Description
A form of low blood pressure that happens when one stands up from sitting or lying down. Patients feel dizzy or lightheaded, and can faint with standing. It is more common in older adults and 15 % of those 65 and older have orthostatic hypotension. The disorder can be secondary to medications, heart disease, dehydration, bleeding, and neurologic disorders. Also called orthostatic hypotension.
Symptoms
Light headedness with standing, fainting, symptoms that resolve with laying down, sweating with standing.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Blood pressure is checked in lying, sitting and standing positions. Tests to determine the cause of the disorder may include: blood tests, tilt table test, and imaging studies.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Magnetic resonance imaging (MRI), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Tilt table test
Specialists:
Cardiology
Workup:
A history and physical exam will be performed. Blood pressure is checked in lying, sitting and standing positions. Tests to determine the cause of the disorder may include: blood tests, tilt table test, and imaging studies.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Electrocardiogram (EKG), Magnetic resonance imaging (MRI), Troponin, Urinalysis (UA), X-ray
Other Specific Tests: Tilt table test
Specialists:
Cardiology
Treatment
Lifestyle changes such as drinking plenty of fluids and standing slowly. Medicines that lower blood pressure should be adjusted to lower dose or discontinued. Medications to increase blood pressure may include: fludrocortisone, midodrine