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Dilated left Atrium, trace MR and pregnancy?
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Dilated left Atrium, trace MR and pregnancy?

In 2009 I developed bacterial Pneumonia after giving birth. My heart rate was through the roof and then got really low (30s). I had an Echocardiogram and was told I had Trace Regurgitation and a mildly dilated left atrium (4.5 cm). Everything else was normal (except small circumferential pericardial effusion that was cleared up after the infection went away).

I am currently 24 weeks pregnant and was given another Echo Thursday. Today, the nurse called and said there was "no significant changes". I still had trace MR and the left atrium is still mildly dilated. She said everything else was in "normal limits" and I did not have MVP. She couldn't go into more detail as she isn't familiar with Echo results and wants me to wait until I see my OB (in March).

I guess my questions are:

Is it a good thing or bad it didn't change?
Can I still have a natural child birth?
Does this mean I will have heart failure later on in life?

I obviously will be asking my OB this when I see her in March but I'm very anxious and figured I would give it a shot here.
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Trace mitral regurgitation is not a terribly concerning finding, especially if it has been stable for years. It is probably the reason for the mildly dilated left atrium, as well. If they were worsening with time, there might be reason for concern, but stable is good. It should stil be followed on a regular basis...maybe yearly or every 2 years. It doesn't say anyting about your potential to develop heart failure in the future. Many people live with mild mitral regurgitation and never develop heart failure. With such mild findings, there shouldn't be any issues with childbirth,
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