I have heart palpitations. Will this prevent me from being able to have a TT/MR with breast lift?

Question

I have not been to consult yet, in process of finding a Board Certified PS. I have heart palpitations ( had for about 6 years ) . My cardiologist says there is no worry. My heart rate can go from 89 to 120 without stress. Has a colonoscopy on 2/21 and my heart rate went to 136. I was very nervous and stressed. I plan to see Cardiologist prior to having these procedures again as well as a full medical work up.

James H. Rogers, MD · Answer

You do not indicate your age or overall health status. Your description may be consistent with episodes of supraventricular tachycardia ( SVT) . If these are infrequent and do not affect your blood pressure , they may not require intervention or preclude surgery. You should have a thorough cardiac evaluation before undergoing any anesthesia.

Brian K. Reedy, MD · Answer

Hi! Make sure your surgeon is aware of your condition. You will most likely need a medical clearance before proceeding with surgery. Best of luck to you!

Zoran Potparic, MD · Answer

Surgeries that you have in mind are very extensive and require perfectly fit patient to avoid any surprises in the course of surgery/anesthesia. For that reason cardiology clearance and recommendation is mandatory to prepare you for such extensive surgery. If needed, surgeries can be divided in stages to avoid prolonged anesthesia, blood loss, etc. Full disclosure about your condition and good cooperation between cardiologist, anesthesiologist and surgeon is mandatory for safe outcome. Good luck.

Jeffrey M. Darrow, MD · Answer

The number one concern is your safety.  You have already done all the right things by checking with your cardiologist.  The anesthesiologist for your procedure will be interested in having a letter of medical clearance from your cardiologist which may come with recommendations about how to handle rate increases during surgery.  If cleared for surgery, you should be able to proceed.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, sounds like you are doing everything right.  I would suggest you have the surgery at a hospital with telemetry, possibly even a hospital that your cardiologist practices at so a consultation is available if needed.

Farbod Esmailian, MD · Answer

The way to go about this is to communicate with your cardiologist (if you havent yet) that you will be undergoing general anesthesia for several hours and the procedure would be performed as an outpatient.  Some physicians (outside of plastic surgery) assume that these procedures are done in the hospital and there is a hospital stay.  It is important to convey those things and have him/her perhaps even discuss the case with your plastic surgeon so both can better understand things.Once the cardiologist deems it safe for you to have your surgery, only then would I proceed.  Also would ask if there is any particular monitoring that needs to be done after the surgery and if you need to be started on any medications in preparation for the procedure.Hope that helps.

Mathew A. Plant, MD, FRCSC · Answer

In general it should not be an issue, but seeing a cardiologist to be cleared first is a smart move. If the cardiologist feels you are safe for surgery, and the surgicenter has a board certified anaesthesiologist who is also comfortable with your condition then you should be completely fine to have the procedure. Hope that helps!

Nelson Castillo, MD · Answer

Thank you for sharing your question.  As with all patients it is important to be medically cleared of all conditions to limit any risk with an elective procedure. I would work with your cardiologist to make sure that your palpitations are under control and have them speak with your plastic surgeon for any preoperative or postoperative instructions.  Best wishes.

S. Alexander Earle, MD, FACS · Answer

Thank you for your question.  Having palpitations is not necessarily a contra-indication to elective surgery such as a TT and breast lift.  However, you will need both medical and cardiac clearance. Also, if you are cleared, I would recommend having the surgery done in a hospital setting, rather than an office-based surgery setting. As always, seek a consultation with a board certified plastic surgeon. Good luck!
S. A. Earle, MD, FACS

Camille Cash, MD · Answer

You are doing the right thing by first visiting with your cardiologist and having a full medical work up.  The Mommy Makeover surgery will be considerably longer than a colonoscopy.  It is important that you are cleared for surgery as your safety is always the number one priority.

I have heart palpitations. Will this prevent me from being able to have a TT/MR with breast lift?

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