PSVT- Extreme Exhaustion- Pregnancy

[gssm2819]

Hi.  I am a 28 year old female 7wks pregnant.Overall healthy lifestyle.Up until the 14th of this month I walked at least a mile a day without sob/fatigue.  No hx of drugs or alcohol.

Since Feb. 14th the exhaustion has reached the point where I haven’t felt the strength to hold my head up.Only while being in bed did/do I feel ok. Feb.19th I almost passed out but also felt numbness in my upper extremities, mouth, and face. I was told my heart and breathing stopped on the way to the hospital. I remember  feeling that my whole body went numb and my legs felt extremely weighted.

BP- 150/90, P- 100, O2 ,ECG,Electrolytes,BS, Temp,Ultrasound,Echocardiogram,anemia, thyroid, all normal. I was admitted for observation and my BP returned to normal 110/60. I wore a Holter on release and was instructed to go home and rest the entire time which I did.

The results: Paroxysmal Supraventricular Tachycardia sustained up to 170 beat per minute. Other results; Premature SV: 20%,  ST Segment elevation: 200uv, ST segment depression: 100uv, Pause: 2000mseg, RP longest pause: all beats, FC excluded pause: no, Tachy.: 120 bpm, Min.Tach: 3 minutes. Ectopic SVs: A-Fib (time%) pico FC media- (1)/173 bpm, Aislados- 360, Pares- 479, Episodes/FC pico-267, Fastest Episode : 360bpm, Longest Episode: 9.  Some is Spanish sorry.

I was put on bisoprolol fumarate 2.5mg q12h.
Would PSVT alone cause me to go numb, tingly, and weighted down?  Is this pregnancy induced?Is it really as serious as the cardiologist here made out? Should I get a second opinion?

Thank you for your help. Desperate.

[Cleveland Clinic]

gssm,

PSVT can occur with pregnancy. Im not sure what to make of your episode. If your echo and cardiac function are normal, then PSVT in itself shouldnt cause you to black out, but would more likely cause racing and palpitations. Although these symptoms may have been magnified with your pregancny resulting in your event.

I would certainly be more vigilent with your pregnancy now. I think it would be reasonable to express your concerns to both your cardiologist and OB Gyn. There is nothing wrong with seeking a second opinion. Pregnancy can be stressful enough, and some reassurance or validation from an independant physician might be helpful.

good luck and keep us updated

[cristabelle]

congrats on your pregnancy.  I had an episode of syncope similar to yours during pregnancy minus the tachycardia &cardiac workup.  I was taken to the hospital also, put on IV's because I had such extreme nausea etc.  I was dehydrated and had high levels of ketones.  That was the reason I passed out. I had not been well for a week or so.  They kept me for a 2-3 days, fluids only and got me back on track.

I'm curious to know if you were experiencing any morning sickness at all??

I was diagnosed with mitral valve insufficiency +2-3 a few years later, but it didn't seem to ever impact or effect my pregnancy or lovely little girl.

Wishing you the best, keep us posted.
cristabelle

[netrox]

A question about the ECG chart. On the II lead, the R wave (peak) sometimes go above the U (flat) wave and sometimes it is the opposite, it dips below the U wave. My ECG says it's normal though.

Does the direction of R waves make any difference? Why do R's seem to be reversed at different times?