Postural hypotension - Orthostatic hypotension

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Orthostatic hypotension is the sharp decrease in blood pressure caused by changes of position. It can occur at any age but it is more common in older adults.

It is promoted by a low volume of blood (bleeding, dehydration), lack of tone in the blood vessels, high blood pressure medication, pregnancy, alcohol intake, heat and Parkinson's disease.

It manifests with a feeling of dizziness and haze. If the drop in blood pressure is significant, it can cause a decrease in cerebral circulation and, as a consequence, loss of consciousness.

Diagnosis is clinical, through questioning and physical examination where a drop in blood pressure coinciding with a quick change of position may be seen.

The cause must be treated and general prevention measures taken. In more severe cases, medication may be necessary.

Bibliographic references
  1. Horacio Kaufmann. Mechanisms, causes, and evaluation of orthostatic hypotension. UpToDate. Febrero 2015
  2. Horacio Kaufmann. Treatment of orthostatic and postprandial hypotension. Mayo 2015
  3. Miller ER 3rd. High prevalence but uncertain clinical significance of orthostatic hypotension without symptoms. Circulation 2014; 130:1772.
  4. Mills PB. Nonpharmacologic management of orthostatic hypotension: a systematic review. Arch Phys Med Rehabil 2015; 96:366.
  5. Roy Freeman. Síncope. Harrison. Principios de Medicina Interna, 19e. Capítulo 27
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Dizziness with quick posture changes


    Low blood pressure


    Blurry vision


    Feel weak


    Loss of consciousness

Symptoms to watch out for

Accompanied by a blow to the head
Headache
Difficulty talking
Loss of sensibility and/or motility in limbs
Loss of vision

Self-care

Lie on the floor and raise your legs above the level of your heart.
Maintain a fluid intake of 6 - 8 cups per day.
Reduce alcohol consumption.
Get out of bed slowly.
Take time when changing position.
Avoid walking if you feel dizzy.