What can I expect?

[lisakev27]

I am a 45 year old smoking female, I have low blood pressure that is out of control, I am on Midodrine. It goes to low to get on my home monitor and as high as 178/123. I also have AV regurgitation that went from moderate-severe to mild - moderate. I currently have an event monitor on and it sets itself off with heart rates below 40 and above 140. Some times I stand up  and I suddenly feel faint and have some difficulty breathing and I press the button. I call it in and my rate will have gone from fairly slow to sinus tach in a minute and they say its Ok. I have also had premature beats and arrhymias that they say are Ok as well. Can I have all these things without having anything wrong? Or does all this say that there could be something going on? I am going to see a specialist about the blood pressure in August and I will be seeing my cardio when the event monitor is done, a week and a half.

Thank- you
lisakev27

[Cleveland Clinic]

There is definitely something going on, the question is what. You probably have an autonomic neuropathy which affects your blood pressure, and heart rate. What symptoms do you have: are you lightheaded or passing out? If so then a tilt table test can help make the diagnosis clear and what your volume status is and if there are any significant pauses that may be helped by a pacemaker.
Lets see what your event monitor shows, and see if this is secondary to an arrhythmia or not. And of course you should stop smoking.