
Suggest Treatment For Premature Ventricular Contractions

I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Your symptoms seem to be related to orthostatic intolerance.
This means that your blood pressure lowers when standing up from sitting or lying position.
I recommend measuring your blood pressure in sitting position and then in standing position (after 5 minutes of standing). If there is a decrease more than 20mm Hg in your systolic blood pressure when standing up, compared to sitting position, this would be indicative for orthostatic hypotension.
A head up tilt test would be necessary to diagnose this disorder.
Some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, blood electrolytes, kidney and liver function tests) are necessary to exclude other secondary causes (chronic anemia, thyroid dysfunction, adrenal gland dysfunction, electrolyte imbalance, etc.).
I would also recommend stop taking valium, which may contribute in your symptomatology.
Hope to have been of help!
Kind regards,
Dr. Iliri


Regarding the blood work you suggested - would a "comprehensive metabolic" blood test include the tests you discussed?
I would explain as follows:
Detailed Answer:
Hello again!
A head up tilt test is not lab blood tests. This is a physical test, which determines if you are suffering from orthostatic intolerance.
The blood lab tests that I recommended you to perform help exclude other secondary metabolic causes like: thyroid gland dysfunction, adrenal gland dysfunction, chronic anemia, inflammation, which can be the cause of exacerbation of your symptoms.
A comprehensive metabolic blood test would include the tests I discussed.
Hope to have been helpful!
Best wishes,
Dr. Iliri

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