Head spinning and preassure becomes very high

My mother has right bundle heart entirely blocked pacemaker was implanted back in 2011 the battery of the pacemaker was checked few days back doctor said that its ok and will go for another year but my mother is still faceing a lot of issues like she is not able to walk longer distance and not able to walk the stairs as when ever she does that her head spins so much that she is barely able to stand and her preassure jumps to sys mmhg 220 and DIA mmHg 87 with detection of hypertension pulse is 59 or 60 /min we're in this cold weather she is having to take a bath. Please help

2 Comments

RBBB

by golden_snitch - 2016-01-23 01:01:52

Never heard of anyone with a RBBB getting a pacemaker; a bi-ventricular pacemaker is sometimes implanted in patients with LBBB. A RBBB is often caused by some kind of heart disease, like coronary artery disease or high blood pressure. You treat the underlying condition, not the block. In LBBB the block sometimes needs to be treated with a bi-ventricular pacemaker because it caused a long delay between the beating of the left and right ventricle. And when the left ventricle beats later than the right ventricle, the heart does not pump efficiently, therfore the ejection fraction goes down and the patient goes into heart failure. If the right ventricle beats a bit later the effect is not as serious as if the left ventricle beats later. The left ventricle is more important since it pumps the blood loaded with oxygen to the organs, muscles etc.

Your mom should see her cardio for the high BP episodes. Maybe a 24 hours BP monitoring can be done, and if she takes any drugs for high BP, those can be adjusted according to the results from the monitor. Also, if she can barely walk or climb stairs, her heart should be looked at using an ultrasound. Right ventricular pacing sometimes leads to heart failure and/or an onset of atrial fibrillation (arrhythmia). Both conditions could be an explanation for her symptoms, though there are many more possible causes.

She should get a full cardiac exam.

Best wishes!

not that pacer

by Tracey_E - 2016-01-23 01:01:54

All the pacer will fix is a low heart rate. If the cardiologist is not giving answers, try the GP.

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