Physiologic signs and symptoms

Pathologic signs and symptoms

– Tachycardia (usually <115 beats/min)

– Bounding/collapsing pulse

– SpO2 >94% (usually >97%); no desaturation with ambulation

– Tachycardia (any heart rate but worrisome if >115 beats/min or associated with symptoms)

– Tachyarrhythmias or bradyarrhythmias

– Tachypnea >22 beats/min

– SpO2 <94% or desaturation with ambulation

Prominent but not elevated JVP

Markedly elevated JVP

– Systolic ejection murmur

– Loud S1

– Presence of an S3

New regurgitant murmur

Shortness of breath (not limiting function)

– Orthopnea or paroxysmal nocturnal dyspnea

– Acute reduction in exercise tolerance

– New or worsening cough

– Chest tightness or pain

Peripheral edema (mild, progressive throughout pregnancy, improves with leg elevation)

– Marked peripheral edema

– Pulmonary edema (respiratory rales/crackles)