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Why Am I Experiencing Dizziness While Standing Up When The Feeling Lingers For Close To A Minute?
Question: I'm a 64 year old male - in good health. I don't smoke, drink a few glasses of wine per week and exercise vigorously at least 3 time per week. My resting pulse is in the 50's and my BP is close to text book - thanks to 20 mg of Accupril each day.
The last two days, I've been experiencing dizziness when I stand up. The feeling lingers in my head for about 30-45 seconds. I also have a pitty feeling in my chest - right in the center of my chest at the bottom of my sternum. Thoughts?
The last two days, I've been experiencing dizziness when I stand up. The feeling lingers in my head for about 30-45 seconds. I also have a pitty feeling in my chest - right in the center of my chest at the bottom of my sternum. Thoughts?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello,
Your symptoms could be related to orthostatic hypotension. For this reason, I would recommend increasing salt and fluid intake in the next days. A close monitoring of your blood pressure values is necessary.
A decrease in the dose of Accupril may be needed (take half of the dose) if your situation does not improve. If these symptoms persist, despite the above tips, I would recommend consulting with your attending physician for a physical exam and some tests:
- A resting ECG
- Complete blood count for anemia
- Blood electrolytes for any possible imbalance
- Kidney and liver function tests.
A head Up Tilt test may be needed to investigate for possible orthostatic hypotension if your symptoms persist.
Hope you will find this answer helpful! Wishing you all the best.
Regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello,
Your symptoms could be related to orthostatic hypotension. For this reason, I would recommend increasing salt and fluid intake in the next days. A close monitoring of your blood pressure values is necessary.
A decrease in the dose of Accupril may be needed (take half of the dose) if your situation does not improve. If these symptoms persist, despite the above tips, I would recommend consulting with your attending physician for a physical exam and some tests:
- A resting ECG
- Complete blood count for anemia
- Blood electrolytes for any possible imbalance
- Kidney and liver function tests.
A head Up Tilt test may be needed to investigate for possible orthostatic hypotension if your symptoms persist.
Hope you will find this answer helpful! Wishing you all the best.
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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