懷孕期間的心悸值得關(guān)注嗎?

懷孕期間的心悸值得關(guān)注嗎?

IT CAN FEEL LIKE A fluttering in the chest, a racing, pounding or fast-beating heart. Sometimes it comes and goes quickly without garnering much attention, but in other instances heart palpitations can be very noticeable – and scary.

這種感覺就像胸部的顫動、心跳加速、砰砰直跳或心跳加速。有時心悸來得快去得快，卻沒有引起太多注意，但在其他情況下，心悸可能非常明顯——而且令人害怕。

What Are Heart Palpitations?

什么是心悸?

Heart palpitations are a feeling that, in many instances, may just reflect the normal variations of a heart. Sometimes the heart races, and the reasons for this vary and in many cases are unknown. Often the palpitations last only a few seconds. It happens out of the blue but doesn't recur. Less commonly, palpitations may persist for longer periods or occur on a regular basis, and occasionally they can be a sign of a more serious issue like an arrhythmia – a problem with the rate or rhythm of the heartbeat.

心悸是一種感覺，在許多情況下，可能只是反映心臟的正常變化。有時心跳加快，其原因各不相同，而且在許多情況下都是未知的。心悸通常只持續(xù)幾秒鐘。這是突然發(fā)生的，但不會復發(fā)。不太常見的是，心悸可能持續(xù)較長時間或定期發(fā)生，偶爾也可能是更嚴重的問題的征兆，比如心律失常——心率或節(jié)奏的問題。

Grayver says heart palpitations are one of the most common complaints she hears about from patients who are pregnant, right after shortness of breath. Even so, while typically benign, she and other clinicians caution against dismissing the concern out of hand.

格雷弗說，心悸是她從孕婦那里聽到的最常見的抱怨之一，就在她呼吸急促之后。即便如此，盡管通常是良性的，她和其他臨床醫(yī)生警告說，不要對這種擔憂置之不理。

Cause

原因

Although it’s not entirely clear why palpitations are more common during pregnancy, clinicians say hormonal and physiological changes that happen during those nine months likely play a role. That includes an increase in blood volume of 30% to 50%, as much more blood is pumped to the uterus, and a raised heart rate, from a normal prepregnancy rate of about 70 beats per minute to 80 to 90 beats per minute, according to Merck Manual, a medical resource. Taken altogether, “your heart is working harder during pregnancy,” says Dr. Adam Lewkowitz, an assistant professor of maternal-fetal medicine at Brown University and maternal-fetal medicine specialist at Women & Infants Hospital of Rhode Island.

雖然還不完全清楚為什么心悸在懷孕期間更常見，但臨床醫(yī)生說，這九個月期間發(fā)生的激素和生理變化可能是一個原因。據(jù)醫(yī)療資源公司默克手冊(Merck Manual)說，這包括血容量增加30%至50%，因為更多的血液被泵入子宮，以及心率加快，從正常的每分鐘70次的孕前心率提高到每分鐘80至90次。布朗大學母胎醫(yī)學助理教授、羅德島婦嬰醫(yī)院母胎醫(yī)學專家Adam Lewkowitz博士說，總的來說，“懷孕期間你的心臟工作得更辛苦。”

Risk Factors for Palpitations During Pregnancy

懷孕期心悸的危險因素

· Age, particularly if 35 years or older when pregnant.

年齡，尤其是懷孕時35歲或以上。

· Existing heart defects.

現(xiàn)有的心臟缺陷。

· Cardiomyopathy, a disease that makes it harder for the heart to pump blood.

心肌病，一種使心臟難以泵血的疾病。

· Family health history, like a parent or close relative who has an arrhythmia.

家庭健康史，像父母或近親有心律失常。

· Lifestyle habits, including drinking, smoking or using drugs such as cocaine.

生活習慣，包括飲酒、吸煙或使用可卡因等毒品。

· Diabetes or low blood sugar.

糖尿病或低血糖

· Obesity.

肥胖

· Other medical conditions

其他醫(yī)學癥狀

Lifestyle Changes to Reduce Palpitations

改變生活方式以減少心悸

· Stay well hydrated.

保持充足的水分。

· Avoid heavy meals, instead opting for more frequent, smaller meals.

避免暴飲暴食，少食多餐。

· Do everything you can to get adequate rest.

盡你所能得到足夠的休息。

· Limit caffeine intake.

限制咖啡因的攝入量。

· Exercise regularly.

定期鍛煉