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| *Women health>>>High Blood Pressure |
High Pulse with Low Blood Pressure? |
Last night I was at work (I work in a factory with about 10 hours a day), and I suddenly got really dizzy and felt like I was going to pass out. After sitting in the ER for an hour and a half, my pulse was 150. I'm a 23 year old female. Anyways, they gave me blood tests and an EKG. It all checked out ok. I went to the doc this morning, and my blood pressure was low, and my pulse was high again. For some reason, my pulse is jumping over 50 beats everytime I stand up for a few seconds. I'm not dehydrated, and I don't have a clue what is going on. My doctors are baffled, and are sending me to a Cardiologist to get a halter monitor. They can't put me on beta blockers cause my doc said I would pass out for sure. Does anyone have any idea what it could be? I don't smoke, drink, do drugs, and am on no meds. Well, that is obviously difficult to say from here. I mean, you have been to the ED and your doctor's office, had ekg, probably blood tests, ect, and they still have not seen anything. Typically your presentation says, dehydration! But, apparently this isn't the case as you stated. Another culprit could be atrial fibrilation with rapid ventricular response, but they should have been able to see this on the ekg, unless it is somewhat sporatic and it just didn't show at that moment. Hopefully the halter test will find any abnormality in your heart function. Now, with all that said obviously something is wrong, right? Your blood pressure is too low which is causing your heart rate to increase to try to compensate. So why is it too low? As previously mentioned, typically you would see dehydration or something like atrial fib, but apparently you don't suffer from those. Other things to consider would be heart defects such as with the valves, causing the heart to not pump effectively, thus reducing the amount of blood pumped at any given time, which would reduce the pressure. You could also consider abnormal kidney function. Your kidneys may be forcing your to remove excess amounts of fluid, but then that would typically be seen as dehyration. Bacterial infection could lead to abnomal dilation of blood vessels as would nerve damage from things like diabetes. Lastly, reduced cardiac function can be caused by a pulmonary embolus. My guess is that this is related to the heart rhythm in one way or another however. I hope this has been helpful and good luck. It sounds like you are on the right track with regards to tracking down the culprit to your problem. At the ER; they were probably mainly concerned with making sure you weren't having a heart attack (blood-lipid profiles and EKG). The next step will be to visit a cardiologist for an exercise stress test, halter monitor, and an echocardiogram. What the cardiologist will want to do is rule out any congenital defects of the heart (with the ECG) and try to "capture" the event as it occurs with the halter monitor or stress test. If you get a clean bill from the cardiologist here are the remaining things I would rule out: 1. Anxiety (panic) attack 2. Thyroid malfunction (Thyroid Storm) 3. Caffeine Allergy 4. Electrolyte (sodium/potassium) imbalance 5. Bacterial/Viral Infections it could be mitrol valve pro-lapse...it is a condition where the one valve of the heart does not close and open right..it couses just what you are discribing...my daughter and my sister -in-law have it..it causes you to be out of breath and my daughter has it so bad it causes her to over heat and get a vomiting spell..she gets so bad she feels like she will pass out and she must be cooled down with a cold wet rag...she is on calcium blockers called atenanol...you should look up mitrol valve por-laspe and see is the condition sounds like yours because I think it sort of does...they found Nickys though when they did a EKG....good l;uck sweety.... You sound like a prime candidate for a condition known as neurocardiogenic syncope, which basically means passing out. It is very common for females in their early to mid twenties. Your heart starts beating fast, and your nervous system tries to compensate for that and begins to slow it down, along with lowering your blood pressure. As your blood pressure decreases, you will begin to feel dizzy, or even pass out. One way to diagnose this is something called a tilt table test, in which they try to trigger the point at which you pass out. If that comes back positive, your cardiologist should be able to give you the proper medication to treat it. Look into it. Ask your Dr. if he specializes in electrophysiology. If he doesn't ask if you could see a dr that would specialize in that field. They are the docs that look at the electrical circuit in your heart. A Cardiologist is a great place to start though. He/She will probably have to put you through several diagnostic tests to see whether it would be necessary to see an EP doc. Are you in any chronic pain? I know this will raise your pulse. |
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