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Tricuspid regurgitation during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3176 Questions
User :   I am 28 yrs old and 7 weeks pregnant. Recently I have been short of breath when lying down with slight chest pain. I had an echo done and the results came back with slightly enlarged right ventricle and mild tricuspid regurgutation. Would this be because of my pregnancy?
Doctor :   hello
User :   hi
Doctor :   ia m Dr here
Doctor :   give me a min let me read your query
User :   hello
User :   thoughts?
Doctor :   since how long have you had these symptoms ?
User :   I had them with my first pregnancy in 2009, but they went away after. They started again with this one
Doctor :   and do you have anyother medical condition in the past ?
Doctor :   like high blood pressure or diabetes ?
User :   no. clean bill of health. i exercise and eat good, no real issues. I actually don't get short of breath when I work out. It's kinda weird.
Doctor :   thats ok
Doctor :   well your present symptoms are pregnancy related
Doctor :   there can be a MINOR congenital defect which is usually ASYMPTOMATIC but during stress conditions to the heart
Doctor :   like pregnancy it can flare up
User :   would you suspect pulmonary hypertension? that is what i am afraid of...
Doctor :   since you do have a repeated history
User :   so yes to the pulmonary hypertension?
Doctor :   there are diagnostic tests for it
User :   if it is a minor congenital defect, what might that be?
Doctor :   But the gold standard (the best test available) is right heart catheterization. This test entails inserting a catheter through the groin into the femoral vein, a large vein in the lower body (or under the collar bone or in the upper arm into the subclavian vein, a large vein in the upper body) and advancing it to the right side of the heart.
User :   would they do that during pregnancy or wait until after?
Doctor :   you can ask your cardiologist
Doctor :   as its a advanced procedure
User :   does it seem like something to be super concerned about?
User :   i am honestly just afraid of going to sleep and not waking up...
Doctor :   no please dont let this stress over take your life
Doctor :   be positive
Doctor :   like you said you are in good shape
Doctor :   and this has happened before
Doctor :   so you have nothing to worry about
Doctor :   trust me
Doctor :   are you taking any medications ?
User :   no, just prenatal vitamins with DHA
Doctor :   ok
User :   Dr Oberoi, what practice are you out of?
Doctor :   i am a General physician
User :   okay...
User :   thanks so GP told me to drink 3 liters of water a day does that sound right?
Doctor :   what have your gynecologist said about the reports ?
User :   nothing GP just called and wanted me to see a cardiologist and I will have the results faxed over to my OB. However, she did not seemed concerned with my first child and I had a normal delivery with him.
Doctor :   yes thats true
Doctor :   but still like a said a cardiologist opinion will be advisable for you
User :   okay, thanks so much. I just am so concerned taht this might be a life threatening thing.
Doctor :   no thats much i can assure you its NOT
Doctor :   you take care of your self
Doctor :   and you are most welcome
User :   thanks, bye
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