Blood Pressure

The pressure exerted by the flowing blood on the walls of the blood vessels is called blood pressure. The normal blood pressure is 120/80 mmHg. A fall or rise in this blood pressure is a risk factor for developing certain health conditions.

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What is the cause for fainting episodes despite having all cardiac tests normal?

Query: Hi doctor, I keep having episodes of near fainting. What triggers it is talking on the phone and yawning. The symptoms will also happen if I purpose to take a deep breath and exhale hard. While talking on the phone at the end of a sentence, my vision gets fuzzy, and I see spots all over, and I almo...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern and would explain that your symptoms are not suggestive of any cardiac disorders. As there were no changes in your heart rhythm and blood pressure values during the episode, I would exclude any possible cardiac issues or vaso-vagal syncope. ...  Read Full »

Is it possible to have hypertrophic cardiomyopathy at 32 years of age?

Query: Hi doctor, I am a male of 32 years old with a weight of 183 kilograms and a height of five feet ten inches. I have an LV mass of 176 g/m2 and an RWT of 0.67. I do not have high blood pressure. What is the cause?   Read Full »

Dr. Ilir Sharka

Answer: Hi, Welcome to I have reviewed your echocardiography report and I am willing to explain the cause for the increased LV (left ventricular) mass value. It can be due to true hypertrophic cardiomyopathy or due to phenocopy. A cardiac magnetic resonance examination has to be done. You nee...  Read Full »

Can Cilnidipine be used instead of Amlodipine to control BP?

Query: Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is: 1. I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. W...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). Yo...  Read Full »

Why am I having raised blood pressure with nausea and dizziness?

Query: Hello doctor, I am 70 years old. My blood pressure is usually normal. However, it spikes. This morning I woke up feeling nauseous, dizzy, cold feet, shaky and it is 146/86, pulse 84. Why does this happen?  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to After reviewing your medical history, I would like to explain that you need to closely monitor your blood pressure values for a couple of days (several times daily) in order to conclude on your average BP trends. It seems that an abnormally elevated high BP value may...  Read Full »

I have low blood pressure and heart rate with palpitations. Kindly help.

Query: Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate.  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern. You should know that some palpitations are quite normal in every healthy individual, especially during physical activity and anxiety. Anyway, as you are feeling them more frequently lately, I would recommend consulting with your attending p...  Read Full »

Why is there fluctuating BP a year after heart attack?

Query: Hello doctor, Last year my father had a heart attack and well it has been treated well. But after a year he feels his head to be spinning, weak, and has fluctuating blood pressure. Why is it so?  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I would like to explain that the head spinning could be a sign of blood pressure fluctuations. Other possible causes to consider would be an inner ear disorder or low blood flow to the brain (vertebro-basilar insufficiency). For this reason, I would recommend consult...  Read Full »

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