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Suggest Remedy For Dizziness, Blurred Vision,and Low BP

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Posted on Mon, 9 Nov 2015
Question: I have fainting spells especially after climbing stairs. Kneeling after the climbing quickly brings back my regular pressure. The low pressure I've registered has been systoic of 80. My right eye vision blurs doing these spells. I've stents (4) I'm 80 yrs old, 5'9" tall, 180 lbs, walk 5 miles per day. Medication: low dose aspirin, vitamin d, metoprol, multivitamin.
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Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
I would recommend as follows :

Detailed Answer:
Hello!

Wellcome and thank you for asking on HCM!

Regarding your concern, I would explain that it is necessary to differentiate the reason of your low blood pressure during climbing the stairs.

First of all, a cardiac ultrasound should be done to rule in / out a possible cardiomyopathy (dilated, hypertrophic) as in such case , hypotension could be explained.

Another explanation would be episodes of cardiac ischaemia, which could lead to a transient cardiac dysfunction ( systolic ) and hypotension.

Also, an orthostatic intolerance can not be excluded.

For such reason I recommend performing a resting ECG, some lab tests (including cardiac enzymes) and a head up tilt test.

You should discuss with your attendingphysician on the above issues.

Hope to have been helpful!

Feel free to ask me for any other questions whenever you need!

Greetings!

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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Suggest Remedy For Dizziness, Blurred Vision,and Low BP

Brief Answer: I would recommend as follows : Detailed Answer: Hello! Wellcome and thank you for asking on HCM! Regarding your concern, I would explain that it is necessary to differentiate the reason of your low blood pressure during climbing the stairs. First of all, a cardiac ultrasound should be done to rule in / out a possible cardiomyopathy (dilated, hypertrophic) as in such case , hypotension could be explained. Another explanation would be episodes of cardiac ischaemia, which could lead to a transient cardiac dysfunction ( systolic ) and hypotension. Also, an orthostatic intolerance can not be excluded. For such reason I recommend performing a resting ECG, some lab tests (including cardiac enzymes) and a head up tilt test. You should discuss with your attendingphysician on the above issues. Hope to have been helpful! Feel free to ask me for any other questions whenever you need! Greetings! Dr. Iliri