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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Quickened Pulse, Difficulty Breathing, Headache. History Of Hypothyroidism. Treatment?

33 weeks pregnant, frequent bouts approx 5-10 min long of extreme fast pulse , hard to breathe, achy head ache. What s wrong? History - 25 years old, second pregnancy (first pregnancy only had low iron, controlled that with pills delivery normal at 37 weeks baby was 8 lbs) hypothyroidism - controlled with synthroid; lymphocytic colitis - no meds for this but not a very bad case of it.
Fri, 4 Oct 2013
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Rheumatologist,  's  Response
Hi. Frequent palpitations associated with shortness of breath and headache makes me think of
1) Tachy-arrythmias(abnormal heart rhythm/rate), which can be picked up by ECG during the episode or if required a 24 hour Holter monitoring to record these episodes
2) Palpitations can be a part of normal pregnancy too because of the increase in the vascular volume
3) Palpitations can also occur due to anemia especially in pregnancy, moreover there was a history of anemia in the previous pregnancy too
4) Sometimes overdose/ higher doses of synthyroid may also give similar picture, due to hyperthyroidism or overcorrection
So considering these possibilities, I would like that you check your hemoglobin, ECG and your thyroid status to know exactly what is causing your palpitations.
Hope i have answered your question. Thank you.
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Pregnant, Quickened Pulse, Difficulty Breathing, Headache. History Of Hypothyroidism. Treatment?

Hi. Frequent palpitations associated with shortness of breath and headache makes me think of 1) Tachy-arrythmias(abnormal heart rhythm/rate), which can be picked up by ECG during the episode or if required a 24 hour Holter monitoring to record these episodes 2) Palpitations can be a part of normal pregnancy too because of the increase in the vascular volume 3) Palpitations can also occur due to anemia especially in pregnancy, moreover there was a history of anemia in the previous pregnancy too 4) Sometimes overdose/ higher doses of synthyroid may also give similar picture, due to hyperthyroidism or overcorrection So considering these possibilities, I would like that you check your hemoglobin, ECG and your thyroid status to know exactly what is causing your palpitations. Hope i have answered your question. Thank you.