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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Blood Pressure, Increased Heart Rate, Arms Shaking Severely. What Are The Causes ?

Hi, I've recently found out I have high blood pressure, I'm waiting for a blood test next Friday to check kidneys and cholesterol and sugar metabolism. I had no symptoms regarding the high bp. This Sunday, 3 days ago I was lying in the garden I'd been out there probably half an hour, I had just fallen asleep and I woke up and my heart rate was incredibly fast, I've never known it beat so fast, I couldn't catch my breath, I went inside and had a drink. I breathed into a bag which brought the heart rate down but I lost feeling in my legs, arms were shaking quite severely and I had to sit down. I had a sugary drink as I thought my sugar level may have dropped but this didn't help. I came over incredibly dizzy and felt like I was going to faint. I stayed on the floor and 5 hours later the dizziness eventually calmed down. I went to bed that night but every time I was just about to fall into sleep I went very dizzy like I was being spun round. For the past couple days I've been in a constant state of light headedness and dizzy if I move my head to quickly or look down. The difficulty getting to sleep isn't quite as bad. I was at work yesterday and I stood up and everything went very distant and I saw white flashing dots appear for a good 10 seconds until I sat down. I find it gets better once I eat a meal. I was involved in a small car accident on Thursday where I hit my head on the glass but it was a very very minor accident... I'm not sure whether these symptoms are caused by the bump to my head or something with my bp?
Wed, 10 Jul 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

     It may or may not be related to the pressure or accident – most likely not. There is an old expression, “Post hoc ergo propter hoc”, meaning ‘after this, therefore because of this’ / It is natural human tendency to associate things with the immediate past - which is always not true...
     THE FIRST STEP IS TO SEE A CARDIOLOGIST / The beats need to be DOCUMENTED by ElectroCardioGram (EKG). HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / LABORATORY work-up – may all be necessary for further assessment and assistance.
The treating doctor may suggest them depending on need, based on his assessment of the situation.
     Dizziness and flashing could be a part of the arrhythmia – causing reduced blood flow to the brain.
If there are no clues, you have to be followed up by a neurologist. MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.

Take care
Wishing speedy recovery
God bless
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Cardiologist Dr. Haseeb Ashraf's  Response
Thanks for your question

Your symptoms are suggestive of Syncope/pre-Syncope due to cardiac arrhythmias.

Get a 24 hour ambulatory holter monitoring done after consulting a cardiologist.

This test will record your electrical pattern of heart, heart rate, rhythm etc and will be a very helpful test to pick up the condition causing your symptoms

Hope that answers your question
In case of any query please feel free to contact

Thanks
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High Blood Pressure, Increased Heart Rate, Arms Shaking Severely. What Are The Causes ?

Hi friend, Welcome to Health Care Magic It may or may not be related to the pressure or accident – most likely not. There is an old expression, “Post hoc ergo propter hoc”, meaning ‘after this, therefore because of this’ / It is natural human tendency to associate things with the immediate past - which is always not true... THE FIRST STEP IS TO SEE A CARDIOLOGIST / The beats need to be DOCUMENTED by ElectroCardioGram (EKG). HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / LABORATORY work-up – may all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation. Dizziness and flashing could be a part of the arrhythmia – causing reduced blood flow to the brain. If there are no clues, you have to be followed up by a neurologist. MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. Take care Wishing speedy recovery God bless