Niskie ciśnienie krwi (hipotonia)
Diagnostyka i diagnoza

Hipotonia tętnicza definiowana jest jako ciśnienie krwi <90/60 mmHg i wymaga diagnostyki jedynie przy obecności objawów klinicznych lub podejrzeniu choroby podstawowej. Podstawą rozpoznania jest dokładny pomiar ciśnienia w różnych pozycjach (leżącej, siedzącej, stojącej) oraz w różnych porach dnia, ze szczególnym uwzględnieniem testu ortostatycznego, gdzie spadek ciśnienia skurczowego o ≥20 mmHg lub rozkurczowego o ≥10 mmHg w ciągu 3 minut od pionizacji wskazuje na hipotonię ortostatyczną. Diagnostyka obejmuje także szczegółowy wywiad (objawy towarzyszące, choroby współistniejące, farmakoterapię) oraz badanie fizykalne ukierunkowane na ocenę układu sercowo-naczyniowego, neurologicznego i endokrynologicznego. W razie potrzeby wykonuje się test pochyleniowy, badania laboratoryjne (morfologia, panel metaboliczny, hormony tarczycy i nadnerczy, markery zapalne), a także badania kardiologiczne (EKG, echokardiografia, Holter, próba wysiłkowa, USG naczyń) oraz specjalistyczne testy funkcji autonomicznej w przypadku podejrzenia hipotonii neurogennej.

Diagnoza niskiego ciśnienia krwi (hipotonii)

Niskie ciśnienie krwi (hipotonia) definiowane jest jako ciśnienie tętnicze niższe niż 90/60 mmHg. W przeciwieństwie do nadciśnienia tętniczego, hipotonia stanowi problem jedynie wtedy, gdy powoduje objawy kliniczne lub jest objawem innej choroby podstawowej. Diagnostyka hipotonii ma na celu zarówno potwierdzenie obniżonych wartości ciśnienia, jak i określenie przyczyny tego stanu oraz ocenę jego konsekwencji klinicznych.123

Podstawowa ocena ciśnienia tętniczego

Diagnostyka niskiego ciśnienia krwi rozpoczyna się od dokładnego pomiaru ciśnienia tętniczego. Jest to proste badanie, które pozwala potwierdzić obecność hipotonii1. Pomiary powinny być wykonywane w różnych pozycjach ciała (leżącej, siedzącej i stojącej) oraz w różnych porach dnia, aby uzyskać pełny obraz zmian ciśnienia tętniczego23. Dla dokładnej oceny hipotonii ortostatycznej szczególnie istotne są pomiary ciśnienia w pozycji leżącej po co najmniej 5 minutach odpoczynku, a następnie po 1 i 3 minutach od przyjęcia pozycji stojącej4.

Hipotonia ortostatyczna jest rozpoznawana na podstawie spadku ciśnienia skurczowego o co najmniej 20 mmHg lub ciśnienia rozkurczowego o co najmniej 10 mmHg w ciągu 3 minut od zmiany pozycji ciała z leżącej na stojącą56. Podczas badania warto również monitorować częstość akcji serca, gdyż w przypadku hipotonii neurogennej wzrost tętna po pionizacji jest zazwyczaj mniejszy niż 15 uderzeń na minutę7.

Wywiad i badanie fizykalne

Kluczowym elementem diagnostyki hipotonii jest dokładny wywiad medyczny oraz badanie fizykalne8. Podczas zbierania wywiadu lekarz powinien zwrócić szczególną uwagę na:

  • Objawy towarzyszące niskiemu ciśnieniu (zawroty głowy, omdlenia, zmęczenie, zaburzenia widzenia)
  • Okoliczności występowania objawów (np. po wstaniu, po posiłku, po długim staniu)
  • Choroby współistniejące (cukrzyca, choroby serca, choroby neurologiczne)
  • Przyjmowane leki (szczególnie przeciwnadciśnieniowe, przeciwdepresyjne, neurologiczne)
  • Historia przebytych chorób i operacji
  • Wywiad rodzinny

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Badanie fizykalne powinno obejmować ocenę funkcji układu sercowo-naczyniowego, neurologicznego oraz endokrynologicznego. Szczególną uwagę należy zwrócić na:

  • Oznaki odwodnienia
  • Stan nawodnienia (wilgotność błon śluzowych, napięcie skóry)
  • Częstość i rytm akcji serca
  • Obecność szmerów sercowych
  • Ocenę neurologiczną (funkcje autonomiczne)
  • Badanie ocznego dna

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Specjalistyczne badania diagnostyczne

W przypadku gdy podstawowa ocena ciśnienia i badanie fizykalne nie są wystarczające do ustalenia przyczyny hipotonii, konieczne jest przeprowadzenie bardziej szczegółowych badań diagnostycznych14.

Test pochyleniowy (tilt table test)

Jest to kluczowe badanie w diagnostyce hipotonii ortostatycznej, szczególnie gdy standardowe pomiary ciśnienia nie dają jednoznacznych wyników lub gdy pacjent nie jest w stanie bezpiecznie stać15. Podczas tego badania pacjent leży na stole, który jest następnie pochylany do pozycji prawie pionowej (60-80 stopni), przy jednoczesnym monitorowaniu ciśnienia tętniczego i częstości akcji serca1617. Test pochyleniowy pozwala na ocenę reakcji układu krążenia na pionizację w kontrolowanych warunkach oraz ułatwia różnicowanie między różnymi typami hipotonii18.

Badania laboratoryjne

W celu identyfikacji potencjalnych przyczyn niskiego ciśnienia krwi zalecane są następujące badania laboratoryjne19:

  • Morfologia krwi – do wykrywania anemii, infekcji i innych nieprawidłowości
  • Panel metaboliczny – ocena funkcji nerek, poziomu elektrolitów
  • Oznaczenia hormonalnehormony tarczycy (TSH, fT4), hormony nadnerczy (kortyzol), hormony przysadki
  • Badania w kierunku cukrzycy – poziom glukozy na czczo, hemoglobina glikowana (HbA1c)
  • Badania w kierunku infekcji – posiewy krwi, moczu, markery zapalne
  • Badania funkcji autonomicznej – poziom katecholamin, testy funkcji autonomicznej

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Badania obrazowe i czynnościowe układu krążenia

W zależności od podejrzewanej przyczyny hipotonii, mogą być zalecane następujące badania układu krążenia2324:

  • Elektrokardiogram (EKG) – do oceny rytmu serca, przewodnictwa i innych parametrów elektrycznej aktywności serca
  • Echokardiografia – do oceny struktury i funkcji serca, wykrywania wad zastawkowych, zaburzeń kurczliwości mięśnia sercowego
  • Holter EKG – do wykrywania przejściowych zaburzeń rytmu serca
  • Próba wysiłkowa – do oceny reakcji układu krążenia na wysiłek fizyczny
  • Ultrasonografia naczyń – do wykrywania zwężeń tętnic, stanów zapalnych lub innych nieprawidłowości naczyniowych

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Badania układu autonomicznego

W przypadku podejrzenia hipotonii neurogennej (związanej z dysfunkcją autonomicznego układu nerwowego) wskazane są specjalistyczne badania funkcji autonomicznej28:

  • Testy funkcji autonomicznej sercowo-naczyniowej (zmienność rytmu serca podczas głębokiego oddychania, próba Valsalvy, odpowiedź na zimno)
  • Badanie reakcji układu współczulnego na bodźce (np. test zimnopresyjny)
  • Ocena wydzielania potu (do wykrywania dysfunkcji cholinergicznej)
  • Badanie poziomu katecholamin w osoczu

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Różnicowanie typów hipotonii

Właściwa diagnostyka niskiego ciśnienia krwi wymaga różnicowania między różnymi typami hipotonii, co jest kluczowe dla określenia odpowiedniego leczenia3132.

Hipotonia ortostatyczna

Diagnoza hipotonii ortostatycznej opiera się na pomiarze spadku ciśnienia tętniczego po zmianie pozycji z leżącej na stojącą. Klasyczna hipotonia ortostatyczna jest rozpoznawana, gdy spadek ciśnienia skurczowego o co najmniej 20 mmHg lub rozkurczowego o co najmniej 10 mmHg nastąpi w ciągu 3 minut od pionizacji33. Istnieje również opóźniona hipotonia ortostatyczna, w której spadek ciśnienia pojawia się po upływie 3 minut34.

W przypadku hipotonii ortostatycznej kluczowe jest rozróżnienie między jej postacią neurogenną (spowodowaną dysfunkcją autonomicznego układu nerwowego) a nie-neurogenną (związaną z innymi czynnikami, takimi jak odwodnienie, leki, utrata krwi)3536. W tym celu pomocna jest ocena zmian częstości akcji serca po pionizacji – w hipotonii neurogennej wzrost tętna jest nieproporcjonalnie mały w stosunku do spadku ciśnienia37.

Hipotonia poposiłkowa

Hipotonia poposiłkowa (postprandial hypotension) jest rozpoznawana, gdy spadek ciśnienia tętniczego pojawia się 1-2 godziny po posiłku38. Diagnoza wymaga monitorowania ciśnienia tętniczego przed posiłkiem oraz w regularnych odstępach czasu po posiłku. Jest to szczególnie istotne u osób starszych oraz pacjentów z cukrzycą39.

Hipotonia neurogenna

Diagnoza hipotonii neurogennej (związanej z dysfunkcją autonomicznego układu nerwowego) wymaga kompleksowej oceny funkcji autonomicznej40. W przypadku podejrzenia tej formy hipotonii, oprócz standardowych badań, zalecana jest konsultacja neurologiczna oraz specjalistyczne testy autonomicznego układu nerwowego41.

Kluczowym elementem diagnostyki hipotonii neurogennej jest ocena wydzielania noradrenaliny w odpowiedzi na pionizację. W hipotonii neurogennej obserwuje się nieadekwatne wydzielanie noradrenaliny, co prowadzi do niezdolności układu naczyniowego do odpowiedniej kompensacji po zmianie pozycji ciała4243.

Diagnostyka różnicowa

Diagnoza hipotonii wymaga również różnicowania z innymi stanami klinicznymi, które mogą powodować podobne objawy lub współistnieć z niskim ciśnieniem krwi44.

Stany nagłe

Szczególnej uwagi wymaga różnicowanie hipotonii ze stanami zagrażającymi życiu, takimi jak4546:

  • Wstrząs – stan charakteryzujący się niedostateczną perfuzją tkankową, który może prowadzić do niewydolności narządowej
  • Zawał mięśnia sercowego – może powodować hipotonię w wyniku dysfunkcji mięśnia sercowego
  • Krwotok – utrata krwi prowadzi do hipowolemii i spadku ciśnienia tętniczego
  • Sepsa – ciężka infekcja powodująca rozszerzenie naczyń i hipotonię
  • Reakcja anafilaktyczna – ciężka reakcja alergiczna powodująca gwałtowny spadek ciśnienia

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W przypadku podejrzenia stanu zagrożenia życia konieczna jest natychmiastowa interwencja medyczna oraz monitorowanie podstawowych parametrów życiowych, w tym ciśnienia tętniczego, częstości akcji serca, saturacji krwi tlenem i diurezy49.

Przewlekłe przyczyny hipotonii

Diagnostyka różnicowa przewlekłej hipotonii powinna uwzględniać50:

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Monitoring i ocena ciężkości hipotonii

Ocena nasilenia hipotonii oraz jej potencjalnych konsekwencji klinicznych jest istotnym elementem diagnostyki54.

Metody monitorowania ciśnienia krwi

W zależności od sytuacji klinicznej, do monitorowania ciśnienia tętniczego mogą być wykorzystywane różne techniki55:

  • Jednorazowe pomiary ciśnienia – standardowa metoda z wykorzystaniem sfigmomanometru
  • Ciągłe monitorowanie ciśnienia tętniczego – pozwala na śledzenie zmian ciśnienia w czasie rzeczywistym, szczególnie przydatne w przypadku nagłych spadków ciśnienia
  • Całodobowe monitorowanie ciśnienia tętniczego (ABPM) – umożliwia ocenę wahań ciśnienia w ciągu doby, w tym podczas snu i codziennych aktywności
  • Domowe pomiary ciśnienia – wykonywane przez pacjenta, dostarczają informacji o wahaniach ciśnienia w warunkach codziennego życia

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Ocena objawów klinicznych

Ciężkość hipotonii jest oceniana nie tylko na podstawie wartości ciśnienia tętniczego, ale również na podstawie występowania i nasilenia objawów klinicznych58. Do najczęstszych objawów hipotonii należą:

  • Zawroty głowy i uczucie „pustki w głowie”
  • Zaburzenia widzenia (zaciemnienie pola widzenia, nieostre widzenie)
  • Omdlenia lub zasłabnięcia
  • Osłabienie i zmęczenie
  • Nudności
  • Zaburzenia koncentracji
  • Blada, zimna i wilgotna skóra

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Ocena objawów powinna uwzględniać ich wpływ na codzienne funkcjonowanie pacjenta, ryzyko upadków oraz jakość życia61.

Identyfikacja przyczyn hipotonii

Kluczowym celem diagnostyki niskiego ciśnienia krwi jest identyfikacja jego przyczyny, co umożliwia wdrożenie odpowiedniego leczenia62.

Przyczyny fizjologiczne

Niskie ciśnienie krwi może być stanem fizjologicznym u niektórych osób i nie wymagać leczenia63. Do fizjologicznych przyczyn hipotonii należą:

  • Indywidualne predyspozycje genetyczne
  • Młody wiek i dobra kondycja fizyczna
  • Fizjologiczne zmiany związane z ciążą
  • Wpływ temperatury otoczenia (ciepła pogoda)

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Przyczyny patologiczne

Patologiczne przyczyny hipotonii można podzielić na kilka głównych kategorii66:

  • Przyczyny sercowo-naczyniowe: arytmie, niewydolność serca, zawał mięśnia sercowego, wady zastawkowe, zapalenie osierdzia
  • Przyczyny hipowolemiczne: odwodnienie, krwotok, biegunka, wymioty, oparzenia
  • Przyczyny neurologiczne: neuropatie autonomiczne, choroba Parkinsona, zanik wieloukładowy, urazy rdzenia kręgowego
  • Przyczyny endokrynologiczne: niedoczynność tarczycy, niedoczynność kory nadnerczy, cukrzyca
  • Przyczyny farmakologiczne: leki przeciwnadciśnieniowe, moczopędne, przeciwdepresyjne, przeciwpsychotyczne, opioidy
  • Przyczyny infekcyjne: sepsa, zapalenie wsierdzia, zapalenie opon mózgowo-rdzeniowych

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Ocena skuteczności leczenia

Diagnostyka hipotonii powinna również obejmować ocenę skuteczności wdrożonego leczenia oraz monitoring potencjalnych działań niepożądanych70.

Monitorowanie odpowiedzi na leczenie

Ocena skuteczności leczenia hipotonii polega na71:

  • Regularnych pomiarach ciśnienia tętniczego w pozycji leżącej i stojącej
  • Ocenie zmniejszenia częstości i nasilenia objawów hipotonii
  • Monitorowaniu poprawy jakości życia i codziennego funkcjonowania
  • Ocenie redukcji ryzyka upadków i innych powikłań hipotonii

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Monitorowanie działań niepożądanych

Leczenie hipotonii, szczególnie farmakologiczne, może wiązać się z ryzykiem wystąpienia działań niepożądanych, które należy monitorować74. Najczęstszym problemem jest nadciśnienie w pozycji leżącej (supine hypertension), które może towarzyszyć leczeniu hipotonii ortostatycznej75.

Nadciśnienie w pozycji leżącej definiowane jest jako ciśnienie tętnicze równe lub wyższe niż 150/90 mmHg w pozycji leżącej i występuje u około 50% pacjentów z neurogenną hipotonią ortostatyczną76. Monitorowanie ciśnienia tętniczego w pozycji leżącej jest więc niezbędnym elementem oceny bezpieczeństwa leczenia hipotonii77.

Specjalne grupy pacjentów

Diagnostyka hipotonii może wymagać specjalnego podejścia w niektórych grupach pacjentów78.

Osoby starsze

U osób starszych hipotonia ortostatyczna występuje często i może być związana z większym ryzykiem upadków, złamań i pogorszenia funkcji poznawczych79. Diagnostyka hipotonii w tej grupie wiekowej powinna uwzględniać80:

  • Wielochorobowość i jednoczesne stosowanie wielu leków
  • Osłabienie mechanizmów kompensacyjnych związanych z wiekiem
  • Większą podatność na powikłania hipotonii
  • Trudności w wykonywaniu standardowych testów diagnostycznych

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Pacjenci z chorobami neurologicznymi

U pacjentów z chorobami neurologicznymi, takimi jak choroba Parkinsona, zanik wieloukładowy czy neuropatie autonomiczne, hipotonia neurogenna jest częstym problemem83. Diagnostyka hipotonii w tej grupie pacjentów wymaga84:

  • Kompleksowej oceny funkcji autonomicznej
  • Różnicowania objawów hipotonii od objawów choroby podstawowej
  • Oceny wpływu leków stosowanych w leczeniu choroby neurologicznej na ciśnienie tętnicze
  • Współpracy neurologa i kardiologa

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Należy podkreślić, że hipotonia u pacjentów z chorobami neurologicznymi często jest związana z niedoborem noradrenaliny, co ma istotne implikacje dla wyboru metody leczenia8788.

Pacjenci z cukrzycą

U pacjentów z cukrzycą hipotonia może być związana z neuropatią autonomiczną i wymaga specyficznego podejścia diagnostycznego89. Ważne jest:

  • Różnicowanie hipotonii ortostatycznej od hipoglikemii
  • Ocena stopnia neuropatii autonomicznej
  • Monitorowanie ciśnienia tętniczego w kontekście kontroli glikemii
  • Ocena wpływu leków przeciwcukrzycowych na ciśnienie tętnicze

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Podsumowanie diagnostyki hipotonii

Diagnostyka niskiego ciśnienia krwi (hipotonii) jest procesem złożonym, który wymaga systematycznego podejścia91. Kluczowe elementy tego procesu obejmują:

  • Dokładny pomiar ciśnienia tętniczego w różnych pozycjach ciała
  • Szczegółowy wywiad medyczny i badanie fizykalne
  • Identyfikację objawów związanych z niskim ciśnieniem
  • Przeprowadzenie specjalistycznych badań diagnostycznych
  • Różnicowanie typów hipotonii i ich przyczyn
  • Ocenę nasilenia hipotonii i jej wpływu na jakość życia
  • Monitorowanie skuteczności wdrożonego leczenia

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Właściwa diagnostyka hipotonii pozwala na identyfikację jej przyczyny, co jest kluczowe dla wdrożenia odpowiedniego leczenia i zapobiegania potencjalnym powikłaniom94. Warto podkreślić, że w wielu przypadkach niskie ciśnienie krwi nie wymaga leczenia, jeśli nie powoduje objawów klinicznych i nie jest związane z chorobą podstawową9596.

Najważniejszym celem diagnostyki hipotonii jest określenie, czy niskie ciśnienie krwi stanowi problem kliniczny wymagający interwencji, czy też jest stanem bezobjawowym lub fizjologicznym wariantem normy9798.

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  1. 11.04.2026
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Materiały źródłowe

  • #1 Low Blood Pressure (Hypotension): Causes & Symptoms
    https://my.clevelandclinic.org/health/diseases/21156-low-blood-pressure-hypotension
    Low blood pressure is a reading below 90/60 mm Hg. […] Hypotension, or low blood pressure, is when your blood pressure is much lower than expected. […] Low blood pressure is below 90/60 mm Hg. Normal blood pressure is above that, up to 120/80 mm Hg. […] Hypotension itself is easy to diagnose. Taking your blood pressure is all you need to do. But figuring out why you have hypotension is another story. […] Your provider may recommend the following tests: […] If a provider can treat that cause directly, hypotension will usually get better on its own. […] The most important thing for a provider treating low blood pressure is to find the underlying cause and correct it. […] If you have hypotension, what you can expect depends on what causes it and if you have symptoms. […] If you know you have hypotension, you should see your healthcare provider if you start to notice symptoms affecting your life or disrupting your usual routine and activities. […] Hypotension is a condition that can have no symptoms, and many people dont even know they have it.
  • #2 Low Blood Pressure – Low Blood Pressure | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/low-blood-pressure
    Low blood pressure occurs when blood flows through your blood vessels at lower than normal pressures. The medical term for low blood pressure is hypotension. […] Low blood pressure is blood pressure that is lower than 90/60 mm Hg. […] Other people experience a sudden drop in blood pressure or have low blood pressure that may be linked to a health problem. […] Your doctor will use a blood pressure test to diagnose low blood pressure.
  • #2 Low Blood Pressure: Causes, Symptoms, and Treatment Options
    https://www.webmd.com/heart/understanding-low-blood-pressure-basics
    Hypotension is the medical term for low blood pressure. You have it when a reading shows your blood pressure is much lower than expected. […] Doctors consider you to have low blood pressure when your reading is less than 90/60. […] In healthy people, low blood pressure without any symptoms isn’t usually a concern and doesn’t require treatment. But low blood pressure can be a sign of an underlying problem — especially in older people — and could reduce blood flow to the heart, brain, and other vital organs. […] Long-lasting low blood pressure with no symptoms is almost never serious. But you can have health problems when your blood pressure drops suddenly and your brain doesn’t have an adequate blood supply. This can lead to dizziness, lightheadedness, and sometimes fainting. […] The doctor will look at your medical history, age, and symptoms, and do a physical exam. They may repeatedly check your blood pressure and pulse rate — after you’ve been lying down for a few minutes, right after you stand up, and within a few minutes after you stand quietly.
  • #3 Low blood pressure (hypotension) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465
    Low blood pressure is a condition in which the force of the blood pushing against the artery walls is too low. It’s also called hypotension. […] In general, low blood pressure is a reading lower than 90/60 mm Hg. […] It’s important to find out what’s causing low blood pressure so that it can be treated, if needed. […] For some people, low blood pressure may be a symptom of an underlying health condition. That’s especially so when blood pressure drops suddenly or when low blood pressure occurs with symptoms. […] If you often have low blood pressure readings but feel fine, you might not need treatment. Instead, your healthcare professional tracks your health during routine checkups.
  • #3 Low Blood Pressure: Causes, Symptoms, and Treatment Options
    https://www.webmd.com/heart/understanding-low-blood-pressure-basics
    You might have other tests, such as an ECG (electrocardiogram) to measure heart rate and rhythm and an echocardiogram (an ultrasound test to visualize the heart). […] If needed, use elastic support (compression) stockings that cover the calf and thigh. These help restrict blood flow to your legs, thus keeping more blood in your upper body. […] If these steps don’t lessen the problem, you may need medication. These drugs are sometimes used to treat low blood pressure: Fludrocortisone. This medication seems to help some types of low blood pressure. […] Call your doctor if: You have any of the symptoms listed above. […] Low blood pressure often has no symptoms and doesn’t require treatment. But seriously low blood pressure can lead to complications. See your doctor if you have low blood pressure symptoms.
  • #4 Neurogenic Orthostatic Hypotension: Pathophysiology and Diagnosis
    https://www.ajmc.com/view/ace0034_oct15_noh_low
    Although orthostatic hypotension in elderly patients is common, neurogenic orthostatic hypotension (NOH) is a condition with substantial morbidity and a variable prognosis. […] The diagnosis is based on measurements of supine and standing blood pressures or head-up tilt testing and is confirmed by autonomic testing. […] In neurogenic orthostatic hypotension (NOH), impaired vasoconstriction is caused by inadequate release of norepinephrine from sympathetic vasomotor neurons. […] The initial diagnosis of NOH is based on blood pressure and heart rate measurements taken after the patient has been supine for at least 5 minutes, and then after 1 and 3 minutes of active standing. […] In addition to the substantial reductions in blood pressure when standing, as specified in the definition of OH, the diagnosis of NOH is likely when the associated increase in heart rate is less than 15 beats per minute.
  • #5 Assessment of hypotension – Differential diagnosis of symptoms | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/1196
    Hypotension is any blood pressure (BP) that is below the normal expected for an individual in a given environment. […] There is no single numerical cut-off universally accepted as representing hypotension. […] Hypotension can be the first sign of a serious acute illness (such as myocardial infarction, sepsis, or gastrointestinal haemorrhage). […] Once acute causes have been excluded, other chronic or recurring causes should then be investigated. […] If the patient is not hypotensive at the time of assessment, lying and standing BP recordings should be carried out in order to determine if orthostatic hypotension is present. […] A systolic BP drop of 20 mmHg or a diastolic BP drop of 10 mmHg occurring within 3 minutes of orthostasis is considered significant. […] Hypotension occurs when the cardiac output decreases and/or the systemic vascular resistance decreases.
  • #6 Low Blood Pressure and PD | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/blood-pressure
    People with PD often have lower amounts of norepinephrine. […] This type of low blood pressure caused by a change in position is called orthostatic hypotension (OH). […] When you stand up after sitting or lying down, you may be experiencing orthostatic hypotension. Your doctor can measure your blood pressure to test for the condition defined by a drop of at least 20 millimeters of mercury in systolic blood pressure (top number) and 10 millimeters of mercury in diastolic blood pressure (bottom number) within three minutes after standing up.
  • #7 Neurogenic Orthostatic Hypotension: Pathophysiology and Diagnosis
    https://www.ajmc.com/view/ace0034_oct15_noh_low
    Although orthostatic hypotension in elderly patients is common, neurogenic orthostatic hypotension (NOH) is a condition with substantial morbidity and a variable prognosis. […] The diagnosis is based on measurements of supine and standing blood pressures or head-up tilt testing and is confirmed by autonomic testing. […] In neurogenic orthostatic hypotension (NOH), impaired vasoconstriction is caused by inadequate release of norepinephrine from sympathetic vasomotor neurons. […] The initial diagnosis of NOH is based on blood pressure and heart rate measurements taken after the patient has been supine for at least 5 minutes, and then after 1 and 3 minutes of active standing. […] In addition to the substantial reductions in blood pressure when standing, as specified in the definition of OH, the diagnosis of NOH is likely when the associated increase in heart rate is less than 15 beats per minute.
  • #8 Low Blood Pressure (Hypotension) Symptoms, Treatment, Causes, Chart
    https://www.emedicinehealth.com/low_blood_pressure/article_em.htm
    Low blood pressure in itself may be less important than the symptoms associated with it. […] The healthcare provider will use a careful history and physical examination to find the cause. […] Treatment will be based upon the cause of low blood pressure. […] The key to diagnosis is a good history and physical examination. If low blood pressure is found incidentally and no other symptoms exist, then documenting the lower readings will help remind the healthcare provider during future visits. […] If the patient is symptomatic, documenting risk factors and exploring potential causes requires a detailed history of the situation. […] Physical examination may include postural vital signs. The patient has the blood pressure and pulse rate taken when laying flat and again when standing. […] An electrocardiogram (EKG or ECG) may be performed if the low blood pressure is thought to originate in the heart or if there is chest pain or shortness of breath associated with the low pressure.
  • #9 Low blood pressure (hypotension) | healthdirect
    https://www.healthdirect.gov.au/low-blood-pressure-hypotension
    If you have orthostatic hypotension that is ongoing, your doctor may recommend you: adjust your salt intake, drink plenty of water, especially early in the day, limit how much alcohol you drink, change your medicines, wear compression stockings or a special belt or binder around your abdomen (tummy), take part in a special exercise program. […] Orthostatic hypotension can cause fainting and increase your risk of falls. […] In people with a higher risk of orthostatic hypotension, it may help to: avoid certain medicines that can lower your blood pressure, make sure you are always well hydrated and avoid dehydration, avoid very low salt diets, keep your blood glucose levels well controlled if you have diabetes. […] Your doctor will want to know about your general health, family history, lifestyle, what medicines you are taking, if you have any allergies, if you know your previous blood pressure readings.
  • #10
  • #11 When to See a Doctor for Low Blood Pressure Treatment
    https://resources.healthgrades.com/right-care/symptoms-and-conditions/when-to-see-a-doctor-for-low-blood-pressure
    Your doctor may want to see you in person for a physical exam. You may have signs of a medical condition not noticeable to you but which your doctor can detect, either by clinical experience or testing. Keep a record of your blood pressure readings to provide your doctor with helpful diagnostic information. […] If you have been diagnosed with heart disease or heart failure—or if you currently take medication for high blood pressure—contact your cardiologist or the prescribing physician to discuss your low blood pressure readings and symptoms. […] If you are otherwise healthy but experience symptoms of hypotension, start by making an appointment with your primary healthcare provider. He or she may perform diagnostic testing to identify or rule out any underlying causes for your symptoms. If your doctor identifies an underlying medical condition, he or she may treat that condition to resolve the hypotensive episodes. Many doctors do not treat low blood pressure of unknown origin, preferring instead to monitor it and treat it later, if it causes serious symptoms. […] Your attentiveness in monitoring symptoms that could be related to low blood pressure can pay dividends in improved heart health and a higher quality of life as you age.
  • #12 Evaluation and Management of Orthostatic Hypotension | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0901/p527.html
    Key physical examination findings in the evaluation of suspected orthostatic hypotension are listed in Table 3. […] Blood pressure and pulse rate should be measured in the supine position and repeated after the patient has been standing for three minutes. […] However, a retrospective review of 730 patients found that orthostatic vital signs had poor test characteristics when compared with tilt-table testing for the diagnosis of orthostatic hypotension. […] Head-up tilt-table testing should be ordered if there is a high index of suspicion for orthostatic hypotension despite normal orthostatic vital signs, and it may be considered in patients who are unable to stand for orthostatic vital sign measurements. […] In patients who do not respond adequately to nonpharmacologic therapy for orthostatic hypotension, medication may be indicated.
  • #13 04. Hypotension | Hospital Handbook
    https://hospitalhandbook.ucsf.edu/04-hypotension/04-hypotension
    Mean arterial pressure (MAP) 65. Keep in mind that a patient who is usually hypertensive can experience hypoperfusion at higher MAPs. […] Remember hypotension = death. Presence of normal mentation simply indicates that the patient still has a pulse and should not be reassuring in itself. Some patients with chronic conditions (end stage liver disease, chronic heart failure, and autonomic dysfunction) may have low baseline MAP, and elderly patients often have low baseline diastolic pressure. That said, treat all episodes of hypotension very seriously; all hypotensive patients should be seen and evaluated promptly. […] History and physical exam (especially volume status) are the most important initial steps to narrowing down the diagnosis and determining initial treatment. […] Patients are predicted to be fluid responsive if IVC diameter (measured 1 cm distal to hepatic vein) is 1.5 cm, with 40% collapse on inspiration if not intubated, or 15% distention during positive pressure ventilation.
  • #14 Low blood pressure Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/low-blood-pressure
    Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body may not get enough blood. Normal blood pressure is mostly between 90/60 mmHg and 120/80 mmHg. […] The health care provider will examine you to determine the cause of your low blood pressure. Your vital signs (temperature, pulse, rate of breathing, and blood pressure) will be checked frequently. You may need to stay in the hospital for a while. […] The following tests may be done: Basic metabolic panel, Blood cultures to check for infection, Complete blood count (CBC), including white blood cell differential, Electrocardiogram (ECG), Urinalysis, X-ray of the abdomen, X-ray of the chest. […] Lower than normal blood pressure in a healthy person that does not cause any symptoms often does not need treatment. Otherwise, treatment depends on the cause of your low blood pressure and your symptoms. […] Low blood pressure can usually be treated with success.
  • #15 Orthostatic Hypotension: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0100/p39.html
    If clinical suspicion for orthostatic hypotension is high, head-up tilt table testing should be performed even with normal bedside orthostatic vital signs. […] For unclear cases of orthostatic hypotension or when patients are unable to safely stand, head-up tilt table testing is recommended. […] Supine hypertension is defined as blood pressure of 140 mm Hg or higher systolic or 90 mm Hg or higher diastolic after five minutes in the supine position and affects about 50% of patients with neurogenic orthostatic hypotension. […] The overall approach to the diagnosis and management of orthostatic hypotension is summarized.
  • #16 Low Blood Pressure: Overview and More
    https://www.verywellhealth.com/low-blood-pressure-overview-4581941
    Low blood pressure is usually only considered a problem if it’s causing symptoms, such as dizziness, blurry vision, feeling faint, or confusion. However, if your blood pressure drops suddenly, it could be related to shock, which can be dangerous and is a medical emergency. […] Generally speaking, low blood pressure is only problematic if it occurs suddenly or when it’s a result of an underlying disease or condition. If you’re concerned about your blood pressure, be sure to talk to your doctor. […] Hypotension is the medical term for low blood pressure. The prefix „hypo” means low. Hypotension is the opposite of hypertension, or high blood pressure. […] A noninvasive procedure that monitors your blood pressure and other vital signs while you change positions from lying down to standing. As part of the test, you’ll be strapped to a table that rotates 70 degrees from lying down flat to standing position. It’s often used to determine the cause of fainting (syncope) when other causes have been ruled out.
  • #17
  • #18 Hypotension vs Hypertension, Low Blood Pressure’s Importance
    https://casanacare.com/insights/hypotension-vs-hypertension-why-low-blood-pressure-is-also-important-to-monitor/
    An Electrocardiogram (ECG) is a noninvasive test that records the heart’s electrical activity and is able to detect heart structural abnormalities, irregularities in heart rhythm, heartbeat speed, and blood supply problems. […] An echocardiogram uses high-frequency sound waves to noninvasively obtain images of your heart and its chambers. The images show how your heart looks, its size, and how well it is pumping blood. […] A tilt table test, occasionally called upright tilt testing, attempts to determine the cause of syncope by rapidly creating changes in posture from lying to standing. This is achieved by having patients lie flat on a bed or table that quickly moves from a lying position to an upright position while connected to electrocardiogram (ECG) and blood pressure monitors.
  • #19 Hypotension – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499961/
    Hypotension is a drop in systemic blood pressure below normal values. Normal blood pressure typically ranges from 90/60 to 120/80, with readings below 90/60 generally classified as hypotensive. […] Accurate blood pressure measurement, a thorough clinical history, and targeted evaluation for underlying causes form the basis of diagnosis, often supplemented by orthostatic vital signs, laboratory testing, and cardiac assessment. […] Hypotension may be defined by several criteria, including a systolic blood pressure (SBP) of less than 90 mm Hg, a mean arterial pressure (MAP) below 65 mm Hg, or a diastolic blood pressure (DBP) under 60 mm Hg. […] Evaluation must be guided by the suspected etiology. Initial laboratory testing should include a complete blood count with differential, basic metabolic panel, thyroid-stimulating hormone, and free thyroxine.
  • #20 Low blood pressure: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007278.htm
    Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body may not get enough blood. Normal blood pressure is mostly between 90/60 mmHg and 120/80 mmHg. […] The medical word for low blood pressure is hypotension. […] The health care provider will examine you to determine the cause of your low blood pressure. Your vital signs (temperature, pulse, rate of breathing, and blood pressure) will be checked frequently. You may need to stay in the hospital for a while. […] The following tests may be done: Basic metabolic panel, Blood cultures to check for infection, Complete blood count (CBC), including white blood cell differential, Electrocardiogram (ECG), Urinalysis, X-ray of the abdomen, X-ray of the chest. […] Lower than normal blood pressure in a healthy person that does not cause any symptoms often does not need treatment. Otherwise, treatment depends on the cause of your low blood pressure and your symptoms.
  • #21 7 Best Low Blood Pressure Diagnosis Tests For Hypotension | Drlogy
    https://www.drlogy.com/health/low-blood-pressure-diagnosis
    Echocardiogram, also known as an echo or cardiac ultrasound, is a non-invasive test that visualizes and assesses heart structures and function. It provides detailed images, aiding in low blood pressure diagnosis and treatment planning. […] Electrocardiogram (ECG) test assesses heart’s electrical activity. Quick and non-invasive, it detects rhythm disturbances and aids in low blood pressure diagnosis and treatment planning. […] Blood Pressure Measurement Test is a quick and non-invasive procedure to assess blood pressure. It provides accurate measurements for evaluating overall health and determining blood pressure levels within the normal range. […] Blood Tests for Underlying Conditions identify health conditions through blood analysis. Accurate and informative, they detect diseases, infections, and deficiencies, assisting in low blood pressure diagnosis and treatment planning.
  • #22 Hypotension (Low Blood Pressure): Causes, Symptoms, and Treatment
    https://patient.info/doctor/hypotension
    First-line investigation should include: FBC, UE, Fasting glucose, Pregnancy test (if the patient is unsure), ECG, Echocardiogram – if suggested by a history suggestive of a cardiac problem, Tilt-table testing for orthostatic hypotension. […] The key to managing postural hypotension is individually tailored therapy. The goal of treatment is to improve the patient’s functional capacity and quality of life, preventing injury, rather than to achieve a target BP.
  • #23
  • #24 Low blood pressure | Hirslanden
    https://www.hirslanden.ch/en/corporate/disease-patterns/low-blood-pressure.html
    Diagnosing hypotension includes regular blood pressure measurements by a specialist (cardiologist) to check whether blood pressure levels are permanently below normal values. Additional tests may be needed to determine the cause of hypotension, including blood tests, a cardiac ultrasound and endocrine function tests.
  • #25 Hypotension – What You Need to Know
    https://www.drugs.com/cg/hypotension.html
    Many times, hypotension is a symptom of another condition. You may need any of the following tests to find the cause of your hypotension: […] A blood or urine sample may be checked for anemia or other conditions causing your hypotension. […] An EKG records the electrical activity of your heart. It is used to check for damage or other heart problems. […] Autonomic nervous system tests may show changes in how fast your heart beats when you take deep breaths. Your healthcare provider may also check for changes in your BP while you put your hand in ice cold water. […] A 24 hour urine test is used to measure and record how much you urinate. At the end of 24 hours, the urine will be sent to a lab for tests. […] An echocardiogram is a type of ultrasound, also called an echo. An ultrasound uses sound waves to show pictures of your heart on a monitor. An ultrasound may be done to show how your heart moves when it beats.
  • #26 Hypotension (Low Blood Pressure): Causes, Symptoms, Diagnosis, and Management – Ensocure
    https://ensocure.com/hypotension-low-blood-pressure-causes-symptoms-diagnosis-and-management/
    Blood Tests: Laboratory tests can help identify underlying conditions such as anemia, electrolyte imbalances, or endocrine disorders. […] Electrocardiogram (ECG or EKG): This test records the hearts electrical activity and can detect abnormalities indicative of heart problems. […] Echocardiogram: An ultrasound of the heart that provides detailed images of its structure and function, helping to diagnose conditions such as heart failure or valve disorders. […] Tilt Table Test: This specialized test is used to evaluate orthostatic hypotension by monitoring changes in heart rate and blood pressure while the patient is tilted at different angles on a table.
  • #27 7 Best Low Blood Pressure Diagnosis Tests For Hypotension | Drlogy
    https://www.drlogy.com/health/low-blood-pressure-diagnosis
    Echocardiogram, also known as an echo or cardiac ultrasound, is a non-invasive test that visualizes and assesses heart structures and function. It provides detailed images, aiding in low blood pressure diagnosis and treatment planning. […] Electrocardiogram (ECG) test assesses heart’s electrical activity. Quick and non-invasive, it detects rhythm disturbances and aids in low blood pressure diagnosis and treatment planning. […] Blood Pressure Measurement Test is a quick and non-invasive procedure to assess blood pressure. It provides accurate measurements for evaluating overall health and determining blood pressure levels within the normal range. […] Blood Tests for Underlying Conditions identify health conditions through blood analysis. Accurate and informative, they detect diseases, infections, and deficiencies, assisting in low blood pressure diagnosis and treatment planning.
  • #28
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    To move forward in an effective and safe manner, consensus is required on the basics of screening, diagnosing, and treating patients with nOH. […] Thus, an expert opinion statement to these basic approaches is needed. […] After screening to identify a patient as being at risk for OH, an accurate assessment of the underlying cause(s) is required to determine the appropriate treatment recommendation. […] The hallmark test for OH is measurement of change in blood pressure from supine, after at least 5 min of rest, to standing (or head-up tilt [HUT]). […] Current guidelines define OH as a sustained fall of systolic blood pressure of at least 20 mmHg or a diastolic blood pressure of 10 mmHg within 3 min of standing (or HUT). […] If blood pressure and heart rate changes indicate OH/nOH, a complete history and physical examination, as well as electrocardiogram and laboratory testing, should be focused on ruling out non-neurogenic causes of OH, including cardiogenic, vascular, or iatrogenic etiologies.
  • #29 Hypotension – What You Need to Know
    https://www.drugs.com/cg/hypotension.html
    Many times, hypotension is a symptom of another condition. You may need any of the following tests to find the cause of your hypotension: […] A blood or urine sample may be checked for anemia or other conditions causing your hypotension. […] An EKG records the electrical activity of your heart. It is used to check for damage or other heart problems. […] Autonomic nervous system tests may show changes in how fast your heart beats when you take deep breaths. Your healthcare provider may also check for changes in your BP while you put your hand in ice cold water. […] A 24 hour urine test is used to measure and record how much you urinate. At the end of 24 hours, the urine will be sent to a lab for tests. […] An echocardiogram is a type of ultrasound, also called an echo. An ultrasound uses sound waves to show pictures of your heart on a monitor. An ultrasound may be done to show how your heart moves when it beats.
  • #30 Diagnosis and management of neurogenic orthostatic hypotension
    https://www.e-acn.org/journal/view.php?number=643
    Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. […] It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. […] For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. […] Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. […] In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension. […] Symptoms of orthostatic hypotension can be either symptomatic or asymptomatic. […] The main pathophysiological mechanism of neurogenic orthostatic hypotension is an inadequate release of norepinephrine after standing up.
  • #31 Low Blood Pressure (Hypotension): Causes, Symptoms, & More
    https://www.healthline.com/health/hypotension
    Low blood pressure can make you feel dizzy. […] The medical term for low blood pressure is hypotension. […] Hypotension in adults is defined as a blood pressure reading of lower than 90/60. […] There are several types of hypotension. Low blood pressure is categorized according to when it happens and what’s causing it. […] A severe drop in blood pressure can occur during shock. […] Severe hypotension can be life threatening if not treated quickly. […] Certain conditions can cause long periods of hypotension that can become dangerous if left untreated. […] Medications might also cause your blood pressure to become too low. […] If a medication you’re taking causes your blood pressure to become too low, your doctor may adjust the dosage or change the medication. […] Hypotension doesn’t always cause symptoms.
  • #32 Low Blood Pressure (Hypotension): Causes, Treatment, & More – K Health
    https://khealth.com/learn/hypotension/low-blood-pressure/
    Hypotension occurs when the blood pumped through the arteries flows at a lower than average ratea blood pressure reading lower than 90/60 mm Hg, to be exact. […] If blood pressure readings indicate low blood pressure that is abnormal for you, your doctor or provider will work with you to determine the underlying cause. […] Additionally, they may do some tests, including: Electrocardiogram (ECG) to check your heart, Blood work to check your blood sugar levels, red blood cell levels, thyroid, and for any vitamin deficiencies, X-rays to examine the abdomen or chest. […] Low blood pressure is divided into several different types, which are differentiated by their causes. […] Orthostatic hypotension (or postural hypotension) is when blood pressure drops due to a change in positionmost commonly, when someone goes from lying down to standing up.
