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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness, Lightheadedness And Fatigue When Diagnosed With Pulmonary Hypertension?

For two days now, I have been feeling extremely dizzy, lightheaded, ears ringing, fatigued, sleepy, and have feeling that my neck and back are swollen with fluid. I feel terrible. I am on Bystolic, Lasix, Synthroid, and had an ablation done a few years ago, have some mild pulmonary hypertension. I had been doing great, get regular checkups, but this hit me a couple of days ago and I cannot see doctor over weekend.
Thu, 28 May 2020
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General Surgeon,  's  Response
Hello,

* As per my clinical experience, the constellation of symptoms of headache, dizziness and fatigue do indicate various possibilities in case of pulmonary hypertension as:

- reduced ventricular outflow hampering peripheral blood circulation to parts of brain
- right atrial and ventricular enlargement with chronic overload

- right ventricular hypokinesia and secondary changes

* In my clinic, after thorough clinical examination, I do recommend

- 2 D echo report of heart , carotid doppler
- Pulmonary vasculature pressure recordings with PCWP ( pulmonary capillary wedge pressure )
- auscultation of breath sounds , any adventitious sounds over both lung regions.

If any of the reports are available with you, kindly share with me immediately for further discussion in this matter.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Dizziness, Lightheadedness And Fatigue When Diagnosed With Pulmonary Hypertension?

Hello, * As per my clinical experience, the constellation of symptoms of headache, dizziness and fatigue do indicate various possibilities in case of pulmonary hypertension as: - reduced ventricular outflow hampering peripheral blood circulation to parts of brain - right atrial and ventricular enlargement with chronic overload - right ventricular hypokinesia and secondary changes * In my clinic, after thorough clinical examination, I do recommend - 2 D echo report of heart , carotid doppler - Pulmonary vasculature pressure recordings with PCWP ( pulmonary capillary wedge pressure ) - auscultation of breath sounds , any adventitious sounds over both lung regions. If any of the reports are available with you, kindly share with me immediately for further discussion in this matter. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel