Looking for some guidance…
34 and currently 9 weeks pp and I have many concerns regarding my heart.
I unfortunately was diagnosed with pp hypertension a week after I gave birth and was hospitalized twice over it. I was on 200mg of labetalol 3x a day with procardia 30 mg once a day. I stopped the procardia about 12 days in due to horrible side effects and was advised to wean off the labetalol as per my OB and cardiologist. I went down to 2x a day for two weeks and now I’m at 100mg 2x a day. My blood pressure seems to be lower in the day and spikes at night 130s sometimes 140s however my diastolic always bounces around from 70s to 90 and in more recent days, it does seem to come down but it’s 9/10 times somewhere in the 80s. My pulse rate is typically 70s-90s. At total rest in bed, it’ll go 60s. I am going to continue to wean off and pray I do not have severe rebound hypertension and that I finally stabilize. Will it actually ever stabilize? What if I need the meds forever? It’s been an incredibly hard experience and my health anxiety is astronomical. I never once had to endure high blood pressure, I have ran lower my entire life until now.
I do vape. I stopped smoking cigarettes prior to pregnancy after smoking for 15+ years. I am currently trying out non nicotine vapes and sometimes still hitting a nic one NOT as much because every time I tried to stop nic in the past, it went horribly. I smoked a lot throughout my life, but not a pack a day or anywhere close. Yes, I know I should quit.
I have been experiencing chest pain for weeks now even prior to weaning off my meds so I did go for testing. I had a CTA, an echo and a CAC score all of which were perfectly fine minus some artifact on my liver which has been a thing for awhile and always ruled out to look like nothing serious. I forget the proper term that they keep calling it.
The other kicker is my cholesterol. A year ago, my LDL was 137 and at six weeks pp, it was 151. My HDL is 63 and my TRI is 109. I gained 60 pounds in pregnancy and ate horribly and did not move by body at all. I was 123 my first appt, 176 before I gave birth and am currently 145. I have made efforts to watch what I am eating and trying to walk. Exercise is a bit tough for me, I live an incredibly lazy life and never watched what I ate ever considering I was always skinny. I know it should be under 100. I also had elevated liver enzymes that went down a week after a retest. This again was all testing done between 5-6 weeks postpartum. I was told this isn’t the best time to test for these things.
I am aware that postpartum is rough on the body and so much is going on hormone wise and etc. Now that I’m two months pp, my question is where do I go from here and when will I get back to normal and what can I do to help myself? I don’t want to be on medication for the rest of my life. I just want to go back to regular.
I am SO upset over the combination of the two, high bp and high cholesterol cannot be good long term on my heart.