HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Having Shortness Of Breath. Noticed Fall In Blood Pressure After Exertion. Treatment To Be Done?

default
Posted on Sat, 22 Dec 2012
Question: I had and have trouble breathing, thought i had allergic reaction to something i always eat. But shortly after my BP went to 66/43 standing. scared me. It has risen slowly to 111/66 with 99 pulse. I still am having trouble breathing woth heavy breathing. I am on propranolol for stress 10 mg twice daily and havent taken my next dose that was just due. My cardiologist said it was ok to take since my half brother died last year at 58 and i may have small vessel heart disease. My dr isnt available til Monday or later and im monitoring my BP. If its ok im thinking i shouldnt take any more propranolol. Is it ok tp stop cold turkey? Its been 30 minutes since my episode. My blood pressure is 125/67,pulse 84. Sitting. Standing is right after 126/70 with 98 higher pulse upon standing. What is your take on all of this???? Thank you so much.
doctor
Answered by Dr. Ram Choudhary (45 minutes later)
Hi XXXXXXX
Welcome to healthcare Magic!
You are a bit heavy built lady, and I would advise you to avoid too much of the staircase. If essential take rest in between.
A fall in blood pressure after that much exertion and a shortness of breath is ominous. Cardiac ischemia/infarction must be rule out.
I would advise you to go to ER, get an ECG, ECHO and cardiac enzymes stat and also get examined. A missed cardiac event become more harmful and should be detected and managed early. Decide the propofol issue after you get evaluated in ER.
I hope the advise would be informative and useful for you.
Take Care!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ram Choudhary

Internal Medicine Specialist

Practicing since :2001

Answered : 2270 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Having Shortness Of Breath. Noticed Fall In Blood Pressure After Exertion. Treatment To Be Done?

Hi XXXXXXX
Welcome to healthcare Magic!
You are a bit heavy built lady, and I would advise you to avoid too much of the staircase. If essential take rest in between.
A fall in blood pressure after that much exertion and a shortness of breath is ominous. Cardiac ischemia/infarction must be rule out.
I would advise you to go to ER, get an ECG, ECHO and cardiac enzymes stat and also get examined. A missed cardiac event become more harmful and should be detected and managed early. Decide the propofol issue after you get evaluated in ER.
I hope the advise would be informative and useful for you.
Take Care!