Low Blood Pressure: Links to Thyroid Issues and Heart Rate - Cardiology

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Hypotension issues


Hello Doctor: Due to hypothyroidism, I have issues with low blood pressure.
Whenever I feel hungry, my blood sugar drops, which is accompanied by a gradual decrease in body temperature and heart rate.
Then I start to experience palpitations, with my heart rate rising to around 106 bpm.
Is this the heart pumping blood? Is there a correlation between these symptoms? Thank you.

You-Chen, 30~39 year old female. Ask Date: 2020/04/28

Dr. Chen Jili reply Cardiology


It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed.
Thank you!

Reply Date: 2020/04/28

More Info


Low blood pressure, or hypotension, can indeed be linked to various health issues, including thyroid dysfunction and heart rate irregularities. In your case, you mentioned having hypothyroidism, which can significantly affect your cardiovascular system and overall metabolism.

Hypothyroidism is characterized by an underactive thyroid gland, leading to decreased production of thyroid hormones. These hormones play a crucial role in regulating metabolism, heart rate, and blood pressure. When thyroid hormone levels are low, it can lead to a slower heart rate (bradycardia), decreased cardiac output, and, in some cases, low blood pressure. This is because thyroid hormones help maintain the heart's rhythm and the force of contraction. Therefore, if your thyroid levels are not adequately managed, it could contribute to your low blood pressure and heart rate issues.

You also mentioned experiencing symptoms like a drop in blood sugar levels when hungry, which can lead to feelings of weakness, dizziness, or even palpitations. When blood sugar levels fall, the body responds by releasing stress hormones like adrenaline, which can increase heart rate. This response is your body's way of trying to maintain adequate blood flow and oxygen delivery to vital organs. The heart rate increase to 106 beats per minute that you experience could be a compensatory mechanism to counteract the effects of low blood sugar and low blood pressure.

It's important to note that while a heart rate of 106 is considered elevated, it may not be alarming in the context of your symptoms and the underlying causes. However, if you frequently experience significant fluctuations in heart rate and blood pressure, it would be wise to consult with a healthcare professional. They may recommend monitoring your thyroid hormone levels, adjusting your medication if necessary, and possibly conducting further cardiovascular evaluations to ensure that your heart is functioning optimally.

In addition to managing your thyroid condition, it's essential to maintain a balanced diet to prevent blood sugar drops. Eating smaller, more frequent meals can help stabilize your blood sugar levels and prevent the symptoms you described. Staying hydrated is also crucial, as dehydration can exacerbate low blood pressure.

If you continue to experience symptoms such as dizziness, palpitations, or significant fluctuations in blood pressure and heart rate, it would be advisable to seek further evaluation from a healthcare provider. They may consider additional tests, such as an electrocardiogram (ECG) or echocardiogram, to assess your heart's function and rule out any underlying conditions that could be contributing to your symptoms.

In summary, there is a clear link between low blood pressure, thyroid issues, and heart rate variability. Proper management of your thyroid condition, along with lifestyle modifications, can help mitigate these symptoms and improve your overall health. Regular follow-ups with your healthcare provider are essential to monitor your condition and make any necessary adjustments to your treatment plan.

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