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Hi,
Im pregnant with my second child, im in my 7th week, before one month i felt chest pain and shortness of breath and dizziness so i went to ED, they found some ECG changes but my chest x-ray was normal and all blood tests were normal even the tropinin i test was negative, and i then discharged. I will have specialist referral next month.
the point that i still sometimes feel chest pain, and sometimes shortness of breath, and the most annoying sensation is the continuous tiredness all the time and frequent palpitation!
At hospital they told me they don’t know why that happened, im worried and i want to know if theses complaints can be related to the pregnancy only, or do i have some other problem? Please need your help
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replied February 1st, 2010
Hi, and thanks for your medical question on eHealth forum!

The symptoms (chest pain, and sometimes shortness of breath, continuous tiredness all the time and frequent palpitation) could be due to pregnancy, but generally second trimester baby is not so huge to cause these symptoms. Since troponin test was negative, it is unlikely to be a heart attack or angina.

Since you are pregnant, there is a possibility you have anemia. So get your hemoglobin and serum iron level done. Symptoms of mitral stenosis and mitral valve prolapse in the heart can be aggravated during pregnancy. Possibility of a hyperthyroid state will have to be looked into. Diabetes too should be ruled out and so does the possibility of high blood pressure.

If you have hiatal hernia where a portion of stomach herniates into the chest cavity, then an additional pressure by the growing baby can cause your symptoms.

Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your treating doctor and gynecologist once. Hope this helps. Take care!
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