Lightning Learning: Orthostatic Hypotension

Lightning Learning: Orthostatic Hypotension

Orthostatic hypotension is the fall in blood pressure when transitioning from lying to standing.
— advice is based on local guidelines & procedures

What?

Orthostatic Hypotension is the fall in blood pressure when transitioning from lying to standing.

Positive result?

  • >20 mmHg drop in systolic BP

  • Drop to below
    90 mmHg SBP on standing

  • >10 mmHg drop in diastolic BP with symptoms

Why?

Orthostatic Hypotension is an important cause of collapse and lightheadedness. This can result in falls, which is associated with increased morbidity especially in the older person.

Prevalence may be as high as 20% and can have a delayed onset of up to 5 mins in over half of those affected.

Postprandial hypotension occurs in older patients up to 90 minutes after a meal.

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