What Causes Tiredness And Dizziness In A Person With High Blood Pressure?

Brief Answer:
Some simple medical advices, follow to a healthy, happy and longer life.

Detailed Answer:

Hello!

Thank you for asking on HCM!

Regarding your blood pressure, I would like to explain that your doctor is quite right about blood pressure. If no symptoms associated (tiredness, dizziness, etc), a BP reading as low as 103/58 mmHg is better that higher values. On a theoretical point of view, the higher the BP values, the greater the potential risk, it imposes to blood vessels, and cardio-vascular system, in general.

I would like to explain also, that BP and heart rate are the 2 most dynamic vital parameters, that are ever changing in all normal individuals. So, don't worry about their fluctuations. But, as you experience those unpleasant feelings of fast heart beating, and if it keeps disturbing you, I would recommend an ambulatory 24 to 48 hours ECG monitoring to clarify definitely your heart rhythm and rate during those palpitations (if they become frequent such as on a daily fashion). You have to talk with your doctor about that issue.

Regarding your blood pressure management, facing you suffer from diabetes too, it is highly recommended that your BP readings be maintained no greater that 135/80 mmHg, in order to preserve a more safe cardio-vascular risk factors profile and prevent end-organs damages.

Based on your actual coronary risk factors (high BP, diabetes, possibly hyperlipidemia), you are classified to be at high risk for coronary events, so you have to be very careful. First, to vigorously treat appropriately your diabetes, which is considered the "Achille's heel" of this matter; you should have a well tailored strategy for its optimal management (medical therapy; healthy diet, very meticulous follow ups). The same should be declared for your high blood pressure; about your dyslipidemia (facing you suffer from diabetes, you need to be on antilipemiant therapy - a statin would be helpful; you just need to talk with your doctor about that).

A modulation of your life style is necessary, according to more physical activity, lowering body weight, avoid smoking contacts, and a healthy diet (Mediterranean diet is highly recommended).

Hope to have been helpful.

Feel free to ask me whenever you need. Greetings! Dr. Iliri

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Brief Answer:
I would explain as follows.

Detailed Answer:

Hello again!

Regarding your last question, I would explain that blood pressure level is influenced continuously by multifactorial interferences, such as a day-night regimen modulation (sleeping, physical activity, meals intake, etc), climate influences (winter-summer atmospheric changes, etc), psychological factors (anxiety, stress, lethargy, etc), some body system disorders (such as respiratory, renal disorders,etc, electrolyte imbalance, acid-base disorders, etc), some newly prescribed medications may interfere with actual anti-hypertensive drugs, raising their plasmatic concentrations and hence their anti-hypertensive effect, etc.

So, my advice is to perform a medical check up under your doctor supervision, to rule out any homeostatic disorders (some lab test are necessary: liver and renal function tests, serum electrolyte levels, complete blood count,etc).

Did you use any new medications recently??

You have to check your BP level frequently and discuss with your doctor on the upcoming management strategy.

Best Regards! Dr. Iliri

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