Epinephrine

Hi,

Thanks for your time and expertise.

An echo run in the second trimester of my third pregnancy showed mild to moderate insufficiency in the aortic, mitral and tricuspid valves. (I had been experiencing angina-like symptoms and irregular heartbeats). By the end of my third trimester, I felt worse than I ever had in my life -- breathing difficulties, etc.

During Labor, my BP kept dropping below 80/40. The doctor prescribed Epinephrine, both via shots in my hip and the drip. (I had an Epidural). I haven't shared the "episode" with my cardiologist yet, and am wondering if I should. What could cause the continual drop in BP? I thought BP went up during Labor?

During my 3-day stay in the hospital my BP was continually low, as was my heartrate -- 30's and 40's. At one point, the nurse actually asked if I had a Will and whether I was an organ donor. (I had fainted after standing up; she said my lips had turned white).

I'm a thin, otherwise fit 36 year old but wondering if I should be more agressive about my cardio care, tests, etc.

The happy news is that I delivered a healthy 7 lb. boy!

Thanks,
KKG

[Kevin Pho, MD]

Congratulations on delivering your child!

Epidurals and the medications used for anesthesia can certainly cause a drop in the blood pressure and pulse.  Depending on the length and amount of the anesthetic used, it can stay in the body for awhile causing a prolonged effect.  

Although this complication passed without further deteriation, I would certainly inform your cardiologist of this event.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[surgeon]

an epidural can lower blood pressure. However, if I were you, I'd certainly keep my cardiologist apprised of all relevant info.

[kevinmd]

Hello - I will be on vacation until August 9th. I look forward to answering your question when I return.

Thanks,
Kevin, M.D.