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I was diagnosed with subclavian steal syndrome in Liverpool around ten years ago. At first, I had no symptoms and continued to lead an active life, travelling all over the world in my motorhome and cycling regularly.

Subclavian steal syndrome involves a blockage in one of the subclavian arteries. There are two subclavian arteries, and my blockage is on the left-hand side. I have very little pulse in my left arm. As I understand it, the blockage affects blood flow to my arm and diverts blood away from where it should normally go. The condition is called “steal” syndrome because blood is redirected towards the arm.

I had never met anyone else with it. When I spoke to different doctors, some said they had never heard of it. Another doctor told me she had only seen two people with the condition, and I was one of them.

Over the past year, my symptoms have worsened. I experience blurred eyesight, fatigue, balance problems, leg cramps and pain, and difficulty walking any distance. If I walked from Marks and Spencer through town to the other end, I would not be able to walk back. I cannot walk up an incline without using a handrail, and I pull myself up the stairs using the handrails.

I have also had occasional chest pain and pain in my lower jaw. I have been told to call 999 immediately if my left arm changes colour or becomes painful. The possibility of a stroke is also frightening.
I have always been a very active person. Now, I cannot walk very far and cannot take part in some of the activities I once enjoyed.

I belong to a retirement association with several groups, including a walking group. The condition is now preventing me from attending activities that I used to enjoy. I have missed many sessions because I do not feel well enough or cannot manage the journey.

I struggle in heated rooms and often need a fan. I carry paper fans in my handbag and have three electric fans at home. My sleep is also disturbed by pain in my arms and legs.

I live alone, and it can be difficult when you cannot get out and take part in the things you used to do. I sometimes need to use taxis as well as buses, which can become expensive.

Over the past year, I have had several scans, including a scan of my legs because of the pain and cramps. I am also due to have a heart scan, which will allow specialists to look at my heart in more detail.
I was initially placed on a two-year waiting list, so I decided to seek a private consultation in Liverpool. Since then, I have seen several cardiologists and surgeons, and I now have an appointment in Liverpool to discuss surgery.

I understand that a stent is not suitable in my case and that other options are being considered. I am still trying to understand exactly what will happen and what treatment I will be offered.

Subclavian steal syndrome is rare, and many people, including some healthcare professionals, may never come across it. I had never heard of it before I was diagnosed.

I hope that sharing my experience helps people understand how a rare condition can affect mobility, independence and everyday life. I am still trying to do as much as I can on the good days, but my condition has gradually limited many of the activities that once made my life so active.

Phyl

I was diagnosed with subclavian steal syndrome around ten years ago

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It began on a Wednesday morning at around 8:30. My husband, Paul, came downstairs while working from home and told me he had experienced a strange pain in his back. When I asked him to describe it, he said it was a ripping pain between his shoulder blades.

At first, neither of us realised how serious it might be. Paul had suffered from back problems for many years, so we assumed it could be another bad episode. He made a cup of coffee, had something to eat, and went back upstairs to work.

As the day went on, the pain became worse. I gave him a hot water bottle and some paracetamol. He continued working but later declined an invitation to take the dog for a walk because he did not feel up to it.
When I returned from the walk, I found Paul lying on the bed with sweat pouring off him. I knew he looked unwell, but I still did not think it was serious enough to call an ambulance. I wondered whether it could be a kidney infection, so I contacted the doctor’s surgery. They asked us to bring him in.

Paul struggled to get to the car and was in severe pain, particularly in his back and shoulders. At the surgery, he could barely sit down and paced around the room while waiting. He was sweating so heavily that it was dripping from his forehead. The doctor gave us blood forms and sample bottles for the hospital and prescribed painkillers.

We were almost home when Paul began to feel sick. As I pulled into the drive, he became much worse and passed out. I called 999 and asked a friend to come and help me.

Paul briefly regained consciousness and managed to get into the house, but then collapsed again. My friend and I followed the emergency call-handler’s instructions and eventually managed to get him onto his back. He was sweating so heavily that we had already used several towels to mop the floor. When we turned him over, he was completely blue.

A first responder arrived, followed by the ambulance crew. What happened next showed me how misleading the initial observations could be. Paul’s blood pressure appeared to be normal, his oxygen saturation was in the nineties, and his heart initially appeared normal on the ECG. Although some of Paul’s initial observations did not immediately point to a clear diagnosis, another paramedic recognised that the symptoms could indicate an aortic dissection, a clot, or a blockage.

Paul was taken to Noble’s Hospital, where the team worked incredibly hard to stabilise him. Liverpool was contacted because he needed specialist treatment, and he was transferred by air ambulance that night.
He underwent emergency surgery in Liverpool for around 15 hours. He was placed in an induced coma and needed a ventilator, dialysis, and extensive life support. When my son and I saw him, he was connected to so many machines that it was difficult to take in. He later suffered a heart attack and had to return to theatre for several more hours.

Over the following days, Paul’s condition continued to deteriorate. Doctors eventually told me that his brain had swollen severely and that he was brain-dead. Although I had feared the worst from the moment I saw him in intensive care, hearing the news was devastating.

Paul’s aortic dissection was not found to be hereditary. Doctors believed that undiagnosed high blood pressure and high cholesterol may have contributed, although we will never know the exact cause. Our sons were advised to have scans to check their aortas.

