What are the performance of heart disease during pregnancy and how to diagnosis

Clinical performance

1 heart failure: heart disease patients with cardiac function if the original has been damaged or barely compensated because of pregnancy and can be further heart failure in rheumatic heart disease decompensated heart failure pregnant women showed: ① lung disposable blood: mitral valve disease more common in patients with short breath Liang Fei even more tired after a small wetland at the bottom of the Music-X-ray examination showed interstitial edema ② acute pulmonary edema: more common in severe mitral stenosis due to high blood volume in patients with pulmonary hypertension caused by a sudden short breath can not cough sits flat, 10 Bubble-like sputum or blood Liangfei scattered Asthma Luo Ming-or wet-③ right heart failure: common in older heart expand more notable who have atrial fibrillation is usually a labor diminish or had heart failure for the earlier history of heart disease pregnant women artery catheter Closure of atrial septal defect, such as ventricular septal defect with pulmonary hypertension, often leads to right heart failure, pulmonary stenosis and tetralogy of Fallot because of right ventricular pressure overload also 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 that is usually a gestation period of hypoxia and cyanosis peripheral resistance low cyanosis of the increase of non-cyanotic congenital heart disease left to right shunt pregnant women because of blood loss and blood pressure and other reasons may decline to reverse a temporary diversion That is, right to left shunt which caused cyanosis and hypoxia

4 embolization: blood during pregnancy in a hypercoagulable state with the venous pressure associated with heart disease and high blood vein thrombosis Yuzhi easy with pelvic of thrombosis may cause pulmonary embolism from the pulmonary circulation increased pressure to stimulate pulmonary edema or left to right shunt Downturn for the right-to-left shunt if the cavity around the traffic congenital heart disease, thrombosis may be caused by defects peripheral artery embolization

Diagnosis

Yunqian know if that is suffering from organic heart disease diagnosis of the problem does not exist of course, but some patients may not seek medical treatment without symptoms of pregnancy caused by a series of changes in the function of the cardiovascular system can lead to symptoms such as edema palpitation short breath can also be associated with heart Mild heart murmur and other signs of increased X-ray and electrocardiogram changes thereby increasing the diagnosis of heart problems but if there should consider the following abnormal 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

4X-radiography showed heart shadow expanded significantly in particular individual or atrial ventricular expanded significantly

5 echocardiography shows atrial and ventricular heart valve disease