Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that a careful differential diagnosis of different causes related to this symptomatology (such as low blood pressure,
orthostatic hypotension, chronic
anemia, an infection).
Even
anxiety could mimic this clinical scenario.
I would like to know the type of surgery you have gone through. Was it a small intervention? Did you need
blood transfusion during the intervention?
Had you had any fever in the days after the intervention?
I recommend consulting with your attending physician for a careful physical examination, a resting ECG and some blood lab tests:
-
complete blood count (anemia and infection)
- PCR, sedimentation rate
- kidney and liver function tests
-
thyroid hormone levels (thyroid gland function)
-
cortisol plasma levels (adrenal gland function)
- blood electrolytes, etc.
You should closely monitor your blood pressure in sitting and standing up position. A decrease more than 20mm Hg on your systolic blood pressure while standing up, compared with sitting position, may indicate orthostatic hypotension.
A head up tilt test is needed to rule in/out this possible diagnosis.
If all the above tests result normal, the most probable cause of your symptoms would be anxiety. In such a case, you should consult with a specialist of the field.
Hope to have been helpful!
Best wishes,
Dr. Iliri