What causes variation in heart beat and dizziness?
Patient: I am 61 years old, 5' 10", 178 lbs., My blood pressure is 120/80, I am hypertensive for 15 years, I take norvasc 5 mg. and concore 2.5mg once a day. I am having this sudden, almost a split second dizziness, as if it will knock me down, but just as instantly, I will be able to recover. Then this will be followed by heart palpitations. My kind of palpitation involves only a feeling that my heart is pounding harder than usual rather than an actual increase in my heart rate which stays at 65 to 70 beats per minute. I'd have a 24-hour bp monitor, what was seen was that at that time when I felt that dizziness, there was a skip in my heat beat which my doctor says is not a problem. But I feel pretty uncomfortable with it and I want the problem solved. Thank you. Doctor: Hello,We first need to figure out the reason, whether there is any extra beat as well called as APC or VPC or there is missing of the beat. How much is your usual heart rate, is it on lower side like in sixties or fifties, or it is more than that. If there is vpc or apc then you need to increase the dose of Concor or if there is missed beat then dose of Concor to be reduced. For better discussion, you need to upload the ECG. So discuss these issues with your local doctor.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode