? For patients and docs re: hypotension, bradycardia, and syncope

GingerJen
on 4/8/15 2:17 am
VSG on 03/07/14

hello. I have a massive amount of skin that is very loose from my body pretty much everywhere after 188 pound loss. For the past 3 months, I have had very frequent dizziness and fainting. I have been seeing a cardiologist and have an implanted heart monitor. Testing has shown autonomic dysregulation (HR and BP not regulating). My heart rate can be very low (30s-50s). When I stand, it spikes up like it should to 100s-120s, but then rapidly drops to 50 after a minute and I pass out. Due to the delay, I am wondering if it has to do with abnormal feedback from the peripheral vessels in the loose skin. Possibly baroreceptors are also affected. tight compression garments help a bit, which I think supports my theory. 

Has anyone had this sort of problem or treated someone who did? Would skin removal restore more accurate feedback and decrease my symptoms??

37 y/o female 5'8" HW 355 consult 329 SW (3/7/2014)301 CW 168 goal 170

M1- 26 M2- 14 M3- 15 M4 -13 M5 -16 M6-12 M7-2 M8-5 M9-6 M10-8 M11-1 M12-5  M13-10 Goal reached 4/5/15 total lost 187 lbs total; 133 in the 13 months since surgery

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