roxie60
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- Central Illinois, USA
Can AI or hypothyroidism affect heart? Can it be responsible for all the 'CFS' symps I have had for years? Can the daily ability/functionality vary w/ AI and Hypo TH?
Some forms of orthostatic hypotension can take a while to hit. The best time to test might be in the evening after you've been up all day. And you might have to be standing for half an hour or more before it hits.
8/6/13
1:15P BP - 119/76 P-61 (after laying flat for 5 mins)
1:17P BP - 115/74 P-86 (after standing)
1:20P BP - 116/77 P-74 (after standing another 3 mins)
7:26P BP - 113/68 P-110 (30 mins after mowing)
8/7/13
2:42A BP - 114/74 P-93 (just before going to bed)
3:25A BP - 127/71 P-71 (flat in bed on back)
3:36A BP - 110/67 P-69 (flat in bed on back)
4:40A BP - 112/67 P-75 (flat in bed on back)
4:50A BP - 106/68 P-60 (flat in bed on back)
6:43A BP - 107/66 P-60 (on left side)
9:06A BP - 101/59 P-57 (flat in bed on back)
10:10A BP - 106/62 P-54 (flat in bed on back)
10:25A BP - 109/52 P-75 (taken immediately after getting out of bed)
10:32A BP - 115/76 P-75
10:35A BP - 118/84 P-75
10:57A BP - 109/77 P-83 (sneezed)
4:26P BP - 131/93 P-109
8:07P BP - 130/81 P-99 (standing after grocery shopping)
9:02P BP - 109/72 P-102
9:30P BP - 117/71 P-111 (after sitting on couch 20 mins; feel pressure in chest)
9:38P BP - 113/71 P107 (still pressure, difficult taking breathe at times)
10:16P BP - 107/74 P-98 (sitting updating PR :); pressure, back hurts, need to take break)
Your pulse pressure and blood pressure look completely normal. Your elevated heart rate in the afternoon and evening is interesting though - mine makes a similar jump if I've been too active in the past few hours or days, accompanied by feeling icky until I lie down.Valentijn Not sure this is the right thread but wanted to followup on your suggestion. I decided to take my BP through the night (when I woke up, which is multiple times, I had the cuff on so just pushed the start and recorded results). Curious what you or anyone with BP knowledge thinks about the last 24hrs. Includes results above.
Both adrenal and thyroid problems can be secondary to a pituitary problem. That is why they sometimes occur together. You can also have iron problems with thyroid problems. I do not know why.
Your elevated heart rate in the afternoon and evening is interesting though - mine makes a similar jump if I've been too active in the past few hours or days, accompanied by feeling icky until I lie down. Yes, I often feel bad and the only relief is laying down, usually one to three hours to recover.
On your final reading your heart rate has started to fall and you're down to 33 pulse pressure ????, which is a bit low but not super low. So your symptoms might be due to an oxygenation problem which you eventually get too worn out/depleted/etc to compensate for with increased pulse pressure or heart rate, rather than a typical NMH/OI problem.
Your last result was:not sure where you see 33 or maybe not understanding your point.
The difference between your systolic (107) and diastolic (74) is your pulse pressure. Most of the day yours was looking great (40-45), but then it's dropped at the same time that your heart rate dropped while you were having symptoms.10:16P BP - 107/74 P-98
Sodium levels are often low in AI due to decreased aldosterone. Potassium levels are often high. However, if you don't have decreased aldosterone, your levels may be fine.In past blood tests my Sodium levels are usually high (another clue?). Looks like based on that wiki Blustem that I should also ask for CHR, Potassium, renin(?), DHEA/DHEA-s, ACTH along with Cortisol and aldosterone. Now I feel I dont trust any Lab ranges and feel the need to find 'optimal' values for each of these in order to draw any useful conclusions and make a plan of action. I want to find more current lab values for these tsts, if someone has already identified updated values I'd appreciate th info otherwise as I find info I will post here. I am desperate and so hoping this will turn out to be an answer.....I appreciate everyone's imput.
It seems to have turned out now almost 3 years later that my AI was caused by infection. And now that I've gotten my infectious load (EBV, CMV, HHV6, Lyme etc etc) under better control, I have been able to come off steroids. I'm hoping that there hasn't been permanent damage to my adrenal axis but only time will tell.Ema Once you treated your AI did that make you well again, restore your health? If so how fast? TIA
Can AI or hypothyroidism affect heart? Can it be responsible for all the 'CFS' symps I have had for years? Can the daily ability/functionality vary w/ AI and Hypo TH?
There are thyroid tests, adrenal tests, are there tests for pituitary function?
I know I can get a blood draw for the TSH, FT4, FT3 and RT3. I can also get a lab order for the plasma/serum Cortisol. Can I presume that the same lab can do the ACTH and aldosterone tests? I was reading a post above and it said the Corticol, ACTH and aldosterone tests should be done. I thought the ACTH was something (a hormone?) that was administered via shot then Cortisol and aldosterone retested. Is ACTH also something that is tested ?
I think that my doctor told me that there is not. Either that or she told me she did not recommend I do it.There are thyroid tests, adrenal tests, are there tests for pituitary function?
Yes, you can test the pituitary hormones for an idea of pituitary function.There are thyroid tests, adrenal tests, are there tests for pituitary function?
Tomorrow's tests (I pray they show something)
Aldosterone
Cortisol
DHEA
Lythium
Manganese
Renin
FT3
FT4
TSH
RT3
The ACTH has to be done the same day as ACTH Stim test. Also they could not find a test for CRH. I decided to drop the NK cell activity test since most info I find is conflicting on the diagnositic value.
Dr also wants me to go see another integrative specialist to see if he can think of something she has not.
What lab are you using?
The ACTH stim test is usually done in a hospital of clinic setting rather than a lab in my experience.
You can get a one time ACTH measure along with the cortisol and that can be helpful in distinguishing primary from secondary adrenal insufficiency.
You also need to have electrolytes (or a CMP) on that list as you will need sodium and potassium to properly interpret aldosterone and renin.
Aldosterone should ideally be tested after eating a low salt diet for 24 hours and in the first week of a cycling woman's cycle. Further, one should ideally be up for at least an hour prior to the testing and moving around. This will allow you to be producing the maximal amount of aldosterone to be measured so you know the top capacity of production.
Ema