NEW STUDY! Parasym Plus™ for Multiple Sclerosis › Forums › PrettyIll.com Discussion › Cardiology › Will someone please tell me what is happening to me… › Reply To: Will someone please tell me what is happening to me…
I agree with Kerryokegirl, it does sound like POTS. Other things spring to mind too, were you dehydrated ? What was the effect of the IV fluids, did it calm things down ?
“Palpitations are worse in morning” we are usually at our most dehydrated then
“on empty stomach” low energy reserves, remember the heart needs energy too
“and anytime on exertion” inability of the body to meet the demand
I need to say that drinking water alone will not hydrate you, you need salt to retain fluids.
My thoughts are also with Magnesium depletion because Ibuprofen worsens this. Insufficient Magnesium has an impact on energy levels too.
I’ve also looked at your cardiac output and it seems a little askew:-
You say – “In the ER, my blood pressure was 135/69.” Were you laying down, sitting, or stood up at this point ?
I notice your ‘Pulse Pressure’ is a little high. To calculate your Pulse Pressure you simply take your BP reading and deduct the Diastolic (the second figure) from the Systolic (the first figure), so using your figures above, your pulse pressure, on that occasion, is calculated at 66.
Once you know the Pulse Pressure (PP) you can work out the Stroke Volume (SV) as follows
(SV = PP x 2) The Stroke Volume is what the heart has filled with, so yours then was 132 ml.
To calculate Cardiac Output (CO) you also need to know your Heartrate (HR) which you didn’t mention on that occasion. The formula is as follows
(CO = SV x HR) this calculates how much blood volume in Litres per Minute the heart is pumping, so lets look at your figures for standing and sitting:-
“My heart rate goes to 111/85 with 170bpm standing.”
So PP = 111-85 quite low at 26, making your SV here 52ml, so your CO = 52ml x 170, which = 8.840 L/m, so your heart was beating so fast partially to counteract the low stroke volume but all things considered, the reason was probably more than that, maybe there was some ‘blood pooling’ in your lower body and your heart was probably trying to get sufficient oxygen to your brain
“When I went to lie down, it was 99/79 with 95bpm”
So 99 -79 = 20 (PP) x 2 = 40ml (SV) x 95 (HR) = 3.800 L/m (CO)
According to the video I saw, it says “Cardiac Output very much depends on body position
and level of activity with a normal range of 4 – 25 L/min
SITTING at rest, feet down = 5 L/min
SUPINE (laying down) or SITTING at rest, feet up = 6-8 L/min
STANDING = 5 L/min
Level WALKING = 6-7 L/min
RUNNING = 15-25 L/min
So, for instance, 5 litres per minute when you lay down is not normal, except in a disabled person. A number means nothing in itself, it depends what the demand is. Standing takes more energy than sitting, so if the amount available is the same for sitting and standing, then you are better sitting.”
So bearing this in mind, looking at your calculated figures, things are not quite right are they ?