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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Low Blood Pressure And Lightheadedness

Hey there!

i am 26 yr old, single, 5'3" height woman. My current problem is that for max 3-4 min's i feel the room spinning, low blood pressure ( 90 73 with pulse as 64), light headedness an complete control loss. Last yr around the same time i passed out for 2-3 mins outdoors, considerin tht i am from warmer part of the world (pakistan), the doctor's concluded change of weather..

now i do have an auto immune disorder, diagonosed 8-9 yr's back and been on remission for the past 4 yr's. My optholmologist detected vasculitis during an eye check -p, i am long sighted as well. i was on immuno supressent (neorel) for a couple of yr's as vasculitis lead me to rhuematologist, i was diagonosed with rhuematoid arthritus.

during the pass 2-3 days i have been havin the feeling of passing out with the above mentioned symptoms..consulted an ENT as well, my question is do u think the vasculitis diagonosed in my eye has something to do with the brain vessels too? as a local doctor has suggested brain MRI considerin the history.
Wed, 9 Nov 2016
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Cardiologist 's  Response
my differential diagnosis is it can be a syncopal attack or presyncope.

Syncope, is defined as a short loss of consciousness and muscle strength, characterized by a fast onset, short duration, and spontaneous recovery. It is due to a decrease in blood flow to the entire brain usually from low blood pressure.

autoimmune diseses canalso lead to blocking of carotid artery a artery which carry blood to brain
so i would advice you to go for

carotid artery doppler

2d echocardiography(to find ejection fraction of heart,as bp is maintained by amount of blood pumped out of heart in each contraction)

Head up tilt test
basically once you rule out the cause of your low blood pressre ...youcan treat it
keep mri on hold for the time being
and get the test done which i have advised as a initial work up

if everything is normal in all these tests then go for mri brain
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Suggest Remedy For Low Blood Pressure And Lightheadedness

my differential diagnosis is it can be a syncopal attack or presyncope. Syncope, is defined as a short loss of consciousness and muscle strength, characterized by a fast onset, short duration, and spontaneous recovery. It is due to a decrease in blood flow to the entire brain usually from low blood pressure. autoimmune diseses canalso lead to blocking of carotid artery a artery which carry blood to brain so i would advice you to go for carotid artery doppler 2d echocardiography(to find ejection fraction of heart,as bp is maintained by amount of blood pumped out of heart in each contraction) Head up tilt test basically once you rule out the cause of your low blood pressre ...youcan treat it keep mri on hold for the time being and get the test done which i have advised as a initial work up if everything is normal in all these tests then go for mri brain