Can low pulse rate cause lightheadedness in an elderly patient?
taking meds Levothyroxine
When she woke up she returned to bed feeling faint after dressing
sat in chair and started to pass out
we placed her in bed with feet elevated. Took vitals at that point
Its likely due to low pulse rate
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
This is happening likely due to low pulse rate, which in turn leads to decreased blood supply to brain and fainting.
She should be hospitalized and needs evaluation. Possible causes in her are increased need for thyroxine, sick sinus syndrome or heart block due to age or rarely due to Citalopram or Donepezil.
She should undergo ecg, TSH levels, and further may need Holter.
At present, give her plenty of water, fluids. AVOID mobilisation and sudden movements like getting up. Care should be taken during washroom visits as many patients get syncope during passing urine or motion. Give some pillows below her legs. Try to shift her to hospital as early as possible.
Hope I have answered your query.
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