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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Sudden Dizziness With Low BP Mean Heart Problem?

My .56 yr old husband is active, 6' 2" and maybe 195 lbs. had a feeling of sudden dizziness and felt like he was going to faint and strong feeling of doom. He felt unbalanced and dizzy and very weak. Never felt so weak. We took his blood pressure and it was 125 / 60. And later 145/60.w His pulse was about 54. He had a grey Pallor and he was clammy feeling. He felt better as day progressed but still weak and dizzy. Our thought was possible menieres but could it still be indication of heart. He also had big cyst removed from his back and when they authorized it he got a shock. Could that have affected his heart.
Wed, 2 Nov 2016
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Cardiologist 's  Response
differential diagnosis can be
presyncope
a carotid artery doppler should be advised to ruke out any defected blood supply to brain
to rule out involvement of heart a 2d echo should be done ..left ventricle ejection fraction has to be seen
as of menieres
it is a traid of
aural fullness plus tinnitus plus at least two episodes of rotatory vertigo lasting more then 20minutes plus hearing loss documented in either ear
menieres is a diagnosis of exclusion

Head up tilt test is also required to be done

so i would suggest you to go for
2 d echocardiography
HUTT test
pure tone audiometry
carotid doppler
as initial workup tests
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Could Sudden Dizziness With Low BP Mean Heart Problem?

differential diagnosis can be presyncope a carotid artery doppler should be advised to ruke out any defected blood supply to brain to rule out involvement of heart a 2d echo should be done ..left ventricle ejection fraction has to be seen as of menieres it is a traid of aural fullness plus tinnitus plus at least two episodes of rotatory vertigo lasting more then 20minutes plus hearing loss documented in either ear menieres is a diagnosis of exclusion Head up tilt test is also required to be done so i would suggest you to go for 2 d echocardiography HUTT test pure tone audiometry carotid doppler as initial workup tests