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What Causes Low BP, Chest Pain And Dizziness?
Question: My blood pressure runs typically at 120/70. Today I have had readings of 169/69 and now 153/59. I take Lipitor. I have a history of an MI in 2005, have 9 stents in my heart & 3 in my groin. Also have peripheral vascular disease. Presently I don't feel right - dizzy, slight chest pain, sick to my stomach, left foot is cold & can't feel a heartbeat. I have an appt with a vascular surgeon in a wk. Should I be concerned with the low blood pressure? Thank you!
Brief Answer:
I recommend you to be very careful with your symptoms.
Detailed Answer:
Hello! Thank you for asking on HCM! Regarding you symptoms, I would recommend you to very attentive;
(1) As you have a history of peripheral vascular disease and stents implantation I recommend you to be careful and pay attention to your current complain: A sensation of cold lower extremity coupled with absence of arterial pulse palpation raise very strong evidence of decrease in peripheral blood circulation to that limb; so you must keep monitoring your complains, if they aggravate, that is additional disturbing pain of the extremity when walking or resting appears, or you notice beginning of any skin color changes, or your general health condition is deteriorated (fever, excessive fatigue, tachycardia, etc) you should immediately consult a vascular surgeon to the ER as a potential severe lower limb ischemia is ongoing and a prompt adequate intervention is required to restore blood flow and prevent irreversible tissue death. So keep monitoring regarding limb circulation issue.
(2) Regarding your chest pain, dizzy and blood pressure variation I recommend you to keep tracking the chest pain schedule; if it persists and becomes aggravated you have to consult again your doctor, as a thorough physical examination, a resting ECG and some blood tests (including cardiac enzymes) are helpful to rule out an ongoing cardiac ischemia (if it is excluded other potential factors should be investigated, such as gastric disorders, etc). Keep monitoring your blood pressure values and talk to your cardiologist: if high blood pressure values persist, a potential addition of an anti-hypertensives like a calcium channel blocker would be a safe option.
(3) So, to conclude I recommend you to respect your medical appointment. BUT, keep monitoring your possible aggravating pain (chest pain or even lower limb pain), as they are medical emergencies and cannot wait till the appointment arrives.
Hope to have been helpful to you. Greeting! Dr. Iliri
I recommend you to be very careful with your symptoms.
Detailed Answer:
Hello! Thank you for asking on HCM! Regarding you symptoms, I would recommend you to very attentive;
(1) As you have a history of peripheral vascular disease and stents implantation I recommend you to be careful and pay attention to your current complain: A sensation of cold lower extremity coupled with absence of arterial pulse palpation raise very strong evidence of decrease in peripheral blood circulation to that limb; so you must keep monitoring your complains, if they aggravate, that is additional disturbing pain of the extremity when walking or resting appears, or you notice beginning of any skin color changes, or your general health condition is deteriorated (fever, excessive fatigue, tachycardia, etc) you should immediately consult a vascular surgeon to the ER as a potential severe lower limb ischemia is ongoing and a prompt adequate intervention is required to restore blood flow and prevent irreversible tissue death. So keep monitoring regarding limb circulation issue.
(2) Regarding your chest pain, dizzy and blood pressure variation I recommend you to keep tracking the chest pain schedule; if it persists and becomes aggravated you have to consult again your doctor, as a thorough physical examination, a resting ECG and some blood tests (including cardiac enzymes) are helpful to rule out an ongoing cardiac ischemia (if it is excluded other potential factors should be investigated, such as gastric disorders, etc). Keep monitoring your blood pressure values and talk to your cardiologist: if high blood pressure values persist, a potential addition of an anti-hypertensives like a calcium channel blocker would be a safe option.
(3) So, to conclude I recommend you to respect your medical appointment. BUT, keep monitoring your possible aggravating pain (chest pain or even lower limb pain), as they are medical emergencies and cannot wait till the appointment arrives.
Hope to have been helpful to you. Greeting! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Answered by
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