Prognosis for shrinkage when getting up | Dizziness when getting up

Prognosis for shrinkage when getting up

Dizziness when getting up and low blood pressure are usually harmless, but can significantly reduce the quality of life. However, it should be remembered that low blood pressure is beneficial because it does not put too much strain on the blood vessels and patients do not suffer from cardiovascular diseases as frequently. If the dizziness when getting up is caused by an underlying disease, the prognosis is defined by the underlying disease.

Diagnosis of dizziness when getting up

In the beginning, the doctor-patient conversation and the general physical examination are of crucial importance. Here the doctor can discuss whether there is an organic cause for the complaints, whether there are side effects of medication or whether the dizziness when getting up is of idiopathic cause. The physical examination can give first indications of an existing underlying disease.

Certain tests can also be performed by the doctor. In these tests, the systolic blood pressure (first value) may drop up to 20 mm Hg after rising, the diastolic blood pressure (second value) up to 10 mm Hg. In addition, the pulse rate should normally rise slightly.In the further course it can be useful to take a 24-hour blood pressure measurement in order to record the daily course of the blood pressure.

The blood pressure monitor used for this purpose can be carried with you throughout the day without any problems and does not lead to any restrictions. In addition, the completed activities should be recorded in a small diary in order to establish a connection between blood pressure and employment.

• Schellong test: measuring blood pressure and pulse several times.

  At the beginning the measurements are taken within 10 minutes while lying down, afterwards the measurements are taken while standing.

• Tilting table examination: Here the patient is strapped to a movable table. Initially, the patient remains in the lying position for 20 minutes. Blood pressure and pulse are continuously monitored. Afterwards the table is tilted so that the patient is upright.