Orthostatic Hypotension - Diagnosis

Diagnosis

There is a simple test for OH which measures the person's blood pressure while seated or reclining at rest, and again upon standing up. Orthostatic hypotension is defined as a fall in systolic blood pressure of at least 20 mmHg and/or in the diastolic blood pressure of at least 10 mmHg between the supine reading and the upright reading. In addition, the heart rate should also be measured for both positions. A significant increase from supine to standing may indicate a compensatory effort by the heart to maintain cardiac output.

A tilt table test may also be performed.

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