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What Causes Severe Dizziness When Diagnosed With Congestive Heart Failure?
Question: Have congestive heart failure. I.E. high blood pressure, 4 spots on heart, .... 81 years old, and aging of course.. I worry about drug interactions. Coreg, Eplerenone 25mg, Loperamide 2mg, Omeprazole 40mg,Tamsulosin .4mg, Torsemide 5 mg. Ran into recent problems with Lightheartedness, shortness of breath, Famaliar with those exercise events, but this were on acute notice. I do have good care from several physicians each with there own worries. We stopped use of Carvedilol (Coreg) and doing some better. But still get dizzy and short of breath after limited exercise. Excuse me it this sounds a bit confused, but really interested in why the sudden change.. Leo
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I passed through your concerns and would like to explain that your recent complaints do not seem to be related to any adverse drugs interaction.
It is true that dizziness may be an adverse complication of Carvedilol, and to a much lesser degree of Eplerenone, Loperamide, Torsemide and even Tamsulosin.
But, regarding shortness of breath exacerbated by limited exercise, this is most likely to be related to your primary health disorder (congestive heart failure).
In such case, a decreased cardiac performance leads to increased left ventricular filling pressure and pulmonary congestion. This latter explains the presence of shortness of breath (the circulating blood is not properly oxygenated through the lungs).
Coming to this point, an optimization of your actual heart failure therapy is necessary. Probably an increase of your daily diuretics dose would be beneficial at releasing your complaints.
In order to properly address the ongoing therapeutic strategy, some tests are necessary:
- a recent cardiac ultrasound,
- chest X ray film,
- renal and liver function tests,
- blood electrolytes level,
- complete blood count (to exclude anemia or inflammation/infection),
- BNP or NT-proBNP
You need to discuss with your attending cardiologist on the above mentioned issues.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I passed through your concerns and would like to explain that your recent complaints do not seem to be related to any adverse drugs interaction.
It is true that dizziness may be an adverse complication of Carvedilol, and to a much lesser degree of Eplerenone, Loperamide, Torsemide and even Tamsulosin.
But, regarding shortness of breath exacerbated by limited exercise, this is most likely to be related to your primary health disorder (congestive heart failure).
In such case, a decreased cardiac performance leads to increased left ventricular filling pressure and pulmonary congestion. This latter explains the presence of shortness of breath (the circulating blood is not properly oxygenated through the lungs).
Coming to this point, an optimization of your actual heart failure therapy is necessary. Probably an increase of your daily diuretics dose would be beneficial at releasing your complaints.
In order to properly address the ongoing therapeutic strategy, some tests are necessary:
- a recent cardiac ultrasound,
- chest X ray film,
- renal and liver function tests,
- blood electrolytes level,
- complete blood count (to exclude anemia or inflammation/infection),
- BNP or NT-proBNP
You need to discuss with your attending cardiologist on the above mentioned issues.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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