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Heart Disease  (Expert Forum)
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Re: Dizziness
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Re: Dizziness

by Cleveland Clinic, MD, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - CRC on October 05, 1998 at 11:35:17:

In Reply to: Dizziness posted by Joy on October 05, 1998 at 01:23:20:






My grandmother (age 72)  had quadruple bypass surgery July 14th, 1998 and is now suffering from dizziness. She is afraid to discuss this matter with her doctor for fear that she will have to be re-hospitalized, so any information would be appreciated. History is as follows:
* Went for cath and suffered a mild TIA. sufferred no apparent bleeding at CAT scan. Was found to have major blockages. Surgery following three day hospitalization on heart pump to fully recover from TIA.
* No complications during surgery. Recovered in hospital for 2 weeks due to developement of a heart arrythmia and negative reaction to Rythmol. Not sure the type of arrythmia.
*At 6 weeks check up EKG was normal. Doctor encourages her to walk a mile every day within 6 weeks. *Now walking a mile daily with no pains or shortness of breath.
I understand that low blood pressure and arrythmias can cause dizzyness. but pulse and blood pressure rate vary at times of dizzines and mostly not abnormal. (pulse about 70 bts. blood usually 72/145 but top number occaisonally varies from 115 - 170.
*Her medications include: Coumadin, Lanoxin, Beta Pace, and Previcid.
Dizziness appears at times high anxiety or at very end of mile walk. Can last for hours.
She has been having anxiety attacks which always make her feel dizzy.
Also how long does it generally take someone of this age to recover from
surgery fully in terms of strength and stamina? Aside from the dizziness I think shes doing rather well, but she is afraid she is recouperating poorly due to her fatigue. I will continue to encourge her to speak with her doctor, but any information you could provide in the meantime, such as the likelyhood of her needing to be hospitalized, would be appreiciated. Thank you, Joy






_____
Dear Joy,
Thank you for your question.  First let me encourage your grandmother to give a full account of her
symptoms to her doctor regardless of her fear of hospitalization.  Let me assure you that in today's insurance climate only those persons who absolutely need to be admitted are admitted.

Dizziness can be caused by a variety of different things.  Neurological problems are high on the list with strokes and TIA's as potential causes.  Inner ear problems such as labrinthitis (an infection of the inner ear) and Mineniers disease ( a progressive degeneration of the inner ear) as possible causes.  Medication side-effects are common causes of dizziness with many different medications causing this complaint.
In summary, many things could be causing her symptoms and it is important that she follow-up with her doctor to sort out what is causing it and what can be done to improve it.
Information provided here is for general educational purposes only. Only your doctor can provide specific diagnoses and treatments. If you would like to be seen at the Cleveland Clinic, please Call 1 - 800 - CCF - CARE for an appointment at Desk F15 with a cardiologist.

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