Orthostatic hypotension (postural hypotension)

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Complications

By Mayo Clinic staff

While mild forms of orthostatic hypotension may be a nuisance, more-serious complications are possible, especially in older adults. These complications include:

  • Falls. Falling down as a result of fainting (syncope) is a common complication in people with orthostatic hypotension.
  • Stroke. The swings in blood pressure when you stand and sit as a result of orthostatic hypotension can be a risk factor for stroke.
  • Brain damage. Some research has indicated that repeated episodes of orthostatic hypotension can damage parts of the brain, increasing the risk of some forms of dementia and other brain disorders.
References
  1. Your high blood pressure questions answered: Low blood pressure. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=3034848. Accessed April 14, 2009.
  2. Hypotension. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hyp/hyp_whatis.html. Accessed April 14, 2009.
  3. Sheps SG, ed. Mayo Clinic 5 Steps to Controlling High Blood Pressure. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2008.
  4. Kaufmann H, et al. Mechanisms and causes of orthostatic and postprandial hypotension. http://www.uptodate.com/home/index.html. Accessed April 6, 2009.
  5. Kaufmann H, et al. Treatment of orthostatic and postprandial hypotension. http://www.uptodate.com/home/index.html. Accessed April 6, 2009.
  6. Krediet CTP, et al. Management of initial orthostatic hypotension: lower body muscle tensing attenuates the transient arterial blood pressure decrease upon standing from squatting. Clinical Science. 2007;113:407.

DS00997

July 23, 2009

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