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Re: cardiolipin IgG

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 4 Nov 1999 21:08:49 -0600 (CST)


At Thu, 4 Nov 1999, Holly wrote: >
>This summer I delivered my 3rd child (3rd pregnancy, other two were full
>term with no health problems) at 26 weeks gestation. This third
>pregnancy was complicated with oligohydramnios caused by the kidneys
>failing to grow. I became septic and this caused me to go into early
>labor, during the labor my heart rate was at 140 most of the time. I
>was given three heavy antibiotics and was released three days after the
>birth of my son. Previous to this pregnancy I was diagnosed with
>hypothyroid and had been on synthroid .125 during the pregnancy. At 6
>weeks post my blood pressure was elevated for me and my pusle was still
>around 100. My TSH was tested and found to be at .01. I went to my GP
>who did not lower my dose of synthroid but my pulse was still at 115.

This confuses me, but as Dr McCoy used to say on Star Trek (the original), "I'm just a plain country doctor, Jim". (Of course, that's not as well known as "He's dead, Jim".

>In
>addition to my synthroid I was taking birth control pills (Loestrin).
>After having chest pain and panic attacks I tried to get my doctor to
>lower my dose but she just stated to see if it would correct itself.

Confused again.

>I
>stopped taking the synthroid and then later the pills as I started
>having leg pain. I have since been tested with EKG, VQ lung scan and
>many blood tests. I came up "moderately positive" with the cardiolipin
>IgG my score was 75 with moderate positive being 20 - 100. My question
>is will this affect any future pregnancies?

Definitely possible.

>I have been told not to take
>the pill because of increased chances for blood clots and told to not
>get pregnant right now.

(+) ACA is associated with increased clotting problems.

>I have always been very fertile and other
>methods have not been greatly effective. We are talking about a
>vesectomy but don't want to do anything permanent until finding out more
>about these antibodies. We would like another child as our son died
>this summer but don't want to risk my health. If you have any
>information I would appreciate the help. Sorry this was so long.
>

With (+)ACA, usual treament in pregnancy is Baby Aspirin daily and subcutaneous Heparin twice daily. Good luck. >--
>Holly Garmon
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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 emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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