Palpitaions and possible Ischemia

[jaytori220]

I am a 31 year old mother  to a 3 year old son and I am 26 weeks pregnant.  I noticed palpitations with my first pregnancy that I never had before.  They never went away.  Palpitations dont come at a certain time of day or night....but I also short of breath.  He sent me for an EKG which showed a boarderline T wave abnormality, consider Ischemia.  3 doctors have looked at it....the Dr in the hospital who said there was an abnormality, my allergist, and my OBGYN.  Niether have said to me if this is a problem nor has brought it up at any of my visits.  My OBGYN has put me on Wellbutrin for very bad mood swings along with the palpitations which he feels is anxiety.   My sister is pushing me to see a cardiologist.  I have no health insurence except what I have for my pregnancy.  I am not sure what to think or what I should do.  Talk to my OBGYN at my next visit?  I know he looked it over because he signed off on the EKG.  Maybe he feels nothing is wrong and its just the anxiety.  Im so confused on what to do.

[Cleveland Clinic]

It's normal to have palpitations and shortness of breath during pregnancy but some conditions such as preeclampsia (HTN) or diabetes should be ruled out.  Your obgyn should take care of that.  I am assuming that you were healthy prior to the pregnancy and that the first pregnancy was uncomplicated.  EKG readouts made by the machine are ofter wrong, we as cardiologist correct them all the time.  At the same time, an obgyn is no EKG expert and he or she should ask a cardiologist or an internal medicine doctor if they aren't sure what they are looking at.  My hunch is that your EKG, even though it may be slightly abnormal, is no reason to be concerned.  I am not concerned about ischemia or coronary artery disease in your case.  Palpitations are very common during pregnancy and as long as there is no sustained arrhythmia you will be ok.  The last term means that those extra beats are going on continuously for minutes to hours, non-stop.  At this point, if the exertional shortness of breath or the palpitations worsen I would recommend that you seek further workup but let your obgyn guide it, they have lots of experience dealing with this.  .    

[Cleveland Clinic]

The last term in the previous sentence: "sustained arrhythmia".

[jaytori220]

Yes I was healthy prior to my first pregnancy and it was uncomplicated.  And so far this pregnancy is also.  My palps started during my first pregnancy.  After I had my son they continued and never went away and it also consists of the shortness of breath especially when I am not resting and moving around alot.  I have had them for 3 years now off and on sometimes several times a day, few weekly, or sometimes not for a month or so.  One was so strong a few months ago it felt like a squeezing sensation and it felt fluidy.  My allergist said that it didnt make sense to him and didnt sound like asthma is causeing the symptoms like he was treating me for originally.  So thats when he sent me for an EKG and I followed up with my OBGYN with it.  WHat do you mean by the last term means that those extra beats are going on continuously for minutes or hours non-stop?  By the last term do you mean Ischemia and that it just means that my palps are continuous?