Signs of hea disease in pregnancy :

Ans. is a : Diastolic murmur Clinical indicators of Hea disease during Pregnancy : Symptoms Progressive dyspnea or ohopnea Nocturnal cough Hemoptysis Syncope with exeion Chest pain related to effo or emotion Symptoms of pulmonary hypeension Clinical findings Cyanosis Clubbing of fingers Persistent neck vein distension Systolic murmur greater than grade Diastolic murmur Cardiomegaly Persistent arrythmia Persistently split second sound Criteria for pulmonary hypeension Besides these on investigation ? Chest x-ray shows - cardiomegaly with increased pulmonary vascular markings or enlarged pulmonary veins: ECG - T wave inversion dysrarythmia ECHO - Abnormality of valves. Extra Edge : Predictors of cardiac events during pregnancy : N : New york hea association grade > II m : Obstructive lesion of left hea i.e., - Mitrel valve area < 2 cm2 - Aoic valve area < 1.5 cm2 - Peak left ventricular outflow tract gradient > 30 mm P : Prior cardiac event before pregnancy : - Hea failure - Arrythmia - Transient ischemic attack - Stroke E : Ejection fraction < 40%.