Orthostatic hypotension
Orthostatic hypotension
Orthostatic hypotension is a condition in which the sufferer feels dizziness when moving from sitting or lying down. The condition arises due to decreased blood pressure, and the body's natural response to restoring blood pressure to normal is impaired. Mild orthostatic hypotension generally only lasts for a few minutes.
If it occurs longer, it can be a sign of other medical disorders that are more suffered, such as heart disease.
When not handled, it can trigger the appearance of other conditions, such as stroke and heart failure.
Symptoms of orthostatic hypotension will experience dizziness when moving from sitting or lying down. In addition to dizziness, patients with orthostatic hypotension may also feel other symptoms, such as
• Blurred vision.
• The body feels linden.Daze.Nausea.Blacked.Causes and risk factors for orthostatic hypotension when one gets away from sitting or lying down, the blood by itself will flow to the foot, thereby reducing blood circulation to the heart and causing a decrease in blood pressure. Normally the body has a natural response in addressing the condition. But in patients with orthostatic hypotension, the body's natural response to restore decreased blood pressure does not work properly. There are several factors that are suspected to cause disruption in the body's natural response, to the decrease in blood pressure that causes orthostatic hypotension, namely:
• Abnormalities of cardiac function, such as bradycardia, coronary heart disease, or heart failure.
• Disorders of the endocrine glands, such as Addison's disease or hypoglycemia.
• Dehydration, such as the consequences of drinking water, fever, vomiting, diarrhea, and excessive sweating.
• Nervous system disorders, such as Parkinson's disease or multiple atrophy systems.
• After meals. This condition can occur in elderly patients.
• Use of drugs, such as ACE inhibitors, angiotensin receptor blockers (ARB), and beta inhibitors. In addition, there are also several other factors that can increase the risk of a person experiencing orthostatic hypotension, namely:
• Aged 65 years or older. Sometimes low pressure due to orthostatic hypotension may also occur in children.
• Be in a hot temperature environment.
• Not activity or move in a long time, such as when hospitalized (bed rest).
• Are pregnant.
• Consume alcoholic beverages. Diagnosis of orthostatic hypotension diagnosing orthostatic hypotension, the doctor will observe the symptoms, history of the disease, and the patient's overall condition. The doctor will also use a series of tests to ensure the conditions at the same time find out why. Some of the tests used to diagnose orthostatic hypotension include
• Blood pressure screening. This test uses a special tool called Tensimeter. In the process, the doctor will examine the blood pressure when the patient sits and stands, then compares it.
• Blood test. This test is used to examine the patient's overall health condition. Blood tests are also used to detect hypoglycemia or anemia, which may be the trigger to decrease blood pressure. Electrocardiography. Electrocardiography (ECG) uses a special tool in the form of an electrode placed on the chest, legs, and hands of the patient. The tool serves to detect electrical activity in the heart. Echocardiography. Echocardiography uses sound waves (ULTRASOUND) to produce images of heart conditions.
• Stress test. This test is performed when the heart works harder, such as when exercising (running on a treadmill machine), then the patient's heart condition will be observed using ECG or echocardiography.
• Tilt table test or tilting table test. In the process, the patient will be asked to lie on a special rotatable bed. After the patient is lying down, the doctor will check the patient's blood pressure at different positions.
• Valsalva maneuvers. In this test, the patient will be asked to follow the movement instructed by the physician. It aims to examine the functioning of the autonomic nervous system, by assessing heart rate and blood pressure. Treatment and prevention of orthostatic hypotension treatment methods can differ in each patient depending on the cause. If the patient has a headache when standing, the patient can immediately sit down or sleep to relieve symptoms. For symptoms of orthostatic hypotension that arise due to the use of drugs, it is better if the patient immediately consults a physician. The doctor may reduce the dose or encourage the patient to stop using the drug. The doctor may also recommend other methods to deal with orthostatic hypotension, such as.
• Stocking or compression socks. Stocking compression serves to prevent blood buildup in the legs so that symptoms of orthostatic hypotension that appear can be reduced.
• Medications, such as pyridostigmine. The dosage used will be adjusted to the existing conditions. Besides the above method, there are several things that you can do to handle while preventing orthostatic hypotension.
The market is:
• Drink plenty of water.
• Avoid consuming alcoholic beverages.
• Avoid hot-temperature spots.
• Place your head on higher places when lying down.
• Avoid cross-legs when seated.
• When it is about to stand, do it slowly.
• Consume salt If you are not a patient with hypertension.
• Not eat in excessive portions and low in carbohydrates, in patients with orthostatic hypotension arising after eating. Complications of orthostatic hypotensionOrthostatic hypotension that has suffered long and does not get the treatment, at risk of causing complications. Possible complications include Stroke.
• Heart and blood vessel diseases, such as heart rhythm disorders or heart failure.
