Orthostatic hypotension

Question 1

Who is usually affected by orthostatic hypotension?

Answer 1

Older people and patients who have neurodegenerative disease (e.g. Parkinson’s) diabetes, or hypertension

Question 2

Which conditions increase the risk of orthostatic hypotension?

Answer 2

Neurodegenerative disease (e.g. Parkinson’s)
Diabetes
Hypertension

Question 3

What medications increase the risk of orthostatic hypotension?

Answer 3

Alpha-blockers (for benign prostatic hyperplasia)

Question 4

What is the classification of orthostatic hypotension?

Answer 4

A drop in BP within three minutes of standing
Usually >20/10 mm Hg

Question 5

What drop in blood pressure is required for a diagnosis of orthostatic hypotension?

Answer 5

> 20/10 mm Hg

Question 6

What period of time does someone need to be standing to see the drop in BP?

Answer 6

3 minutes

Question 7

What are the other possible features of orthostatic hypotension?

Answer 7

presyncope
syncope

Question 8

What medication can be given for orthostatic hypotension?

Answer 8

Midodrine
Fludrocortisone