Concerns About Blood Pressure and Heart Rate: Seeking Advice
I am a 25-year-old female, and as of my last weigh-in on Friday, I am 122.8 lbs. My current medications include:
- Lamotrigine/Lamictal at a dosage of 150mg daily
- Quetiapine Fumarate/Seroquel at 50mg, administered twice daily (one dose around 8:30 PM and another right before sleep, totaling 100mg each day).
These medications are aimed at addressing mental health challenges, specifically bipolar disorder type II, with some potential indications of borderline personality disorder and anxiety. The quetiapine also assists with sleep.
Aside from my mental health, I have been diagnosed with patellofemoral malalignment syndrome following an ankle fracture. Fortunately, I have not experienced any major injuries aside from that and a few minor stitches. There have been no surgeries or additional health issues to report.
I intend to visit a healthcare provider once my insurance becomes active, but in the meantime, I seek some guidance regarding my symptoms to determine if they warrant serious concern.
Lately, I've found myself experiencing dizziness, particularly when I stand up quickly, and this has become more frequent and intense. At times, I notice spots in my vision when I rise. Just this past Thursday, I experienced a particularly severe episode, feeling lightheaded and dizzy for the rest of the day. Some friends, whose acquaintances have Postural Orthostatic Tachycardia Syndrome (POTS), recommended that I monitor my blood pressure and heart rate, so I purchased an Omron blood pressure monitor, noted for its clinical reliability.
When seated, my blood pressure usually hovers around 100/70 in the morning, with my heart rate in the high 90s to low 100s. By evening, my blood pressure typically drops to approximately 90/65, while my heart rate decreases to the 80s. According to my Samsung Watch5 Pro, my resting heart rate generally falls between 60 and 80 beats per minute.
Curious about my symptoms, I decided to conduct the NASA lean test at home a few times. On each occasion, my blood pressure elevated into the hypertension range, reaching a peak systolic reading of 130/83 and a diastolic high of 121/86. Every time I completed the test, I experienced significant dizziness and lightheadedness upon standing, along with a pronounced sensation of my heart racing. There was a noticeable increase in my heart rate, typically fluctuating by 15 to 20 beats per minute from lying down to standing. By the seven-minute mark, I usually felt nauseous, but I’m relieved to say I have not fainted during any tests.
Could this be classified as normal bodily reactions, or are these signals—dizziness, lightheadedness, visual disturbances, and nausea—indicative of an underlying issue? Should I consider this enough of a concern to seek urgent care, or is it something I can simply mention in my upcoming appointment with my general practitioner?
Thank you for any insights you can provide!
BronchitisENTAllergy & Immunology