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Suggest Treatment For Uncontrolled High Blood Pressure With Lightheadedness And Arm Numbness
Question: my blood pressure has been running 150 to 190 today ... I experienced four episodes over the past three days where I feel pressure in my head .. I get light headed feel like I'm going to loss consciousness have tingling and numbness in my right arm and I have to sit down quickly... this sensation last about 60 seconds then I'm OK . I went to my local family practice MD today and he put me on Lisinopril for hi BP.. I take 800 mg/day Tasigna for CML which can cause QT prolongation but I have not had a OT problem for the 5 years I've been on Tasigna and M D XXXXXXX did a electrocardioghram on me in XXXXXXX and all was OK.. any thoughts on why I might be experiencing these head rushes and arm numbness?
Brief Answer:
I recommend performing some tests :
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that uncontrolled high blood pressure may be associated with your complains (head rushes , lightheadedness, tingling and numbness on the arms, etc.).
Nevertheless these short lasting symptoms (a few seconds up to 60 sec) are not typical of hypertension (in such case they would last longer).
TIA and even epileptic seizures could not be easily excluded.
As you have studied an antihypertensive medication I recommend you to closely monitor your BP values (several times daily) until lisinopril exerts is full therapeutic effects.
From the other hand I recommend you to perform some tests :
- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia
- neck vessels Doppler ultrasound to examine the blood flow to the brain and exclude possible stenosis.
- blood lab tests (complete blood count, blood glucose, thyroid hormone levels, PCR, sedimentation rate, kidney and liver function tests , blood electrolytes, etc .
A brain eeg followed by a brain ct scan are necessary to exclude possible seizures.
Hope to have been helpful!
Feel free to ask me for any other questions whenever you need!
I recommend performing some tests :
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that uncontrolled high blood pressure may be associated with your complains (head rushes , lightheadedness, tingling and numbness on the arms, etc.).
Nevertheless these short lasting symptoms (a few seconds up to 60 sec) are not typical of hypertension (in such case they would last longer).
TIA and even epileptic seizures could not be easily excluded.
As you have studied an antihypertensive medication I recommend you to closely monitor your BP values (several times daily) until lisinopril exerts is full therapeutic effects.
From the other hand I recommend you to perform some tests :
- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia
- neck vessels Doppler ultrasound to examine the blood flow to the brain and exclude possible stenosis.
- blood lab tests (complete blood count, blood glucose, thyroid hormone levels, PCR, sedimentation rate, kidney and liver function tests , blood electrolytes, etc .
A brain eeg followed by a brain ct scan are necessary to exclude possible seizures.
Hope to have been helpful!
Feel free to ask me for any other questions whenever you need!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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