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  4. how to diagnose and differentiate heart disease during pregnancy-heart disease during pregnancy is easily confused

how to diagnose and differentiate heart disease during pregnancy-heart disease during pregnancy is easily confused

how to diagnose and differentiate heart disease during pregnancy-heart disease during pregnancy is easily confused


First, differential diagnosis

Patients with moderate and severe PIH should be alert to heart failure, especially early heart failure should be identified in time. Patients with fatigue, fast heart rate and cough should be paid attention to clinically, especially when they cough at night and can't lie down or have thud sounds at the bottom of the lung. Patients with abnormal T and ST segments in electrocardiogram examination and enlarged heart in X-ray examination should consider heart failure. Perinatal cardiomyopathy should be considered for symptoms of heart failure such as dyspnea, hemoptysis, chest pain, hepatosplenomegaly and edema in late pregnancy or postpartum. Chest X-ray showed heart enlargement and pulmonary congestion, ECG showed left ventricular hypertrophy and abnormal changes of ST segment and T wave, which may be accompanied by various arrhythmias.

Some patients with this disease may die due to heart failure, lung infarction or arrhythmia; Some patients can recover after clinical treatment, and the second pregnancy may recur.

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