Planning A Pregnancy In People With Angina Pectoris?

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I suffer from angina pectoris and have been married for 8 months, how do I want to plan a good pregnancy? I am afraid that my illness will affect me

1 Answer:

Hello Tamy,


Angina pectoris is a condition where the flow of blood and oxygen to the heart muscle is disturbed, causing complaints of chest pain. Angina pectoris can be both stable and unstable angina. Angina can occur due to blockage and narrowing of blood vessels (atherosclerosis). Angina can also be a sign of coronary heart disease.


Examinations that doctors do for angina pectoris are anamneis, physical examination, and if necessary, with a heart record, echocardiogram, blood tests, CT scan, and angiogram. Treatment will be tailored to the patient's condition including healthier lifestyle changes, medications (aspirin, beta blockers, anticoagulants, calcium channel blockers, statins, ace inhibitors, ivabradine, ranolazine, nicorandril), and surgery (CABG and PCI).


Pregnancy in women with heart problems is a complicated situation and requires the supervision of a related doctor because during pregnancy the burden on the heart tends to increase. When pregnant the cardiac output will increase and the heart rate also increases. Therefore, regular supervision and control with a team of doctors is needed.


In general, pregnancy tolerance in women with heart disease depends on the functional capacity of the heart according to the NYHA, namely:

NYHA I: no limitations in physical activity (lightest)
NYHA II: heart complaints arise when doing moderate physical activity, getting better with rest
NYHA III: even light activity can cause heart complaints
NYHA IV: heart complaints can appear even when the patient is resting (the most severe)

In general, NYHA I and II classification is still quite safe to continue normal pregnancy and delivery. However for NYHA III and IV pregnancies are considered high risk.


If you want to undergo a pregnant program, I suggest that you consult your obstetrician and heart doctor first. The doctor will perform a heart function examination and general examination on you and then determine the most appropriate treatment, including a treatment plan for pregnancy and childbirth that you may need.


The following articles are related to the topic of your question:


Angina pectoris
Pregnant women can experience heart muscle disorders


Thank you and hope it helps,


dr. Devika Y

: by

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