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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Disorientation While Having Elevated Blood Pressure?

My BP is 157/90. It's been about this high over the past week. I went to urgent care last week and they set me up for an appointment for this Friday. Should I go to the ER since my BP is up and I am feeling dizzy, a little disoriented, and just out of sorts?
Fri, 23 Mar 2018
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Cardiologist 's  Response
Hello,

Your actual blood pressure values are high, but there is no need to go to the emergency room for the moment. I would recommend having some rest and avoiding salt and caffeine intake. If these blood pressure values persist, I recommend consulting with your attending physician for a physical exam and some tests to investigate for possible causes underlying secondary hypertension:
-A resting ECG and cardiac ultrasound.
- A chest x-ray study.
- Complete blood count for anemia.
- Thyroid hormone levels for thyroid gland dysfunction.
- Blood electrolytes for possible imbalance.
- Cortisol and aldosterone plasma levels for possible adrenal gland dysfunction
- Fasting glucose for diabetes.
- PCR and ESR for inflammation.
- Kidney and liver function tests.

You should discuss with your doctor on the above tests. Starting anti-hypertensive therapy may be needed if your blood pressure values are persistently high.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka
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What Causes Dizziness And Disorientation While Having Elevated Blood Pressure?

Hello, Your actual blood pressure values are high, but there is no need to go to the emergency room for the moment. I would recommend having some rest and avoiding salt and caffeine intake. If these blood pressure values persist, I recommend consulting with your attending physician for a physical exam and some tests to investigate for possible causes underlying secondary hypertension: -A resting ECG and cardiac ultrasound. - A chest x-ray study. - Complete blood count for anemia. - Thyroid hormone levels for thyroid gland dysfunction. - Blood electrolytes for possible imbalance. - Cortisol and aldosterone plasma levels for possible adrenal gland dysfunction - Fasting glucose for diabetes. - PCR and ESR for inflammation. - Kidney and liver function tests. You should discuss with your doctor on the above tests. Starting anti-hypertensive therapy may be needed if your blood pressure values are persistently high. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka