Dizziness and palpitations—what should you do?
Disease description:
Recently, my younger sister has frequently experienced unexplained dizziness, a rapid heartbeat, and loss of appetite. After undergoing medical evaluation, her doctor diagnosed her with palpitations. She would like to know what steps she should take for dizziness and palpitations.
Doctor's answer (1)
Dr. He Haochen
Dizziness or palpitations may indicate hypertension. Elevated blood pressure increases cardiac stress load, potentially triggering myocardial ischemia, which in turn leads to palpitations, tachycardia, and premature beats. If these symptoms are caused by hypertension, antihypertensive therapy should be initiated promptly. For patients with orthostatic hypotension, combination treatment with oral pressor agents—such as Shengmai Yin—is recommended to help raise blood pressure. However, if dizziness and palpitations result from insufficient cerebral arterial perfusion, medications that improve cerebral blood supply—such as Xue Suan Granules and Brain Ischemia Recovery Solution—should be administered concurrently. Additionally, patients are advised to undergo more definitive diagnostic evaluations, including ambulatory electrocardiography (Holter monitoring), transcranial Doppler ultrasonography, and cranial computed tomography (CT).