  • #33 Orthostatic Hypotension: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0100/p39.html
    Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position or on assuming a head-up position of 60 degrees during tilt table testing. […] Diagnosis is confirmed by measuring blood pressure and heart rate after five minutes in the supine position and three minutes after moving to a standing position. […] Orthostatic hypotension is diagnosed by measuring blood pressure and heart rate after five minutes in the supine position and three minutes after moving to a standing position. […] A sustained decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing is diagnostic of orthostatic hypotension. […] Orthostatic hypotension is further classified as neurogenic or nonneurogenic.
  • #34 Orthostatic Hypertension Or Hypotension and Disability
    https://www.nickortizlaw.com/practice-areas/long-term-disability-insurance-erisa-lawyer/medical-conditions/orthostatic-hypertension-or-hypotension/
    Patients with orthostatic hypertension or hypotension may be unable to work because of their disease and its related complications. […] Diagnosis of orthostatic hypertension and orthostatic hypotension is made in the same way. A patient is examined in a doctor’s office, and their blood pressure and heart rate are taken while sitting and then while standing. […] A diagnosis of orthostatic hypotension requires that when standing the systolic blood pressure drop by at least 20 mm Hg or the diastolic blood pressure to drop by 10 mm Hg. If the change is within 30 seconds to 3 minutes, it is considered to be classic orthostatic hypotension. If it takes longer than 3 minutes for the change to occur, it is considered to be the delayed-type. Initial orthostatic hypotension is a type that occurs almost instantly and then is quickly corrected, making it challenging to observe.
  • #35
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    To move forward in an effective and safe manner, consensus is required on the basics of screening, diagnosing, and treating patients with nOH. […] Thus, an expert opinion statement to these basic approaches is needed. […] After screening to identify a patient as being at risk for OH, an accurate assessment of the underlying cause(s) is required to determine the appropriate treatment recommendation. […] The hallmark test for OH is measurement of change in blood pressure from supine, after at least 5 min of rest, to standing (or head-up tilt [HUT]). […] Current guidelines define OH as a sustained fall of systolic blood pressure of at least 20 mmHg or a diastolic blood pressure of 10 mmHg within 3 min of standing (or HUT). […] If blood pressure and heart rate changes indicate OH/nOH, a complete history and physical examination, as well as electrocardiogram and laboratory testing, should be focused on ruling out non-neurogenic causes of OH, including cardiogenic, vascular, or iatrogenic etiologies.
  • #36 Diagnosis and management of neurogenic orthostatic hypotension
    http://e-acn.org/journal/view.php?doi=10.14253/acn.2023.25.2.66
    Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. […] It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. […] For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. […] Depending on severity of symptoms, pharmacological intervention may be tried after or with non-pharmacological methods. […] Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. […] In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension. […] Symptoms of orthostatic hypotension can be either symptomatic or asymptomatic.
  • #37 Neurogenic Orthostatic Hypotension: Pathophysiology and Diagnosis
    https://www.ajmc.com/view/ace0034_oct15_noh_low
    Although orthostatic hypotension in elderly patients is common, neurogenic orthostatic hypotension (NOH) is a condition with substantial morbidity and a variable prognosis. […] The diagnosis is based on measurements of supine and standing blood pressures or head-up tilt testing and is confirmed by autonomic testing. […] In neurogenic orthostatic hypotension (NOH), impaired vasoconstriction is caused by inadequate release of norepinephrine from sympathetic vasomotor neurons. […] The initial diagnosis of NOH is based on blood pressure and heart rate measurements taken after the patient has been supine for at least 5 minutes, and then after 1 and 3 minutes of active standing. […] In addition to the substantial reductions in blood pressure when standing, as specified in the definition of OH, the diagnosis of NOH is likely when the associated increase in heart rate is less than 15 beats per minute.
  • #38 Low Blood Pressure (Hypotension): Causes, Treatment, & More – K Health
    https://khealth.com/learn/hypotension/low-blood-pressure/
    Severe and persistent orthostatic hypotension increases the risk of heart attack, heart failure, stroke, chronic kidney failure, and injuries from fainting spells. […] Postprandial hypotension is when blood pressure drops 1-2 hours after eating a meal. […] Neurally mediated hypotension (also known as vasovagal syncope or the fainting reflex) is when blood pressure drops after standing for a long time, or in response to stress or fear. […] If left untreated, acute severe hypotension can limit how much oxygen the organs receive. […] Called shock, this can cause damage to the heart and brain and can be life-threatening if not treated.
  • #39 Hypotension (Low Blood Pressure): Causes, Symptoms, and Treatment
    https://patient.info/doctor/hypotension
    Hypotension is therefore a BP that is much lower than usual and which may be causing symptoms such as dizziness or light-headedness. It is often defined as systolic BP less than 90 mm Hg or diastolic BP less than 60 mm Hg. A systolic BP below 100 mm Hg may be more appropriate if the patient normally has hypertension. […] Orthostatic hypotension is defined as a sustained reduction in systolic blood pressure of at least 20 mm Hg or a reduction in diastolic blood pressure of at least 10 mm Hg, usually within the first three minutes of standing or head-up tilt on a tilt table. […] The initial treatment approach to postprandial hypotension is non-pharmacological. Patients with postprandial hypotension should be advised to take in smaller more frequent meals. If this is not adequate then patients should be instructed to decrease the carbohydrate load in their diet.
  • #40
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    Neurogenic orthostatic hypotension (nOH) is common in patients with neurodegenerative disorders such as Parkinsons disease, multiple system atrophy, pure autonomic failure, dementia with Lewy bodies, and peripheral neuropathies including amyloid or diabetic neuropathy. […] Due to the frequency of nOH in the aging population, clinicians need to be well informed about its diagnosis and management. […] The literature on nOH is fraught with inconsistencies in the definition and methods of diagnosis, and suffers from a lack of evidence-based guidelines to direct clinicians towards best practice. […] The following consensus definition of OH was devised by the American Autonomic Society and the American Academy of Neurology, and endorsed by the European Federation of Autonomic Societies and the World Federation of Neurology: OH is a sustained reduction of systolic blood pressure of at least 20 mmHg or diastolic blood pressure of 10 mmHg, or both, within 3 min of standing or head-up tilt to at least 60 on a tilt table.
  • #41 Diagnosis and management of neurogenic orthostatic hypotension
    https://www.e-acn.org/journal/view.php?number=643
    Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. […] It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. […] For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. […] Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. […] In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension. […] Symptoms of orthostatic hypotension can be either symptomatic or asymptomatic. […] The main pathophysiological mechanism of neurogenic orthostatic hypotension is an inadequate release of norepinephrine after standing up.
  • #42 Diagnosis and management of neurogenic orthostatic hypotension
    http://e-acn.org/journal/view.php?doi=10.14253/acn.2023.25.2.66
    The main pathophysiological mechanism of neurogenic orthostatic hypotension is an inadequate release of norepinephrine after standing up. […] A stepwise approach is recommended to manage neurogenic orthostatic hypotension symptoms. […] It is important to consider combined medical conditions and correct potential contributors to orthostatic hypotension. […] Before initiating pharmacological treatment, non-pharmacological approaches should be explored and tailored to the patient’s situation.
  • #43 Low Blood Pressure and PD | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/blood-pressure
    People with PD often have lower amounts of norepinephrine. […] This type of low blood pressure caused by a change in position is called orthostatic hypotension (OH). […] When you stand up after sitting or lying down, you may be experiencing orthostatic hypotension. Your doctor can measure your blood pressure to test for the condition defined by a drop of at least 20 millimeters of mercury in systolic blood pressure (top number) and 10 millimeters of mercury in diastolic blood pressure (bottom number) within three minutes after standing up.
  • #44 Hypotension – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499961/
    The differential diagnosis of hypotension is broad. Etiologies may be categorized into several major clinical groups based on underlying mechanisms. […] Prompt identification of the underlying cause of hypotension is essential to guide appropriate treatment. Delays in diagnosis may lead to preventable complications and worsening clinical outcomes.
  • #45 Assessment of hypotension – Differential diagnosis of symptoms | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/1196
    Hypotension is any blood pressure (BP) that is below the normal expected for an individual in a given environment. […] There is no single numerical cut-off universally accepted as representing hypotension. […] Hypotension can be the first sign of a serious acute illness (such as myocardial infarction, sepsis, or gastrointestinal haemorrhage). […] Once acute causes have been excluded, other chronic or recurring causes should then be investigated. […] If the patient is not hypotensive at the time of assessment, lying and standing BP recordings should be carried out in order to determine if orthostatic hypotension is present. […] A systolic BP drop of 20 mmHg or a diastolic BP drop of 10 mmHg occurring within 3 minutes of orthostasis is considered significant. […] Hypotension occurs when the cardiac output decreases and/or the systemic vascular resistance decreases.
  • #46 Assessment of hypotension – Differential diagnosis of symptoms | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/1196
    Persistent hypotension can lead to shock, a state of reduced end-organ oxygenation owing to an imbalance between tissue oxygen demand and delivery. […] It is often difficult to exclude or confirm the presence of shock without close monitoring of vital signs, including BP, heart rate, and urinary output.
  • #47 04. Hypotension | Hospital Handbook
    https://hospitalhandbook.ucsf.edu/04-hypotension/04-hypotension
    Mean arterial pressure (MAP) 65. Keep in mind that a patient who is usually hypertensive can experience hypoperfusion at higher MAPs. […] Remember hypotension = death. Presence of normal mentation simply indicates that the patient still has a pulse and should not be reassuring in itself. Some patients with chronic conditions (end stage liver disease, chronic heart failure, and autonomic dysfunction) may have low baseline MAP, and elderly patients often have low baseline diastolic pressure. That said, treat all episodes of hypotension very seriously; all hypotensive patients should be seen and evaluated promptly. […] History and physical exam (especially volume status) are the most important initial steps to narrowing down the diagnosis and determining initial treatment. […] Patients are predicted to be fluid responsive if IVC diameter (measured 1 cm distal to hepatic vein) is 1.5 cm, with 40% collapse on inspiration if not intubated, or 15% distention during positive pressure ventilation.
  • #48 Recognizing Low Blood Pressure Symptoms – BuzzRx Select permission for Location
    https://www.buzzrx.com/blog/low-blood-pressure-symptoms-to-know
    If you notice low blood pressure on a home blood pressure measuring device, visit your healthcare provider. […] Low blood pressure can be a symptom of an underlying health condition, especially when there is a rapid drop in blood pressure alongside other associated symptoms. […] It’s important to find out the underlying cause of hypotension and treat it. […] Low blood pressure can develop if your heart beats too fast or too slow or you have heart valve disease. […] Serious conditions such as a heart attack, cardiac arrhythmias (irregular heartbeat), pulmonary embolism (PE) (blood clot in the lung), a collapsed lung, anaphylaxis (severe allergic reaction), severe infection, and sepsis (severe immune reaction) can also cause low blood pressure. […] Low blood pressure (hypotension) is relatively easy to diagnose. However, determining its cause can be more challenging. […] It can be dangerous if your blood pressure drops suddenly. […] A fall of just 20 mmHg can result in dizziness and fainting. […] Seek emergency medical care for chest pain, passing out or fainting, or falls due to lightheadedness (especially if you take anticoagulant medications).
  • #49 Hypotension: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/hypotension-nursing-diagnosis-care-plan/
    Nursing Diagnosis: Risk for Unstable Blood Pressure. […] Risk factors that can lead to hypotension and shock include the following: Trauma, Surgery, Poor coagulation, Anticoagulant medication, Organ bleeding, Persistent vomiting, Diarrhea, Diabetes insipidus, Improper use of diuretics, Sepsis, Burns. […] Severe hypotension is considered a hallmark sign of shock. Note the presence of the following: Low blood pressure (hypotension), Narrowing range between systolic and diastolic BP (narrow pulse pressure). […] Collaborate with the healthcare team for immediate management of bleeding causing hypotension and shock. Managing shock is an emergency that requires a team to administer fluids, blood products, medications, and oxygenation.
  • #50 Low Blood Pressure: Overview and More
    https://www.verywellhealth.com/low-blood-pressure-overview-4581941
    Low blood pressure, also known as hypotension, occurs when blood flows through your blood vessels at pressures that are lower than normal. Low blood pressure is primarily a concern if it produces symptoms such as dizziness, fainting, blurry vision, or fatigue, or if you have a sudden drop in blood pressure. […] Low blood pressure can be caused by factors like dehydration or medications, or it can be related to an underlying condition, such as heart problems, hormone issues, pregnancy, or neural conditions. There are three primary types: orthostatic hypotension, neurally mediated hypotension, and severe hypotension related to shock, which is a medical emergency. […] If your blood pressure is consistently below 90/60 mm Hg, be sure to talk to your doctor, though it’s important to remember that everyone’s different.
  • #51 Hypotension (Low Blood Pressure): Causes and Treatments
    https://www.verywellhealth.com/what-are-common-low-blood-pressure-symptoms-1764030
    Hypotension can be diagnosed by using a blood pressure cuff. The cuff measures both the systolic pressure (the pressure exerted in your blood vessels when your heart beats) and the diastolic pressure (the pressure in your blood vessels when your heart rests between beats). […] While hypotension doesn’t have an exact definition, many healthcare providers consider 90/60 to be the cut-off point by which hypotension can be reasonably diagnosed. […] Hypotension is the point at which the blood pressure has dropped so low that the heart can no longer deliver an adequate supply of blood to the body. […] Without adequate blood flow, the tissues of the body will be deprived of oxygen and nutrients needed to function normally. An inadequate supply of oxygen to the tissues referred to as tissue hypoxia can eventually lead to cell death.
  • #52 Low blood pressure (hypotension): symptoms and causes – BHF
    https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/low-blood-pressure
    Blood pressure is the pressure of the blood in your arteries – the vessels that carry blood from your heart to your brain and the rest of your body. […] To find out if you have low blood pressure, a healthcare professional will measure it. […] The NHS has a general guide that can tell you if your reading is within the normal range: Low blood pressure: under 89/59mmHg. […] Most people with low blood pressure do not notice any symptoms. […] However, in some cases it can cause: light-headedness or dizziness, fainting, blurred vision, weakness, difficulties in concentration or confusion, nausea (feeling sick). […] Low blood pressure can also be caused by: Side effects from some medicines: such as medicines for high blood pressure, heart disease or depression, as well as some over-the-counter and herbal products. […] But if low blood pressure is becoming a problem for you, speak to your GP. […] They may be able to work out and treat the underlying cause of your low blood pressure.
  • #53 Recognizing Low Blood Pressure Symptoms – BuzzRx Select permission for Location
    https://www.buzzrx.com/blog/low-blood-pressure-symptoms-to-know
    If you notice low blood pressure on a home blood pressure measuring device, visit your healthcare provider. […] Low blood pressure can be a symptom of an underlying health condition, especially when there is a rapid drop in blood pressure alongside other associated symptoms. […] It’s important to find out the underlying cause of hypotension and treat it. […] Low blood pressure can develop if your heart beats too fast or too slow or you have heart valve disease. […] Serious conditions such as a heart attack, cardiac arrhythmias (irregular heartbeat), pulmonary embolism (PE) (blood clot in the lung), a collapsed lung, anaphylaxis (severe allergic reaction), severe infection, and sepsis (severe immune reaction) can also cause low blood pressure. […] Low blood pressure (hypotension) is relatively easy to diagnose. However, determining its cause can be more challenging. […] It can be dangerous if your blood pressure drops suddenly. […] A fall of just 20 mmHg can result in dizziness and fainting. […] Seek emergency medical care for chest pain, passing out or fainting, or falls due to lightheadedness (especially if you take anticoagulant medications).
  • #54 Low Blood Pressure (Hypotension): Causes, Symptoms, & More
    https://www.healthline.com/health/hypotension
    Low blood pressure can make you feel dizzy. […] The medical term for low blood pressure is hypotension. […] Hypotension in adults is defined as a blood pressure reading of lower than 90/60. […] There are several types of hypotension. Low blood pressure is categorized according to when it happens and what’s causing it. […] A severe drop in blood pressure can occur during shock. […] Severe hypotension can be life threatening if not treated quickly. […] Certain conditions can cause long periods of hypotension that can become dangerous if left untreated. […] Medications might also cause your blood pressure to become too low. […] If a medication you’re taking causes your blood pressure to become too low, your doctor may adjust the dosage or change the medication. […] Hypotension doesn’t always cause symptoms.
  • #55 Neurogenic Orthostatic Hypotension: Pathophysiology and Diagnosis
    https://www.ajmc.com/view/ace0034_oct15_noh_low
    Autonomic testing confirms the clinical diagnosis. […] The diagnosis of NOH should consider 2 variants: initial and delayed OH. […] Continuous beat-to-beat blood pressure monitoring is used to detect initial OH because blood pressure changes are too fleeting to be detected with auscultatory or oscillometric measurements. […] Ambulatory blood pressure monitoring (ABPM) can capture the wide fluctuations in blood pressure experienced by patients with NOH. […] Several factors may contribute to the diagnosis of NOH being missed.
  • #56 Advice for living with low blood pressure | PoTS UK
    https://www.potsuk.org/managingpots/advice-for-living-with-low-blood-pressure/
    Understand the medical jargon and tips on how to cope with low BP. […] Low blood pressure is also known as hypotension. This is usually defined in an adult as a systolic recording of less than 90 mmHg, although it has been suggested that under 110 mmHg is a more appropriate definition in older people. […] Blood pressure measurements and symptoms vary throughout the day and night which is why doctors may prefer to look at recordings over 24 hours rather than a single reading. […] There are many factors which can contribute to low blood pressure. […] Medication may be used to elevate BP if the above measures fail. Examples include fludrocortisone and midodrine. There may be benefit from other emerging drugs such as droxidopa and pyridostigmine, but there is not enough evidence to incorporate these into routine guidelines yet.
  • #57 Low Blood Pressure (Hypotension) Signs and Symptoms | Ausmed
    https://www.ausmed.com/learn/articles/what-is-hypotension
    Hypotension (low blood pressure) occurs when the force at which the heart pumps blood through the arteries falls (NHS Inform 2024). […] Checking blood pressure is an important part of evaluating yourself or your patient. […] Low blood pressure should be evaluated and treated urgently. […] Assessment of low blood pressure should include a recheck of the pressure and close monitoring. […] The best objective symptom of hypotension is taking the patients blood pressure and getting low numbers. […] The usual metric for measuring low blood pressure is that anything below 90/60 mmHg (millimetres of mercury) is considered low enough to treat (Healthdirect Australia 2022). […] With low blood pressure, the patient may feel faint or lose consciousness. […] A dizzy feeling and light-headedness could also accompany this (Better Health Channel 2022).
  • #58 Low blood pressure (hypotension): Symptoms, causes, and prevention
    https://www.medicalnewstoday.com/articles/159609
    Blood pressure is low when it is below 90/60 millimeters of mercury (mm Hg). Hypotension can lead to dizziness and faintness. In some cases, it may indicate an underlying health issue. […] According to the American Heart Association (AHA), doctors do not usually consider low blood pressure a problem unless it causes noticeable signs and symptoms. […] A person should seek medical advice if their blood pressure falls suddenly, is very low, or is significantly lower than usual. […] A doctor will also ask the person about their medical history and other symptoms. They may carry out other tests to rule out an underlying problem. […] Most people with low blood pressure do not need treatment. However, if hypotension starts suddenly or results from an underlying condition, a doctor will provide appropriate treatment. The treatment options will depend on the cause.
  • #59 Low Blood Pressure (Hypotension): Causes, Symptoms, & More
    https://www.healthline.com/health/hypotension
    Symptoms of hypotension may include: fatigue, lightheadedness, dizziness, nausea, clammy skin, depression, loss of consciousness, blurry vision. […] Your treatment plan will depend on what’s causing your hypotension. […] In cases where treatment is needed, a doctor may recommend lifestyle changes, medical treatment, or a combination of both. […] Some forms of hypotension may require medical treatment. […] Emergency personnel may give you fluids and other treatments to increase your blood pressure and stabilize your vital signs. […] For some people, low blood pressure requires treatment to prevent possible complications.
  • #60 Low blood pressure: Natural remedies, causes, and symptoms
    https://www.medicalnewstoday.com/articles/319506
    Low blood pressure can cause dizziness, fainting, and other symptoms. […] Low blood pressure or hypotension is any reading lower than 90 mmHg over 60 mmHg. […] However, most doctors will only describe low blood pressure as a problem if a person has the symptoms. […] Low blood pressure is not a concern if there are no symptoms present. However, when low blood pressure causes symptoms, it can be a sign that not enough blood is getting to the organs. […] Low blood pressure can be a side effect of a variety of medications, including beta-blockers, tricyclic antidepressants, and narcotics. […] If symptoms of low blood pressure begin after starting a new medication, people should discuss the symptoms with their doctor. […] Low blood pressure is only a concern if symptoms exist. If there are no symptoms present, doctors may take low blood pressure as a sign of good health.
  • #61 Orthostatic Hypotension (Postural Hypotension)
    https://my.clevelandclinic.org/health/diseases/9385-low-blood-pressure-orthostatic-hypotension
    Orthostatic hypotension is a sudden drop in blood pressure when you stand from a seated or prone (lying down) position. You may feel dizzy or even faint. […] A reading below 90/60 millimeters of mercury is considered low blood pressure. […] You have orthostatic hypotension if your blood pressure drops more than 20 millimeters of mercury in systolic pressure or 10 millimeters of mercury in diastolic pressure within three minutes of standing up. […] Your healthcare provider will check your blood pressure while you’re seated, lying down and standing. […] Orthostatic hypotension treatments vary by what’s causing it. […] Rarely, people with orthostatic hypotension need medications to increase blood volume and pressure. […] Orthostatic hypotension symptoms can be unsettling. They may even be dangerous if you lose your balance, fall or pass out. Symptoms often improve when you change how you move into a standing position.
  • #62 Low Blood Pressure (Hypotension): Causes & Symptoms
    https://my.clevelandclinic.org/health/diseases/21156-low-blood-pressure-hypotension
    Low blood pressure is a reading below 90/60 mm Hg. […] Hypotension, or low blood pressure, is when your blood pressure is much lower than expected. […] Low blood pressure is below 90/60 mm Hg. Normal blood pressure is above that, up to 120/80 mm Hg. […] Hypotension itself is easy to diagnose. Taking your blood pressure is all you need to do. But figuring out why you have hypotension is another story. […] Your provider may recommend the following tests: […] If a provider can treat that cause directly, hypotension will usually get better on its own. […] The most important thing for a provider treating low blood pressure is to find the underlying cause and correct it. […] If you have hypotension, what you can expect depends on what causes it and if you have symptoms. […] If you know you have hypotension, you should see your healthcare provider if you start to notice symptoms affecting your life or disrupting your usual routine and activities. […] Hypotension is a condition that can have no symptoms, and many people dont even know they have it.
  • #63 Low Blood Pressure – When Blood Pressure Is Too Low | American Heart Association
    https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/low-blood-pressure-when-blood-pressure-is-too-low
    Low blood pressure is usually not harmful unless there are other concerning symptoms. […] A low blood pressure reading is usually good. Some people with very low blood pressure have a condition called hypotension. This occurs when blood pressure is less than 90/60 mm Hg. Low blood pressure is usually not harmful unless there are other symptoms that concern a health care professional. […] One reading that is lower than normal is usually not cause for alarm unless you are having other symptoms or problems. If you are dizzy, nauseous or have other symptoms, contact your health care professional.
  • #64 Low blood pressure (hypotension) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465
    Low blood pressure is a condition in which the force of the blood pushing against the artery walls is too low. It’s also called hypotension. […] In general, low blood pressure is a reading lower than 90/60 mm Hg. […] It’s important to find out what’s causing low blood pressure so that it can be treated, if needed. […] For some people, low blood pressure may be a symptom of an underlying health condition. That’s especially so when blood pressure drops suddenly or when low blood pressure occurs with symptoms. […] If you often have low blood pressure readings but feel fine, you might not need treatment. Instead, your healthcare professional tracks your health during routine checkups.
  • #65 Blood pressure (low) – hypotension | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/blood-pressure-low-hypotension
