Brief Answer:
Need more info

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to advise accordingly

How low specifically does the diastolic blood pressure go.
What is your average blood pressure control.
What medications, if any are you taking currently.
Do you feel any dizziness or vertigo associated with this lowered BP.

Wishing you best of health

Thanks

Dr. M.S. Khalil

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Rhythm abnormalities should be ruled out during such episodes. An EKG can be done. Serial EKGs can be performed or 24 hour holter monitor can be advised if there is any doubt. 130/70 is a normal BP reading. With 116 /46, the diastole is low. In Diastolic hypotension cardiomyopathy should be looked for. Echocardiogram, blood counts and serum electrolytes including calcium would be appropriate to advise. Low DBP with a widened pulse pressure indicates high arterial stiffness and atherosclerosis. It can increase the chances cardiovascular event. Lipid profile can be advised and initiating statins like atorvastatin can be considered, in consult with a Cardiologist.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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