怀孕期间的心悸值得关注吗?
怀孕期间的心悸值得关注吗?
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.
这种感觉就像胸部的颤动、心跳加速、砰砰直跳或心跳加速。有时心悸来得快去得快，却没有引起太多注意，但在其他情况下，心悸可能非常明显——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.
心悸是一种感觉，在许多情况下，可能只是反映心脏的正常变化。有时心跳加快，其原因各不相同，而且在许多情况下都是未知的。心悸通常只持续几秒钟。这是突然发生的，但不会复发。不太常见的是，心悸可能持续较长时间或定期发生，偶尔也可能是更严重的问题的征兆，比如心律失常——心率或节奏的问题。
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.
格雷弗说，心悸是她从孕妇那里听到的最常见的抱怨之一，就在她呼吸急促之后。即便如此，尽管通常是良性的，她和其他临床医生警告说，不要对这种担忧置之不理。
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.
虽然还不完全清楚为什么心悸在怀孕期间更常见，但临床医生说，这九个月期间发生的激素和生理变化可能是一个原因。据医疗资源公司默克手册(Merck Manual)说，这包括血容量增加30%至50%，因为更多的血液被泵入子宫，以及心率加快，从正常的每分钟70次的孕前心率提高到每分钟80至90次。布朗大学母胎医学助理教授、罗德岛妇婴医院母胎医学专家Adam Lewkowitz博士说，总的来说，“怀孕期间你的心脏工作得更辛苦。”
Risk Factors for Palpitations During Pregnancy
怀孕期心悸的危险因素
· Age, particularly if 35 years or older when pregnant.
年龄，尤其是怀孕时35岁或以上。
· Existing heart defects.
现有的心脏缺陷。
· Cardiomyopathy, a disease that makes it harder for the heart to pump blood.
心肌病，一种使心脏难以泵血的疾病。
· Family health history, like a parent or close relative who has an arrhythmia.
家庭健康史，像父母或近亲有心律失常。
· Lifestyle habits, including drinking, smoking or using drugs such as cocaine.
生活习惯，包括饮酒、吸烟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
其他医学症状
Lifestyle Changes to Reduce Palpitations
改变生活方式以减少心悸
· Stay well hydrated.
保持充足的水分。
· Avoid heavy meals, instead opting for more frequent, smaller meals.
避免暴饮暴食，少食多餐。
· Do everything you can to get adequate rest.
尽你所能得到足够的休息。
· Limit caffeine intake.
限制咖啡因的摄入量。
· Exercise regularly.
定期锻炼
