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Suggest Treatment For Low Heart Rate, High BP And Vertigo
My brother is a caucasion male, 70 YOA, non smoker, and stays very active. He is experiencing the following: 1) A low heart rate remaining 56 or lower w ith high blood pressure of around 178/102 2) He has vertigo upon standing with a drop in BP and a racing heart with getting tunnel vision 3) His feet are slightly swollen with a red/purple color from the ankles into the tarsals, metatarsals, and phalangees 4) he develops an unconfortable feeling in his chest which resembles his indigestion, however different after he works out at the gym 5) Experiencing added trouble with memory
Fri, 22 Jun 2018
Anonymous's Response
Anonymous's
Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
After going through your medical details I understand your concern. first, with arterial blood pressures of 170/102mmHg your brother has uncontrolled arterial hypertension.
Second, it is important to differentiate the terms dizziness, vertigo, and syncope or pre-syncope. The drop in Blood pressure with an increase in heart rate, with "tunnel vision" suggests that it is more likely to be dizziness or syncope, rather than vertigo. Postural orthostatic tachycardia syndrome (POTS) is a condition in which a change from lying to standing causes an abnormally large increase in heart rate. This occurs with symptoms that may include lightheadedness, trouble thinking, blurry vision, or weakness. but studies are needed to establish the diagnosis. For this reason, I recommend consulting with your attending physician as soon as possible for a physical exam and some tests:
- a ECG
- Exclude autonomic disorders:Thyroid Function Tests, fasting glycemia
- blood electrolytes
- complete blood count, PCR, ESR for inflammation.
You should discuss with your doctor on the above tests.
Hope I have answered your query. Let me know if I can assist you further.
I have reviewed your query and here is my advice.
After going through your medical details I understand your concern. first, with arterial blood pressures of 170/102mmHg your brother has uncontrolled arterial hypertension.
Second, it is important to differentiate the terms dizziness, vertigo, and syncope or pre-syncope. The drop in Blood pressure with an increase in heart rate, with "tunnel vision" suggests that it is more likely to be dizziness or syncope, rather than vertigo. Postural orthostatic tachycardia syndrome (POTS) is a condition in which a change from lying to standing causes an abnormally large increase in heart rate. This occurs with symptoms that may include lightheadedness, trouble thinking, blurry vision, or weakness. but studies are needed to establish the diagnosis. For this reason, I recommend consulting with your attending physician as soon as possible for a physical exam and some tests:
- a ECG
- Exclude autonomic disorders:Thyroid Function Tests, fasting glycemia
- blood electrolytes
- complete blood count, PCR, ESR for inflammation.
You should discuss with your doctor on the above tests.
Hope I have answered your query. Let me know if I can assist you further.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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