My girlfriend had ACDF (C5/C6) surgery on 8/5/2014 and is now having complications with her blood pressure. After staying in the hospital this week (9/8-9/12) to be checked for baroreflex failure she was discharged today without a diagnosis. The neurosurgeon and cardiologist working with her are saying they are unable to find the cause of her issues. I am hoping someone on here can provide some guidance to help her.
Immediately following surgery her blood pressure was very high at approximately 180/120. They decided to keep her in the hospital for several days until they could get the hypertension under control. After three days in the hospital she was discharged with slight hypertension at approximately 140/90. Since then she has experienced extreme fluctuations in blood pressure and heart rate regardless of mental or physical state. She is also experiencing orthostatic hypotension, and has fallen several times including breaking her nose and needing stitches in her lip. She faints nearly every time she tries to walk. She had none of these symptoms before the surgery.
In the hospital this week they performed a MRI and tilt table test. She was also placed on a heart monitor. The first night (9/8) her blood pressure reached 202/125. Her heart rate was 145 bps. She was removed from fluids and given blood pressure medication. They were eventually able to lower her blood pressure to 141/90. Her blood pressure stayed in that range until the third night.
The third night (9/10) in the hospital her blood pressure dropped to 55/29. She was coherent but lethargic. Her heart rate was 42 bps. They pumped fluids into her and was able to raise her BP to 90/52.
I don't understand why she was discharged today without a diagnosis. I'm afraid her issues are life threatening. She is only 40. What should she do?