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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Blood Pressure And Palpitations?

my blood pressure has been as low as 87/54, 90/62,100/54, 118/46 and many more variations, and sometimes it is completely normal, i have palpatations a lot and my pulse wiil run anywhere fron 46 to 66 unless i am involved in excerise.I have been dizzy and lightheaded. I also am hypothyroid. do i have a problem?
Wed, 27 May 2015
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Internal Medicine Specialist,  's  Response
Yes, it sounds like you may have a problem with your heart rhythm which could be related directly or indirectly to your low blood pressure. A pulse of 46 is quite low and suggests the possibility that there is a partial blockage in the electrical system in your heart. The palpitations may be related to your heart trying to compensate for the blockage by using an alternate rhythm generator- like something called atrioventricular block with a junctional or ventricular response. Get an EKG done soon and see if that or some other rhythm disturbance is the cause. You might also need what's called a Holter monitor or event monitor. This records your heart beat over time and can detect abnormal rhythms that may only be occurring occasionally. A certain type of nerve condition can also be associated with low blood pressure and heart palpitations. Other tests may be necessary to diagnose this. See a cardiologist and get this evaluated. Hope this helps.
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What Causes Low Blood Pressure And Palpitations?

Yes, it sounds like you may have a problem with your heart rhythm which could be related directly or indirectly to your low blood pressure. A pulse of 46 is quite low and suggests the possibility that there is a partial blockage in the electrical system in your heart. The palpitations may be related to your heart trying to compensate for the blockage by using an alternate rhythm generator- like something called atrioventricular block with a junctional or ventricular response. Get an EKG done soon and see if that or some other rhythm disturbance is the cause. You might also need what s called a Holter monitor or event monitor. This records your heart beat over time and can detect abnormal rhythms that may only be occurring occasionally. A certain type of nerve condition can also be associated with low blood pressure and heart palpitations. Other tests may be necessary to diagnose this. See a cardiologist and get this evaluated. Hope this helps.