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Heart Disease (Expert Forum)
mild pulmonary hypertension, FVL, and miscarriages
Answered by
Cleveland - OH
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mild pulmonary hypertension, FVL, and miscarriages
by sbteacher, Aug 28, 2005 12:00AM
Hi--
I am 33 and overweight by 50 lbs. My husband and I have been trying to conceive our first baby. I had 2 miscarriages in a short period of time and I went for an evaluation with a specialist. He found no problems other than the fact that I tested positive for factor v leiden. As a result, I will use Heparin for my next pregnancy. The infertility specialist also sent me to a cardiologist due to a heart murmur. The cardiologist did an echo and said my murmur is minor, but that I have mild pulmonary hypertension (RV systolic pressure of 42). He wants me to follow up annually with echos.
Do you think that the factor v leiden and pulmonary hypertension are related? Would you recommend that I see a pulmonologist for further testing regarding the PH? Can the fact that I have PH be dangerous to me if/when I become pregnant again?
Thanks You!
I am 33 and overweight by 50 lbs. My husband and I have been trying to conceive our first baby. I had 2 miscarriages in a short period of time and I went for an evaluation with a specialist. He found no problems other than the fact that I tested positive for factor v leiden. As a result, I will use Heparin for my next pregnancy. The infertility specialist also sent me to a cardiologist due to a heart murmur. The cardiologist did an echo and said my murmur is minor, but that I have mild pulmonary hypertension (RV systolic pressure of 42). He wants me to follow up annually with echos.
Do you think that the factor v leiden and pulmonary hypertension are related? Would you recommend that I see a pulmonologist for further testing regarding the PH? Can the fact that I have PH be dangerous to me if/when I become pregnant again?
Thanks You!
Doctor's Answer
by Cleveland Clinic, Aug 28, 2005 12:00AM
, Aug 28, 2005 12:00AM
sbteacher,
Hopefully you can carry a successful pregnancy. I have a close friend with FVL who took SQ heparin who now has a healthy 1 year old that she delivered after 2 previous miscarriages. Her success was a tribute to her perseverance and good care from a high risk OB specialist.
One thing I would be concerned with the PHTN would be the whether you were having chronic pulmonary emboli leading to the PHTN. A cardiologist or pulmonologist should be able to evaluate you and follow you for this.
Mild PHTN in itself shouldnt pose too much risk, but should be followed closely.
good luck
Hopefully you can carry a successful pregnancy. I have a close friend with FVL who took SQ heparin who now has a healthy 1 year old that she delivered after 2 previous miscarriages. Her success was a tribute to her perseverance and good care from a high risk OB specialist.
One thing I would be concerned with the PHTN would be the whether you were having chronic pulmonary emboli leading to the PHTN. A cardiologist or pulmonologist should be able to evaluate you and follow you for this.
Mild PHTN in itself shouldnt pose too much risk, but should be followed closely.
good luck
Jan--I'm not sure what the answer is. Maybe you should request an earlier appointment. I'm going to schedule another appointment with my cardiologist (as well as a pulmonologist) to see if we can do some tests to determine if I have had pulmonary emboli. I'll probably be seeing them over the next couple of weeks and I'd be happy to share the information I get from them with you.