extra effort going into exercise from the flares, but recently I noticed it in situations that my normal level of fitness should not have found at all challenging, and I wasn’t really in pain so couldn’t blame that.
Recently I had an emergency admit to hospital with mild chest discomfort and severe pain radiating to my upper back. It was coming in waves though, triggered by swallowing. Because it was connected to my GI tract and I have Crohn’s, that was the focus. Though they kept worrying about my heart because the rate was so high (my resting and day-to-day is 60-70 and I had about 135 on admission despite having lots of pain relief on board). I told them it had been high for a week or two since I had been feeling generally unwell. I also had a persistent fever, so they were freaked out about the idea off a hidden infection.
Four (relatively normal I assume) ECGs, a chest X-ray, CT scan and a lot of PPI inhibitor and 24 hours of monitoring later, I was released with no specific cause. My Crohn’s in my mouth had started to flare up and it was obvious I had an acute inflammatory flare going on.
Now, with a bit of hindsight, I am starting to wonder if I get mild Myocarditis with some of my flares. I will go to the GP about this next week, but just thought I’d float it here to see if anyone else (@tntlamb?) has had a similar experience.
PS I started prednisone yesterday and it seems to have dropped a bit already. Might start tracking it out of curiosity.