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Does Severe Anxiety Cause Severe Low Blood Pressure?

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Posted on Thu, 4 Feb 2016
Question: Hi, i recently had a bp of 105/69 with a HR of 53. My hubby had just dropped me at the shop but i felt like i was bout collapse! Ive had this before but is a random experience. Can hit at any time and i then get anxiety about it n need to get out of public view to. Safe place to get my iwn help.
doctor
Answered by Dr. Ilir Sharka (23 minutes later)
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your medical history and would explain that your symptoms seem to be related to low blood pressure or to bradycardia.

Your actual blood pressure is below the normal ranges and your heart rate too.

I recommend consulting with your attending physician for a careful physical examination and some tests :

- a resting ECG and cardiac ultrasound to examine your cardiac function and structure
- blood lab tests (complete blood count for chronic anemia, inflammation tests, thyroid hormone levels for possible thyroid dysfunction, kidney and liver function tests, fasting glucose, blood electrolytes)
- a head up tilt test to exclude possible orthostatic intolerance, which could explain the episodes of fainting.
-an ambulatory 24-48 hours ECG monitoring would be necessary to see your heart rhythm trends during the day and exclude possible cardiac arrhythmia or bradycardia as a possible cause of your symptomatology.

You should discuss with your doctor on the above issues.

Meanwhile, I recommend take plenty of fluids to avoid dehydration and avoid straining physical activity, especially in hot places with high humidity.

Hope to have been of help!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (9 minutes later)
What kind if tests
doctor
Answered by Dr. Ilir Sharka (1 minute later)
Brief Answer:
I recommended these tests:

Detailed Answer:


Hello again!

As I explained above, I recommend these tests :

- a resting ECG and cardiac ultrasound to examine your cardiac function and structure
- blood lab tests (complete blood count for chronic anemia, inflammation tests, thyroid hormone levels for possible thyroid dysfunction, kidney and liver function tests, fasting glucose, blood electrolytes)
- a head up tilt test to exclude possible orthostatic intolerance, which could explain the episodes of fainting.
-an ambulatory 24-48 hours ECG monitoring would be necessary to see your heart rhythm trends during the day and exclude possible cardiac arrhythmia or bradycardia as a possible cause of your symptomatology.

Greetings!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (1 minute later)
Thank you dr your answer came through aafter my second question thank you.
doctor
Answered by Dr. Ilir Sharka (7 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
You are welcome!

I am glad to have been helpful!

Best wishes,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9534 Questions

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Does Severe Anxiety Cause Severe Low Blood Pressure?

Brief Answer: I would recommend performing some tests: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your medical history and would explain that your symptoms seem to be related to low blood pressure or to bradycardia. Your actual blood pressure is below the normal ranges and your heart rate too. I recommend consulting with your attending physician for a careful physical examination and some tests : - a resting ECG and cardiac ultrasound to examine your cardiac function and structure - blood lab tests (complete blood count for chronic anemia, inflammation tests, thyroid hormone levels for possible thyroid dysfunction, kidney and liver function tests, fasting glucose, blood electrolytes) - a head up tilt test to exclude possible orthostatic intolerance, which could explain the episodes of fainting. -an ambulatory 24-48 hours ECG monitoring would be necessary to see your heart rhythm trends during the day and exclude possible cardiac arrhythmia or bradycardia as a possible cause of your symptomatology. You should discuss with your doctor on the above issues. Meanwhile, I recommend take plenty of fluids to avoid dehydration and avoid straining physical activity, especially in hot places with high humidity. Hope to have been of help! Kind regards, Dr. Iliri