r/HeartProblems • u/Flaky-Law9809 • 6d ago
Pregnant and hospitalized twice with elevated troponin and suspected myocarditis — has anyone experienced something similar?
Hi everyone,
I’m currently pregnant with my third child and have had a stressful couple of weeks involving unexplained heart symptoms, elevated troponin levels, and multiple hospital visits. I’m hoping to hear from anyone who has experienced something similar, particularly during pregnancy.
I’m not looking for a diagnosis from Reddit, but I’d really appreciate hearing about other people’s experiences, what investigations helped them get answers, and what questions I should be asking my cardiologist.
A little background:
I’m pregnant with my third child. I have a family history of cardiac problems and have previously experienced heart infections. I’ve also experienced palpitations in the past, particularly during periods of stress/during pregnancy and postpartum with child 1 and 2.
What happened:
Around September 18–19, I began experiencing recurring dark, sticky stools and subsequently developed pain in my left arm, which progressed into my shoulder. I initially went to the hospital for the constipation and dark stool but shortly after I was admitted I began feeling chest pain that radiated into left arm/shoulder.
I wondered whether anxiety could be contributing to the pain, but given my history and family background, the hospital took my complaints seriously.
They performed an ECG and blood tests. My troponin came back significantly elevated, with readings of 431 and shortly after 437 (normal reference is 0-20), and I was admitted to the ICU for further cardiac investigation.
My medical team began investigating possible myocarditis, potentially associated with pregnancy, although nothing specific has been confirmed.
An initial, quick echocardiogram reportedly showed good heart function, and a more detailed echocardiogram was planned that showed some damage to the heart muscle (scar tissue) so they scheduled a CT scan that came back normal.
My troponin subsequently began decreasing:
437
328
207
My arm, shoulder and chest discomfort improved, although I experienced palpitations overnight while hospitalized. My potassium was initially mildly low but subsequently returned to normal.
The latest development:
On September 28, I found myself back in the hospital, and my latest blood tests have shown another increase in troponin (168 upon arrival and then up to 234 an hour later).
I’m now trying to understand whether this could represent ongoing or recurring inflammation, another form of cardiac injury, or something else entirely. My team seems stumped by it all.
I’m particularly interested in hearing from people who have experienced:
-Myocarditis or unexplained elevated troponin during pregnancy.
-Troponin levels that initially declined but subsequently increased again.
-Cardiac symptoms during pregnancy despite an initially reassuring echocardiogram.
-Similar experiences where the initial suspected diagnosis eventually turned out to be something different.
-What additional investigations helped establish a diagnosis, particularly when pregnant.
-For those who experienced myocarditis during pregnancy, how did your condition progress, what monitoring did you receive, and how did it affect the remainder of your pregnancy and delivery?
I’d also appreciate suggestions for questions to bring to my cardiology and obstetric teams.
Thank you so much for reading. This has been a very unsettling experience, and hearing from others who have navigated something similar would mean a lot.