I'm a 37 yr old woman who was diagnosed at 31 as having had a silent heart attack, although the doctors don't know when it
happened. I was having PVCs(benign), which I mentioned to my Internist during a routine exam. An ekg showed abnormal results, and an echo showed a small area of damage. I next had a thallium stress test, and a heart catheterization showed damage from a moderate heart attack, although I had normal coronary arteries. I had taken the Pill for 5 yrs prior to diagnosis, and my cardiologist is assuming that the MI was caused by a blood clot, possibly related to the pill, although I guess I will never know for sure what caused it.
I've had several echos and stress tests since diagnosis, with no change.I have never smoked or taken drugs, drink rarely and am otherwise healthy,although I am 35 lbs overweight. My EF is 50, blood pressure normal, all other tests have come back negative/normal:clotting/coagulation tests,diabetes,lupus, Lyme,excess iron,hepatitis,HIV, lipoprotein a, anti-phosholipid antibody, anti-nuclear antibody tests,etc. I currently take 1 mg folic acid, 81 mg aspirin, 25 mg atenolol, fish oil and a multivitamin. My total cholesterol:186, HDL:43 LDL:130 Trig:68.
I want to become pregnant soon, so I spoke to a Maternal/Fetal specialist. She reviewed my records,and recommended testing for Factor V Leiden and Prothrombin Gene Mutation-I am still waiting for the results. What are the implications for me if either or both come back positive? What treatments are available? What would my prognosis be? Should I avoid becoming pregnant?