I am 35 year old female.
my condition started 5 month back after i had my 2nd delivery. it was normal vaginal delivery with epidural anesthesia( it was difficult insertion of epidural catheter 2 times failed and inserted in 3rd time with difficulty) 5 days after delivery i developed symptomatic bradycardia heart rate was 35-42/ min,generalized edema, palpitation ,dizziness, blurring and chest tightness with cough and since of fatigue.
at that time investigation done show :
Blood : complete blood count "normal", liver function, kidney function, CRP, ESR,thyroid function , immunoglobulins, bichemestry" Ca, Mg, K" all were normal.
D Dimer was high 5000 but came normal after about one month 200
all
spiral chest CT " normal study", abdominal ultrasound "normal study", lower limb doppler "normal".
Holter show sinus bradycardia, Tred Mel show hear rate acceleration, Echocardiography show mild regergitation in 3 valve and increase in pulmonary pressure" 45" which improve later except mild TR
D Dimer was high 5000 but came normal after about one month 200
I was slowly improving my heart rate became 60 and symptoms decrease but since one month i started to have sever drowsiness, heavy head like bag of water, some times i feel fullness of the ears, some times in the left ear and others right ear and some times with tinnitus.
I feel fatigue i can not carry my self like walking in sand or water or walking against gravity.
if drowsiness increase i feel tight chest, burning in suprasternal area and like burning in trachea, i can take my breath but i feel it is heavy ,my head is heavy and i may feel numbness in occipital area like no blood is reaching my brain.
i can not withstand noise , and my eyes movement if i look around increase drowsiness and i feel i move my eyes with difficulty and its painful.
i repeat holter which show sinus Brad ycardia '45" minimum heart rate most of the time with max heart rate 120, stress ECG and Echo all within normal,blood pressure 105/ 65 average lowest was 92/50
MRI.MRV, MRA STUDY within normal
blood investigations were normal
ANA weak positive, rheumatic factor 23 (normal max 20)
eye examination, fundus,retina and field all normal
ENT examination show benign paroxismal veritigo
i have base line of dizziness but it increases now even without that much effort.and some times i feel better but for very short time