General Medicine

Orthostatic Hypotension

Orthostatic Hypotension refers to an symptomatic drop in systolic BP in the upright position (> 20 mmHg). Common symptoms: tiredness, staggering, loss of muscle tone or syncope. OH is not a specific disease entity, but rather an abnormality in BP regulation with a variety of possible causes which include drugs (diuretics, nitroglycerine, levodopa etc), diseases (diabetic neuropathy, hypovolemia) and fever. If possible, manage the underlying disorder. Avoid prolonged bed rest in elderly patients. It is important that the patient get up slowly and gradually if bed rest has been prolonged.

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