About Orthostatic Hypotension

What is Orthostatic Hypotension?

Orthostatic hypotension is a condition in which a person's blood pressure drops significantly when they stand up from a sitting or lying down position. It is caused by a sudden decrease in blood pressure due to a decrease in blood volume in the body. Symptoms of orthostatic hypotension include dizziness, lightheadedness, blurred vision, and fainting. Treatment typically involves lifestyle changes such as increasing salt and water intake, avoiding alcohol and caffeine, and exercising regularly.

What are the symptoms of Orthostatic Hypotension?

The most common symptoms of orthostatic hypotension include lightheadedness, dizziness, blurred vision, fainting, fatigue, and confusion. Other symptoms may include nausea, headache, palpitations, sweating, and weakness.

What are the causes of Orthostatic Hypotension?

1. Dehydration
2. Prolonged bed rest
3. Certain medications, such as diuretics, alpha blockers, and some antidepressants
4. Heart problems, such as an abnormal heart rate or heart failure
5. Endocrine problems, such as diabetes, adrenal insufficiency, or an underactive thyroid
6. Neurological conditions, such as Parkinson’s disease or multiple system atrophy
7. Autonomic neuropathy, which is a type of nerve damage
8. Anemia
9. Blood loss
10. Pregnancy

What are the treatments for Orthostatic Hypotension?

1. Increase salt and water intake
2. Increase physical activity
3. Wear compression stockings
4. Medications such as fludrocortisone, midodrine, and ephedrine
5. Increase dietary intake of B-vitamins
6. Increase dietary intake of iron
7. Increase dietary intake of magnesium
8. Avoid alcohol and caffeine
9. Avoid prolonged standing
10. Elevate the head of the bed at night

What are the risk factors for Orthostatic Hypotension?

1. Age: Elderly people are more likely to experience orthostatic hypotension due to age-related changes in the body.

2. Medications: Certain medications, such as diuretics, antihypertensives, and antidepressants, can cause orthostatic hypotension.

3. Dehydration: Dehydration can cause a decrease in blood volume, leading to orthostatic hypotension.

4. Medical conditions: Certain medical conditions, such as diabetes, Parkinson’s disease, and autonomic neuropathy, can increase the risk of orthostatic hypotension.

5. Pregnancy: Pregnant women are more likely to experience orthostatic hypotension due to hormonal changes and increased blood volume.

Is there a cure/medications for Orthostatic Hypotension?

Yes, there are several treatments available for orthostatic hypotension. These include medications such as fludrocortisone, midodrine, and ephedrine; lifestyle modifications such as increasing salt and fluid intake, wearing compression stockings, and avoiding prolonged standing; and physical counter-maneuvers such as leg crossing and squatting. In some cases, a pacemaker may be recommended.