PREGNANCY-BIRTH Messages for October, 2001: Re: neurocardiogenic syncope and pregnancy

Re: neurocardiogenic syncope and pregnancy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Oct 2001 16:30:40 -0600 (CST)

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In reply to: Janice: "neurocardiogenic syncope and pregnancy"

At Wed, 31 Oct 2001, Janice wrote: >
>I was diagnosed with neurocardiogenic syncope about six years ago after
>a tilt table test in which I lost consciousness after about three
>minutes and required chest compressions becuase my heart stopped for
>about seven seconds. I am now 31 years old and just over three months
>pregnant. I've been trying to find any information about risks and
>treatments associated with NCS for pregnant women without much luck. I
>have tried several beta blockers and found them to be ineffective, so
>quit. There was some discussion of putting in a pacemaker, but that
>seems to have been dropped now. I have already had one episode, about
>one month into the pregnancy, and I'm concerned about having more during
>pregnancy and into labour - pain is a trigger for me, as are needles
>(I'm afraid to goahead with the normal blood tests at my next prenatal).
>I'm afraid I'll have another one, or more, and possibly fall and hurt
>the baby, or bring on premature labour, or cause brain damage through
>lack of oxygen. When I pass out, my heart stops for seconds at a time
>and I go into convulsions. Does anyone have any information about NCS
>and pregnancy? Please post it here, or e-mail me. janice@annexweb.com
>
>--
>janice@annexweb.com
>

Janice, To me, a pacemaker would be the most probable solution, in that you are not likely going to effect the syncopal episodes by any other means. Providing a cardiac support for the asystole of the heart would maintain the support your body requires during the episodes... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: antepositioned uterus"
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In reply to: Janice: "neurocardiogenic syncope and pregnancy"

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