I'm feeling pretty concerned about my wife's situation. She's 32 years old and she's had two abortions in the past. She's currently 23 weeks into an IVF pregnancy. Before getting pregnant, her echo was normal with an EF of 67, but now it shows Grade 1 diastolic dysfunction with an EF of 57, though everything else seems alright. She's experiencing mild breathlessness during activities like bathing. Her blood pressure reads 12490 on the right and 12084 on the left. I'm wondering if I should consider starting her on Labetalol. Is this something we should be worried about?

Considering your wife's medical history and current condition, it is important to address the diastolic dysfunction and high blood pressure to ensure the well-being of both your wife and the baby. Labetalol is a suitable choice for managing hypertension in pregnancy. I recommend starting your wife on tab. labetalol at a dose of 100 mg twice daily initially, with close monitoring of blood pressure. The dosage can be adjusted as needed based on her response. It is essential to continue monitoring her symptoms, blood pressure, and cardiac function regularly throughout the pregnancy. Additionally, it would be beneficial for your wife to follow up with her obstetrician and cardiologist for further evaluation and management of her cardiac condition during pregnancy.