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Dr. Andrew Rynne

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Congestive Heart Failure, Severe Headache, High Blood Pressure While Lying Down. Medications?

Hi, My father is suffering from dilated cardiomyopathy from around 10-12 years and now it has reached the stage of congestive heart failure . His heart is functioning only 14%.Now a days, he is facing a problem of severe headache . When he sits, his blood pressure is low but as he lies down, blood pressure shoots up suddenly by 20-25% and he gets severe headache which is unbearable.please tell what could be the cause behind it and please suggest some medication for this headache. Thanks
posted on Fri, 27 Jul 2012
Twitter Fri, 30 May 2014 Answered on
Twitter Fri, 30 May 2014 Last reviewed on
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your father's symptoms.

The headaches are suggestive of vascular headaches, probably related to fluctuation in he blood flow to brain in sitting and lying down positions. The main treatment is required to make the heart better.

He has a poor cardiac function. Dobutamine infusion may help improve th heart function.

If medicines do not help, heart transplant surgery is a good option.

For headache, he can take ibuprofen tablets.

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (neurology)
Senior Consultant Neurologist
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Congestive Heart Failure, Severe Headache, High Blood Pressure While Lying Down. Medications?

Hi, Thank you for posting your query. I have noted your father s symptoms. The headaches are suggestive of vascular headaches, probably related to fluctuation in he blood flow to brain in sitting and lying down positions. The main treatment is required to make the heart better. He has a poor cardiac function. Dobutamine infusion may help improve th heart function. If medicines do not help, heart transplant surgery is a good option. For headache, he can take ibuprofen tablets. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (neurology) Senior Consultant Neurologist