Wednesday July 5th
Tucker has been placed on precautions and he was not happy that he could only ride his bike in his room. But Tucker was super excited that Matt from Music Therapy came and sang the silly name song though. We renamed Tucker, Ucker, Carter, Bucker, and Gary...Fary. He particularly loved that one!
Then there was the Ryan Seacrest Studios BINGO, guess who won a FIGET SPINNER? He was so adorable that Mario from the studio gave him a Patriot's Hat as well.
So...Now we know the worst time to be inpatient is after July 1st, because its when the new residents start. So they sent this new resident in to tell me that they wouldn't be able to do his stress test until possibly Friday. I nearly lost my mind, which then sent her back to her attending for discussion. Within minutes it seemed that we went from an 8am Thursday appointment to, the possibility of a 4:30pm afternoon appointment.
SO...Looks like you have to loose your mind once an a while to get what you want.
During his Stress test they got Tucker's heart rate up to just under 180bpm, he was a trooper running on the treadmill in the lab. He exhausted himself out very quickly.
It was so hard to watch his limitations.
After the test we waited for the results, and I packed up the room. Our cardiologist Dr. Porras, paid Tucker a visit and wanted to hear the story from me, see him and check out all of his testing, it seems to him what Tucker experienced was an episode of heat (or excercise) induced Supraventricular tachycardia (SVT) which is an
is an abnormally fast heart rhythm arising from improper electrical activity in the upper part of the heart. Signs and symptoms can arise suddenly and may resolve without treatment. Stress, exercise, and emotion can all result in a normal or physiological increase in heart rate.
The rapid heart rate reduces the opportunity for the "pump" to fill between beats decreasing cardiac output and as a consequence blood pressure. It can cause the following: Pounding heart, Shortness of breath, Chest pain, Rapid breathing, Dizziness, Loss of consciousness (in only the most serious cases)
For infants and toddlers, symptoms of heart arrhythmias such as SVT are more difficult to assess because of limited ability to communicate. Caregivers should watch for lack of interest in feeding, shallow breathing, and lethargy. These symptoms may be subtle and may be accompanied by vomiting and/or a decrease in responsiveness.
This diagnosis is more complex in a single ventricle child than a heart healthy child. Tucker will have to be monitored closely during the hot summer months and during any illnesses where he has a temperature. Gary and I are terrified that this cardiac episode will happen again.
So very much, not the answer that we wanted.