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Home > West Medicine > Internal Medicine > Cardiology
I95.100

Orthostatic Hypotension

心内科

Common symptoms

直立性脱虚、蹲下起来后眼前发黑、低血压、头昏、头晕、出冷汗、神志模糊、心慌、氧分压低、起搏频率增高

The pathology of disease

Orthostatic hypotension is a drop in systolic BP ≥20 mmHg or diastolic ≥10 mmHg within 3 minutes of standing, causing dizziness/lightheadedness/syncope. Causes: dehydration, medications (antihypertensives/diuretics/autonomic dysfunction). Treatment: volume repletion; slow positional changes; compression stockings; review/reduce antihypertensives; treat autonomic neuropathy; fludrocortisone/midodrine for severe; increase salt/fluid if tolerated; monitor falls.

Common Symptoms

Dizziness/lightheadedness on standing; syncope; by volume/medication/autonomic cause

Causes and Pathogenesis

Impaired baroreflex/volume/autonomic response causes BP drop on standing.

Treatment

Volume repletion; slow position changes; review meds; fludrocortisone/midodrine; compression

Preventive Measures

Hydration; avoid prolonged standing; review meds; fall prevention.

Department to Visit

It is recommended to visit the Cardiology/Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.