Stephen J. Schueler, M.D.

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Postural Hypotension Evaluation

Evaluation of orthostatic hypotension begins with a history and physical examination.

Physical findings in someone with orthostatic hypotension include:

  • A significant drop in blood pressure after standing, such as:
    • A drop of 20 or more points in systolic blood pressure (top number) after standing for one minute
    • A drop of 10 points or more in diastolic blood pressure (bottom number) after standing for one minute

Tests that may be used to evaluate orthostatic hypotension include:

Continue to Postural Hypotension Treatment

Last Updated: Dec 22, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Postural Hypotension References
  1. Hajjar I. Postural blood pressure changes and orthostatic hypotension in the elderly patient: impact of antihypertensive medications. Drugs Aging. 2005;22(1):55-68. [15663349]
  2. Schrezenmaier C, Gehrking JA, Hines SM, Low PA, Benrud-Larson LM, Sandroni P. Evaluation of orthostatic hypotension: relationship of a new self-report instrument to laboratory-based measures. Mayo Clin Proc. 2005 Mar;80(3):330-4. [15757013]
  3. Sclater A, Alagiakrishnan K. Orthostatic hypotension. A primary care primer for assessment and treatment. Geriatrics. 2004 Aug;59(8):22-7. [15332413]
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