    Hypotension, or low blood pressure, means that the pressure of blood circulating around the body is lower than normal or lower than expected. […] Low blood pressure is only a problem if it has a negative impact on the body and produces symptoms. […] Blood pressure is measured using a device known as a sphygmomanometer. If the measurement drops 30mmHg below the persons usual blood pressure, this is considered to be hypotension. […] Treatment depends on the cause. For example, the dosages of existing medications may need to be altered or a bleeding stomach ulcer surgically repaired. If no particular cause can be found, drugs may be used to raise blood pressure. In extreme cases, a lower body pressure suit may be required.
  • #66 Hypotension – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499961/
    The differential diagnosis of hypotension is broad. Etiologies may be categorized into several major clinical groups based on underlying mechanisms. […] Prompt identification of the underlying cause of hypotension is essential to guide appropriate treatment. Delays in diagnosis may lead to preventable complications and worsening clinical outcomes.
  • #67 Low Blood Pressure: Overview and More
    https://www.verywellhealth.com/low-blood-pressure-overview-4581941
    Low blood pressure, also known as hypotension, occurs when blood flows through your blood vessels at pressures that are lower than normal. Low blood pressure is primarily a concern if it produces symptoms such as dizziness, fainting, blurry vision, or fatigue, or if you have a sudden drop in blood pressure. […] Low blood pressure can be caused by factors like dehydration or medications, or it can be related to an underlying condition, such as heart problems, hormone issues, pregnancy, or neural conditions. There are three primary types: orthostatic hypotension, neurally mediated hypotension, and severe hypotension related to shock, which is a medical emergency. […] If your blood pressure is consistently below 90/60 mm Hg, be sure to talk to your doctor, though it’s important to remember that everyone’s different.
  • #68 Low Blood Pressure – Heart and Blood Vessel Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/low-blood-pressure-and-shock/low-blood-pressure
    Low blood pressure is blood pressure that is low enough to cause symptoms such as dizziness and fainting. Very low blood pressure can cause damage to organs, a process called shock. […] When blood pressure is too low, not enough blood reaches all parts of the body. As a result, cells do not receive enough oxygen and nutrients, and waste products are not adequately removed. Thus, the affected cells and the organs they are in begin to malfunction. Very low blood pressure can be life threatening because it can lead to shock, in which organs are damaged by lack of blood flow. […] Low blood pressure typically results from one or more of the following: Dilation of small arteries (arterioles), Certain heart disorders, Too little blood volume. […] Low blood pressure also occurs when the nerves that conduct signals between the brain and the heart and blood vessels are impaired by certain neurologic disorders called autonomic neuropathies.
  • #69 Low Blood Pressure (Hypotension): Causes, Symptoms, and Treatment Options
    https://asianheartinstitute.org/blog/low-blood-pressure-hypotension-causes-symptoms-treatment/
    Low blood pressure, or hypotension, occurs when the force of blood against artery walls drops below normal levels. […] Hypotension (low blood pressure) is defined as a reading below 90 mmHg for systolic pressure and 60 mmHg for diastolic pressure. […] Symptoms of hypotension vary by the cause but may include dizziness, fainting, and blurred vision. […] Understanding the underlying causes of hypotension is key to its effective management. […] Low blood pressure can arise from lifestyle factors, medical conditions, or a combination of both. […] Some antihypertensive medications, such as alpha-blockers or beta-blockers, cause low blood pressure. […] Blood pressure monitoring is vital and mandatory for patients with chronic hypotension to track the changes and avoid complications. […] If you’re experiencing low blood pressure symptoms, visit a cardiologist.
  • #70
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    Once a patient is diagnosed with nOH, the goal of treatment should not be to normalize standing blood pressure, but the principal treatment goals should serve to reduce the burden of symptoms (especially falls), prolong standing time, and improve the physical capabilities of the patient to restore independence in activities of daily living. […] After establishment of a diagnosis of symptomatic nOH, it is imperative to first consider pharmacologic simplification by reducing or discontinuing medication that exacerbate nOH. […] Once initial therapy has begun, symptomatic benefit, including impact on activities of daily living, and changes in blood pressure need to be assessed frequently. […] With appropriate education, the screening, diagnosis, and treatment of nOH are well within the purview of both primary and specialist clinicians.
  • #71 Orthostatic Hypotension (Postural Hypotension)
    https://my.clevelandclinic.org/health/diseases/9385-low-blood-pressure-orthostatic-hypotension
    Orthostatic hypotension is a sudden drop in blood pressure when you stand from a seated or prone (lying down) position. You may feel dizzy or even faint. […] A reading below 90/60 millimeters of mercury is considered low blood pressure. […] You have orthostatic hypotension if your blood pressure drops more than 20 millimeters of mercury in systolic pressure or 10 millimeters of mercury in diastolic pressure within three minutes of standing up. […] Your healthcare provider will check your blood pressure while you’re seated, lying down and standing. […] Orthostatic hypotension treatments vary by what’s causing it. […] Rarely, people with orthostatic hypotension need medications to increase blood volume and pressure. […] Orthostatic hypotension symptoms can be unsettling. They may even be dangerous if you lose your balance, fall or pass out. Symptoms often improve when you change how you move into a standing position.
  • #72 Low blood pressure: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007278.htm
    Low blood pressure can usually be treated with success. […] If low blood pressure causes a person to pass out (become unconscious), seek treatment right away. […] Your provider may recommend certain steps to prevent or reduce your symptoms including: Drinking more fluids, Getting up slowly after sitting or lying down, Not drinking alcohol, Not standing for a long time (if you have NMH), Using compression stockings so blood does not collect in the legs.
  • #73 Low blood pressure
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-17/low-blood-pressure
    Risk is increased, especially in OH. The risk for syncope along with the danger of falling with all its consequences is the immediate risk in these patients, as fractures often occur in these conditions. Also, the impact on quality of life should not be underestimated. […] Remarkably, this increased risk is also present in patients who are totally asymptomatic. […] In relation to causes, there is, besides age, a close link with diabetes in patients with OH. […] It should be underlined that, before starting a specific treatment for low blood pressure, all other reasons that could possibly be implicated in blood pressure decrease should be detected and treated such as haemorrhaging or low cardiac output, etc. […] Patients should also be aware that the pressure drop often occurs when getting up at night. […] For preventing fainting, simple manoeuvres (heel raising, handgrips) can help. […] Mineralocorticoids can be helpful; droxidopa shows promising results.
  • #74
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    Supine hypertension in nOH patients is arbitrarily defined as a systolic blood pressure 150 mmHg or diastolic blood pressure 90 mmHg while in the supine position. […] In patients with autonomic failure causing nOH, supine hypertension is common and part of the underlying disease process since these patients lack the normal blood pressure buffering mechanisms that offset hypertension. […] It is critical for clinicians to understand the physiology underlying both nOH and supine hypertension and the associated risks of each when they manage patients with nOH.
  • #75 Orthostatic Hypotension: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2022/0100/p39.html
    If clinical suspicion for orthostatic hypotension is high, head-up tilt table testing should be performed even with normal bedside orthostatic vital signs. […] For unclear cases of orthostatic hypotension or when patients are unable to safely stand, head-up tilt table testing is recommended. […] Supine hypertension is defined as blood pressure of 140 mm Hg or higher systolic or 90 mm Hg or higher diastolic after five minutes in the supine position and affects about 50% of patients with neurogenic orthostatic hypotension. […] The overall approach to the diagnosis and management of orthostatic hypotension is summarized.
  • #76
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    Supine hypertension in nOH patients is arbitrarily defined as a systolic blood pressure 150 mmHg or diastolic blood pressure 90 mmHg while in the supine position. […] In patients with autonomic failure causing nOH, supine hypertension is common and part of the underlying disease process since these patients lack the normal blood pressure buffering mechanisms that offset hypertension. […] It is critical for clinicians to understand the physiology underlying both nOH and supine hypertension and the associated risks of each when they manage patients with nOH.
  • #77 Low blood pressure
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-17/low-blood-pressure
    Risk is increased, especially in OH. The risk for syncope along with the danger of falling with all its consequences is the immediate risk in these patients, as fractures often occur in these conditions. Also, the impact on quality of life should not be underestimated. […] Remarkably, this increased risk is also present in patients who are totally asymptomatic. […] In relation to causes, there is, besides age, a close link with diabetes in patients with OH. […] It should be underlined that, before starting a specific treatment for low blood pressure, all other reasons that could possibly be implicated in blood pressure decrease should be detected and treated such as haemorrhaging or low cardiac output, etc. […] Patients should also be aware that the pressure drop often occurs when getting up at night. […] For preventing fainting, simple manoeuvres (heel raising, handgrips) can help. […] Mineralocorticoids can be helpful; droxidopa shows promising results.
  • #78 Evaluation and Management of Orthostatic Hypotension | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0901/p527.html
    Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. […] Evaluation of suspected orthostatic hypotension begins by identifying reversible causes and underlying associated medical conditions. […] Head-up tilt-table testing can aid in confirming a diagnosis of suspected orthostatic hypotension when standard orthostatic vital signs are nondiagnostic; it also can aid in assessing treatment response in patients with an autonomic disorder. […] Orthostatic hypotension is often found in older patients and in those who are frail. […] In the absence of volume depletion, younger patients with orthostatic hypotension usually have chronic autonomic failure.
  • #79 Evaluation and Management of Orthostatic Hypotension | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0901/p527.html
    Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. […] Evaluation of suspected orthostatic hypotension begins by identifying reversible causes and underlying associated medical conditions. […] Head-up tilt-table testing can aid in confirming a diagnosis of suspected orthostatic hypotension when standard orthostatic vital signs are nondiagnostic; it also can aid in assessing treatment response in patients with an autonomic disorder. […] Orthostatic hypotension is often found in older patients and in those who are frail. […] In the absence of volume depletion, younger patients with orthostatic hypotension usually have chronic autonomic failure.
  • #80 Diagnosis and Tests for High Blood Pressure (Hypertension) | American Geriatrics Society | HealthInAging.org
    https://www.healthinaging.org/a-z-topic/high-blood-pressure-hypertension/tests
    Accurate measurement of blood pressure is the most important part of diagnosing hypertension in older adults. […] Blood pressure can vary. Thats why the diagnosis of hypertension requires at least 3 blood pressure readings taken on two separate visits to the healthcare professional. […] Possible hypotension, including postural hypotension. […] Orthostatic, or postural hypotension. This is very low blood pressure when the person stands up. The blood pressure may then recover and be elevated. Providers look for orthostatic hypotension by measuring blood pressure while a person is lying down, and then after standing up. Checking for orthostatic hypotension is important for older people, as drops in blood pressure can lead to episodes of fainting or falling.
  • #81 The Lowdown on Low Blood Pressure
    https://johnshopkinshealthcare.staywellsolutionsonline.com/Wellness/BloodPressure/56,2949
    Most people worry about having high blood pressure. But for some people, low blood pressure (hypotension) is a big worry. […] Normal blood pressure is less than 120/80 mmHg. Low blood pressure is generally defined as a blood pressure lower than 90/60 mmHg, linked with symptoms. […] Having a blood pressure that is too low can mean your vital organs don’t get the oxygen and blood they need to work normally. Older adults may have symptoms of dizziness and light-headedness when their blood pressure drops lower than usual. But most people with blood pressure in the lower ranges are young and healthy and have no symptoms. […] Many healthy people who have low blood pressure and no symptoms don’t need treatment. Most people with long-term (chronic) low blood pressure who have symptoms can be safely treated with medicine and lifestyle changes. Follow your healthcare provider’s instructions.
  • #82 How Low Can You Go: Is Low Blood Pressure Dangerous?
    https://www.summahealth.org/flourish/entries/2023/02/how-low-can-you-go-is-low-blood-pressure-dangerous
