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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue With Low BP And Hard Heart Beats?

Lately I am really tired, my blood preassure is normaly low, 96/59 and it s driving me crazy that I feel my herat beating so hard that it s wakeing me up. I felt my heart skiping beats and abd had 117 bpm , all my heart test canme out good, what can it be? What can I do?
Tue, 11 Nov 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
Sensation of feeling your own heartbeat could likely result from the underlying arrhythmia.This can result in symptoms like low blood pressure and weakness.I advise you to have a baseline ecg and 2 dimensional screening echo to rule out organic heart disease.Electrophysiological study of the heart can lead to accurate assessment of this irregular rhythm.The definitive management would be drugs like beta blockers.Hydrate yourself adequately with 3-4 liters of water.Maintain blood pressure just under 130/80 mm of hg.Definitive management consists of radiofrequency ablation.
Thank you.
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What Causes Fatigue With Low BP And Hard Heart Beats?

Hi welcome to HCM. Sensation of feeling your own heartbeat could likely result from the underlying arrhythmia.This can result in symptoms like low blood pressure and weakness.I advise you to have a baseline ecg and 2 dimensional screening echo to rule out organic heart disease.Electrophysiological study of the heart can lead to accurate assessment of this irregular rhythm.The definitive management would be drugs like beta blockers.Hydrate yourself adequately with 3-4 liters of water.Maintain blood pressure just under 130/80 mm of hg.Definitive management consists of radiofrequency ablation. Thank you.