Conversation: The conversation between human and AI assistant.
[|Human|] I am 82 and I have been dizzy most of the time. My doctor sent me to many other doctors for balance evaluation and therapy, heart eval., hearing and inner ear tests and a brain scan. The only abnormality was a heart murmur which I ve had all my life. I ve cut back or eliminated all pills except for a vitamin tablet. My blood tests showed sodium at 132 which is below the range slightly and LDL chol Calc of 125.8 which is above 100. Any ideas?
[|AI|]  Hi your murmur can be only due to cardiac problem, mostly regurgitation murmur. Multivitamin therapy is totally a different entity, it does not suppress the murmur. This dizziness can be due to uncontrolled heart rate or due to electrolyte imbalance or cervical disc problem. Small dose of beta blockers like metoprolol if otherwise not contra-indicated can be started to control the rate, which in turn reduces the dizziness. All the best take care