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16 Weeks


calypso
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Went for my 16-week checkup on Monday and everything is surprisingly going very well. I am finding I have more energy in the last few weeks than I have since the last time I was pregnant -- guess it's all those extra hormones that I need to keep me alert.

My heart rate is definitely higher and I'm shorter of breath than usual, but unless I hit a heart rate of 120 or more on a regular basis, I can remain med-free. I've been running in the 100-105 range at the highest, and usually in the 80-100 range.

I did have an episode of near-fainting yesterday. I became dizzy over the course of an hour or so, even after I was lying flat, and then had some alternating tachy and brady episode that lasted just a half hour. Then I was fine. Hope this doesn't happen again, but if it does, I will probably have to go back on the beta blocker.

So I have minimal nausea and not much fatigue. The gist is that so far, everything is nice and boring and maybe will stay that way! Thanks for the support.

Amy

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Guest sonotech

Amy,

That sounds like great news! I am glad things are going well for you and I will keep my fingers crossed for you the rest of your pregnancy. If you made it to 16wks with little problems, then the outlook is pretty good!!

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congratulations and i hope that things remain in your favor and that you don't have anymore of those nasty pre-syncope episodes or the tachy/brady -can't make up its mind- episodes either. good luck!

dionna :)

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Glad things are going well.

Regarding heart rate--do you mean your resting heartrate? In other words, your doc feels it is ok to have a resting hr of 120 or less?

I remember that once I hit 23 weeks or so, my hr was frequently above 100 resting. I don't think it usually went above 120, resting. But when I walked around or did any minor activity it went right up to 140 or so. I remember asking a cardiologist my ob/gyn sent me to (this was prior to POTS diagnosis) and he flippantly said, your heartrate can go up to 180 with no problem. This is still a question of interest in my mind--at what point would bb's be advisable in a pregnancy.

Also, what do your doctors say about salt intake?

Katherine

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Katherine --

The docs in my OB group differ a bit on what my resting heart rate level should be the max before starting BB therapy. My assigned doctor said 140. Another two said 120. Another said 150. I have basically decided to take it into my own hands. If I am consistently running above 120, I am going to start the BB again. I feel that if my heart rate is that high, the circulation to the baby is compromised anyway -- which is the potential risk (resulting in a slightly smaller baby) if I take the BB. I would be taking a dose of Toprol at 25 mg (a half a pill daily), and at this level the risk for having a smaller baby is lower than if I were to take a dose of 50 mg or higher.

I think what my doctors mean by resting heart rate is the average rate, because of how much I am standing during the day. They know I will be slightly higher when standing, but they know I'll be lower when lying flat. So I think they mean if I'm just standing or sitting around and it's 120 or 140 or higher, then that's too much. Thankfully I'm not hitting that point ... but I realize that the next three months are going to increase the chances that I do.

As for salt, because my BP is not low, they do not encourage extra salt. I find that more salt makes me retain water in my legs and does not make me feel any better, even when I drink more fluids. Obviously there are many women who benefit from this, but I just don't think I am one of them. The only thing that seems to help my heart rate is exercise. I find it's elevated for a while afterward, but the rest of the day or the next day it's lower.

Amy

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I guess I am not surprised that you got such a variety of answers. Frustrating that they can't all get together and agree. Are you having a 24-hour holter monitor at certain points, or are they just relying on you to report your hr?

I felt so, so much better when I increased salt during pregnancy--but I think it could have triggered the problem with high bp in the final days.

Katherine

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