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A new study finds the traditional way of taking blood pressure may not give accurate results. Researchers discovered that some people only had high blood pressure while lying down.
Orthostatic hypotension (or postural hypotension) is a drop in blood pressure upon standing. One definition (AAFP) calls for a systolic blood pressure decrease of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg within 3 minutes of standing. [31]
A patient is considered to have orthostatic hypotension when the systolic blood pressure falls by more than 20 mm Hg, the diastolic blood pressure falls by more than 10 mm Hg, or the pulse rises by more than 20 beats per minute within 3 minutes of standing [5] [7]
High diastolic blood pressure measured while standing in a person who stood up shortly after waking up. When it affects an individual's ability to remain upright, orthostatic hypertension is considered as a form of orthostatic intolerance. The body's inability to regulate blood pressure can be a type of dysautonomia.
Supine hypertension is a paradoxical elevation in blood pressure upon assuming a supine position from a standing or sitting position. [1] [2] [3] It is assumed to be a manifestation of disorders of the autonomic nervous system [4] or due to side effects of medications such as midodrine and droxidopa. [5] [6]
"Your blood pressure is supposed to be under 140 over 90, optimally closer to 120 over 80."
Initial management of autonomic dysreflexia includes measuring and monitoring blood pressure and sitting the patient upright to attempt to lower their blood pressure. It is also important to search for and correct the triggering stimuli. [12] Tight clothing and pressure stockings should be removed.
Aortocaval compression syndrome, also known as supine hypotensive syndrome, is compression of the abdominal aorta and inferior vena cava by the gravid uterus when a pregnant woman lies on her back, i.e. in the supine position.