Pregnancy and clinical manifestations of heart disease diagnosis

Yunqian know if that is suffering from organic heart disease, of course, there is no diagnosis of the problem, but some patients may be no symptoms rather than medical treatment.

[Clinical]

1. Heart failure: heart disease patients with cardiac function if the original has been damaged or barely compensated, because of pregnancy and further heart failure compensation. Rheumatic heart disease in pregnant women, for heart failure performance: ① lung disposable blood: more common in mitral valve disease, patients with short breath, even after the exertion, Liang Fei at the bottom of a small wet-Music. X-ray examination showed interstitial edema. ② acute pulmonary edema: more common in severe mitral stenosis, due to high blood volume caused by pulmonary hypertension. Patients with sudden short breath, not sits flat, cough, sputum, or 1,10 bubble-like blood, scattered Asthma Liang Fei Ming-or wet-Music. ③ right heart failure: common in older, more notable expansion of the heart, atrial fibrillation, which are usually labor diminish, or had heart failure in the history of the Treasury. Prior heart disease pregnant women, patent ductus arteriosus, atrial septal defect, such as ventricular septal defect with pulmonary hypertension, often leads to right heart failure, pulmonary stenosis and tetralogy of Fallot, the right ventricular pressure overload, and more Performance for the right heart failure; aortic stenosis may be due to overloading and left ventricular pressure table to the left heart failure.

2. Infective endocarditis: Regardless of rheumatic heart disease or congenital heart disease can be complicated because of bacteremia and infective endocarditis. If not timely controlled can trigger heart failure and death.

3. Hypoxia and cyanosis: in the cyanotic congenital heart disease, which usually have hypoxia and cyanosis, pregnancy, low-resistance, cyanosis increase. Non-cyanotic type, left to right shunt congenital heart disease pregnant women, because of blood loss and blood pressure dropped and other reasons, can be caused by a temporary reverse triage, right-to-left shunt, which caused cyanosis and hypoxia.

4. Embolization: during pregnancy, blood in a hypercoagulable state, coupled with heart disease increased with the vein and the vein blood pressure Yuzhi, easy with Embolism. Thrombosis likely to come from the pelvis, cause pulmonary embolism, increased pressure on the pulmonary circulation, thereby stimulating pulmonary edema, or left to right shunt reversed for right-to-left shunt. If the cavity around the traffic congenital heart disease, thrombosis may be caused by defects around the artery embolization.

[Diagnosis]

Yunqian know if that is suffering from organic heart disease, of course, there is no diagnosis of the problem, but some patients may be no symptoms rather than medical treatment. Pregnancy caused by a series of changes in the function of the cardiovascular system, can lead to palpitations, short breath, and symptoms such as edema, can also be associated with increased heart mild heart murmur and signs, such as X-ray, electrocardiogram changes, thereby increasing the diagnosis of heart problems. However, if the following anomalies, there should be considered organic heart disease.

1. Ⅲ level and above, the rough systolic murmur.

2. Diastolic murmur.

3. Serious arrhythmias such as atrial fibrillation or flutter, atrioventricular block, and so on.

4.X line radiography showed heart shadow expanded significantly, particularly individual atrial or ventricular expanded significantly.

5. Echocardiography showed that heart valve, the atrium and ventricle lesions.