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Hypotension

Hypotension


Definition:

Low blood pressure, or hypotension, occurs when blood pressure during and after each heart beat is much lower than usual. This means the heart, brain, and other parts of the body do not get enough blood. Dizziness or lightheadedness can result.

See also: Blood pressure

Alternative Names:

Low blood pressure; Blood pressure - low; Postprandial hypotension; Orthostatic hypotension; Neurally mediated hypotension; NMH

Causes, incidence, and risk factors:

Blood pressure that is borderline low for one person may be normal for another. The most important factor is how the blood pressure changes from the normal condition.

Most normal blood pressures fall in the range of 90/60 millimeters of mercury (mm Hg) to 130/80 mm Hg. But a significant drop, even as little as 20 mm Hg, can cause problems for some people.

There are three main types of hypotension:

  • Orthostatic hypotension, including postprandial orthostatic hypotension
  • Neurally mediated hypotension (NMH)
  • Severe hypotension brought on by a sudden loss of blood (shock)

Orthostatic hypotension is brought on by a sudden change in body position, usually when shifting from lying down to standing. This type of hypotension usually lasts only a few seconds or minutes. If this type of hypotension occurs after eating, it is called postprandial orthostatic hypotension. This form most commonly affects older adults, those with high blood pressure, and persons with Parkinson's disease.

NMH most often affects young adults and children. It occurs when a person has been standing for a long time. You might feel dizzy, faint, or have an upset stomach. Children usually outgrow this type of hypotension.

Severe hypotension starves your body of oxygen, which can cause damage to the heart, brain, and other organs. This type of hypotension can be life threatening if not immediately treated.

Low blood pressure is commonly caused by drugs such as:

  • Medications used for surgery
  • Anti-anxiety medications
  • Heart medicines, including those used to treat high blood pressure and coronary heart disease
  • Diuretics
  • Certain antidepressants
  • Pain killers
  • Alcohol

Other causes of low blood pressure include:

Symptoms:

Symptoms may include:

  • Blurry vision
  • Confusion
  • Dizziness
  • Fainting (syncope)
  • Lightheadedness
  • Sleepiness
  • Weakness

A sudden drop in blood pressure that causes a sudden, brief loss of consciousness (syncope) can lead to accidents, including falls. Falls are particularly dangerous for older adults. Fall-related injuries, such as a broken hip, can dramatically impact a person's quality of life.

Signs and tests:

The health care provider will examine you and try to determine what is causing the low blood pressure. Your vital signs (temperature, pulse, rate of breathing, blood pressure) will be checked frequently. You may need to stay in the hospital for a while.

The doctor will ask questions, including:

  • What is your normal blood pressure?
  • What medications do you take?
  • Have you been eating and drinking normally?
  • Have you have any recent illness, accident, or injury?
  • What other symptoms do you have?
  • Did you faint or become less alert?
  • Do you feel dizzy or light-headed when standing or sitting after lying down?

The following tests may be done:


Review Date: 1/19/2007
Reviewed By: Larry A. Weinrauch, MD, Assistant Professor of Medicine, Harvard Medical School, and Private practice specializing in Cardiovascular Disease, Watertown, MA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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