Doctor insights on:
What Is The Difference Between Postural Hypotension And Orthostatic Hypotension
Semantics: They mean the same thing. Postural hypotension theoretically could mean any change in posture that induces low blood pressure, but in reality this is only seen when assuming a standing-up position from seated or lying down. Orthostatic hypotension describes the same phenomenon. ...Read more
Hypotension is defined as "low blood pressure". Blood pressure is measured as two numbers and expressed as systolic blood pressure (sbp) / diastolic blood pressure (dbp). The sbp is the pressure that is generated when the heart squeezes. Dbp occurs when the heart relaxes. 120/70 is considered normal in adults. Less than 100/60 (of either number) can ...Read more
Synonyms: They're the same thing.Get a more detailed answer ›
Yes: More common in younger patients. Get evaluated if you have symptoms or are concerned. ...Read more
Need details: It's possible to have both conditions seperately, but they could are more commonly related or part of the same condition. It's likely best to spend some time having a heart rhythm specialist, go over your testing and results, and explaining it to you. A good history and physical examination is also helpful. Good luck. ...Read more
Not the same: In postural or orthostatic hypotension, BP drops significantly when upright (because among other things, blood pooling). A mechanism the body uses to correct this low BP is to increase the heart rate in an effort to mobilize that pooled blood and increase BP (hydration may help). Abnormal tachycardias are due to electrical abnormalities in your heart and may need to be treated. See your doctor. ...Read more
Motion vs. Lighthead: Vertigo is defined as "the sensation of motion in the absence of motion." this will lead to the feeling that either you are moving in some way (spinning is common) or your environment is moving. People with orthostatic hypotension do not typically complain of motion, rather they feel as if they are lightheaded or as if they might faint. ...Read more
45 minutes tilt test what would be the difference in results between pots and postural hypotension?
It can: It can if it is low enough or if there is already some cerebrovascular disease. ...Read more
Not related: They independent problems - not related.Get a more detailed answer ›
Hypotension vs TIA: Sometimes a diagnosis of orthostatic hypotension (classicallly, dizziness when you stand up) is hard to prove. There is a fairly elaborate test called "tilt table" testing, which can confirm the difficult cases. A TIA does not produce the same symptoms of lightheadedness/dizziness. A TIA produces brief neurological symptoms, loss of speech, weakness in a hand, etc. Can't be proven in retrospect. ...Read more
It can: Multiple sclerosis can be associated with with an autonomic dysfunction, as in abnormal function of the autonomic nervous system which controls things like our heart rates and blood pressures. Unfortunately, it isn't uncommon to see abnormal heart rate and/or blood pressure responses to normal things like sitting up from lying down or rising from seated to standing. ...Read more
Slow Adjustments: Orthostatic hypotension can be prevented by gradually allowing your body to equilibrate in different phases of movement. For example, after laying in bed for prolonged periods of time, blood tends to pool away from the head. Sit up while still in bed, equilibrate for a few moments, and then proceed to stand. This gives your body's vasculature time to constrict and redirect blood appropriately. ...Read more
Get up slowly: See your dr. And make sure your antihypertensive medications are correct, make sure you are well hydrated, and get up slowly. ...Read more
Not dangerous, but..: This can lead to significant distress and even disability. It's important to remember there is nothing dangerous or life-threatening about this. However, if it happens often, it can cause significant anxiety, and avoidance of certain situations. If routine measures (e.g. Oral hydration) and meds don't work, rehab exercises to retrain the veins and arteries to self-regulate can be very helpful. ...Read more
A sign: Edema can be a sign that your "tank is full"-that your volume status is positive or in other words you are not deplete of fluid. That's important because in that situation there may not be much more to be gained by adding extra salt in your diet or hydrating more vigorously. If orthostasis still problematic, then you will likely need to turn to alternative therapies such as midodrine, etc. ...Read more
Ortho hypo: Regardless of age, orthostatic hypotension refers to a condition when changes in position like from lying down to sitting up or from sitting to standing cause your blood pressure to drop making you feel light headed or feint. Dehydration or blood pressure medicine that is too strong are examples of common causes; there are others. ...Read more
Low volume: Most likely low volume status -- try to eat well and stay hydrated. ...Read more
Well: Many doctors are trained and capable to begin a work-up for this. Many times it just takes medication management, however if conservative measures and work-ups have not solved the problem a cardiology visit should help you get solutions. Not all syncope is heart or vessel related however and other specialists such as neurology may need to be included. ...Read more
In someone with orthostatic hypotension, how long do symptoms like headache last? Permanently until treated, 10 minutes after standing, 5 minutes...?
Up to 5 minutes.: The symptoms should normally last up to 5 minutes. However the patient has to be very careful and whenever he gets the symptoms of hypotension he should immediately lie down to avoid loss of consciousness. This will also help getting rid of dizziness and headache. It is always better to treat the cause of hypotension. ...Read more
Was leaning over on my phone for a few minutes when I stood up 3/4ths of my vision blacked out. Was this just orthostatic hypotension and is it benign?
You are correct:
This is orthostatic hypotension, which in a young person usually indicates some degree of dehydration. This is much more likely if you are in a hot environment. Be sure to drink enough water so that when voiding, the urine looks like water to be sure that you are not dehydrated at all.
Changing posture a little more slowly will also prevent this by giving more time for adjustment of the bp. ...Read more
Yes, but rare: Anxiety can have a myriad of effects, and it could cause this. Basically it is a fall in blood pressure due to positional changes, and would be more common for anxiety to raise blood pressure than reduce it, but it could be rarely implicated. It can have many causes from innocuous sources to serious medical problems. If occurs often see your md to rule out problems. ...Read more
Postural hypotension describes a phenomenon that occurs in some people -- usually otherwise healthy -- in which after they rise from either a prone, or sitting, position their blood pressure quickly becomes lower. As a consequence, the affected person becomes uncomfortably dizzy, or lightheaded for ...Read more
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