求问一下自己心脏的问题

h
happypuppy
楼主 (文学峸)

看了微侃医林心率的问题, 就想把自己最近心脏不舒服的事提上了问问。 

我血压一直低, 一般90/60,心率60, 因为低血压晕过很多次, 后来感觉快晕了, 就赶紧躺下。

前几个月, 我早上经常头晕,我以为是血压低, 结果有一天躺了一会, 上班时开车, 就突然不行了, 心跳特别快, 眼前发黑, 恶心想吐。 我赶紧把车pullover, 躺下, 过一会好点, 坚持把车开到公司。 公司有护士, 量血压, 128/73, 心率67。我很奇怪, 竟然不是低血压。 结果隔一天, 又发生一次, 血压同样比平时高, 也是120多。

去看医生, 带的monitor, 说没有心颤, 尽管在带monitor期间不舒服很多次。后来做的echo, 双心房都有一点增大, 但也不是大问题。

我自己开始记录不舒服时的血压, 发现只有血压升到115左右, 就开始觉得心率加快, 如果到125左右, 就开始有要晕的感觉。 所以现在我不舒服就躺下, 直到血压掉到110以下。 尽管可以, 但影响生活质量。 我排除了饮食, 睡眠, 压力, 现在发现不舒服一般在上午,不是刚起床, 几次是吃完早饭, 喝完水以后。每次看医生, 医生都说120的血压多好啊, 我问他那我为什么不舒服, 他就不知道了。

不知道大家有没有听说过类似的病例, 过一阵见医生时和他说。谢谢

g
goingplace
你低血压会不会是低血糖引起的,那2次路上发生的事挺危险的。我也常常心脏不舒服,也彻底检查过,说我没任何问题。
p
pickshell
觉得应排查下颈椎。颈椎病遇姿势不对时刺激到交感神经也会引起头晕,血压升高和心率加快,
l
lucky_rain
看的是哪科? 心脏?有没有查过其他器官

肺,神经?

l
lilyofthevalley
你人不舒服是因为你身体习惯了低血压,但现在血压偶而突然升高了30-40甚至更多,变化太大身体不适应所以会感到头晕恶心。

请你的医生refer给心脏专科查下为什么血压会突然升高这么多。以前低血压头晕医生有什么建议没有?低血压也是有风险的。心血管专科医生告诉过我她不怕高血压反而怕低水压,高血压总有办法把血压降下来,水压太低才更棘手。

Y
YiJian_Emei
你的基础血压比一般人低, 所以你不能用常人的高血压标准。 你应该和你的医生讨论一下这个问题。
黎程程
人体血压会变化,大概上午8点是高峰,下午4点是次高峰。

https://vp.fact.qq.com/article?id=b0d577edc83a8b713a36fe2a8151dde7

L
Leo5568
POTS—

POTS (Postural Tachycardia Syndrome) triggers include environmental factors like heat and prolonged standing, physical exertion and exercise, illness such as viral infections or Long COVID, physiological factors like dehydration and menstruation, certain medications, and high-carbohydrate meals. Triggers vary per person and can include stress, trauma, and underlying connective tissue disorders like Ehlers-Danlos syndrome.    Environmental & Lifestyle Triggers Heat: Hot environments, a hot bath or shower, or simply a hot day can trigger symptoms.    Prolonged Standing: Remaining in an upright position for extended periods, such as while shopping or waiting in line.    Exercise: Strenuous exercise or increased physical activity can worsen POTS symptoms, although gradual, carefully chosen exercise may be beneficial in the long term.    Dehydration: Inadequate fluid intake can lead to dehydration, which exacerbates POTS symptoms.    Diet: Some people find their symptoms worsen after eating, especially meals high in refined carbohydrates.    Physical & Physiological Triggers Illness: Being sick with a cold, the flu, or another infection can trigger a POTS flare-up.    Menstruation: Many individuals with POTS experience an increase in symptoms right before their menstrual periods.    Stress: Both physical and emotional stress can act as a trigger for POTS.    Infections: Viral infections are a common trigger for developing POTS in the first place.    Medications & Medical Conditions Medications: Certain medications, including some anti-depressants, anti-psychotics, diuretics, and those used to treat high blood pressure, can cause or worsen POTS symptoms.    Underlying Conditions: POTS is often associated with or can be a result of other conditions such as Long COVID, Ehlers-Danlos syndrome, myalgic encephalomyelitis/chronic fatigue syndrome(ME/CFS), and diabetes.    How to Manage POTS Triggers Hydrate: Drink plenty of fluids and increase salt intakeas recommended by a healthcare professional.    Avoid Heat: Stay in cool environments and avoid hot baths or saunas.    Gradual Exercise: Engage in gentle exercise while lying or sitting down, such as swimming, and gradually increase intensity as tolerated.    Manage Diet: Avoid high-carbohydrate meals and eat smaller, more frequent meals.    Consult a Doctor: Discuss any medications you are taking with a healthcare provider and seek advice before stopping them. 
北美金花
多喝水。我的血压与你差不多。
h
happypuppy
我早上都吃早饭, 水也喝了, 所以不应该是
h
happypuppy
只看了心脏科
h
happypuppy
我那两次都是早上吃完饭, 觉得有点不舒服, 躺了一会, 着急上班就出门了。
h
happypuppy
和医生说, 医生估计stem不好, 听不懂, 只是坚持120 血压很好

现在就是血压为什么升高找不到规律, 有几次是吃完饭, 喝完水,还有说完电话,就是找不到规律。 我问过医生是不是喝水导致的, 他说如果缺水有可能血压升高, 喝水不会

h
happypuppy
有道理, 大多数时候是发生在早上8,9点
p
pickshell
自家有血压计吧,每天多测几次做记录。。
h
happypuppy
也挺像, 我过两天问问医生
h
happypuppy
谢谢, 我现在生活从没这么健康过, 跟瓷娃娃似的
j
julie116
会不会是脑眼对motion 反应过度?
北美金花
水份摄入不足可能导致血容量减少。? 低血容量会导致低血压,心脏负担重.