Pregnant woman's breasts hurt

Pregnancy is a very serious matter. Pregnant women should be careful about accidental miscarriage in the first three months. In the last three months, some minor symptoms will appear in the body, such as preventing diabetes, high blood pressure, high blood lipids, and purpura. The most serious problem is the breast problem. Next, the breasts need to prepare for breastfeeding. If you feel a little pain in your breasts, you must be especially careful.

reason

1. There are family genetic factors

A positive family history of myocardial infarction before the age of 60, such as a positive family history of hyperlipidemia, hypertension, and diabetes.

2. Disease factors

Various conditions with abnormal lipid metabolism, such as persistent or refractory hypertension and diabetes.

3. Adverse factors

Smoking, drinking, and taking drugs.

4. Environmental factors

Women with type A personalities and those who are emotionally unstable and lead stressful lives.

5. Disease factors related to pregnancy

Pregnancy eclampsia, pregnancy complicated with diabetes; thromboembolic complications of pregnancy (occurring on the basis of thrombophlebitis, myocarditis, chronic atrial fibrillation, atrioventricular block, bacterial endocarditis, primary cardiomyopathy, etc.).

6. Factors related to female endocrine

Insufficient female hormone secretion, amenorrhea or artificial menopause, and long-term oral contraceptives.

7. Other factors

Congenital anomalies, such as anomalous origin of the coronary arteries and aortic valve stenosis, coronary arteritis, hypertrophic cardiomyopathy, vasospasm, etc.

According to foreign reports, coronary angiography in patients with pregnancy complicated by myocardial infarction is often normal. It is speculated that this may be caused by spasm or local thrombosis, which reduces coronary blood flow. The cause of the cramps is unclear, but it may be related to pregnancy-related hypertension or the use of drugs such as oxytocin. Coronary artery dissection during pregnancy or postpartum is also a common cause.

examine

The clinical manifestations of myocardial infarction during pregnancy have very important reference and diagnostic value for diagnosis. Myocardial infarction in pregnancy has the following main clinical manifestations.

1. Chest pain during pregnancy

Most chest pains during pregnancy present with precordial pain or angina pectoris as clinical manifestations. Clinically, this pain is often easily confused with heartburn caused by esophageal and/or digestive tract (gastric acid irritation, pyloric spasm, ulcer disease) lesions. Therefore, chest pain or angina pectoris during pregnancy should be clinically identified, especially in emergency patients with sweating, general tightness, or persistent and progressive worsening of chest pain after general treatment. Pregnant myocardial infarction should be highly suspected.

2. Symptoms and signs that may be similar to normal physiological changes of pregnancy

Due to the relationship between the amount and location of myocardial damage in myocardial infarction during pregnancy, many symptoms and signs that may be similar to those in normal pregnancy can be found in clinically observed symptoms and physical examinations, which need to be differentiated.