Low Blood Pressure

Low Blood Pressure (Hypotension): Diagnostic Tests

Obligatory medical device diagnostics. Blood pressure measurement Long-term blood pressure measurement (24-hour blood pressure measurement). Orthostasis test (Schellong test) 1st part (measurements in lying position): blood pressure and pulse are measured at minute intervals. Duration: 5-10 minutes. 2nd part (measurements in standing position): immediately following the last lying measurement, blood pressure and pulse are measured … Low Blood Pressure (Hypotension): Diagnostic Tests

Low Blood Pressure (Hypotension): Micronutrient Therapy

Orthostatic hypotension may indicate a deficiency of the following vital substance (micronutrients): Orthostatic hypotension, although rare, may be a symptom of vitamin B12 deficiency In the context of micronutrient medicine (vital substances), the following vital substance (micronutrients) can be used for supportive therapy: Sodium chloride (table salt): a high-salt diet provides a fluid increase in … Low Blood Pressure (Hypotension): Micronutrient Therapy

Low Blood Pressure (Hypotension): Prevention

To prevent hypotension (low blood pressure), attention must be paid to reducing individual risk factors. Behavioral risk factors Stimulant consumption Alcohol (woman: > 20 g/day; man: > 30 g/day). Drug use Opiates or opioids (alfentanil, apomorphine, buprenorphine, codeine, dihydrocodeine, fentanyl, hydromorphone, loperamide, morphine, methadone, nalbuphine, naloxone, naltrexone, oxycodone, pentazocine, pethidine, piritramide, remifentanil, sufentanil, tapentadol, tilidine, … Low Blood Pressure (Hypotension): Prevention

Low Blood Pressure (Hypotension): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hypotension (low blood pressure): Dizziness Blackening before the eyes Drop in blood pressure when standing up Tendency to collapse Fatigue, exhaustion Headache Paleness Ringing in the ears Cold hands and feet Palpitations or stitches in the heart area Hyperhidrosis – increased sweating. Tendency to hypoglycemia – drop in … Low Blood Pressure (Hypotension): Symptoms, Complaints, Signs

Low Blood Pressure (Hypotension): Causes

Pathogenesis (development of disease) The cause of primary (essential) hypotension is not known. It is a regulatory disorder of the circulatory system on a constitutional basis – mostly affecting leptosome (narrow-bodied) patients and women. Secondary hypotension is caused by diseases, medications and also immobility. Orthostatic hypotension also falls under this term. This occurs as a … Low Blood Pressure (Hypotension): Causes

Low Blood Pressure (Hypotension): Therapy

General measures General measures that strengthen the circulation may contribute to improvement: Slowly getting up in the morning Pressure on the abdomen; worked in 52% of patients (systolic blood pressure dropped by less than 10 mmHg on average) Alternating showers Brush massages Sports (see below sports medicine) are recommended swimming, running and tennis. Sufficient fluid … Low Blood Pressure (Hypotension): Therapy

Low Blood Pressure (Hypotension): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood) including urine volume. Electrolytes … Low Blood Pressure (Hypotension): Test and Diagnosis

Low Blood Pressure (Hypotension): Drug Therapy

Therapeutic target Prevention of syncope (brief loss of consciousness/circulatory collapse). Therapy recommendations If general measures do not provide sufficient symptom relief for the patient, sympathomimetics (drugs that potentiate the action of the sympathetic nervous system) may be administered. However, these should be used only for a limited time and in severe cases of hypotension. See … Low Blood Pressure (Hypotension): Drug Therapy

Low Blood Pressure (Hypotension): Medical History

Medical history (history of illness) represents an important component in the diagnosis of hypotension (low blood pressure). Family history Vegetative anamnesis Self-history including medication history. Pre-existing conditions Operations Family history Is there a history of frequent cardiovascular disease in your family? Social history Current medical history/systemic history (somatic and psychological complaints). In what situations do … Low Blood Pressure (Hypotension): Medical History

Low Blood Pressure (Hypotension): Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Hypoaldosteronism – decreased secretion of aldosterone, a hormone from the adrenal cortex (symptoms: Hyponatremia (sodium deficiency), hyperkalemia (potassium excess), exsiccosis, collapse). Hypoglycemia (hypoglycemia). Hyponatremia – decreased sodium content in the blood. Hypothyroidism (underactive thyroid gland) Hypovolemia – too little blood in the vascular system. Insufficiency of the anterior pituitary … Low Blood Pressure (Hypotension): Or something else? Differential Diagnosis

Low Blood Pressure (Hypotension): Complications

The following are the major diseases or complications that may be contributed to by hypotension (low blood pressure): Cardiovascular system (I00-I99) Apoplexy (stroke; 64% higher (RR 1.64; 95% CI 1.13-2.37) with orthostatic hypotension). Heart failure-associated events (by 125% higher (RR 2.25; 95% CI 1.52-3.33) in orthostatic hypotension) Coronary artery disease (CAD) (by 41% higher (RR … Low Blood Pressure (Hypotension): Complications

Low Blood Pressure (Hypotension): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes [pallor]. Extremities [cold hands and feet] Auscultation (listening) of the heart. Auscultation of the lungs Health check Square brackets [ ] indicate possible pathological (pathological) … Low Blood Pressure (Hypotension): Examination