Hello, It is necessary for performing a comprehensive differential diagnosis between different causes that may mimic this clinical scenario: heart failure, anemia, dehydration, electrolyte imbalance, etcetera. Are you taking any anti-hypertensive drugs? In such a case, I would recommend stopping them as long as these low blood pressure values persist. I would also recommend performing some other tests besides the cardiac ultrasound: - A chest x-ray study - Pulmonary function tests - Cardiac enzymes - Complete blood count for anemia - Blood electrolytes for any possible imbalance. An exercise cardiac stress test may be needed if suspicions of coronary artery disease raised. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka