Low crcl; further investigation?
I was seen on the 19th for my follow up. I received a mostly good report. I am only being paced 7% in the atrium, but he still insists the pacemaker was an absolute necessity. I am having bouts of fast rates (somewhere in the 200 range), but am assuming it is a regular rhythm or not much he is concerned with as he still wants to hold off on meds.
This past weekend I was at a community fun day at the firehouse and had an episode. The heat most likely was the biggest factor, but I had drank plenty of water and had got splashed and cooled off by the kids on the wet bounce house slide. While being checked out by the EMTs my pulse kept bouncing back and forth between about 100 and 150 and they got a blood pressure reading of 175/125. They gave me 4 baby aspirin and put me on 2L of oxygen because it dropped slightly. Shortly after getting to the hospital, everything lowered dramatically. BP 100/65 and average pulse of about 70.
My crcl level came back somewhat low for my age, only 66 ml/min. Mayo Clinic lists a normal range for 30-39 year old females as 72-154. Looking back at tests since mid April, it has dropped from 84 to 66. I realize these numbers are not below the standard GFR measure of >60, but feel that they warrant further investigation.
So why is mine so low and is it related to the conditions of my heart? Should I be concerned and ask for further investigation? I have seen a number of conditions that can affect both the heart and kidneys that need treatment; sarcoidosis, amyloidosis, rheumatic diseases. I have a follow up with my EP this Thursday, are these things I should be asking him? I called for a follow up with my family doctor and can't be seen for over a month.