On my 73 y.old my pressure in a base is high, used enalapril on ten mg, that normalized pressure, in a very high 180\100 use capoten, but for year pressure is low on 93/51 , 102/59, with dizziness and steps are shaky.
Help me please, and advice what is to do.
For a first time for your dear Antonina a need to low dose enalapril till 2.5 mg/day, if you are not cancelled used this remedy as by self answers doctor-cardiologist Arshinova .If systolic top pressure lowering is till 90 as first number on the tonometer ,thus on this day a not use enalapril. And after to check why pressure is fast lowering, maybe you are taking other remedy still, which affecting on pressure. Are you feeling not rhythmical heart beating?If not, you must do ECG FOR an exception development a constant norm for atrial fibrillation , as a few patients not feeling a changing for heart rhythm on the wrong, in high pulse is feeling lowering pressure. Are yu feeling a hard breathing, dyspnoe in loads or pressure in breast cell?And a few patients without symptoms enduring infarcts, if you are suffering from sugar diabetes,its a still variant, in which are visible lowering pressure.For an exception zones for destroying shortening a heart, you are need to do ECHOCG IS ultrasound research for heart. Are you endured for this time infection diseases?A few as virus infections ability strong affecting to heart tissue and causing destroying her normal shortening, also answer on this question helps this test.
A lowering pressure ability causing and a few valve heart defects , except a critiques valve damaging is ability by this test . And in a few cases lowering pressure having in neurologic reasons thus neurologist will check you , as dizziness and shaky steps are having its a straight reason for neurologist visiting. Are you endured from bleeding year ago?As on the level for arterial pressure affecting and small, constant bleedings , blood loosing from hemorrhoid, gastric in ulcers, nose, lung, uterine, etc pathologic loosing blood episodes. And in your letter and not shared about associating diseases, and laboratory stats, thus info is importance. For one time/year need to do are the following tests: blood test common from biochemistry on creatinine and glucose, liver ALT, ACT, GTT, lipid as common cholesterol, LPVNP LPVP, TG profiles. Work for thyroid gland check TTG, separately analyses on the hide heart failure as for this answers' parameter NT -proBNP. Am persistently advising you a minimal resting doing , investigations of blood tests, ECG , ECHOECG and neurologist , cardiologist checking.

