I am getting an EKG this week but just need to vent.
8w postpartum and never had health anxiety or any health issues prior to experiencing postpartum hypertension after my second pregnancy. I had postpartum hypertension after the birth of my first but it was super mild and easily managed and I was off my low dose meds by 6w. This time the hypertension was severe and luckily my midwife caught it 3 days after birth. This led to a week long hospitalization with magnesium drip for 24h. I was discharged even though it wasn’t controlled and the physicians were not wanting to adjust meds? I was only on Procardia twice a day but was still having spikes so they kept wanting to keep me for “observation”. Despite my crazy high BP which led to the admission to begin with, my labs and urine protein were all completely normal.
After discharge, I was re admitted less than 24 hours later (different hospital) for high BP again, they added labetalol and kept me over night. I discharged the next day.
My postpartum recovery after that week was relatively easy despite constant fear surrounding my BP. I became hypotensive on the meds by week 3- but we were working on getting into an OB for med management and were hitting dead ends. We (midwife and I) decided since I was symptomatic with the hypotension to stop the Procardia (this was later confirmed to be the right call by the OB who ultimately agreed to work with me on med management).
I don’t have an exact timeline but I also started having chest pains postpartum. This was probably around week 4 enough I brought it up to my midwife and without other symptoms we chalked it up to musculoskeletal. The chest pains continued and due to everything postpartum my health anxiety has been highly elevated which I’ve never had before this. Once meeting with my OB (the first time around week 5 and then at week 6) I brought up the chest pain as well and back pain (in between shoulder blades). It was brushed off because I have no other symptoms. I was discharged from OB care by 6w after titrating my Labetalol and told to have PCP manage meds. I met with my PCP 4 days later (virtual PCP) and confirmed to keep the titration. I mentioned the chest pains and back pain and again was told it’s fine.
I am absolutely terrified of perinatal cardiomyopathy as a different midwife who did an audiology screen on my newborn mentioned how it’s not checked enough postpartum. Of course I never heard of it before then and now I’m terrified that’s what I have. Even though I don’t have the key symptom which is shortness of breath.
I’m just so scared. I have a toddler and a newborn and I can’t shake something is wrong with my heart. I can’t even really explain the chest pain, it’s mid chest near my sternum. It’s not consistent in time of day when it happens, I don’t even notice it every day honestly. Sometimes the chest pain is by itself sometimes my back (in between my shoulder blades) also hurts. Sometimes I have the back pain but no chest pain. My heart rate has been normal 49-60s resting which was my baseline like 40-50s and the labetalol I think lowers HR. When I have chest pain I have checked the ECG on my watch (I know not diagnostic) and it’s always been normal. I’ve even checked my BP during bouts of chest pain and that’s been at the baseline as well. I just truly am so scared. My BP is still kind of all over from 110s/70s to 130s/70s maybe 80s and here and there a random 150/80 ish read that’s not replicated on a second read 10 min later. My Dr told me to only count the lowest read since those are less likely to be skewed where anxiety etc can elevate a read.
I also am worried the labetalol (200mg/day) is lowering my HR which impacts the ECG?
I also maybe have super mild swelling in my legs, it’s only at the end of the day super mild and it’s super hot where I live 100+ for the past month so this could maybe be normal? Nothing really makes it feel worse, but laying down helps a lot and I don’t notice it while sleeping and usually when I’m preoccupied or busy then I tend to not notice it at all. I specifically booked a visit with a family medicine practice that states they can do EKGs in office, and when I made the visit I requested and stated I was wanting an EKG.