OpenHealth Q&A

Experiencing Sudden Collapses?

Greetings everyone! I’m a 24-year-old woman from the UK, currently consulting with my healthcare providers regarding a concerning health issue. Recently, I was referred to a cardiology specialist, but I'm eager to hear if anyone else has encountered similar situations, as I'm having difficulty finding relevant information on my symptoms. To provide some context about my health: I abstain from alcohol, tobacco, and recreational drugs entirely. I maintain a regular exercise routine and weigh just under 14 stone while standing at 5 feet 3 inches tall; I’ve lost two stone over the past few years gradually. Daily, I take 20mg of Amitriptyline due to the onset of peripheral neuropathy in my feet earlier this year, alongside managing PCOS. Additionally, I experience migraines accompanied by aura several times a year, which restricts the medications available to me. I have other joint issues, and my doctors have observed elevated blood pressure readings—typically around 136 over 95—for the past three years, a condition that hasn’t improved with my weight loss or months of consistent cardio workouts. My resting heart rate is approximately 85 bpm, but it spikes significantly with even minimal physical activity. For instance, walking on level ground can raise my heart rate to 140-150 bpm, regardless of my attempts to enhance my fitness levels. About three months ago, I switched to a new medical practice, where my physicians have been trying to determine the cause of my high blood pressure without success; I’ve undergone numerous blood tests. Both a standard ECG and a 24-hour ECG yielded similar results, indicating an abnormally high heart rate without a clear explanation. Not long ago, I experienced a fainting spell while getting out of bed, where I lost consciousness and woke up on the floor, disoriented with a ringing in my ears and a tight sensation in my chest that subsided quickly. Though this was unsettling, I initially dismissed it since dizziness accompanies my elevated heart rate. Looking back, I realize that was a questionable decision. The incident resurfaced earlier this week, mirroring the earlier experience. As I stood up, I felt that tight pressure in my chest and the ringing in my ears, causing me to fall backward, though I remained aware of my surroundings. For about five to ten seconds, I found myself unable to move before the sensation passed and I returned to normal. After this episode, I consulted with my doctor, who seemed perplexed by the occurrence and subsequently referred me to cardiology. She suggested it might be related to posture, and I concur; this reaction only seems to emerge when moving from a laying position to standing. I do experience dizziness at times when transitioning from sitting to standing or climbing stairs, though not as intensely as during these episodes. My doctor advised that I go to the emergency room if it happens again. Earlier today, I had yet another episode—upon standing up from bed, I felt an intense squeezing in my chest accompanied by ringing ears, blurred vision, and a partial collapse. I remained fully conscious but found myself seated back on my bed, with limited movement on one arm. Although this episode lasted no longer than ten seconds, I was gasping for air in an unusual manner. Curiously, I brushed it off and continued with my day. However, as I reflect late at night, I realize that I should have sought immediate medical attention. Searching online hasn't clarified my situation, and I don't believe it aligns with the symptoms of POTS, as my mother suggested. I anticipate seeing the cardiologist soon and will certainly seek help at A&E if these symptoms recur, as I now understand there may be serious implications for my health. If anyone has faced similar experiences, I would greatly appreciate your insights!

Answers (1)

8/22/2025, 11:01:23 PM

OpenHealth AI

It sounds like you are experiencing some concerning symptoms, including fainting spells, dizziness, high heart rate, and chest tightness, particularly when standing up. It's wise that you're consulting with a cardiologist, as these could indicate underlying cardiovascular issues or other conditions.

Explanation

Your symptoms of collapsing or fainting when transitioning from lying or sitting to standing, along with an elevated heart rate and blood pressure, may suggest a few possible conditions. One potential explanation is orthostatic hypotension, where blood pressure drops significantly upon standing, causing dizziness and fainting. Another possibility could be related to your heart rhythm or a form of dysautonomia like Postural Orthostatic Tachycardia Syndrome (POTS), although you've mentioned not identifying with that.

Next Steps

1. Monitor Symptoms: Keep a detailed diary of your episodes. Note the time, what you were doing before the event, how long it lasted, and any other symptoms. This can provide valuable information for your healthcare providers.

2. Stay Safe: If you experience any more fainting spells, dizziness, or chest pressure, seek emergency medical help immediately, as your doctor advised.

3. Hydration and Diet: Ensure you’re well-hydrated, as dehydration can exacerbate symptoms. Consider adding more salts to your diet (if there are no restrictions from your healthcare provider) to help manage blood pressure.

4. Gradual Movements: When transitioning from sitting or lying down to standing, do so very slowly. You might try sitting on the edge of the bed for a few moments before standing or doing some gentle exercises to help your body adjust.

5. Follow Up with Cardiology: Prepare for your upcoming cardiology appointment by taking your symptom diary and discussing all your concerns, especially regarding the episodes and your elevated heart rate and blood pressure.

Please remember that while waiting for your appointment can be nerve-wracking, it’s crucial to remain observant and prioritize your safety. If you feel your symptoms escalating or have significant changes, don’t hesitate to get immediate help. You're not alone in this, and seeking support is a strong step toward understanding your health better.