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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sudden Heart Rate And BP Drop, Fainting On And Off, Dr Suggests POTS And Vasodepressor Syncope. Any Ideas ?

hi, i recently had a tilt test, im waiting for the results but they did tell me that when i fainted my blood pressure and heart rate dropped. what does this mean? i already have low bloodpressure and my consultantant has already put me on midodrine which seems to help. ive been fainting on and off for 15 years. it goes on for about a year then stops and ive had in 4 times now in the past 15 years, im 29 now. they did suggest P.O.T.S and vasodepressor syncope , but still havnt got to the bottom of it. do you have any ideas please? thanks in anticipation. AAAAA
Sat, 16 Mar 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

Fall of pressure can be the cause or consequence of fainting...

You ought to see a Neurologist - Brain stem lesions; less common forms of epilepsy; Transient Ischemia, autonomic imbalance; Carotid sinus hyper-sensitivity and so on have to be evaluated. MRI brain; MRA of neck and brain blood vessels, EEG may all be needed.

Cardiologist too comes in the picture - Holter (Ambulatory) monitoring of heart rate (bradycardia) and Blood pressure (hypotension) / ECHOcardiography (systemic emboli) may be necessary.
Blood test for haemoglobin (anaemia), glucose (hypoglycaemia), hormones (insulin) may have to be considered

Discuss with your GP

Take care
Wishing speedy recovery
God bless
Good luck
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Sudden Heart Rate And BP Drop, Fainting On And Off, Dr Suggests POTS And Vasodepressor Syncope. Any Ideas ?

Hi friend, Welcome to Health Care Magic Fall of pressure can be the cause or consequence of fainting... You ought to see a Neurologist - Brain stem lesions; less common forms of epilepsy; Transient Ischemia, autonomic imbalance; Carotid sinus hyper-sensitivity and so on have to be evaluated. MRI brain; MRA of neck and brain blood vessels, EEG may all be needed. Cardiologist too comes in the picture - Holter (Ambulatory) monitoring of heart rate (bradycardia) and Blood pressure (hypotension) / ECHOcardiography (systemic emboli) may be necessary. Blood test for haemoglobin (anaemia), glucose (hypoglycaemia), hormones (insulin) may have to be considered Discuss with your GP Take care Wishing speedy recovery God bless Good luck