Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

148 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes dizziness in an elderly person post a bypass surgery?

Answered by
Dr. Sagar Makode


Practicing since :2013

Answered : 1756 Questions

Posted on Wed, 22 Mar 2017 in Hypertension and Heart Disease
Question: I am 67 years old - male. I had triple by-pass surgery in XXXXXXX 2009 and have had normal health since. The last several days I experience several times a day light-headedness and dizziness almost to the point of fainting, but not quite. This lasts for about 30 seconds, then I'm back to normal. I've never experienced this before.
Answered by Dr. Sagar Makode 1 hour later
Brief Answer:
See the description

Detailed Answer:
First, does it occurs only during the particular time, like getting up from sitting or sleeping position.
The first possibility is metoprolol sideeffect. This occurs due to decrease blood supply to the brain which occurs due to low blood pressure or low pulse rate, both can occur in you due to metoprolol. So i want you to measure your pulse rate in one minute and monitor your blood pressure. If either of two is low or on a lower side then we have to decrease the dose. We will also require one ecg to see the side effect of metoprolol, like is it causing any adverse effect on conduction system of the heart.
Also, we have to rule out the possibility of heart dysfunction as if heart function is low then it can also lead to low blood pressure and these symptoms. If you have underwent an echo recently then no need to repeat it.
In treatment, we need to reduce the dose of metoprolol, have plenty of oral fluids, avoid sudden change in posture like getting up from sitting and sleeping position. If all these things are not adequately informative which is possible as your problem is intermittent , we may need holter later. I hope that helps you and get back if you have any doubts.
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to

Recent questions on  Metoprolol

doctor1 MD

can Levothyroxine, lisinopril,donepezil, meloxicam, tylenol, metoprolol tartrate, Lorazepam and pantoprazole be crushed? My 90 year old grandmother has been having trouble swallowing her meds so I thought I would see about crushing them and putting them in some yogart.

doctor1 MD

I am a 61 year old woman, and I am on blood pressure medication. 20 mgs of lisinopril, and 200 mgs a day of metoprolol. My blood pressure is high when I wake up in the morning always now. It runs 148/98, and remains high throughout the day. It only is normal a few times, but otherwise it stays high. Do you have any suggestions?

doctor1 MD

Dr. last Thurs. put me on once Dexilant 60mg I have been in bed since then unable to do normal daily choirs. I am a Caucasion male, Age 69, normally active, that works out,weight 230, height 6 . Now I have Vertigo, pain in my kidneys, I am listless, no diarea, no energy. This morning my B/P was 130/88/112 unusual for me. My pulse rate is usually high 82 . My B/P is controlled by meds. Metoprolol 50 mg twice a day, Diltiazem 120 mg once a day, Eliquis 5mg twice a day

doctor1 MD

I am having severe pain from a pinched nerve in my back. Current medications are: Amlodipine 10 mg, losartan 100 mg, metoprolol 50 mg x2, sotalol 80 mg x2, spironolactone 25 mg, cretor 10 mg, Coumadin 5mg. Have a pace maker. Is hydromorphone safe for me? Thank you, Barbara Wood

doctor1 MD

I am 57 yrs male type 2 diabetic on metformin 500 one per day. Sugsr under control. I ofter get stomach upset and loose motions. Bp 140 / 90 . Not coming down. On olzix ch 40 . Presscribe good meficines for bp and loose motions .

doctor1 MD

I take medication and cannot take pills so I cruch them and put them in water and wait til they dissolve then drink it my medication list is metoprolol tartrate 50 mg I daily.i also take metformin hcl 1000 mg 1/2 tablet twice a day lisinopril 10...

doctor1 MD

My 74 year old mother has afib, which she was diagnosed with 2 to 3 years ago. She was cardioverted and placed on flecanide. Few months later had another afib episode and cardioverted again. Then, few months later decided to have the cardiac...