Katherine J. Miller Research Fund
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Upenn Electrophysiology Department
  Red on image signifies the extent of right ventricular scarring and fatty tissue  
Fundraising goal $60,000.00
Participation Goal 100 Donors
KEEP THE BEAT

STORY
******* Update January 2020:
As a result of advances in the sensitivity of MRI technology over the past 3.5 years, we have discovered I do not have ARVC. The MRI can now visualize I most likely contracted a rare complication from the influenza virus in March 2016. During early March 2016 (my senior year of college), the flu virus likely spread to my heart and gave me viral Myocarditis, a diffuse enlargement and inflammation of the heart muscle. I contracted a serious case of this secondary infection. Fortunately, my heart function and size all returned back to normal once I healed from the viral Myocarditis. However, my heart did scar in a few places as a response to the healing process, putting me at risk for life threatening ventricular arrhythmias. We know my heart received an injury, and, as a result of Dr. Marchlinski and his team's remarkable efforts in the epicardial ablation, I will probably never experience a ventricular arrhythmia again.

The nature of differential diagnosis in medicine is challenging and often hinges on advances in knowledge and technology. As cardiac electrophysiology is a rapidly developing field, the improved ability to distinguish between ARVC and Myocarditis has significant benefits to patients who can make potentially life-altering decisions with more robust information about their situation. I sat in the general uncertainty about what my heart would do for years, relying on the scientific information available at the time and confronting the limitations of human understanding. In this instance, it took 3.5 years and advances in cardiac imaging to gain more clarity about the problem and determine a more specific cause. The prolonged nature of this experience is emblematic of the inherent uncertainty in medicine when seeking to diagnose complex cases. We have only recently in medicine begun to understand the extent to which viruses pose a risk to cardiac function in healthy people. I do hope to continue advocating for all people who experience ventricular arrhythmias.

Thank you for your continued support. We'll never forget it. I don't particularly enjoy posting on the internet. I share this story because I believe it can help other people and inspire positive action in service to others. We hope this project will empower more people with life changing medical knowledge and leave the world a bit better than we found it. Knowing the origins of my heart scar and ventricular arrhythmias has given me an appreciation for what my heart endured. We are grounded by a sense of clarity about what happened, and we'd like to offer that to more patients with continued research.

I also have a greater understanding of the obstacles people confront in their own medical battles. There is much more to a patient history than clinical terminology and what happens within hospital walls. Rather, it's an undertaking that seeps into the heart of your existence for a period of time. The writing on this page scratches the surface of encapsulating the entirety of this experience. There is much more to say. Much more to what took place. Yet, I hope the words inform and provide solace to people meeting challenges in their lives. We are incredibly grateful. So, whether you know me personally or stumbled upon this page, thank you for taking the time to read! *******


A year ago, I didn't know if I would be here to share this story.

Last August, at age 23, I almost died. Suddenly and unexpectedly, I experienced a life threatening heart rhythm. My resting heart rate accelerated to 250 beats per minute, and my blood pressure plummeted. This heart rhythm is commonly fatal.

It all started while walking up some stairs on the way to class. Two steps from the top, I felt my heart begin to forcefully pound. It didn't stop. As my heart raced, my arms and legs felt like dead weights. I became increasingly disoriented, gasped for air, and felt a crushing tightness within my skull. Transported by a friend to my apartment, I collapsed to the ground of my apartment building lobby and clutched the leg of a complete stranger who had been asking if I was "ok." While lying upon the ground, my left cheek pressed against her thigh, the floor began to go black. An onlooker called 911.

Riding in the ambulance, its sirens wailing down Chicago's Michigan Avenue, I prepared myself mentally for the end. With an IV jammed into my arm and defibrillator pads hastily applied to my chest, I reached for the hand of the paramedic who sat beside me for reassurance. I recited a prayer over and over again in my head and took comfort in the fact that my family would not have to witness this experience. When we arrived at the ER, I immediately found myself under the rapid fire examination of many doctors and nurses who surrounded my gurney and rushed to stabilize my heart rhythm. After about 15 more minutes in the ER, my life threatening heart rhythm spontaneously returned to normal. A day that began as typically as any other ended with me fearing for my life in a hospital bed.
SHEDDING LIGHT
I'm writing this because I hope to shed light on a puzzling medical condition that has taken the lives of many active, seemingly healthy, and vibrant young people. Often times, there is no warning. Doctors have told me it is likely I have some form of this exact condition. Last fall, after months of medical evaluation and testing, Dr. Francis E. Marchlinski of the Hospital of University of Pennsylvania in Philadelphia discovered that I have a scar on the outside of my right heart ventricle during a rare procedure. It is a finding often seen in a rare disease called arrhythmogenic right ventricular cardiomyopathy (ARVC).