    According to the National Heart, Lung and Blood Institute, a normal blood pressure reading is when the systolic number is under 120 and the diastolic is less than 80 for a healthy adult. A reading of 90/60 is considered low. Low blood is called hypotension (say „hy-poh-TEN-shun”). […] Summa Health sheds light on the causes, symptoms, and types of low blood pressure and when to contact your doctor to seek treatment. Generally speaking, low blood pressure isn’t dangerous unless it causes troubling symptoms. […] Often people learn that they have low blood pressure for the first time at their physician’s office. Some may note new hypotension or chronic low blood pressure when they check BP at home. If you have symptoms noted above associated with low blood pressure, you should see a doctor.
  • #83 Low Blood Pressure and PD | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/blood-pressure
    People with PD often have lower amounts of norepinephrine. […] This type of low blood pressure caused by a change in position is called orthostatic hypotension (OH). […] When you stand up after sitting or lying down, you may be experiencing orthostatic hypotension. Your doctor can measure your blood pressure to test for the condition defined by a drop of at least 20 millimeters of mercury in systolic blood pressure (top number) and 10 millimeters of mercury in diastolic blood pressure (bottom number) within three minutes after standing up.
  • #84
    https://link.springer.com/article/10.1007/s00415-016-8375-x
    Neurogenic orthostatic hypotension (nOH) is common in patients with neurodegenerative disorders such as Parkinsons disease, multiple system atrophy, pure autonomic failure, dementia with Lewy bodies, and peripheral neuropathies including amyloid or diabetic neuropathy. […] Due to the frequency of nOH in the aging population, clinicians need to be well informed about its diagnosis and management. […] The literature on nOH is fraught with inconsistencies in the definition and methods of diagnosis, and suffers from a lack of evidence-based guidelines to direct clinicians towards best practice. […] The following consensus definition of OH was devised by the American Autonomic Society and the American Academy of Neurology, and endorsed by the European Federation of Autonomic Societies and the World Federation of Neurology: OH is a sustained reduction of systolic blood pressure of at least 20 mmHg or diastolic blood pressure of 10 mmHg, or both, within 3 min of standing or head-up tilt to at least 60 on a tilt table.
  • #85 Diagnosis and management of neurogenic orthostatic hypotension
    http://e-acn.org/journal/view.php?doi=10.14253/acn.2023.25.2.66
    Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. […] It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. […] For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. […] Depending on severity of symptoms, pharmacological intervention may be tried after or with non-pharmacological methods. […] Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. […] In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension. […] Symptoms of orthostatic hypotension can be either symptomatic or asymptomatic.
  • #86 Diagnosis and management of neurogenic orthostatic hypotension
    https://www.e-acn.org/journal/view.php?number=643
    Orthostatic hypotension is a sustained and pathological drop in blood pressure upon standing. […] It is crucial to differentiate neurogenic orthostatic hypotension from non-neurogenic orthostatic hypotension. […] For the management of neurogenic orthostatic hypotension, physicians should implement non-pharmacological methods and, if possible, reverse combined non-neurological conditions. […] Its management should be individualized based on intensity of symptoms, comorbid conditions, drug side effects, and etiology. […] In this review, we discuss the definition, pathophysiology, clinical approach, and management of neurogenic orthostatic hypotension. […] Symptoms of orthostatic hypotension can be either symptomatic or asymptomatic. […] The main pathophysiological mechanism of neurogenic orthostatic hypotension is an inadequate release of norepinephrine after standing up.
  • #87 Low Blood Pressure and PD | Parkinson’s Foundation
    https://www.parkinson.org/library/fact-sheets/blood-pressure
    People with PD often have lower amounts of norepinephrine. […] This type of low blood pressure caused by a change in position is called orthostatic hypotension (OH). […] When you stand up after sitting or lying down, you may be experiencing orthostatic hypotension. Your doctor can measure your blood pressure to test for the condition defined by a drop of at least 20 millimeters of mercury in systolic blood pressure (top number) and 10 millimeters of mercury in diastolic blood pressure (bottom number) within three minutes after standing up.
  • #88 Diagnosis and management of neurogenic orthostatic hypotension
    http://e-acn.org/journal/view.php?doi=10.14253/acn.2023.25.2.66
    The main pathophysiological mechanism of neurogenic orthostatic hypotension is an inadequate release of norepinephrine after standing up. […] A stepwise approach is recommended to manage neurogenic orthostatic hypotension symptoms. […] It is important to consider combined medical conditions and correct potential contributors to orthostatic hypotension. […] Before initiating pharmacological treatment, non-pharmacological approaches should be explored and tailored to the patient’s situation.
  • #89 Low blood pressure
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-17/low-blood-pressure
    Risk is increased, especially in OH. The risk for syncope along with the danger of falling with all its consequences is the immediate risk in these patients, as fractures often occur in these conditions. Also, the impact on quality of life should not be underestimated. […] Remarkably, this increased risk is also present in patients who are totally asymptomatic. […] In relation to causes, there is, besides age, a close link with diabetes in patients with OH. […] It should be underlined that, before starting a specific treatment for low blood pressure, all other reasons that could possibly be implicated in blood pressure decrease should be detected and treated such as haemorrhaging or low cardiac output, etc. […] Patients should also be aware that the pressure drop often occurs when getting up at night. […] For preventing fainting, simple manoeuvres (heel raising, handgrips) can help. […] Mineralocorticoids can be helpful; droxidopa shows promising results.
  • #90 Low blood pressure (hypotension) | healthdirect
    https://www.healthdirect.gov.au/low-blood-pressure-hypotension
    If you have orthostatic hypotension that is ongoing, your doctor may recommend you: adjust your salt intake, drink plenty of water, especially early in the day, limit how much alcohol you drink, change your medicines, wear compression stockings or a special belt or binder around your abdomen (tummy), take part in a special exercise program. […] Orthostatic hypotension can cause fainting and increase your risk of falls. […] In people with a higher risk of orthostatic hypotension, it may help to: avoid certain medicines that can lower your blood pressure, make sure you are always well hydrated and avoid dehydration, avoid very low salt diets, keep your blood glucose levels well controlled if you have diabetes. […] Your doctor will want to know about your general health, family history, lifestyle, what medicines you are taking, if you have any allergies, if you know your previous blood pressure readings.
  • #91 Low Blood Pressure | Hypotension | MedlinePlus
    https://medlineplus.gov/lowbloodpressure.html
    You’ve probably heard that high blood pressure is a problem. Sometimes blood pressure that is too low can also cause problems. […] If your blood pressure reading is 90/60 or lower, you have low blood pressure. […] In other people, blood pressure drops below normal because of a medical condition or certain medicines. […] Low blood pressure is a problem only if it causes dizziness, fainting or in extreme cases, shock. […] Diagnosis and Tests […] Measuring Blood Pressure From the National Institutes of Health (National Library of Medicine) Also in Spanish […] Tilt Table Test (Mayo Foundation for Medical Education and Research) Also in Spanish.
  • #92 7 Diagnosis And Tests For Low Blood Pressure: A Comprehensive Guide | TheEMTSpot
    https://www.theemtspot.org/low-blood-pressure-diagnosis-tests/
    Diagnosing low blood pressure, also known as hypotension, involves a comprehensive evaluation of a persons medical history, physical examination, and various tests. […] Proper diagnosis of low blood pressure is crucial for identifying individuals who may require treatment or lifestyle modifications to manage their condition effectively. […] The diagnosis and tests for low blood pressure aim to determine the underlying cause, assess the severity of the condition, and rule out any associated complications. […] By accurately diagnosing low blood pressure, appropriate treatment can be applied to manage the condition and promote overall well-being. […] Diagnostic techniques, including medical history assessment, physical examination, ECG, blood tests, Holter monitor, tilt table test, stress test, and imaging tests, help identify underlying causes, assess severity, and rule out complications. […] Accurate assessment and recognition of low blood pressure are crucial for effective management.
  • #93 Symptoms and Diagnosis of Low Blood Pressure | Ganesh Diagnostic
    https://www.ganeshdiagnostic.com/blog/symptoms-and-diagnosis-of-low-blood-pressure
    Low blood pressure, medically known as hypotension, is a condition in which the blood pressure is lower than normal blood pressure which is 120/80 mmhg.therefore the blood flow to the brain, heart or other organ is decreased. […] Low BP or hypotension can be diagnosed easily, you just have to check your blood pressure but it is important to determine the cause behind the hypotension so that effective management plan can be designed according to the patients needs, related test for low blood pressure are listed below: […] Low blood pressure is a very common condition and it can be due to a variety of reasons. It is important to determine the reason behind your low blood pressure as after the correct diagnosis only effective treatment plans can be designed.
  • #94 Low Blood Pressure (Hypotension): Causes & Symptoms
    https://my.clevelandclinic.org/health/diseases/21156-low-blood-pressure-hypotension
    Low blood pressure is a reading below 90/60 mm Hg. […] Hypotension, or low blood pressure, is when your blood pressure is much lower than expected. […] Low blood pressure is below 90/60 mm Hg. Normal blood pressure is above that, up to 120/80 mm Hg. […] Hypotension itself is easy to diagnose. Taking your blood pressure is all you need to do. But figuring out why you have hypotension is another story. […] Your provider may recommend the following tests: […] If a provider can treat that cause directly, hypotension will usually get better on its own. […] The most important thing for a provider treating low blood pressure is to find the underlying cause and correct it. […] If you have hypotension, what you can expect depends on what causes it and if you have symptoms. […] If you know you have hypotension, you should see your healthcare provider if you start to notice symptoms affecting your life or disrupting your usual routine and activities. […] Hypotension is a condition that can have no symptoms, and many people dont even know they have it.
  • #95 Low blood pressure (hypotension) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465
    Low blood pressure is a condition in which the force of the blood pushing against the artery walls is too low. It’s also called hypotension. […] In general, low blood pressure is a reading lower than 90/60 mm Hg. […] It’s important to find out what’s causing low blood pressure so that it can be treated, if needed. […] For some people, low blood pressure may be a symptom of an underlying health condition. That’s especially so when blood pressure drops suddenly or when low blood pressure occurs with symptoms. […] If you often have low blood pressure readings but feel fine, you might not need treatment. Instead, your healthcare professional tracks your health during routine checkups.
  • #96 The Lowdown on Low Blood Pressure
    https://johnshopkinshealthcare.staywellsolutionsonline.com/Wellness/BloodPressure/56,2949
    Most people worry about having high blood pressure. But for some people, low blood pressure (hypotension) is a big worry. […] Normal blood pressure is less than 120/80 mmHg. Low blood pressure is generally defined as a blood pressure lower than 90/60 mmHg, linked with symptoms. […] Having a blood pressure that is too low can mean your vital organs don’t get the oxygen and blood they need to work normally. Older adults may have symptoms of dizziness and light-headedness when their blood pressure drops lower than usual. But most people with blood pressure in the lower ranges are young and healthy and have no symptoms. […] Many healthy people who have low blood pressure and no symptoms don’t need treatment. Most people with long-term (chronic) low blood pressure who have symptoms can be safely treated with medicine and lifestyle changes. Follow your healthcare provider’s instructions.
  • #97 Low blood pressure: Natural remedies, causes, and symptoms
    https://www.medicalnewstoday.com/articles/319506
    Low blood pressure can cause dizziness, fainting, and other symptoms. […] Low blood pressure or hypotension is any reading lower than 90 mmHg over 60 mmHg. […] However, most doctors will only describe low blood pressure as a problem if a person has the symptoms. […] Low blood pressure is not a concern if there are no symptoms present. However, when low blood pressure causes symptoms, it can be a sign that not enough blood is getting to the organs. […] Low blood pressure can be a side effect of a variety of medications, including beta-blockers, tricyclic antidepressants, and narcotics. […] If symptoms of low blood pressure begin after starting a new medication, people should discuss the symptoms with their doctor. […] Low blood pressure is only a concern if symptoms exist. If there are no symptoms present, doctors may take low blood pressure as a sign of good health.
  • #98 Low blood pressure: Natural remedies, causes, and symptoms
    https://www.medicalnewstoday.com/articles/319506
    Anyone experiencing symptoms that could indicate low blood pressure should speak with a doctor. […] Experiencing symptoms of low blood pressure can also indicate an underlying condition that may require diagnosis and treatment. […] A healthcare professional can help to diagnose and treat any underlying health conditions that may be causing low blood pressure.