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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat For Raising Of Heart, Dizziness And Hot Flushes?

hi , I have had surgery on my foot 4th of feb , ever since I have been suffering from heart racing , dizziness , hot flushing , and just don`t have any energy . symptoms are worse when I move around . and I feel like I`m not getting enough oxygen . I felt like this after I had a knee replacements and had blood transfusions , which fixed the problem . do you think I could have that problem again ? thankyou .Lesley .
Fri, 18 Sep 2015
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Cardiologist 's  Response
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

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How To Treat For Raising Of Heart, Dizziness And Hot Flushes?

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