Dr. Joseph Poku
#electricity #HeartBLOCK
#GrinchSyndrome
#ExecriseIsKey
#HeartArrythmia #StraightFromtheHeart
#HeartBeat #BPM #SVT #EKG
Clinical Electrophysiologist discusses the cardiac issues that pregnant women experience and laughs at his own brief tangent as he presents ways to decrease risks and treat heart problems in pregnant women.
Most common heart arrythmia is SVT, Super Ventricular Tachycardia, and this condition mostly manifests for the first time when a person is pregnant. SVT is where the heart beats extremely fast.
Women who experience heart fluttering or a fast-beating heart is first given a heart monitor to wear for 24 hours so that all heart beats within that time period can be recorded and studied. The next step up from that is an event monitor. These monitors use a trigger button sensor that prompts the monitor to records a period of 3 mins before and 3 mins after a person prods the trigger button in response to them feeling a sensation in their chest. This technology gives physicians the ability to capture what a person is feeling as it happens because any sensation in the chest or heart in women should be taken seriously. By having a cardiologist evaluate the upper and lower chambers of the heart can work towards a diagnosis and pinpoint the seriousness of any abnormal feelings in the chest. Echocardiograms are ultrasounds used to diagnose heart conditions; it allows radiologist and physicians to see the valves of the heart.
Cardiac Electrophysiologist look for risk factors in pregnancy like common atrial fibrillation, any history of heart failure that is class 2 or higher, low ejection fraction due to weakened heart muscles, any genetic abnormalities or any congenital heart diseases.
One of the apparent drawbacks would be the deregulation of Autonomic Nervous System in pregnancy. The volume in pregnancy increases primarily the blood volume changes, these changes increase stretch as stretch increases the tissues’ refractoriness can alter the characteristics of the electrical properties of the electrical system of the heart. This in tandem with other contributing factors such as hormones and unhealthy practices expose more underlying or preexisting morbidities in pregnancy.
At times cardiologist find high blood pressure in the lungs, valves blockages or valves with abnormally small opening on the left side of the heart, symptoms of heart failure like one’s heart not being able to relax or the heart not being able to pump enough blood to meet one’s daily metabolic demands. These findings have been determined to increase the mother’s risk by 25%.
But what about baby? By 4 months of pregnancy, the conduction system (the electrical system of the heart) is mature and already working. In women with lupus, the pregnancy becomes high risk as the fetus develops antibodies that affect its heart rhythm usually slowing it down. On the other hand, if fetal heart rhythm is fast, a heart rate that is greater than 180 beats per minute, then there would be a need for the mom to take an anti-arrhythmic medicine that would cross the placenta barrier with great efficiency.
So, a call to action for women who are considering getting pregnant: if you have weak heart muscles, a heart murmur, extreme shortness of breath, swollen legs, or joints that are extremely loose, then please do see a cardiologist or a primary care provider before you attempt a pregnancy. In addition, exercise is a key component to a healthy heart during pregnancy. Exercise can work one’s way out of dysautonomia which is a dysfunction of the nerves that regulate nonvoluntary body functions, such as heart rate, blood pressure, and sweating. Exercise strengthens the heart, leads to better auto regulation of one’s heart, so those who are family planning should get a minimum of 3 hours of exercise per week because staying active will work in everyone’s favor.