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 in standing position (instant value). During the standing period, at minute intervals, the measurement is repeated. Duration: 5-10 minutes
Assessment: the Schellong test is positive if the systolic blood pressure persistently drops by > 20 mmHg and / or diastolic by > 10 mmHg in standing within 3 minutes after standing (compared to resting values after 4 minutes lying down) or at 60 ° elevation on the tilt table. Alternatively, orthostatic hypotension is said to occur when there is a drop of more than 30 mmHg in hypertensive patients with blood pressure above 160 mmHg in the supine position.In these cases, so-called orthostatic dysregulation is very likely.