“The main message I want to share is this: if you have any form of tearing or ripping pain between your shoulder blades that takes your breath away, don’t just take a paracetamol and make a coffee. Ring 999 and say, ‘I think I’ve had a dissection.’”

I did not realise that Paul’s pain could be connected to his heart because he was still making coffee, working, and talking to me. If I had known then what I know now, I would have called for an ambulance when he first described the pain.

“It might be a false alarm, but on the other hand, you might have saved someone’s life.”

I hope that sharing Paul’s story will encourage people to take sudden, severe pain seriously and seek urgent medical help.

Paul

Paul was 57 when he experienced a pain like no other in his back. We never imagined what was happening.

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I have always led a very active life here on the Island. Whether it’s riding horses, cycling, walking the dogs or playing a competitive game of badminton, I’ve never been one to sit still. That’s why what happened in June 2025 came as such a complete shock.

I was at the NSC finishing a tough game of badminton when I suddenly felt overwhelmingly exhausted. As I walked to the car, I had to stop just to catch my breath. I felt sick and dizzy, but I assumed I had simply overdone it. On the drive home, I developed a sudden, sharp toothache on my left side. It felt very strange, but I never imagined it was my heart.

By the time I got into the house, I was feeling weak and wobbly. I had nausea and stomach pains that felt like period pains, which made no sense at my age. Thankfully, my husband took my blood pressure and noticed I looked grey and very lethargic. He called A&E, and I was taken in, where I was eventually told I had suffered a heart attack.

Because I also had COVID-19 at the same time, I spent a week in isolation at Noble’s before I was well enough to be flown to Liverpool. Once there, an angiogram revealed that two of my arteries were completely blocked, likely due to high cholesterol. I had assumed I would need a simple stent, but instead I was told I needed a double heart bypass.

The surgery was major, and the recovery was a slow and emotional journey. When I returned to the Island, I felt extremely weak and exhausted. However, I’ve always tried to stay positive. With the support of the cardiac rehabilitation team and my family, I began rebuilding my strength bit by bit.

Today, over six months later, I am back on my bike, back on my horse, and back on the badminton court. I want to share my story because, as women, we are often not told the symptoms to look out for. I didn’t have the ‘typical’ chest pain—I had a jaw ache and overwhelming exhaustion. We need to close that gap in awareness so other women on the Island know when to seek help.

I feel very lucky to have had what feels like a ‘quick fix’ and to be able to move forward with my life again.

Kathryn

As someone who was always active and competitive, I never thought a heart attack would happen to me.

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It started when I was about 12 or 13. I’d be sitting down or exercising and suddenly my heart would start racing—sometimes up to 200 beats per minute. At the time, it was put down to anxiety. Because I was a healthy kid, no one suspected a heart condition, so I just lived with it until I left school at 16.

I started an apprenticeship as a plumber, and during the 2020 lockdown, things changed. I was walking when I felt an attack coming on. This time, it was followed by a strange sensation—like my heart had dropped off a rollercoaster—and then a sharp pain began radiating down my left arm.

Over the following months, I began blacking out. I’d pass out at work, at home in the corridor, or even in the shower. I knew then it wasn’t just anxiety. Eventually, I was referred to a specialist in the UK, who diagnosed me with a severe form of SVT (supraventricular tachycardia).

At 17, I flew to Liverpool for a cardiac ablation. What was supposed to be a simple 90-minute procedure turned into a nine-hour operation because my heart is shaped slightly differently from most people’s. I was awake the whole time. It was terrifying, and the recovery was even harder. I returned to the Isle of Man in a wheelchair, had to self-isolate due to COVID restrictions, and found myself struggling both physically and mentally.

Shortly after, I was diagnosed with pericarditis—fluid around the heart—which required further treatment. The cardiac depression that followed was a real battle. I felt like a shadow of my former self, unable to do the job I loved or take part in the sports I enjoyed.

With the help of a local personal trainer in Ramsey and the support of the community, I began the long process of rebuilding myself. It took years, but that surgery gave me my life back.

If I could give any advice to others on the Island, it would be to trust your instincts if something doesn’t feel right, and don’t be afraid to ask your family about their medical history—I only found out after my surgery that heart conditions ran in my family.

Will

I was 12 or 13 when my heart started racing; it shows that age is no barrier to heart conditions.

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Our Island Stories

Every heart on the Isle of Man carries a story.

We bring together the lived experiences of people across our Island facing cardiac conditions.

 

These are personal accounts from neighbours, friends and colleagues, offered to help others recognise warning signs and feel less alone. Through these voices, we aim to strengthen understanding, inspire reassurance and shine a light on the resilience within our community.

Phyl

After years of travelling and living an active life, Phyl’s rare condition is now affecting her mobility, independence and ability to take part in the activities she loves.

Paul

Paul initially thought the ripping pain between his shoulder blades was another bout of back pain. As aortic dissection is rare, most people have never heard of it, but recognising the signs can be vital.

Kathryn

I thought I was just exhausted after a tough game of badminton, but a sudden toothache and a feeling of being 'wobbly' turned out to be the signs of a heart attack.

Will

At just 13, I started experiencing heart rates of 200 beats per minute. What was dismissed as anxiety turned out to be a life-changing heart condition.

Doctor Diagnosis

Contact

Manx Heart Foundation

7 Ballacriy Park,
Colby
Isle of Man
IM9 4LT

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