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What Causes Dizzy Spells And Blackouts?

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Posted on Wed, 10 May 2017
Question: My husband has passed out twice in the last week while exercising. He feels dizzy and then blackout.
EMTs have been called and checked him out. They say his heart and blood pressure is fine. What could cause this?

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Answered by Dr. Ilir Sharka (40 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your husband symptoms could be related to different possible causes:

- a cardiac arrhythmia
- a syncope
- low blood glucose (hypoglycemia)
- an epilepsy seizure.

As his blood pressure has resulted normal, low blood pressure has been excluded as a possible cause.

Considering the above mentioned possible causes, I would recommend consulting with his attending physician for a careful physical exam and some tests:

- a resting ECG and a cardiac ultrasound to examine his heart function and structure
- an ambulatory 24-48 hours ECG monitoring to examine his heart rhythm trends for a more prolonged time and exclude possible cardiac arrhythmia
- an EEG to exclude possible seizures
- complete blood count for anemia
- fasting glucose for possible hypoglycemia
- thyroid hormone levels for possible thyroid dysfunction
- blood electrolytes for possible electrolyte imbalance.

You should discuss with his doctor on the above mentioned issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Causes Dizzy Spells And Blackouts?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your husband symptoms could be related to different possible causes: - a cardiac arrhythmia - a syncope - low blood glucose (hypoglycemia) - an epilepsy seizure. As his blood pressure has resulted normal, low blood pressure has been excluded as a possible cause. Considering the above mentioned possible causes, I would recommend consulting with his attending physician for a careful physical exam and some tests: - a resting ECG and a cardiac ultrasound to examine his heart function and structure - an ambulatory 24-48 hours ECG monitoring to examine his heart rhythm trends for a more prolonged time and exclude possible cardiac arrhythmia - an EEG to exclude possible seizures - complete blood count for anemia - fasting glucose for possible hypoglycemia - thyroid hormone levels for possible thyroid dysfunction - blood electrolytes for possible electrolyte imbalance. You should discuss with his doctor on the above mentioned issues. Hope to have been helpful! Kind regards, Dr. Iliri