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What Causes Cold Sweats And Dizziness While On Amiodarone?
Question: I woke up this morning sweaty and dizzy (room spinning type). I am diabetic and have a heart fibulation history about 10 years ago. I take amiodarone. I have woken up with cold sweats, but this is the first time I have woke up dizzy. XXXXXXX XXXX YYYY@YYYY
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
Welcome on HCM!
I understand your concern and would like to explain that your current complaints (cold sweats and dizziness) may be an expression of a hypoglycemic condition, but may also be caused by a paroxysmal episode of atrial fibrillation, as well as a possible transient hypotension.
- Coming to this point, I recommend monitoring closely your fasting blood glucose and several times during the day for a better understanding of your blood glucose trends, thus concluding on a better review of your anti-diabetic therapy.
- Also, I advise you to closely monitor your blood pressure values (several times daily for a couple of days up to a week) to possibly detect any episodic arterial hypotension.
If such is the case, a reduction of Lisinopril daily dosage should be considered.
- An ambulatory 24 to 48 hours ECG monitoring is advisable to investigate for any possible paroxysmal atrial fibrillation.
As you are 65 years old and also diabetic you have a CHA2DS2-VASc score (the score used to predict the risk for stroke in atrial fibrillation) of 2, imposing you to a moderate- high risk of stroke.
In such case, Aspirin would be insufficient to protect you from this adverse complication (stroke) and oral anti-coagulation is the recommended therapy.
You need to discuss with your attending physician on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXXXXX
Welcome on HCM!
I understand your concern and would like to explain that your current complaints (cold sweats and dizziness) may be an expression of a hypoglycemic condition, but may also be caused by a paroxysmal episode of atrial fibrillation, as well as a possible transient hypotension.
- Coming to this point, I recommend monitoring closely your fasting blood glucose and several times during the day for a better understanding of your blood glucose trends, thus concluding on a better review of your anti-diabetic therapy.
- Also, I advise you to closely monitor your blood pressure values (several times daily for a couple of days up to a week) to possibly detect any episodic arterial hypotension.
If such is the case, a reduction of Lisinopril daily dosage should be considered.
- An ambulatory 24 to 48 hours ECG monitoring is advisable to investigate for any possible paroxysmal atrial fibrillation.
As you are 65 years old and also diabetic you have a CHA2DS2-VASc score (the score used to predict the risk for stroke in atrial fibrillation) of 2, imposing you to a moderate- high risk of stroke.
In such case, Aspirin would be insufficient to protect you from this adverse complication (stroke) and oral anti-coagulation is the recommended therapy.
You need to discuss with your attending physician on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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