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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for orthostatic hypotension

Hello, I have very bad neurocardiogenic syncope with orthostatic hypotension. I noticed that my blood pressure gets extremely low in the middle of the night, sometimes my husband has to do the sternum rub to awake me in the morning. Is it normal for me to have such a high pulse at 104 when I wake up in the morning?
Wed, 23 May 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.


I understand your concern and would explain that the high pulse could be related to a physiological reaction to waking up. You should know that waking up imposes a high stress to the body. From the other hand, considering your medical history for orthostatic hypotension, it be related to this disorder.
Nevertheless, I recommend consulting your your attending physician and performing some further tests:
- A cardiac ultrasound and a resting ECG
- An ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time
- Thyroid hormone levels for thyroid gland dysfunction
- Cortisol plasma levels for possible adrenal gland dysfunction.

Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I find this answer helpful
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