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Sunday, January 25, 2015
High Blood Pressure
Low blood pressure with exertion
My husband has been experiencing low blood pressure and dizziness upon exertion or physical activity. What could cause this to happen?
There are many conditions that can cause a drop in blood pressure with exercise. A common cause is a vasovagal reaction, which is generally harmless.
There are more serious causes, however. Heart conditions such as aortic stenosis, mitral stenosis, pulmonary hypertension and coronary artery disease can cause a drop in blood pressure with exercise.
In the case of your husband, a cardiac evaluation is in order. I recommend a good medical exam (history and physical), followed by some basic tests, including EKG and echocardiogram. You husband will most likely also need a stress test.
Max C Reif, MD
Professor of Medicine
Director of Hypertension Section
College of Medicine
University of Cincinnati