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Pregnant. On vitamins. What does my report mean?

femal patient 20y old , pregnant ,primy , come for follow up in midicine clinic , on ex. pulse : 90/min irrregullr - bl.p 100/60 - on auscultation : pansystolic murmer on mitral and tricucped area - ECG : RBBB with atrial extrasystoles . patient is anaemic ( Hb. : 9gm/dl ) past history of open heart surgery since 12 y for VSD . we aske the patient for ECCHOCARDIGRAPHY ( not done up till now ) we want to ask about the mangment of this case . not: patient not recieve any type of medications exept vitamines
Asked On : Sun, 9 Sep 2012
Answers:  1 Views:  37
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM !

She seems to be a case of operated VSD closure 12 years ago, now pregnant with anaemia of pregnancy.

A pan systolic mitral murmur may be due to anaemia (Haemic murmur) or a VSD murmur.
2D echo will give right insights.

Her ECG shows RBBB with atrial ectopics.
She will need electrolytes, routine basic biochemistry, 2D echo doppler and a cardiology consultation and a gynaecology consultant experienced in high risk pregnancy.

Take care and please keep me informed of your progress.
Good Luck !
I hope to have answered your query satisfactorily.
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Thank you !
Answered: Sun, 9 Sep 2012
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