Have you ever heard of a young person who goes out for a run and suddenly collapses due to previously undiagnosed cardiac causes? Frequently, the culprit in these tragedies are heart conditions like ARVC, which affects an estimated 1/5000 people. ARVC is one of the most common causes of sudden cardiac death in young people. Too often, the first diagnosis of ARVC is made only at autopsy. In this case, the first sign of anything wrong manifests when young active adults, who are otherwise healthy, drop dead from a fatal irregular heart rhythm. As a result, heartbroken families are left scrambling to pick up the pieces and understand what happened.

ARVC often escapes early detection because diagnosis usually requires extensive and expensive medical testing. Doctors are unlikely to order tests for a seemingly healthy, active young person with no perceptible symptoms. Further, even with extensive testing, a diagnosis can be completely inconclusive. I was told my testing came back normal even after I was experiencing life threatening heart rhythms. A brilliant cardiologist at home, Dr. Ravi Yarlagadda, made the discovery that eluded all of the other doctors. He detected that the arrhythmia originated on the outside of my heart and sent me to Dr. Marchlinski.

ARVC often first appears in young people between the ages of 20-40 years old, and doctors generally consider ARVC to be a progressive disease, meaning it usually gets worse over time. As the disease increasingly scars the ventricle, the heart weakens and puts an individual at risk for more life threatening heart rhythms. For the past year (and potentially for the rest of my life) I, along with many other patients, have worn a defibrillator and taken medication to reduce some of the elevated risk of sudden cardiac death.
DONATE AND SHARE THE STORY
I feel I am still here to tell the story others may not live to share. Although my future with this condition is uncertain, I have resolved to bring this issue to as many people's attention as possible. I have lost sleep concerned that I won't have the chance to get this story out or that I won't share it effectively enough to garner support for current and future patients. I firmly believe that, together, we have a unique opportunity to help change the ARVC story. Your support will make a definite impact on UPenn Cardiac Electrophysiology research to improve both treatment and diagnosis of ARVC. This research has the potential to benefit many patients and may help prevent the unexpected deaths of young, otherwise healthy people. Dr. Marchlinski was the first person to give me hope. He helped to pioneer the procedure I received at Upenn, and this is rapidly becoming the standard of care for this condition. He possesses a unique understanding of ARVC and is assembling a team of physicians and researchers to attack and solve this problem.

It is for these reasons I believe we have the capability to make a difference for many young people.

Please share this story and tell your friends! Please consider a donation to this research fund we have established at UPenn under the direction of my doctor, Frank Marchlinski, to advance the important work of his dedicated team! Any contribution to this effort is greatly appreciated.
Donation messages
Keep the beat! --Jimmer & Sally Miller
Keeping the beat! --Jimmer and Sally Miller
Great T-shirt!! --Mrs. Sarah Miller
Thanks to Dr. Michael Riley for a successful ablation after I had undergone two unsuccessful ablations at my local hospital in N.E. Pa. --Mr. JOHN TERRANA
About a yr ago my heart began to fail. I had lived with a murmur for about 2 yrs. I received an aortic valve replacement ( TAVR) on Aug. 22.2019, went home the next day feeling more energetic than I had in 3 yrs. I began rehab to make my heart strong, biking, walking, pushing heavy things.. :) in Jan I did not feel well, went to Internist, barely able to walk the 50 yds into building, My heart rate was 34... We went to KUMC ER and I came home the next day with a pacemaker. We are doing well, having our 1 yr anniversary of life again, I do not have High cholesterol, or plaque, I thought I was in good health considering my RA, I am grateful and well educated now to take care of my heart.. and in favor of Keeping the Beat. --Kathleen Acker
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