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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP Despite A Normal ECG Report

Husband has high blood pressure and is diabetic. Less than two weeks ago had an ECHO. All indications were good. Has experienced swimmy eyes, pale complexion after little exertion (passed out recently). Pale again today, checking BP and sugar - BP rising slowly; average sugar is 143 for the last two weeks. He s due for routine visit with primary in a week and will be going for lab work tomorrow. Feels exhausted but not tired, though snoozing at the moment. Has little appetite as well.
Tue, 26 Jun 2018
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Cardiologist,  's  Response
Hello!

Welcome to ‘Ask A Doctor’ service.

Regarding your concern, I would explain that his symptoms could be related to low blood pressure or orthostatic hypotension.

I would like to know his current therapy.

Considering his past medical history, I would recommend performing an exercise cardiac stress test.

In the meantime it is necessary to closely monitor his blood pressure values in sitting and standing up position.

In case of dropping blood pressure values when standing up, a Head UP Tilt test may be needed.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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Suggest Treatment For High BP Despite A Normal ECG Report

Hello! Welcome to ‘Ask A Doctor’ service. Regarding your concern, I would explain that his symptoms could be related to low blood pressure or orthostatic hypotension. I would like to know his current therapy. Considering his past medical history, I would recommend performing an exercise cardiac stress test. In the meantime it is necessary to closely monitor his blood pressure values in sitting and standing up position. In case of dropping blood pressure values when standing up, a Head UP Tilt test may be needed. Hope to have been helpful! Kind regards, Dr. Iliri