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Feeling dizzy. Blood pressure noticed dropping. Taking aspirin and simvastatin. Suggest

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Practicing since : 1981
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Hello Dr.
I had a ECG because I felt a little dizzy the day before.. I normally have low blood pressure, 105/55, but sometimes it drops to around 98/45- it has been as low as 97/39. I am on 1.25 ml of bysoprolol, which I have been advised to cut in half and split the dosage. I take an aspirin each morning and 40 ml simvastatin at night. I am 70 years old. 9 stone and considered myself fit liking to horseride and dance, but I do get shortness of breath as soon as I walk up any incline.The results of the ECG were QRS in V1 V2. low QRS Voltage in precordial leads, minor right precordial repolorization disturbance secondary to infarct small negative T in V3with flat or low negative T in V2. Minor inferior repolorization disturbance, consider ischemia. flat or low negative T in AVF with negative T in lll. Did I have a mild heart attack? Or am I likely to have one. My appointment with the rapid access chest pain clinic is not for another 10 days. Thank you for your time
Posted Sun, 9 Jun 2013 in Hypertension and Heart Disease
Answered by Dr. Anil Grover 30 minutes later
welcome to health care magic,
i read your query
as you are 70yrs and already on aspirin and simvastatin may be for primary prophylaxis for heart disaese.
Your symptoms of dizziness may be because of lowpressure.
And your ECG with
flat or low negative T wave in leadsV2.V3,III, and AvF not very suggestive of heart attack.
But your age is a main riskfactor for getting heart attack, so you have to completely evaluate about your cardiac status by ECG,ECHO,Strss test and if needed CTAngiogram.
Mean while you continue aspirin and as on when you have any symptoms emergency ECG should be done.
thank you
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