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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Dizziness With High Bp Suggest?

my mother is 72 and is in pretty good health. She doesn't smoke or drink. She does take medicine for her blood pressure which she started a few years ago. She has been dizzy off and on for a few days. She checked her blood pressure which was 140 over 74. Should she see the doctor?
Wed, 26 Jul 2017
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Her blood pressure values are within the normal ranges.

Coming to this point, her complaints could be related to an inner ear disorder, chronic degenerations of the cervical spine or low blood flow to the brain, probably caused by narrowed cervical arteries.

Another possible cause to consider would be orthostatic hypotension. In such case her symptoms would be triggered by standing up. Does this happen to her?

For this reason, I would recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder first.

Other tests to consider if an inner ear disorder is excluded are:

- a Doppler ultrasound of the neck vessels to examine the blood flow in them
- complete blood count for anemia
- blood electrolytes for possible imbalance
- fasting glucose
- a Head Up Tilt Test for possible orthostatic hypotension.

You should discuss with her doctor on the above issues.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
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What Could Dizziness With High Bp Suggest?

Hello! Welcome and thank you for asking on HCM! Her blood pressure values are within the normal ranges. Coming to this point, her complaints could be related to an inner ear disorder, chronic degenerations of the cervical spine or low blood flow to the brain, probably caused by narrowed cervical arteries. Another possible cause to consider would be orthostatic hypotension. In such case her symptoms would be triggered by standing up. Does this happen to her? For this reason, I would recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder first. Other tests to consider if an inner ear disorder is excluded are: - a Doppler ultrasound of the neck vessels to examine the blood flow in them - complete blood count for anemia - blood electrolytes for possible imbalance - fasting glucose - a Head Up Tilt Test for possible orthostatic hypotension. You should discuss with her doctor on the above issues. Hope you will find this answer helpful! Wishing good health, Dr. Iliri