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What Causes Dizzy Spells,heart Palpitations And Pain In Legs And Arms?
Hello, I have had dizzy spells with severe heart palpitations. I was taken to the ER to find that my blood pressure at that time was 150/90. I am 28yr old female about 143lbs. Always have had good health and am active. Over the course of few days, I would get short episodes of the dizziness and palpitation thing. The day of my big episode, I had dizziness, rt chest pressure, heart palpitations, numb fingers and arms, arm pain in both, sweating and rt neck pain. That was the day I went to the ER and my blood pressure was through the roof. About 2 days prior to this, I was driving and had a sudden pain in my head. It only lasted a few seconds and felt like a pop, immediately following was dizziness and I had to pull over. Rt hand/arm went numb and I started to sweat. I have already done the 24hr holter monitor thing and still waiting on the results. I am getting scheduled for an echo on my heart. I have been placed on a beta blocker which has made my palpitations absent but my arms, legs and head throb all the time. It's not just the entire extremity throbs but I can almost pin point the exact vein that hurts. I had a D-Dimer done in the ER and I can only assume it was negative. I would hope they would have said something if it was not.Any thoughts would be greatly appreciated.Sincerely, Way to young to be on a beta blocker or having these problems.
Tue, 25 Aug 2015
Hello!
Welcome to HCM!
I read your question carefully and understand your concern.
Your symptomatology seems to be a little complicated and a comprehensive differential diagnosis of different disorders which may be causing your symptoms should be performed:
- A cardiac arrhythmia could cause a similar clinical scenario, but would not explain the numb fingers and neck pain. It is necessary that besides the results of the 24 hours ECG monitoring, to perform a cardiac ultrasound in order to rule in/out any possible cardiac arrhythmia.
- A cervical spondylosis, or disc displacement. This would explain tha pain in your neck associated with dizziness and finger numbness. A cervical spine x ray is necessary. Further tests may be needed ( like a cervical spine MRI).
- An aorta dissection, could cause chest pain irradiated in your neck and arms.
- TIA ( transient ischemic attack). The episode of high blood pressure and numbness in your right limbs is very suggestive of possible TIA. A brain MRI is necessary to exclude other intracranial causes that may mimic this clinical scenario.
I recommend performing some lab tests like : a complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, and thyroid hormone levels. You should know that hyperthyroidism can be related to episodes of high blood pressure and cardiac arrhythmia.
Further tests for metabolic disorders (like urinary metanephrines for pheochromocytoma etc.), may be necessary to establish the possible diagnosis.
Hope to have been of help!
Best wishes,
Dr. Iliri
Welcome to HCM!
I read your question carefully and understand your concern.
Your symptomatology seems to be a little complicated and a comprehensive differential diagnosis of different disorders which may be causing your symptoms should be performed:
- A cardiac arrhythmia could cause a similar clinical scenario, but would not explain the numb fingers and neck pain. It is necessary that besides the results of the 24 hours ECG monitoring, to perform a cardiac ultrasound in order to rule in/out any possible cardiac arrhythmia.
- A cervical spondylosis, or disc displacement. This would explain tha pain in your neck associated with dizziness and finger numbness. A cervical spine x ray is necessary. Further tests may be needed ( like a cervical spine MRI).
- An aorta dissection, could cause chest pain irradiated in your neck and arms.
- TIA ( transient ischemic attack). The episode of high blood pressure and numbness in your right limbs is very suggestive of possible TIA. A brain MRI is necessary to exclude other intracranial causes that may mimic this clinical scenario.
I recommend performing some lab tests like : a complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, and thyroid hormone levels. You should know that hyperthyroidism can be related to episodes of high blood pressure and cardiac arrhythmia.
Further tests for metabolic disorders (like urinary metanephrines for pheochromocytoma etc.), may be necessary to establish the possible diagnosis.
Hope to have been of help!
Best wishes,
Dr. Iliri
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