Is patent ductus arteriosus related to staying up late during pregnancy?

Written by Xie Zhi Hong
Cardiology
Updated on September 11, 2024
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The arterial duct refers to a continuous duct between the main trunk of the pulmonary artery and the aorta during the embryonic period of the fetus. Through this duct, blood from the placenta can be delivered to the infant's body for tissue oxygenation.

Therefore, the arterial duct is originally a normal tissue in the embryo. After the birth of the infant, the majority of arterial ducts will close within a few months. If it has not closed after one year, it can be diagnosed as congenital patent ductus arteriosus. Therefore, there is no relationship between patent ductus arteriosus and staying up late during pregnancy.

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The reasons for ventricular enlargement due to patent ductus arteriosus

Patent ductus arteriosus can lead to enlargement of the anterior heart, as it can cause enlargement of the left atrium, left ventricle, or anterior ventricle, potentially leading to heart failure, especially altering heart function. If a patient has a patent ductus arteriosus, I personally recommend getting an ECG at a hospital early and then determining a treatment plan. Currently, surgical treatment is advised to improve the condition of reduced heart function. During this time, it is still important to actively and regularly monitor changes in the patient’s blood pressure, heart rate, and pulse. If the heart rate is too fast or blood pressure is elevated, regular hospital visits are necessary for management.

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Can you get pregnant with patent ductus arteriosus?

Firstly, patent ductus arteriosus (PDA) is not a hereditary disease, so both males and females with PDA can reproduce. However, if the individual is female, it is advisable to treat PDA before pregnancy, as pregnancy can increase the load on the heart. Patients with PDA often have poorer cardiac function. If they are asymptomatic, their compensatory abilities may be reduced. Therefore, for safety, it is recommended that patients with PDA consider conception after minimally invasive interventional treatment or surgical treatment, which is safer. The majority of PDAs can be treated with minimally invasive procedures, so the trauma is relatively minor, and there is no need for excessive worry.

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Can a patent ductus arteriosus cause cyanosis of the lips?

Patent ductus arteriosus generally refers to a condition in infants where the tubular passage between the aorta and pulmonary artery fails to fully close within the first year after birth. This results in altered blood flow within the heart, leading to the occurrence of patent ductus arteriosus. This blood flow disorder can increase the burden on the heart, causing recurrent episodes of breathlessness and breathing difficulties, and in severe cases, can lead to serious heart failure. If left untreated until the late stages, right-to-left shunting may occur, causing a serious mixing of arterial and venous blood. This leads to venous blood being ejected directly outside the body, causing a bluish-purple discoloration in the patient. Such conditions indicate a particularly severe heart disease. However, the majority of cases of patent ductus arteriosus can be addressed through minimally invasive interventional treatments. It is a simple congenital heart disease that should be treated promptly.

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Is patent ductus arteriosus related to pregnancy?

The ductus arteriosus is a vital conduit in the fetus during intrauterine life, connecting the blood from the placenta to the pulmonary artery and the aorta, enabling the placental blood to reach the aorta and supply blood to the entire body of the fetus. Usually, if the fetus is viable, there should be no issues, so the non-closure of the ductus arteriosus is not related to the pregnancy period. After the birth of the fetus, as the lungs expand and heart function changes, the ductus arteriosus will automatically begin to close. In the vast majority of infants, the ductus arteriosus will likely close after three months of birth. If it has not completely closed within one year, it is considered that the child has patent ductus arteriosus. Therefore, in most cases, patent ductus arteriosus is not related to the pregnancy period. There might be a small fraction of cases where it could be due to poor development during the pregnancy, preventing the timely closure of the ductus arteriosus; however, in most cases, it is unrelated to the pregnancy period.

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Can you get pregnant with patent ductus arteriosus?

Patent ductus arteriosus refers to a congenital channel between the aorta and the pulmonary artery that fails to close. This can lead to a mixing of blood between the veins and arteries, thus deteriorating heart function. Generally, individuals with this condition can become pregnant after treatment. Patent ductus arteriosus is a congenital heart defect that does not have hereditary properties and does not prevent one from having children. However, it is advised for individuals with this condition to undergo surgical treatment before attempting to conceive and bear children. If the ductus arteriosus remains untreated, the increased heart load during late pregnancy can cause symptoms such as difficulty breathing and respiratory distress. It is recommended that these individuals undergo minimally invasive surgical treatment or conventional surgical treatment before planning for pregnancy, as this will be more appropriate.