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 (front lobe of the pituitary gland).
  • Adrenocortical insufficiency (NNR insufficiency; adrenocortical insufficiency).

Cardiovascular system (I00-I99).

Psyche – nervous system (F00-F99; G00-G99)

  • Polyneuropathy – disease of the peripheral nervous system. Depending on the cause in question, motor, sensory or even autonomic nerves may be affected in a focal manner.
  • Shy-Drager syndrome – form of multisystem atrophy; this is a neurological disease similar to Parkinson’s disease.

Causes (external) of morbidity and mortality (V01-Y84).

  • Hypovolemia – decrease in the amount of blood in the systemic circulation.

Further

  • Bradbury-Egglestone syndrome – rare disorder leading to orthostatic hypotension due to isolated autonomic insufficiency.
  • Immobilization
  • Cardiovascular diabetic autonomic neuropathy – a common complication of diabetes associated with an approximately threefold mortality risk (symptoms: marked orthostatic hypotension, increased intraoperative lability; may potentially lead to clustered incidence of silent or asymptomatic myocardial ischemia or infarction, respectively)

Medications

  • See “Causes” under medications