Zanax – Cardiology doctors online

Question: Dear doctor, I am almost 45 years, mitral valve prolapse is observed as a teenager. Special problems he did not deliver, at times – periods is shortness of breath and weakness, bradycardia, tachycardia, shortness of breath – with physical activity, more recently the truth is that the left arm numb during sleep, but generally tolerated – there is no pain in my heart. I gave birth by caesarean section (suddenly withdrew water) 12 years ago. I do not remember how much I was then prolapse, ran the entire pregnancy is normal, but the preservation of paper I see that 3 years after childbirth I already had this diagnosis – PMK 2 degrees with regurgitation of 2 degrees. Now, after years of efforts, decided on IVF, was all hormonal preparations, but three days before the puncture, the therapist, an anesthesiologist, seeing my diagnosis – PMK, sent me for ultrasound and consultation cardio. He was trying to dissuade me – the heart of a little increased, age, 2 degree, that is very high risk for a successful pregnancy and my health. I – in disarray. On the one hand have been reading online about the possible consequences, on the other, in the same Internet – that's okay. Cardiologist suggested after the puncture to be treated, "to collect the heart in the right size and even then make a decision. Therapist in IVF – a woman with a long experience in maternity wards, discouraging. What you recommend given my age?

Answer: What advise? – Get pregnant and give birth under the supervision of good doctors. In our time, for various reasons doctors do not want to assign responsibility. The doctor assesses the clinically-defined violations of system blood flow (increased heart rate, swelling of the jugular veins, etc.) and intracardiac (the magnification of the left atrium, left ventricular ejection fraction lower, the signs of defeat miksomatoznogo valvular apparatus according to echocardiography). We must bear in mind that the standard procedure echocardiography often leads to overdiagnosis mitral insufficiency, giving false positive results. Heart to listen. In general, the patient to assess the need for treatment is assessed again clinically, rather than by echocardiography.