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Hi. So I Am Trying To Figure Out If I

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Posted on Tue, 4 Feb 2020
Question: hi. so i am trying to figure out if i am having a medicsl emergency or whether i can make an appintment with a cardiologist due to high blood pressure accompanied by some other symptoms. i feel like im out of the woods and can wait.

I guess I%E2%80%99ll just tell you what%E2%80%99s going on and you can tell me what you think.

So last night I had a VERY scary, sudden onset of extreme double vision that came out of nowhere, so much so i couldnt see the TV or even read words had they been held up in front of my fsce. It was accompanied by a feeling of pressure in my neck, like if I was to put pressure on both carotid arteries, and like i was being spun around on one of those spinning things you usually see in the park, only without the dizziness and nausea or disorientation. i did not have a headache or anxiety. One minute was i was watching TV, the next i couldnt see. it lasted for a litrle over an hour, and i could only get relief if i sat up. as soon as i laid down, the pressure in my head/neck and double vision would start again. I have never felt anything remotely similar to these symptoms in my life and it scared the hell out of me. i also had trouble thinking straighr and stumbled when i tried to walk. but no tingljng or numbness at all. It finally went away and i went to sleep.

when I woke up this morkng i felt heavy headed, have blurred vision and a little nauseated, very tired. but no double vision but blurred. i have to squint to see well. Of course I was a little concerned and took my blood pressure just to see what it was. It was 174/114. So I waited 20 minuted and checked it again: 188/111. it finally went down to 140/90 after 5 hours. until then my diastolic never went below 102.

Is this an emergency or can I wait until I make an appointment to see a cardiologist?
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Answered by Dr. Ilir Sharka (14 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that your symptoms are suggestive of a panic attack.

Your blood pressure values are high and concerning about uncontrolled high blood pressure, which needs medical attention.

Anyway, I don't think that your situation is an emergency and I think that you should consult with your attending physician as soon as possible.

I don't think that there is any need to go to the ER if you don't experience symptoms like those of the other night.

If the situation repeats, I would recommend going to the ER for a physical exam, a brain CT scan and some blood lab tests ( complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests) coupled with a resting ECG.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9527 Questions

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Hi. So I Am Trying To Figure Out If I

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that your symptoms are suggestive of a panic attack. Your blood pressure values are high and concerning about uncontrolled high blood pressure, which needs medical attention. Anyway, I don't think that your situation is an emergency and I think that you should consult with your attending physician as soon as possible. I don't think that there is any need to go to the ER if you don't experience symptoms like those of the other night. If the situation repeats, I would recommend going to the ER for a physical exam, a brain CT scan and some blood lab tests ( complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests) coupled with a resting ECG. Hope you will find this answer helpful! I remain at your disposal for any further questions whenever you need! Kind regards, Dr.Ilir Sharka, Cardiologist