Regarding arrhythmias and dizziness issues?
Hello, doctor.
Over the past year, I have started experiencing dizziness and a sensation of unsteadiness while walking.
I consulted a cardiologist who diagnosed me with arrhythmia.
A 24-hour Holter monitor showed 10,908 occurrences of ventricular premature contractions (VPCs) in one day.
The doctor diagnosed me with ventricular premature contractions and cardiac electrical instability, and prescribed me with Rhythmol (propafenone) and Entresto (sacubitril/valsartan).
However, I noticed that after taking these medications, my dizziness worsened (especially with Rhythmol), and I feel dizzy whenever I turn my head too quickly or forcefully.
Occasionally, I have a sensation of nausea, but lying down provides some relief.
My blood pressure has also dropped to around 105-110/60-65.
Could this be a side effect of these two medications? Another question I have is that I was diagnosed with this condition during a military physical examination about nine years ago, but I only started experiencing dizziness in the past year.
I am unsure why this is happening—could it be due to aging or my increased tea consumption in recent years? Thank you, doctor!
Awei, 30~39 year old female. Ask Date: 2016/04/27
Dr. He Dongjin reply Cardiology
Hello, it is recommended to visit an otolaryngologist for further evaluation, as it may be caused by vestibular dysfunction.
Personally, I believe it may be best to refrain from medication for now and observe the situation.
Changhua Hospital cares about you.
Reply Date: 2016/04/27
More Info
Understanding arrhythmia and dizziness can be complex, especially when symptoms like dizziness and feelings of instability arise. Based on your description, it seems that you have been diagnosed with ventricular premature contractions (VPCs), which are a type of arrhythmia characterized by early heartbeats originating from the ventricles. This can lead to a sensation of skipped beats or palpitations, and in some cases, it can contribute to feelings of dizziness or lightheadedness.
Causes of Dizziness Related to Arrhythmia
1. Reduced Cardiac Output: When the heart beats irregularly, it may not pump blood effectively, leading to a temporary decrease in blood flow to the brain. This can cause dizziness or lightheadedness.
2. Electrolyte Imbalances: Arrhythmias can sometimes be exacerbated by imbalances in electrolytes such as potassium, magnesium, and calcium, which are crucial for maintaining normal heart rhythm and function.
3. Medications: The medications you mentioned, such as the antiarrhythmic drugs (脈律循膠囊 and 恩特來錠), can have side effects that include dizziness, lightheadedness, and even nausea. It’s important to discuss these side effects with your doctor, especially if they are affecting your quality of life.
4. Anxiety and Stress: The psychological impact of experiencing arrhythmias can lead to increased anxiety, which can further exacerbate feelings of dizziness or lightheadedness.
Treatment Options
1. Medication Adjustment: If the medications are causing significant side effects, it may be necessary to adjust the dosage or switch to a different medication. Always consult your healthcare provider before making any changes to your medication regimen.
2. Lifestyle Modifications: Reducing caffeine intake, especially from tea, may help if you suspect it is contributing to your symptoms. Caffeine can stimulate the heart and potentially worsen arrhythmias.
3. Hydration and Nutrition: Ensuring adequate hydration and maintaining a balanced diet rich in essential electrolytes can help support heart health and potentially reduce arrhythmia episodes.
4. Monitoring and Follow-Up: Regular follow-up with your cardiologist is crucial. They may recommend additional tests or monitoring to assess the frequency and severity of your VPCs and their impact on your overall health.
5. Cognitive Behavioral Therapy (CBT): If anxiety is a significant factor, therapy may help you manage your symptoms better and reduce the psychological burden of living with arrhythmia.
Conclusion
The onset of dizziness and arrhythmia can be distressing, and it’s understandable to seek clarity on these issues. While it’s possible that your symptoms have intensified with age or lifestyle changes, it’s essential to work closely with your healthcare provider to tailor a treatment plan that addresses both your physical and psychological symptoms. If you continue to experience significant dizziness or other concerning symptoms, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and managing these symptoms effectively can greatly improve your quality of life.
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