Archive for the ‘Heart and Pregnancy’ Category

Heart Problems

Question: Good day! I have 27 weeks of pregnancy. She did EKG. Conclusion: violation of local ventricular conduction. Is it dangerous? How can affect the baby and birth? At the doctor has not yet been.

Answer: Hello! At the child is not affected. But consult with your doctor cardiologist, especially before the birth you want.

Sinus arrhythmia during pregnancy

Question: Good day! I am 28 years old, am now 15 weeks pregnant, suffers from constant dizziness, weakness, often feel a state of suffocation and lack of oxygen. There was a general practitioner, measured the pressure is very different, 110/70, or even 85/50, passed the blood hemoglobin – 115. Also made ECG (Please comment on performance: HR 67, F 0,10, PQ 0,14, QRS 0,08, QRSTf 0.38 Volts to +90). In the diagnosis was stated sinus arrhythmia. Given the surveys doctor nothing but drink Sorbifer, glucose and ascorbic acid was not appointed. A condition is not improving, all the worse. Thank you.

Answer: Eugene, EKG normal. A light was not examined you? Echocardiography should be done, if normal, then this period of adaptation to pregnancy, so you need to take sedatives.

Enap in pregnancy

Question: My childhood high blood pressure, raise hypertension 1.2 type. In 15 years, accidentally discovered chronic pyelonephritis, but doctors have not determined why the pressure may be from kidney, but maybe not. About 10 years take Enap (5 mg 2 times a day), but the pressure is not reduced below 130/90, my work 140 90. It happens and above. It should change the drug to more efficient, and whether there is? Always I hand over urine, blood, no major changes. At the next survey several years ago revealed chronic pericarditis – slight increase in the liquid, but I myself feel normal, and only where it come from? In short a lot of sores, sometimes becomes so hard and scary – what will happen next, because as has not adhered to, and degradation still occur. I'm 28 years old, married, and naturally want the child. But whether it is a miracle with my condition?

Answer: Dear Catherine, from any person can find "a lot of ills" if it is well poobsledovat. Of course, you do not contraindicated in pregnancy. Pregnancy health, but immediately get up accounting, pass all the necessary examinations during pregnancy. I do not think that you will be a big problem during pregnancy, given the overall normal state. Enap must be replaced by another drug, because ACE inhibitors are contraindicated in pregnancy. Replacement of the therapist conducts a full-time admission, I'm on the internet do not have the right. If you think that "as adhere to, and degradation still occur, it is better to go in the coffin. Millions of people live happily ever after with serious illnesses.

Mitral valve prolapse and pregnancy

Question: doctor! I am 28 years old and I'm waiting for the child (25 weeks). I did ECHO KG and wrote in the conclusion: mitral valve prolapse of 1 degree to 1.2 degree of regurgitation. Signs miksomatoznoy degeneration of mitral valve. Ejection fraction 53 percent. Tell me, please, what it means and what to lose?

Answer: Helen, I think that these changes will not affect the course of your pregnancy. There is no treatment for the detected do not, you only need to very closely monitor that there is no supercooling and colds, full to eat, take vitamins for pregnant women.

Irregular heartbeat during pregnancy

Question: Good day! I have to you here this question. I am 27 weeks pregnant, I was diagnosed – heart rhythm disturbances in arrythmia and hypertension 1-2 degree. How serious? It is treated it during pregnancy? What this means for both the child and me? Breach rhythm put me back in 2007, but did not heal. Pressure rises in the form of a white robe, house the measurement of pressure is normal: 117-125 top, bottom 70-80.

Answer: Treat while not necessary, since this white coat hypertension. Extrasystoles, if you do not lose them in mind, too, have a functional origin, they must leave after the birth.

Hypertension in pregnancy

Question: I have 4 weeks of pregnancy. Hypertension for 3 months, took atenolol for 0,25 mg in the morning and evening. We stopped to take when she learned about the pregnancy. With atenolol pressure returned to normal. I am afraid that after the withdrawal of the drug will increase blood pressure. Give that can be taken so as not to impact on the child. Thank you!

Answer: Dear Olga! In pregnancy, prefer not to lower blood pressure, if it does not exceed 150/100. Your task now – to control blood pressure and pulse 2 times a day. If blood pressure would not exceed that figure, and heart rate – 90 per minute, the treatment of blood pressure you will need to resume after birth. If the figures are higher than those indicated, then consult a physician full-time for the selection of therapy.

Mitral regurgitation and pregnancy

Question: I'm 33 weeks pregnant, I am 27 years old, placed in a clinic diagnosis: mitral regurgitation 1 tablespoon, 1 tablespoon pulmonary regurgitation, tricuspid (not sure what to write) regurgitation 1 tbsp. , While the aorta is not changed, the cavity of the heart is not dilated, myocardial contractile function is satisfactory. The LCD was advised to consult a cardiologist, gave direction to the hospital № 67 of Moscow, but I go far away and inconvenient to go. Is there a real need for further consultation, to do another EKG? I do not want once again to be in public places, as the autumn – time to flu and colds. Please explain what this diagnosis?

Answer: Dear patient, and hemoglobin you have any? Such changes of heart may be functional, accompanied by increased blood volume or mild anemia. But I would advise you to consult in 67 hospital. As for colds and flu, the mask on the face (to change every hour), antiseptic hand wipe. In the end, it is your health, well being, we must think about it.

Mitral valve prolapse

Question: Hello. I am 22 years and I diagnoses: mitral valve prolapse grade 3, arrhythmia, hypoxia, and failure of the left ventricle, "Tell me whether I have children and how it affects them, and my health?

Answer: Dear Helen, you mentioned the existence of states (some of them – not diagnoses, but simply pathological manifestations) may complicate pregnancy. More you can not say anything, because you have a list of very heterogeneous disease, the presence or absence of some of them have yet to understand. I recommend to you after the onset of pregnancy to be registered with the cardiologist and regularly carry out surveys, which will appoint a physician after a full-time inspection.

Increased pulse rate

Question: I am 28 years old, 13 weeks of pregnancy. Began to notice increased heart rate to 115 beats / min. And in the morning without any physical activity (accompanied by a mild headache, pressure in the temples), helps to reduce the pulse infusion motherwort to conventional 80-90. ECG showed tachycardia, but the doctor said it was a common sight during pregnancy and does not require intervention. Is this true?

Answer: Yes, it is. In pregnancy, increased heart rate, and it is considered physiological. Discuss with your doctor the possibility of appointing a minimum dose anaprilina When you have unpleasant sensations. The drug is rapidly excreted from the body, but must be taken under medical supervision.