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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness Post A Bypass Surgery?

My husband had bypass sugary in Feb 2010. He takes 4 BP meds: Enalapril 20mg, Amlodipine 5mg, Diltiazen 120mg and Teva Spironolactone. His BP readings are very low: 94/56, 99/59, 89/51 readings today. Pulse rate is 78-81. He is experiences dizziness regularly. Slightest exertion causes dizziness. It is interfering with his quality of life. He thinks his BP is too low and I think he is right. He wants to stop taking Diltiazen to see if this will alleviate the dizziness. Our GP keeps telling him that his BP is where he wants it. We are waiting to get back into the cardiologist but this can take weeks if not months. How can he safely taper off the Diltiazen until we can see the cardio doctor? We want to see if coming off one of the meds will alleviate his dizziness. Thanks.
Mon, 20 Oct 2014
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Psychiatrist 's  Response
Hi welcome to HCM.
Low blood pressure in your case is due to excessive antihypertensive action of various drugs.This can cause symptoms like dizziness and slight exertion.Diltiazem 120 mg can be tapered over a period of 2 weeks with reduction of dosage by 20%.Periodical monitoring of blood pressure should be carried out.Its ideal to maintain the blood pressure around 130/80 mm of hg.Screening 2 dimensional echo is helpful to rule out organic heart pathology.Consult your cardiologist for further care.Thank you.
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What Causes Dizziness Post A Bypass Surgery?

Hi welcome to HCM. Low blood pressure in your case is due to excessive antihypertensive action of various drugs.This can cause symptoms like dizziness and slight exertion.Diltiazem 120 mg can be tapered over a period of 2 weeks with reduction of dosage by 20%.Periodical monitoring of blood pressure should be carried out.Its ideal to maintain the blood pressure around 130/80 mm of hg.Screening 2 dimensional echo is helpful to rule out organic heart pathology.Consult your cardiologist for further care.Thank you.