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Doctor insights on: Orthostatic Hypertension Prognosis

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What is orthostatic hypertension?

What is orthostatic  hypertension?

Orthostasis: U mean orthostatic hypotension: is a form of hypotension in which a person's BP suddenly falls when standing up.It is defined as a fall in systolic BP of at least 20 mm hg or diastolic BP of at least 10 mm hg when a person assumes standing position. ...Read more

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Dr. Lois Freisleben-Cook
320 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Cure for orthostatic hypertension?

Cure for Orthostasis: Volume repletion. Rise from supine to standing slowly. Compression stockings. High sodium intake. Drugs such as midodrine or fludrocortisone. ...Read more

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I have Orthostatic Hypertension, and I am only 18. What are some precautions I should take and some tips that would be useful?

I have Orthostatic Hypertension, and I am only 18. What are some precautions I should take and some tips that would be useful?

Postural: First an internal medicine specialist or cardiologist would evaluate you to check for causes such as neuropathies, insufficiency of leg veins, any medications you may be taking, anemia,electrolyte imbalance, adrenal insufficiency,etc. You could try extra salt intake, medication like florinef, (fludrocortisone) elastic stockings. You must avoid standing up too quickly. Sit up at the edge of the bed before standing ...Read more

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What if I have Orthostatic hypertension because of my pulse rate but my bp doesn't change? What does that mean?

What if I have Orthostatic hypertension because of my pulse rate but my bp doesn't change? What does that mean?

Overactive Sympathet: When Nl person stands BP drops little because auto-nomic nervous system increas Heart Rate(HR) & constricts blood vessels. I believe UR system overactive. U need many Blood Tests to R/O specific reasons (like pheochromocytoma -freq cureable) or kidney Probem I dont think prob fully understd. Suggest UR MD try mild vasodilator & B-Blocker. I would start Carvedilol which is both, start low & increa ...Read more

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I have been struggling with orthostatic hypertension and my doctor seems to be not sure about what to do to help my dizziness and blacking out. Help!

I have been struggling with orthostatic hypertension and my doctor seems to be not sure about what to do to help my dizziness and blacking out. Help!

POTS syndrome?: Look up pots syndrome. It is rare, but in a young person with unexplained orthostatic hypotension it should be considered. It is associated with migraine. For orthostatic hypotension, wearing compression stockings and avoiding getting up from a seated r lying position too fast, can help. ...Read more

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What can cause orthostatic hypertensn+tacyda?Hr= 130-145upon stndg.Coldfeet+hands dring episode. Urine/bmalso incrbp/hr.Breathless + headrush feelg?

What can cause orthostatic hypertensn+tacyda?Hr= 130-145upon stndg.Coldfeet+hands dring episode. Urine/bmalso incrbp/hr.Breathless + headrush feelg?

Low BP with position: Your blood pressure supposes to go up a bit from laying to sitting to standing up to provide adequate pressure to get blood to your brain (mostly by increase in heart-rate-heart pumping more blood)..With orthostatic hypotension, your BP actually may drop when you stand up causing dizziness/fainting etc. Causes: dehydration, meds use, infections, autonomic dysfunctions and++. Consult doc. Good luck. ...Read more

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I have LVDD, pulmonary hypertension,and newly diagnosed with asthma. What's the prognosis. I'm 67.

I have LVDD, pulmonary hypertension,and newly diagnosed with asthma. What's the prognosis.  I'm 67.

Can't say for sure: but those are not good to have together or even separately for that matter. Do you have underlying sleep apnea? That could cause all of these. Treat the root cause if you can. Otherwise, reverse or slow the LVDD to extent possible with medications. Try to keep PH under control with help of your doctor. If you are over-weight, you must lose weight for any hope of getting better. ...Read more

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I have moderate pulmonary hypertension, enlarged heart, what can I expect? What is the prognosis? Please give me your opinion.

I have moderate pulmonary hypertension, enlarged heart, what can I expect? What is the prognosis? Please give me your opinion.

Need more info: Pulm HTN is a complex syndrome, and it can be the result of a number of diseases, or it can be "idiopathic". Given your age and gender, a lot of things are potentially treatable, but you likely need more evaluation. You need a lung doc. I don't know of any in athens, but i know several in zanesville. I could also see you in columbus, if you were willing to make the trip. ...Read more

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I had mi 6 weeks ago causing mod-severe lv heart failure and mild-moderate pulminary hypertension. What is the honest pronosis for this i am 57yr man?

I had mi 6 weeks ago causing mod-severe lv heart failure and mild-moderate pulminary hypertension. What is the honest pronosis for this
i am 57yr man?

Too early: It is too early to tell which is actually good news. With aggressive medical therapy people can recover quite a bit of function after a heart attack, but not always. See your cardiologist and talk about what you can do to maximize your recovery. After 3 months of aggressive medical therapy you will have a better idea of your prognosis and a lot depends on how much function you recover. ...Read more

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Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more