Sunday, 11 October 2015

cardiovascular change abnormal in pregnancy | PGI MCQ for Medical PG Coaching & Preparations .. NIME

Which of the following cardiovascular change is abnormal in pregnancy
A. Enlarged cardiac shilhoute
B. Increased S1 split
C. Right axis deviation on ECG
D. Early diastolic murmur
E. HR increased by 10 to 15 per minute.



Ans. (C) Right axis deviation on ECG ; (D) Early diastoic murmur
• The normal changes of cardiovascular system is pregnancy
- Apex beat : 4th ICS, 2.5 cm outside mid-clavicular line (Lt.).
- Splitting of first heart sound at apical area.
- X-ray : ↑ed cardiac shadow due to displacement.
- ECG : Left axis deviation. 
- Other murmur, continuous machinery murmur
• Right axis deviation, early diastolic murmur are abnormal findings in pregnancy.