Evaluation and management of orthostatic hypotension

Definition
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By Douglas J Lanska MD MS MSPH

Orthostatic hypotension is a drop in systolic blood pressure of 20 mm Hg, or a drop in diastolic blood pressure of 10 mm Hg, within 3 minutes of standing. [Occasional patients may not develop orthostatic hypotension until they stand for at least 10 minutes.]

Note: Orthostatic hypotension should always be considered and assessed in patients reporting dizziness, especially with standing, and should always be considered and assessed in patients who fall.